Le Repérage des personnes âgées à risque de fragilité, de plus de 65 ans en médecine ambulatoire

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ISBN 13 :
Total Pages : 82 pages
Book Rating : 4.:/5 (933 download)

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Book Synopsis Le Repérage des personnes âgées à risque de fragilité, de plus de 65 ans en médecine ambulatoire by : Antoine Maclouf

Download or read book Le Repérage des personnes âgées à risque de fragilité, de plus de 65 ans en médecine ambulatoire written by Antoine Maclouf and published by . This book was released on 2015 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: La fragilité est définie comme un syndrome clinique, prédictif de perte d'autonomie, de chutes, d'institutionnalisation, d'hospitalisations et de décès. Le repérage des patients en médecine générale est la première étape de la prise en charge. L'objectif principal est d'étudier le repérage des sujets à risque de fragilité, de 65 ans et plus, non dépendants, consultant en cabinet de Médecine Générale, selon le questionnaire de repérage recommandé par la Haute Autorité de Santé. L'objectif secondaire est d'étudier les caractéristiques des patients repérés comme à risque de fragilité en ambulatoire. Nous avons conduit une étude observationnelle prospective chez des sujets âgés de 65 ans et plus, ambulatoires et non dépendants, consultant dans 6 cabinets de médecine générale en Ile-de-France, de Janvier 2013 à Décembre 2014. Nous avons soumis à ces patients le questionnaire de repérage recommandé par la HAS. Cent-six patients ont bénéficié du repérage de la Fragilité en médecine ambulatoire. La moyenne d'âge était de 74.3 ans (6,8). 52,8% étaient des femmes (n= 56). 45,3 % des patients étaient repérés à risque de fragilité et 54,7% non à risque de fragilité. Le critère de risque de fragilité le plus fréquent était de vivre seul (27,3%). Les patients à risque de fragilité étaient significativement plus âgés (p = 0,002) que les patients non à risque de fragilité, et vivaient statistiquement moins maritalement (p

Comprehensive Geriatric Assessment

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Publisher : Springer
ISBN 13 : 3319625039
Total Pages : 182 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Comprehensive Geriatric Assessment by : Alberto Pilotto

Download or read book Comprehensive Geriatric Assessment written by Alberto Pilotto and published by Springer. This book was released on 2017-12-29 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.

Orthogeriatrics

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Publisher : Springer Nature
ISBN 13 : 3030481263
Total Pages : 355 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Orthogeriatrics by : Paolo Falaschi

Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Comprehensive Review of Geriatric Psychiatry

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Publisher : American Psychiatric Publishing
ISBN 13 :
Total Pages : 792 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Comprehensive Review of Geriatric Psychiatry by : Joel Sadavoy

Download or read book Comprehensive Review of Geriatric Psychiatry written by Joel Sadavoy and published by American Psychiatric Publishing. This book was released on 1991 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text brings together a group of experts in this emerging sub-speciality in order to offer a review of the field. Beginning with a breif historical overview, this volume addresses the ageing process, evaluation and diagnosis, and provides an overview of the major psychiatric disorders and their treatments. A section on medical, ethical and financial issues covers areas of practical concern to psychiatrists who treat elderly patients. This text aims to be useful to those psychiatrists working with the elderly and for those preparing to test for certification in this sub-speciality.

Comprehensive Cervical Cancer Control

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Publisher : World Health Organization
ISBN 13 : 9241547006
Total Pages : 284 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Comprehensive Cervical Cancer Control by : World Health Organization

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Aging and the Environment

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Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.X/5 ( download)

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Book Synopsis Aging and the Environment by : Mortimer Powell Lawton

Download or read book Aging and the Environment written by Mortimer Powell Lawton and published by . This book was released on 1982 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Human Face of Mental Health and Mental Illness in Canada, 2006

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Publisher :
ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis The Human Face of Mental Health and Mental Illness in Canada, 2006 by :

Download or read book The Human Face of Mental Health and Mental Illness in Canada, 2006 written by and published by . This book was released on 2006 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The human suffering associated with mental illness is something that more than one in five Canadians face at some point in their life.

Health Workforce Policies in OECD Countries

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Publisher : Org. for Economic Cooperation & Development
ISBN 13 : 9789264239500
Total Pages : 0 pages
Book Rating : 4.2/5 (395 download)

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Book Synopsis Health Workforce Policies in OECD Countries by : OECD

Download or read book Health Workforce Policies in OECD Countries written by OECD and published by Org. for Economic Cooperation & Development. This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foreword and Acknowledgments -- Executive summary -- Key findings -- Analytical framework of health labour markets -- Trends in health labour markets and policy priorities to address workforce issues -- Education and training for doctors and nurses: What's happening with numerus clausus policies? -- Trends and policies affecting the international migration of doctors and nurses to OECD countries -- Geographic imbalances in the distribution of doctors and health care services in OECD countries -- Skills use and skills mismatch in the health sector: What do we know and what can be done

Outpatient Urologic Surgery

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Publisher :
ISBN 13 :
Total Pages : 336 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Outpatient Urologic Surgery by : Keith W. Kaye

Download or read book Outpatient Urologic Surgery written by Keith W. Kaye and published by . This book was released on 1985 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Research, Planning, and Action for the Elderly

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Publisher : Behavioral Publishing Company
ISBN 13 :
Total Pages : 602 pages
Book Rating : 4.3/5 (97 download)

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Book Synopsis Research, Planning, and Action for the Elderly by : Donald Peterson Kent

Download or read book Research, Planning, and Action for the Elderly written by Donald Peterson Kent and published by Behavioral Publishing Company. This book was released on 1972 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Handbook of Counseling and Psychotherapy with Older Adults

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Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 754 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Handbook of Counseling and Psychotherapy with Older Adults by : Michael Duffy

Download or read book Handbook of Counseling and Psychotherapy with Older Adults written by Michael Duffy and published by John Wiley & Sons. This book was released on 1999-07-15 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the graying of society, therapists are seeing more and more older clients. In this book, editor Michael Duffy brings together leading experts to explain the unique problems of older adults and describe effective treatment techniques.

Prise en Charge des patients âgés fragiles en médecine générale

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Publisher :
ISBN 13 :
Total Pages : 136 pages
Book Rating : 4.:/5 (987 download)

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Book Synopsis Prise en Charge des patients âgés fragiles en médecine générale by : Raphaëlle Razou

Download or read book Prise en Charge des patients âgés fragiles en médecine générale written by Raphaëlle Razou and published by . This book was released on 2016 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le repérage précoce de la fragilité des sujets âgés s'impose de plus en plus en médecine ambulatoire, et sa prise en charge représente un enjeu majeur dans la prévention de l'accroissement du nombre de personnes âgées dépendantes. Il n'existe cependant que peu de données sur les retombées cliniques d'une telle évaluation et sur les bénéfices attendus. Nous avons réalisé une étude observationnelle rétrospective sur 1 an, afin de décrire une population âgée de plus de 65 ans adressée en HDJ gériatrique et repérée comme fragile, d'analyser l'évolution à 1 an de cette population, et de tenter d'établir un lien entre dépistage de la fragilité et évolution clinique. 50 patients fragiles ont été inclus, et 43 ont pu être réévalués. L'évolution de cette cohorte fragile retrouve à 1 an la survenue de nombreux évènements indésirables, parmi lesquels perte d'autonomie, chutes et hospitalisations. L'évaluation réalisée permet la mise en application efficace de préconisations ciblées en ambulatoire, en lien avec le médecin traitant. La mise en place de préconisations nutritionnelles modifie de manière significative l'état nutritionnel biologique des patients (p=0,0001). Les préconisations motrices sont insuffisamment prescrites. Il existe une majoration significative du nombre d'aides professionnelles (p=0,0003). L'impact de l'évaluation de la fragilité sur l'évolution clinique reste peu documenté, mais un bon suivi des préconisations semble corrélé à une diminution du risque de survenue d'évènements indésirables. Des études à grande échelle sont souhaitables pour préciser les modalités de suivi permettant d'améliorer significativement le pronostic des patients âgés fragiles.

The New Muslim Brotherhood in the West

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Publisher : Columbia University Press
ISBN 13 : 0231522290
Total Pages : 337 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis The New Muslim Brotherhood in the West by : Lorenzo Vidino

Download or read book The New Muslim Brotherhood in the West written by Lorenzo Vidino and published by Columbia University Press. This book was released on 2010-08-25 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Europe and North America, networks tracing their origins back to the Muslim Brotherhood and other Islamist movements have rapidly evolved into multifunctional and richly funded organizations competing to become the major representatives of Western Muslim communities and government interlocutors. Some analysts and policy makers see these organizations as positive forces encouraging integration. Others cast them as modern-day Trojan horses, feigning moderation while radicalizing Western Muslims. Lorenzo Vidino brokers a third, more informed view. Drawing on more than a decade of research on political Islam in the West, he keenly analyzes a controversial movement that still remains relatively unknown. Conducting in-depth interviews on four continents and sourcing documents in ten languages, Vidino shares the history, methods, attitudes, and goals of the Western Brothers, as well as their phenomenal growth. He then flips the perspective, examining the response to these groups by Western governments, specifically those of Great Britain, Germany, and the United States. Highly informed and thoughtfully presented, Vidino's research sheds light on a critical juncture in Muslim-Western relations.

Ecohealth Research in Practice

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Publisher : Springer Science & Business Media
ISBN 13 : 1461405173
Total Pages : 289 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Ecohealth Research in Practice by : Dominique F. Charron

Download or read book Ecohealth Research in Practice written by Dominique F. Charron and published by Springer Science & Business Media. This book was released on 2011-11-25 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is about doing innovative research to achieve sustainable and equitable change in people’s health and well-being through improved interactions with the environment. It presents experiences from the field of ecosystem approaches to health (or ecohealth research) and some insights and lessons learned. It builds on previous literature, notably Forget (1997), Forget and Lebel (2001), Lebel (2003), and Waltner-Toews et al. (2008). Through case-studies and other contributions by researchers supported by Canada’s International Development Research Centre (IDRC), the book presents evidence of real changes in conditions of people, their health, and the ecosystems that support them. These changes were derived from applications of an ecosystem approach to health in developing regions of the world. The book also illustrates the resulting body of applied, participatory, and action research that improved health and environmental management in developing countries and, in many cases, influenced policies and practices.

Cancer Pain Relief

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Publisher : World Health Organization
ISBN 13 : 9789241544825
Total Pages : 74 pages
Book Rating : 4.5/5 (448 download)

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Book Synopsis Cancer Pain Relief by : World Health Organization

Download or read book Cancer Pain Relief written by World Health Organization and published by World Health Organization. This book was released on 1996 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.

Psychological Sense of Community

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Publisher : Springer Science & Business Media
ISBN 13 : 1461507197
Total Pages : 382 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Psychological Sense of Community by : Adrian T. Fisher

Download or read book Psychological Sense of Community written by Adrian T. Fisher and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, the authors have explored a series of different types of communities - moving from the basic idea of those based at a specific location all the way to virtual communities of the internet. A key feature of this book is the research focus that emphasizes the theory-driven analyses and the diversity of contexts in which sense of community is applied. The book will be of great interest to those concerned with understanding various forms of community and how communities can be mobilized to achieve wellbeing.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

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Publisher :
ISBN 13 : 9789241548120
Total Pages : 166 pages
Book Rating : 4.5/5 (481 download)

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Book Synopsis World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses by : World Health Organization

Download or read book World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses written by World Health Organization and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.