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Related Concept Videos

Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...

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An older America: strategic challenges for the acute-care hospital.

Health management quarterly : HMQ·1993
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Listening to older patients.

V L Kane1

  • 1Age Wave, Inc., Emeryville, CA.

Health Management Quarterly : HMQ
|December 9, 1992
PubMed
Summary

Older patients (50+) shared their hospital experiences in focus groups. Their insights confirm many observations about acute-care hospital readiness for aging populations.

Area of Science:

  • Gerontology
  • Healthcare Management
  • Patient Experience

Background:

  • The aging population presents unique challenges for healthcare systems.
  • Acute-care hospitals need to assess their readiness for older patients.
  • Marketing and research firms are studying the 50+ market's healthcare needs.

Purpose of the Study:

  • To explore the experiences of recently discharged older patients (50+) in acute-care hospitals.
  • To gather insights into the aging-readiness of hospitals from the patient perspective.
  • To inform strategies for improving healthcare services for the senior population.

Main Methods:

  • Focus groups were conducted with recently discharged patients aged 50 and over.
  • Research involved 10 metropolitan and nonmetropolitan areas across the country.

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  • Findings were supplemented by an expert panel's review.

    • Main Results:

    • Older patients' observations and experiences were documented through qualitative research.
    • Focus group data provides directional insights into hospital care for seniors.
    • Patient feedback highlights areas for improvement in hospital aging-readiness.

    Conclusions:

    • The experiences of older hospital patients offer valuable information for healthcare providers.
    • Hospitals can enhance their services by understanding the specific needs of the 50+ demographic.
    • Further research and implementation of patient-centered strategies are recommended for aging-ready healthcare.