Potenziell inadäquate Medikation für ältere Menschen – PRISCUS 2.0

Thürmann, Petra A.; Mann, Nina-Kristin; Zawinell, Anette; Dollen, Katja Niepraschk-von

doi:10.1007/978-3-662-66041-6_4

Cited by 6 publications

(4 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With increasing age, item inter-correlations, especially for the “inner resilience and coherence subscale” (subscale 1), dissolved. Reasons for lower correlations are the prospect of a shorter remaining lifespan, combined with simultaneously experiencing multimorbidity and functional limitations, which can lead to the use of polypharmacy [ 4 ] and prolonged addictive medication [ 5 ]. In a recent study, polypharmacy has been found to be strongly associated with disease burden in geriatric individuals [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, as life expectancy increases, older people suffer longer or later in life from chronic somatic conditions (e.g., coronary heart disease, Diabetes Mellitus Type 2 and/or cancer), co- and multimorbidity and functional limitations [ 3 ]. Recent studies among the elderly show that multimorbidity in this population increases the risk of polypharmacy [ 4 ], the use of addictive medication such as neuroleptics and benzodiazepine [ 5 ], and the likelihood to experience depression [ 6 , 7 ], anxiety and stress [ 8 ]. Additionally, multimorbidity can lead to feelings of elevated interpersonal dependency [ 9 ] and poor health-related quality of life (HRQL) [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of the Internal Coherence Scale (ICS) in Healthy Geriatric Individuals and Patients Suffering from Diabetes Mellitus Type 2 and Cancer

Mehl,

Klaus,

Reif

et al. 2024

Geriatrics

View full text Add to dashboard Cite

Background: With increased life expectancy, the coexistence of functional impairment and multimorbidity can negatively impact life quality and coherence in geriatric individuals. The self-report 10-item Internal Coherence (ICS) measures how individuals cope with and make sense of disease-specific life challenges. The aim of this study was to validate the ICS in a sample of geriatric individuals. Methods and Procedure: In a cross-sectional study, geriatric individuals with and without chronic diseases were recruited. A factor analysis with principal component extraction (PCA) and a structural equation model (SEM) was conducted to assess the ICS factor structure in a geriatric sample. To measure convergent validity, the following scales were used: Short Health Survey (SF-12), Karnofsky Performance Index (KPI), Trait autonomic regulation (Trait aR), Sense of Coherence Scale (SOC), and Geriatric Depression Scale (GDS). Results: A sample of n = 104 (70–96 years of age) patients with Diabetes Mellitus Type 2 (n = 22), cancer diseases (n = 31) and healthy controls (n = 51) completed the ICS. PCA and SEM yielded the original two-factor solution: 1. Inner resilience and coherence and 2. Thermo coherence. Overall internal consistency for this cohort was satisfying (Cronbach’s α with rα = 0.72), and test-retest reliability was moderate (rrt = 0.53). ICS scores were significantly correlated to all convergent criteria ranging between r = 0.22 * and 0.49 ** (p < 0.05 *; p < 0.01 **). Conclusion: Study results suggest that the ICS appears to be a reliable and valid tool to measure internal coherence in a geriatric cohort (70–96 years). However, moderate test-retest reliability prompts the consideration of potential age-effects that may bias the reliability for this specific cohort.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of the Internal Coherence Scale (ICS) in Healthy Geriatric Individuals and Patients Suffering from Diabetes Mellitus Type 2 and Cancer

Mehl,

Klaus,

Reif

et al. 2024

Geriatrics

View full text Add to dashboard Cite

show abstract

“…Diese ist auch im Internet (www.medikamente-im-alter.de) oder als App (FORTA) verfügbar. Eine weitere Option ist die PRISCUS-Liste (www.priscus2-0.de) potentiell inadäquater Medikamente (PIM) [10]. Besonders kritisch gerade aus orthopädischunfallchirurgischer Sicht sind dabei die sogenannten Fall risk increasing Drugs (FRID) [8].…”

Section: Polypharmazieunclassified

Orthopädische Rehabilitation für ältere Patienten – auch ambulant möglich?

Müller,

Daiber,

Messingschlager

et al. 2024

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Das Patientenalter als reine Zahl ist kein Maßstab für die Entscheidung über die Durchführung einer ambulanten oder stationären orthopädischen bzw. sogar geriatrischen Rehabilitationsmaßnahme. Ältere Patienten brauchen mehr noch als jüngere eine gesamtheitliche Betrachtung und Behandlung unter Berücksichtigung der resultierenden Funktionseinschränkungen, um die übergeordneten Rehabilitationsziele Erhalt der Teilhabe am Leben in der Gemeinschaft und Vermeidung von Pflegebedürftigkeit zu erreichen. Materialien und Methode Der Artikel soll die Besonderheiten der orthopädischen Rehabilitation älterer Patienten herausarbeiten unter dem Aspekt die Maßnahmen ggfalls. auch im ambulanten Setting durchzuführen ohne Distanzierung der Menschen aus ihrem sozialen Umfeld. Die Arbeit reflektiert dabei die Praxis einer ambulanten orthopädischen Rehabilitationseinrichtung und bringt zusätzliche Erkenntnisse durch Ergebnisse einer früheren Studie, deren Ergebnisse für die Altersgruppen ab 70 neu ausgewertet wurde. Ergebnisse und Schlussfolgerungen Ambulante Rehabilitation wirkt – auch für ältere Patienten. Den besonderen Anforderungen in der Behandlung älterer Menschen ist dabei jedoch durch Anpassung der Rehabilitation Rechnung zu tragen. Patient Reported Outcomes zeigen für alle Indikationen auch für Patienten älter als 70 und älter als 80 Jahre signifikant positive Veränderungen im ambulanten Rehabilitationsverlauf.

show abstract

“…This appears particularly important because of their high impact on practice and ability to reduce the number of PIMs prescribed. [11][12][13] Overall, the respondents were very positive how the information was presented to them. Nevertheless, there still seems to be room for improvement.…”

mentioning

confidence: 95%