Comment prévenir le déclin fonctionnel pendant l’hospitalisation : l’apport des soins aigus aux seniors

Lebrun, Laure-Line; Rhyner, Yaëlle; Théodoloz, M.; Joz-Roland, Nicole Doser

doi:10.53738/revmed.2019.15.635.0221

Cited by 1 publication

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“…It affects their quality of life and may require environmental adaptations and supportive care interventions depending on their level of independence and their needs. 10 It is therefore essential to measure the functional level of older individuals. A well-established test for this purpose is the functional independence measure (FIM), which indicates the level of disability of the patient and thus can help determine the amount of care and support required for people to perform their activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

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A novel prosthesis presentation test to screen for cognitive and functional decline

et al. 2023

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Objectives and backgroundTo validate a novel screening test for cognitive and functional decline in older patients rehabilitated with complete removable dental prostheses (CRDPs).Materials and methodsEdentate old in‐patients rehabilitated with CRDPs were included in this study. Participants were requested to remove their prostheses before their intraoral examinations. The prostheses were then presented in an inverted orientation. Participants had to correct the orientation of the prostheses and insert them in the appropriate jaws. The test was repeated after the intraoral exam. Appropriate statistical models were used (⍺ = .05) to associate the test results with the participants' mini‐mental state examination (MMSE) score, functional independence measure (FIM), age and sex.ResultsAmong the 86 participants (mean‐age: 85.4 ± 6.4 years; mean MMSE: 19.8 ± 5.5; mean FIM: 77.9 ± 20.8), 21 (24.4%) failed to correctly insert the prosthesis. The prosthesis presentation test (PPT) was associated with the FIM but not the MMSE. Regression models further confirmed an association with age (P = .043), but not sex. Additional analyses revealed the PPT test is associated with the FIM's cognitive sub‐sets of memory, problem solving and social interaction.ConclusionThe PPT is a novel, simple and quick screening tool that can help detect functional difficulties in older people. It can easily be performed during an oral examination. Future studies are needed to determine whether the PPT can be used to detect deficits in executive function, as a complement to the MMSE and also as a first assessment of a patient's ability to manage dentures independently.

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Section: Introductionmentioning

confidence: 99%

“…Functional decline is common in older people. It affects their quality of life and may require environmental adaptations and supportive care interventions depending on their level of independence and their needs 10 . It is therefore essential to measure the functional level of older individuals.…”

Section: Introductionmentioning

confidence: 99%