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With worldwide population aging, increasing numbers of people need hospital care. Evidence suggests comprehensive geriatric assessment (CGA) is superior to usual care. To summarize the evidence for the effects of CGA in frail and moderately frail patients compared with usual care in acute care settings. CINAHL, PsycInfo, Cochrane Library, EMBASE, and PubMed were searched in October 2011, January 2
Background In the coming half-century, the population of old people will increase, especially in the oldest age groups. Therefore, the prevalence of multiple chronic conditions, and consequently, the need of health care including care in hospital, is rising. Materials and methods This article includes results from three mainly qualitative articles (interviews with frail old people, physicians, and
Context: Older people with multimorbidity are vulnerable and often suffer from conditions that produce a multiplicity of symptoms and a reduced health-related quality of life. Objectives: The aim of this study is to explore the experience of living with a high symptom burden from the perspective of older community-dwelling people with multi-morbidity. Method: A qualitative descriptive design with
Background: Globally, the population is ageing and lives with several chronic diseases for decades. A high symptom burden is associated with a high use of healthcare, admissions to nursing homes, and reduced quality of life. The aims of this study were to describe the multidimensional symptom profile and symptom burden in community-dwelling older people with multimorbidity, and to describe factors
OBJECTIVE: To explore the interactions concerning the frail and elderly patients having to do with discharge from acute hospital wards and their participation in medical decision-making. The views of the patients and the medical staff were both investigated.DESIGN: A qualitative observational and interview study using the grounded theory.SETTING AND PARTICIPANTS: The setting was three hospitals in
OBJECTIVE: To explore physicians' thoughts and considerations of participation in medical decision making by hospitalised elderly patients.DESIGN: A qualitative study using focus group interviews with physicians interpreted with grounded theory and completed with a questionnaire.SETTING AND PARTICIPANTS: The setting was three different hospitals in two counties in Sweden. Five focus groups were co
How to improve the care of elderly patients with multi-morbidity, regardless of borders between medical specialities and professions, starting from the patients' point of view and ending with a powerful policy document with impact on the political system. A document written by the Swedish Association of Geriatric Medicine, the Swedish Association of General Practice and the Swedish Association of
Objectives: The prevention and treatment of frailty is a great challenge to health care in the future. Elderly receiving Comprehensive Geriatric Assessment (CGA) as hospital inpatients have decreased institutionalization and mortality. This study aimed to analyze the effects of outpatient CGA on frailty in community dwelling elderly people with multimorbidity. Methods: The Ambulatory Geriatric Ass
Objective: To compare mortality and costs of health and social care between participants with access to care based on Comprehensive Geriatric Assessment (CGA) in an out-patient care setting with a control group receiving usual care only. The comparison was done 36 months after inclusion. Methods: Randomized controlled trial. Inclusion criteria: community-dwelling, aged ≥75 years, ≥3 hospitalisatio
Importance: The care of older persons with multimorbidity is a future challenge for the welfare sector in many countries in terms of organization of care and provision of sufficient health care resources. Objective: To determine whether an alternative with an ambulatory geriatric unit (AGU) additional to usual care based on Comprehensive Geriatric Assessment (CGA) is more effective than usual care
Regeringen bör tydligare styra läkar- och sjuksköterskeutbildningarna för att kunna säkerställa att utbildningarna i geriatrik motsvarar vårdens behov.
