Geriatric Care 2020-02-16T18:00:24+00:00 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> Falls prevention among older adults at a Nursing home in a northern suburban of Perth in Western Australia 2020-02-16T18:00:24+00:00 Horatius Musembi Malilu Deborah Sundin <p>The objective was to identify factors leading to falls and determine the role of nurses and carers play in falls prevention. A retrospective audit of the performance of nurses and carers regarding falls prevention among older adults was used. Residents who had a fall during July 2015 (n=25) were identified using purposeful sampling. Data for this study were collected from the files of these residents. Data analysis was done by using the Fisher exact test which was appropriate for the collected data. Residents aged 85-89 years had the most falls (32%); however, one resident who fell five times in the studied month was aged 90 years. Residents aged 70-74 years had the lowest number of falls (8%). Twenty-two (88%) of the residents who fell were incontinent, 20 (80%) were confused, 19 (76%) were using walking aids and four (16%) were blind. Only five (20%) residents who reported falls in the studied month were independent. Most falls occurred among residents of advanced age, and among those who had incontinence, were confused and failed to use walking aids. Residential home staff should increase vigilance during specific times and monitors closely residents with a high risk of falls.</p> 2019-11-25T18:20:05+00:00 ##submission.copyrightStatement## Implementation of the SELFY-MPI in five European countries: a multicenter international feasibility study 2020-02-16T18:00:23+00:00 Sabrina Zora Katerin Leslie Quispe Guerrero Nicola Veronese Alberto Ferri An L.D. Boone Marta Pisano Gonzalez Yves-Marie Pers Hein Raat Graham Baker Alberto Cella Alberto Pilotto <p>It is essential for welfare systems to predict the health and care needs of people with chronic diseases. The Multidimensional Prognostic Index (MPI) proved excellent accuracy in predicting negative health outcomes. Recently, a selfadministered version of MPI (SELFY-MPI) was developed and validated in community- dwelling subjects showing an excellent agreement between the two instruments regardless of age. This is a feasibility study concerns the implementation of SELFYMPI in five European countries. The SELFY-MPI includes the self-administration of Barthel Index, Instrumental Activities of daily Living (IADL), Test Your Memory (TYM) Test, Mini Nutritional Assessment-Short Form (MNA-SF), comorbidity, number of medications, and the Gijon’s Socio-Familial Evaluation Scale (SFES). A descriptive analysis was performed on the data collected. 300 subjects (mean age 62 years, range 19-88 years; male/female ratio 0.81) completed the SELFY-MPI. The mean value of the SELFY-MPI was 0.131 (range: 0.0- 0.563) showing a significant correlation with age (Pearson coefficient=0.373, P&lt;0.001). The mean value of the SELFYMPI filling time was 15 minutes (range: 5- 45 minutes) showing a significant correlation between age and filling time (Pearson coefficient=0.547, P&lt;0.001). The SELFYMPI is an excellent self-administered tool for comprehensive self-assessment screening of community-dwelling people at risk of physical and cognitive frailty and/or socioeconomic vulnerability.</p> 2019-12-02T11:33:07+00:00 ##submission.copyrightStatement## Including prognosis evaluation in the management of older patients across different healthcare settings: The Cologne Experience 2019-12-17T18:02:09+00:00 Anna Maria Meyer M. Cristina Polidori <p>The increase of the older population hypothesized during the last century for the beginning of the third millennium was fundamental for the establishment and development of the medical discipline of geriatrics as well as of biogerontological research. This increase, however, is reaching unexpected proportions, due to various scenarios demographic investigations could not predict. These include among others accelerated vs. usual aging and initial amelioration of quality of life in the recent generations vs. subsequent worsening of disability prevalence. The major consequence for this situation is that healthcare systems are challenged in keeping the pace with the individual and social demands of the older population. This situation requires an urgent paradigm shift with the implementation of authentic comanagement of medical specialists and geriatricians for the amelioration of integrated and transitional care. The present work shows the first results of the studies from a task force established 2015 at the Dpt. II of the University Hospital of Cologne with the aim of integrating personalized medicine with high-performance organ medicine in older adults accessing various non-geriatric medical settings.</p> 2019-12-02T11:45:18+00:00 ##submission.copyrightStatement## Rare diseases in the elderly: a new perspective for the specialist in geriatrics 2020-02-16T18:00:21+00:00 Carlo Sabbà Gennaro M. Lenato Carlo Custodero Patrizia Suppressa <p>Rare diseases (RD) encompass a broad spectrum of highly heterogeneous illnesses characterized by a prevalence lower than 1:2000 in general population. Although relatively uncommon, when considered as a whole, these pathologies represent a relevant public health problem. In light of their usual early onset and high severity and mortality, RD have been traditionally regarded as affecting mainly childhood or young adulthood, and considered to be excluded from filed of interest of geriatric specialists. However, more recent epidemiological studies, suggest that demographic changes, sometimes joined with advances in diagnostic and therapeutic strategies, are permitting longer survival of some persons affected by these conditions, thus making RD compatible with geriatric age. Hence, in the next future, specialists in geriatrics will be referred to by an increasing number of elderly subjects with RD seeking medical care. Geriatricians should be aware about the high management complexity of elderly patients with RD, characterized by considerable frailty status, related to both the primary RD and to the ageingrelated condition.</p> 2019-12-20T15:45:44+00:00 ##submission.copyrightStatement## Electroconvulsive therapy: old acquaintance for the youngster or new opportunity for the elder? Review of the literature and applications in the geriatric population 2020-02-16T18:00:20+00:00 Massimo Palleschi Davide Trubian Anna Palleschi <p>Electroconvulsive therapy (ECT) is among the most controversial and mythicized therapies in the psychiatric and medical clinical context. Historically, this practice was used in some contexts as a torture or a coercive method and the lay public as well as the collective imaginary has always considered and represented this treatment as inhuman. Prejudices and limited knowledge of this therapeutic tool have contributed to consider this procedure as a violent act and an assault to human dignity, progressively reducing its employment in time. Despite these prejudices, in the international literature several studies have demonstrated a considerable evidence in support of the use of ECT for some psychiatric diseases, considering it among the safest and most effective treatments. Especially in case of life-risk diseases, such as major depression, ECT proved to be necessary in dealing with pharmaco-resistance and bringing to remission psychotic depression with high risk of suicide. Furthermore, to date ECT results to be the treatment of choice in depressed patients that cannot be treated with pharmacotherapy, e.g. in pregnant women, in which the use of antidepressant drugs exposes the fetus to a teratogenic risk, or in elder patients, in which multiple-drug treatments and interactions have to be carefully considered. The purpose of this paper is to provide a review of the literature regarding ECT and concise guidelines for this treatment and its clinical outcomes, with special reference to geriatric population.</p> 2019-12-23T10:17:06+00:00 ##submission.copyrightStatement##