REFERENCES 1. Opolski J. Zdrowie Publiczne. Wybrane Zagadnienia. Warszawa: Centrum Medyczne Kształcenia Podyplomowego; 2011. p. 117-40. 2. Ratcliffe J, Laver K, Cozner L, Crotty M. Heath Economics and Geriatrics: Challenges and Opportunities. Geriatrics; 2012. [ http://www.intechopen.com ]. 3. Picco L, Achilla E, Abdin E, et al. Economic burden of multimorbidity among older adults: impact on healthcare and societal costs. BMC Health Servic Res. 2016;16:173. 4. Rymkiewicz E, Rękas-Wójcik A, Milaniuk S, et. al. Diabets mellitus type 2 in the elderly. Zdr Publ. 2015
intervention [ 11 ]. This study aimed to determine the prevalence of atypical presentations among older Thai patients with infectious diseases presenting at the ED of a tertiary care hospital and identification of factors associated with these presentations. Materials and methods Study participants This is secondary analysis of a retrospective cohort observational study of atypical presentations of older adults at an ED first reported in the Archives of Gerontology and Geriatrics in 2015 [ 12 ]. We analyzed a subset of data from patients diagnosed as having infectious
Patients aged above 60 represent a very diversified population group with respect to their health condition. This may result from multimorbidity. In the rehabilitation process of elderly patients it is especially crucial to identify not only the underlying diseases which constituted the grounds for referral to the rehabilitation clinic, but also the comorbidities that have to be taken into consideration while planning their rehabilitation. The aim of the present paper is the assessment of comorbidities in patients of the rehabilitation clinic. The study population included 1616 patients (447 man and 1169 women) treated at the rehabilitation clinic. The factors put through analysis were the age and gender of the patient, the main diagnosed (underlying) illness subject to rehabilitation treatment, as well as comorbidities. All diseases, both the underlying conditions and the comorbidities have been classified according to the International Statistical Classification of Diseases and Related Health Problems (10th revised edition). The main reasons for the treatment at the rehabilitation outpatient clinic were arthrosis of the spine, knee and hip joints, polyarthritis, osteoporosis, diseases of the central nervous system diseases and paralytic syndromes as consequences of strokes, hypertension or atherosclerosis, as well as post-traumatic conditions.
The most frequent comorbidities occurring in patients of the rehabilitation clinic were cardiovascular diseases (irrespective of the age group and the underlying disease). In the age group of 60-64, the subsequent comorbidities were gastrointestinal and cancers, and in the age of 65-74, neoplasms were the most frequently occurring comorbidities. The performed analysis resulted in the following conclusions: The majority of patients diagnosed and treated at the rehabilitation centre suffered from irregularities in the muscular, articular and skeletal system or the connective tissue (those were mainly the arthrosis of the spine, hip and knee joints as well as osteoporosis). The most frequently observed comorbidities in patients of the rehabilitation clinic were cardiovascular and gastrointestinal diseases, as well as neoplasms.
Background/Aim:Residual cysts comprise approximately 10% of all odontogenic cysts. They are more commonly seen in 4th-6th decades of life, and occur due to incomplete previous surgical removal of a radicular cyst; or due to left epithelial remnants stimulated by tooth extraction. These lesions are often treated with enucleation. However, this procedure is not always the ideal treatment solution for elderly people due to the presence of physical and mental disorders, and risk of jaw fracture.
Case Report: In this case report, the successful treatment of a large residual cyst in the symphysis of a 93 year-old female patient by performing decompression alone is presented. A plastic drain was placed on the wall of the cyst to allow irrigation. Regeneration was observed in the cyst cavity 3 months after surgery. The 1-year follow up showed that the majority of the cyst cavity was filled with new bone.
Conclusions: In elderly patients, large inflammatory cysts can be successfully treated with decompression considering the limited regeneration capacity and difficulties in follow-up.
At this moment, geriatric dentistry represents a very well-defined discipline, which deals with the dental treatments in the elderly patients, more precisely the patients over 60 years old. Unfortunately, in Romania, geriatric dentistry is currently very superficiality treated, this being rather an optional study discipline in the curricula of Dental Medicine Faculties. Therefore, in this material we have tried to explain through solid arguments the importance of geriatric dentistry in the basic training of dentists, dental and dental prophylaxis nurses, as well as dental technicians.
The number of patients with type 2 diabetes increases along with civilizational development. Advanced treatment methods applied in diabetology and other branches of medicine increase the number of patients. The aim of this work is to present diagnostic and therapeutic problems in elderly people with diabetes. There isa a number of other diseases coexisting with diabetes. These are: hypertension, hyperlipidemia and obesity. The risk of diabetes increases with age and it is related to lowered insulin secretion, worsened absorption and insulin resistance. Diabetes symptoms in older patients differ from those of other age groups. An early diagnosis can minimize the risk of any cardiovascular events, ranked as one of the leading causes of death in elderly patients. The choice of treatment should be adjusted to the particular patient’s needs, avoid any sudden modifications of administered drugs and educating the patients. These are the most important elements of the therapy.
://www.farmec.ro/Document Files/Evolutie-produse-Game/00000275/24pgr Povestea%20Ana%20Aslan.pdf Ileana Ilie (2011), Efectul de face-lifting al mărcilor româneşti de cosmetic, (The facelift effect of the Romanian cosmetic brands) Capital , December 4 th 2011, http://www. capital.ro/detalii-articole/stiri/ef ectul-de-face-lifting-al-marcilor-romanesti-de-cosmetice-157554.html Institute of Gerontology and Geriatrics “Ana Aslan”, webpage http://www.ana-aslan.ro/index ro.htm Keohane R. O., Nye J. S (2009), Putere ş i Interdependent , Iaşi, Romania: Polirom Klein, N. (2006), No Logo, tirania
Communication is one of the basic human needs, it builds trust and facilitates people-to-people contacts. This is widely understood exchange of information as well as feelings, it is both; discussion and argumentation.
The basis for effective treatment is proper communication between the medical staff and the patient. Nurses, medical careers working with elderly people are often in a situation where it is difficult for them to communicate with the patient. Ignorance of the physiology of human aging, difficulties and diagnostic limitations may lead to errors of medical personnel.
The objective of the article is to draw attention to the role of communication among nurses, supported by medical caregivers, who deal with an elderly patient in pre-, peri- and postoperative period, as well as to point out that nursing staff is insufficiently involved in creating standards of medical care.
Lack of training, outlines and guidelines in the field of communication and geriatrics, in the treatment and care of elderly patients result in ignorance, intuitive, incomplete and accidental action, without intentional continuity, what may result in deterioration of care and may contribute to an increase in perioperative mortality of older people.
The paper discusses inappropriate (futile) treatment by analyzing the casuistics of palliative patients in the terminal stage of illness who are hospitalized at the Department of Internal Medicine and Geriatrics of the Faculty hospital with policlinic (FNsP). Our research applies the principles of palliative care in the context of bioethics. The existing clinical conditions of healthcare in Slovakia are characteristic of making a taboo of the issues of inappropriate treatment of palliative patients. Inductive-deductive and normative clinical bioethics methods of palliative care and ethical strategy are applied for defining issues found in inappropriate hemodialysis treatment. An algorithm of hemodialysis treatment requires the definition of those lege artis criteria which, in the context of a patient’s autonomy and his/her decision, precondition the avoidance of the situation in which hemodialysis treatment is inappropriate (futile). Futile treatment in a terminal condition is ethically inappropriate medical treatment that extends the suffering of patients and their relatives. Its definition is determined by the relevant legislation and the methods of bioethics. An active palliative strategy is aimed at managing the process of incurable diseases in the patient’s bio-psycho-socio-spiritual continuity in the process of special bioethics. The global bioethical objective of general bioethics for palliative care is based on the paradigm of social harmony and solidarity in the context of an authentic modus of the patient’s existence as a constitutive principle for the phenomenon of the patient’s being to finite being (death).
Introduction: The paper deals with the issues of the education of senior patients within nursing care. The aim of the paper is to find out the level of nurses’ knowledge and skills in educating elderly patients and to discover how these are reflected in the reality of clinical practice. It is a case study focused on showing the current real state of clinical practice related to the given topic. Methods: This paper will introduce the outcomes of a qualitative research (semistructured interview, semi-structured observation, documents analysis) based on theoretical background. The research was carried out during the survey fellowship in the Slovak Republic and the respondents were nurses working in standard hospital departments. Certain phenomena, relations and influencing factors were clarified through the follow-up analysis. The gathered data were processed by using qualitative methods in the form of case studies. Results: The qualitative survey has revealed certain deficiencies in nurses’ knowledge and in the reality of the education of elderly patients in clinical practice. Discussion: The deficiencies in knowledge and skills are essential in the reality of clinical practice. Limitations: The research sample was made up of educating nurse/nurses working in geriatrics, in long-term care departments or internal departments. It included a total of 16 respondents. Conclusions: Sufficient attention should be paid to the training of nurses which should be focused on the specificities of educating seniors/senior patients as well as on the reality of education that is performed. It is necessary to provide training for working with this specific age group even in pre-gradual nursing education.