Geriatric Care 2019-11-17T17:54:11+01:00 Paola Granata Open Journal Systems <p><strong>Geriatric Care</strong> is the official journal of <a href="" target="_blank" rel="noopener">SIGOT</a> (<em>Società Italiana di Geriatria Ospedale e Territorio</em>), it is a recently-launched Open Access journal that seeks to publish high quality, peer-reviewed manuscripts dealing with the Geriatric Care in the different settings including the hospitals, residential services, nursing homes and home-care services for the elderly. The aim of the journal is to stimulate debate and dissemination of knowledge in the geriatric field in order to ameliorate efficacy, effectiveness and efficiency of interventions to improve health outcomes of the elderly people. <strong>Geriatric Care</strong> publishes contributions of epidemiology, pathophysiology and clinical assessment, management and treatments of the diseases of the older people, as well as health education and environmental health, hospital-residential-homecare management of the elderly including ethics, social and communication sciences, e-health and health technology assessment. Contributions on innovative topics of biological and genetics research, gender and disparity issues, as well as high-technology supports, i.e. domotics and robotics for the elderly, are welcome. <strong>Geriatric Care</strong> publishes <em>Original Articles</em>, <em>Review Articles</em>, <em>Brief Reports</em>, <em>Case Reports</em>, <em>Statement Reports</em> and <em>Editorials</em>.</p> <p>This journal does not apply charge for publication to Authors as it is supported by institutional funds.</p> Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway for elderly patients with urologic diseases 2019-11-17T17:54:10+01:00 Lisa Cammalleri Romina Custureri Monica Pomata Fabio Bonini Giacomo Capponi Carlo Introini Alberto Pilotto <p>Aging of population represents a new challenge for physicians who have to deal with the balance of risk and benefit in a population that is poorly represented in clinical trials. Frail patients need individualized treatments because of their high risk of developing complications in the course of therapies. Several studies have reported the effect of frailty on falls, hospitalization and mortality, but only few have focused on surgical patients and frailty is not included in the traditional surgical risk scales. Geriatric surgery patients have a physiologic vulnerability requiring assessment beyond the traditional preoperative evaluation of adults. Although single organ evaluation cannot be ignored in elderly population, recognition of frail patients during preoperative assessment may provide additional insight in predicting poor outcome; thus, aiding preoperative decision-making. We developed a Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway in order to evaluate ≥65 years old patients affected by urogenital pathologies which require major surgery and to early identify frail subject.</p> 2019-11-04T14:24:19+01:00 ##submission.copyrightStatement## Pet ownership and cognitive decline in older people 2019-11-17T17:54:07+01:00 Nicola Veronese Lee Smith Vania Noventa Guillermo F. López-Sánchez Jacopo Demurtas Christopher F. Sharpley Vicki Bitsika Sarah E. Jackson <p>Animals can have a positive influence on human health. However, it is not yet known whether pet ownership can prevent cognitive decline. Therefore, we aimed to investigate cross-sectional and prospective associations between pet ownership and cognitive function in a large, representative sample of older adults. Data were from the English Longitudinal Study of Ageing (ELSA) using data collected in wave 5 and six years later in wave 8. Pet ownership was categorized as no pet, dog, cat or other pet. Cognitive function was assessed using tests of verbal fluency (assessed by asking how many different animals the participants could name in 60 seconds) and memory (sum of immediate and delayed verbal recall). Multiple linear regression, adjusted for potential confounders, was used to test the associations between pet ownership and cognitive function. A total of 8291 people (mean age: 66.72 years) were included. In cross-sectional analyses, dog owners had better verbal fluency than individuals with no pet, but there was no significant difference between cat or other pet owners and those with no pet. In prospective analyses, dog owners had a significantly larger decline in recall than those with no pet, whilst cat owners had a significantly smaller decline in verbal fluency. These results provide some evidence to suggest that pet ownership may have positive effects on cognition in later life. However, benefits of pet ownership were not unilaterally observed across different types of pet and measures of cognitive function suggesting that further research is required.</p> 2019-11-04T15:04:56+01:00 ##submission.copyrightStatement## Importance of quality of life in people with dementia treated with enteral nutrition: the role of the nurse 2019-11-17T17:54:11+01:00 Nicola Veronese Serena Minto Ornella Bonso Andrea Merlo <p>Nutritional problems are common in dementia and can lead to enteral nutrition, a nutritional treatment option in severe stages of dementia. However, the benefits of enteral nutrition in people with dementia are still weak. The decision to use artificial nutrition in these patients is often emotional and complex and the attitudes of health personnel (physicians and nurses) in this sense they are very different. The objective of this review is to show the role of enteral nutrition on quality of life in patients affected by dementia and the possible implications for practice and research, with a special focus on nurse role. We made a literature search in PubMed and Scopus, searching for studies dealing with enteral nutrition and quality of life in dementia. We were able to find only a few observational studies related to enteral nutrition and quality of life, with a lack in the scientific literature regarding the management of nutritional problems in dementia, particularly taking in account quality of life. Furthermore, by orienting the research on a possible role of nurses, there were limited studies on properly nursing aspects. From this work emerges the need for further research in this context for which the training and education of health personnel result of fundamental importance, with a view to improving the quality of life of the patients with dementia and their family.</p> 2019-07-30T11:55:51+02:00 ##submission.copyrightStatement## The prescription paradox: a guide to appropriate prescribing in the elderly 2019-11-17T17:54:09+01:00 Ryan B. Thomas Se Ryeong Jang Marco Lombardi Vittorio Maio <p>Appropriate prescribing in the elderly can be challenging. While most of the older patients suffer from multiple comorbidities and undergo physiological changes with aging, no clinical guidelines account for these unique characteristics of the elderly adequately. Our commentary proposes a continuous process of prescribing and deprescribing as a necessary step for providers to prevent adverse drug events associated with unnecessary polypharmacy, a result of clinical guidelines working in silos. In addressing this issue, we employed Dr. Nick Barber’s four tenants of appropriate prescribing – maximize effectiveness, minimize risk, minimize cost, and respect patient choice – as a framework to guide providers through actionable insights on how to optimize the intended effects of their clinical treatment while also achieving desirable humanistic and economic outcomes.</p> 2019-11-04T14:38:57+01:00 ##submission.copyrightStatement##