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Article
Open AccessIdentifying key items to be addressed by non-clinical operators to manage out-of-hours telephone triage services for older adults seeking non-urgent unplanned care in Belgium: an e-Delphi study
This study aimed to achieve expert consensus regarding key items to be addressed by non-clinical operators using computer-software integrated medical dispatch protocols to manage out-of-hours telephone triage ...
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Article
Open AccessA consensus statement on minimum operational standards for geriatric emergency care in Belgium: a modified Delphi study
As emergency department (ED) leaders started integrating geriatric emergency guidelines on a facultative basis, important variations have emerged between EDs in care for older patients. The aim of this study w...
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Article
Open AccessDistrict nurses’ experiences with involuntary treatment in dementia care at home: a qualitative descriptive study
Research shows that half of person(s) living with dementia (PLWD) receive care which they resist and/or have not given consent to, defined as involuntary treatment. District nurses play a key role in providing...
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Article
Open AccessThe impact of a pharmacist intervention on post-discharge hypnotic drug discontinuation in geriatric inpatients: a before-after study
Chronic use of hypnotic agents is prevalent in older adults, who as a result are at increased risk for certain adverse events, such as day-time drowsiness and falls. Multiple strategies to discontinue hypnotic...
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Article
Open AccessA survey on the availability of geriatric-friendly protocols, equipment and physical environment across emergency departments in Flanders, Belgium
The acquisition of geriatric-friendly resources is an important part of adapting emergency department (ED) care to the needs of vulnerable older patients. The aim of this study was to explore the availability ...
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Article
Open AccessAssociation between preoperative anxiety and postoperative delirium in older patients: a systematic review and meta-analysis
Postoperative delirium (POD) is a common postoperative complication associated with multiple adverse consequences on patient outcomes and higher medical expenses. Preoperative anxiety has been suggested as a p...
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Article
Open AccessStrategies to implement multifactorial falls prevention interventions in community-dwelling older persons: a systematic review
One-third of the community-dwelling older persons fall annually. Guidelines recommend the use of multifactorial falls prevention interventions. However, these interventions are difficult to implement into the ...
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Article
Open AccessIncidence of falls and fall-related injuries and their predictive factors in frail older persons with cancer: a multicenter study
Falls and fall-related injuries are a major public health problem. Data on falls in older persons with cancer is limited and robust data on falls within those with a frailty profile are missing. The aim of thi...
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Article
Open AccessHow to implement geriatric co-management in your hospital? Insights from the G-COACH feasibility study
Geriatric co-management is advocated to manage frail patients in the hospital, but there is no guidance on how to implement such programmes in practice. This paper reports our experiences with implementing the...
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Article
Open Access‘Living in a shrinking world’—The experience of loneliness among community-dwelling older people with reduced mobility: a qualitative grounded theory approach
Loneliness is associated with severe consequences for both the physical and mental health of older people. Research has shown that mobility limitations are an important risk factor for the emergence and mainte...
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Article
Open AccessConsistency of decision support software-integrated telephone triage and associated factors: a systematic review
In the recent decades, the use of computerized decision support software (CDSS)-integrated telephone triage (TT) has become an important tool for managing rising healthcare demands and overcrowding in the emer...
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Article
Open AccessStructure and processes of emergency observation units with a geriatric focus: a sco** review
Combining observation principles and geriatric care concepts is considered a promising strategy for risk-stratification of older patients with emergency care needs. We aimed to map the structure and processes ...
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Article
Open AccessReducing the use of physical restraints in home care: development and feasibility testing of a multicomponent program to support the implementation of a guideline
A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematic...
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Article
Open AccessIs preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial
Although many studies have reported numerous risk factors for postoperative delirium, data are scarce about preoperative anxiety as a risk factor. The study aimed to investigate the association between preoper...
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Article
Open AccessLeadership styles and leadership outcomes in nursing homes: a cross-sectional analysis
Although leadership is considered as a key factor in health care, leadership styles and outcomes in nursing homes often remain a black box. Therefore, this study explored leadership styles and leadership outco...
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Article
Open AccessReducing physical restraints by older adults in home care: development of an evidence-based guideline
Restraint use is a complex and challenging issue in home care. Due to socio-demographic trends, worldwide home healthcare providers are faced with an increasing demand for restraint use from informal caregiver...
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Article
Open AccessPsychometric properties of the intensive care delirium screening checklist when used by bedside nurses in clinical practice: a prospective descriptive study
The Intensive Care Delirium Screening Checklist (ICDSC) demonstrates good psychometric characteristics in research settings. However, evidence about these characteristics in pragmatic ICU settings is inconsist...
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Article
Open AccessPredicting hospitalisation-associated functional decline in older patients admitted to a cardiac care unit with cardiovascular disease: a prospective cohort study
Up to one in three of older patients who are hospitalised develop functional decline, which is associated with sustained disability, institutionalisation and death. This study developed and validated a clinica...
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Article
Develo** delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings
To systematically review the literature pertaining to the quality, impact and sustainability of education interventions that focus on improving delirium care by healthcare professionals working in inpatient se...
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Delirium, Restraint Use and Falls
Vulnerable older patients, such as those being delirious and/or restrained, present additional challenges in fall prevention strategies. Both conditions are associated with increased fall risk and require clos...
