An Age‐Friendly Health System
BACKGROUND/OBJECTIVES To describe a screening and intervention program for geriatric syndromes instituted at a rural healthcare system that utilizes the 4Ms of an age‐friendly health system, and to provide exercise and cognitive stimulation therapy (CST) as part of an age‐friendly health program. DESIGN Retrospective evaluation of clinical data. SETTING Rural primary healthcare system. PARTICIPANTS Older adults aged 65 years and older in Perry County, Missouri. MEASUREMENTS Screening for geriatric syndromes was done using the Rapid Geriatric Assessment (RGA), which includes the FRAIL, SARC‐F, Simplified Nutritional Appetite Questionnaire (SNAQ), and Rapid Cognitive Screen (RCS). Outcomes for exercise and CST included the Five Times Sit to Stand (FTSS) and Timed Up and Go (TUG) tests, Cornell Scale for Depression in Dementia (CSDD), Saint Louis University Mental Status Examination (SLUMS), and Quality of Life in Alzheimer's Disease (QoL‐AD) measures. RESULTS The RGA was administered to 1,326 individuals of which 36.5% were frail, 42.1% were sarcopenic, 26.1% were at risk for anorexia, and 20.8% had dementia. Of these receiving exercise therapy, both the FTSS and the TUG were improved at 3 months and 12 to 24 months. In the CST group, SLUMS, QoL‐AD, and CSDD were improved at 7 weeks and 6 to 12 months. CONCLUSION It is feasible to introduce a screening program for geriatric syndromes and respond to the results with successful exercise and cognitive stimulation therapy programs..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:69 |
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| Enthalten in: |
Journal of the American Geriatrics Society - 69(2021), 3, Seite 806-812 |
| Beteiligte Personen: |
Lundy, Janice [VerfasserIn] |
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| BKL: |
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| Anmerkungen: |
© 2021 American Geriatrics Society and Wiley Periodicals LLC |
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| Umfang: |
7 |
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| doi: |
10.1111/jgs.16959 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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WLY008803501 |
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| 520 | |a BACKGROUND/OBJECTIVES To describe a screening and intervention program for geriatric syndromes instituted at a rural healthcare system that utilizes the 4Ms of an age‐friendly health system, and to provide exercise and cognitive stimulation therapy (CST) as part of an age‐friendly health program. DESIGN Retrospective evaluation of clinical data. SETTING Rural primary healthcare system. PARTICIPANTS Older adults aged 65 years and older in Perry County, Missouri. MEASUREMENTS Screening for geriatric syndromes was done using the Rapid Geriatric Assessment (RGA), which includes the FRAIL, SARC‐F, Simplified Nutritional Appetite Questionnaire (SNAQ), and Rapid Cognitive Screen (RCS). Outcomes for exercise and CST included the Five Times Sit to Stand (FTSS) and Timed Up and Go (TUG) tests, Cornell Scale for Depression in Dementia (CSDD), Saint Louis University Mental Status Examination (SLUMS), and Quality of Life in Alzheimer's Disease (QoL‐AD) measures. RESULTS The RGA was administered to 1,326 individuals of which 36.5% were frail, 42.1% were sarcopenic, 26.1% were at risk for anorexia, and 20.8% had dementia. Of these receiving exercise therapy, both the FTSS and the TUG were improved at 3 months and 12 to 24 months. In the CST group, SLUMS, QoL‐AD, and CSDD were improved at 7 weeks and 6 to 12 months. CONCLUSION It is feasible to introduce a screening program for geriatric syndromes and respond to the results with successful exercise and cognitive stimulation therapy programs. | ||
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