Self‐management interventions for issues identified in a geriatric assessment: A systematic review

Donison, Valentina; Chesney, Tyler R.; Wills, Aria; Santos, Bethânia Soares dos; McLean, Bianca; Alqurini, Naser; Hossain, Nazia; Durbano, Sara; Lemonde, Manon; Alibhai, Shabbir M.H.; Puts, Martine

doi:10.1111/jgs.17601

Cited by 8 publications

(4 citation statements)

References 58 publications

(777 reference statements)

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“…Prior to surgery, these data may be useful to structure decisions around surgical options, as well as contribute to risk assessment and predication of postoperative recovering 56 . Understanding the granularity of issues that can affect stoma‐related function and quality of life, some of which were included in the Kalogirou study, may identify targets for prehabilitation and optimisation of both health and social circumstances, for example, for cognitive impairment: making a diagnosis, reviewing medications, and providing modifying therapies and self‐management support, 57 or for dexterity: resistance training, analgesia, and tailored equipment provision 58 …”

Section: Discussionmentioning

confidence: 99%

A new stoma for an older person—An association with quality of life and physical function: A systematic review

Neuberger

Braude

Weeks

et al. 2022

J American Geriatrics Society

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Background: Older people are more likely to have a stoma postabdominal surgery than younger people. Few studies have examined the effect of a stoma on older people. The aim of this review was to explore the effect of a stoma on functional independence of an older person. We explored secondary outcomes of poststoma formation length of hospital stay, quality of life and factors affecting stroma independence. Methods: An exploratory systematic review was developed by our multidisciplinary group including an expert patient, colorectal surgeon, stoma nurse, physiotherapist, geriatrician, and methodologist. Four databases were searched including studies with participants 60 years old or older, who had undergone abdominal surgery for any pathology resulting in an abdominal stoma. Results:We identified 857 studies, of which we included 25 in the final review incorporating 6972 participants (average age 67.4 years). There was a strong association between presence of stoma and (1) worse physical function (standardized MD = 0.7; 95% CI 0.21-1.19; I 2 = 95) and (2) worse quality of life (standardized MD = 1.61; 95% CI 0.5-2.72, I 2 = 98). The same effect was seen in fecal ostomy and urinary diversion. Few studies measured stoma independence and only one examined factors affecting this. No studies examined length of stay. Conclusions: Stoma have a negative association with the physical function and quality of life of older people. Future studies should focus on identifying modifiable factors that may affect physical function, quality of life, and stoma independence.

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Section: Discussionmentioning

confidence: 99%

A new stoma for an older person—An association with quality of life and physical function: A systematic review

Neuberger

Braude

Weeks

et al. 2022

J American Geriatrics Society

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“…Micro (older adults): Holistic care approaches that emphasize functionality and self-management can help older adults remain in their homes longer, delay admission to LTC facilities, and improve psychological distress and overall wellness [ 162 , 163 , 164 ]. For instance, simple exercises prescribed by a physiotherapist and facilitated by home care staff can improve functional performance, personal motivation, and perceptions of wellbeing [ 165 , 166 ].…”

Section: Resultsmentioning

confidence: 99%

Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains

Horgan,

Prorok,

Ellis

et al. 2024

IJERPH

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This paper describes a pluralistic framework to inform transformative change across community and healthcare domains to optimize the mental health of older adults in support of healthy ageing. An extensive review and analysis of the literature informed the creation of a framework that contextualizes the priority areas of the WHO Decade of Health Ageing (ageism, age-friendly environments, long-term care, and integrated care) with respect to older adult mental health. The framework additionally identifies barriers, facilitators, and strategies for action at macro (social/system), meso (services/supports), and micro (older adults) levels of influence. This conceptual (analytical) framework is intended as a tool to inform planning and decision-making across policy, practice, education and training, research, and knowledge mobilization arenas. The framework described in this paper can be used by countries around the globe to build evidence, set priorities, and scale up promising practices (both nationally and sub-nationally) to optimize the mental health and healthy ageing trajectories of older adults as a population.

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“…As an example, exercise and relaxation-based interventions were usually effective for reducing falls and improving mobility, non-pharmacological approach to pain was frequently useful and patient education and medication reminders led to higher adherence. However, the single-center nature of many of the studies included, and the selected patient population limit the external validity of most findings [20▪].…”

Section: Self-administered Tools For Geriatric Assessmentmentioning

confidence: 99%

Virtual geriatric and frailty assessment for older adults with cancer

Tejero,

Amor,

Vázquez-Ibar

2024

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review Since SARS-CoV2 pandemic, many specialties have introduced virtual assessments within clinical practice. Conducting an online geriatric assessment, or relying on self-reported questionnaires, may be more challenging than a conventional medical appointment. This review aims to discuss the state of research on virtual assessment and self-reported questionnaires in the general geriatric population and specifically in Oncology. Recent findings Virtual assessment of older adults has been the focus of two separate position papers. Aside from videoconferences or phone appointments, self-reported questionnaires have emerged in recent years as reliable tools to screen for frailty and triage patients who would benefit from a comprehensive in-person assessment, with adequate correlation with in-person tests, good acceptance by the respondents and being well received by healthcare providers. Although some have been tried in geriatric oncology, many still lack validation, and their widespread use may be limited by digital literacy, cognitive impairment, and social supports. Summary The development, validation and adoption of self-reported questionnaires and virtual assessment in the care of older adults with cancer may overcome the staffing limitations and time constrains that frequently hampers the widespread evaluation of this population to improve their care.

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Self‐management interventions for issues identified in a geriatric assessment: A systematic review

Cited by 8 publications

References 58 publications

A new stoma for an older person—An association with quality of life and physical function: A systematic review

A new stoma for an older person—An association with quality of life and physical function: A systematic review

Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains

Virtual geriatric and frailty assessment for older adults with cancer

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