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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...
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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

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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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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism01:18

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Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
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Video Experimental Relacionado

Updated: Jan 13, 2026

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Desarrollo e implementación de un programa de cogestión de cirugía geriátrica para adultos mayores: perspectivas del

Abigail Baim-Lance1,2, Fred Ko1,2, William Hung1,2

  • 1Icahn School of Medicine at Mount Sinai, New York (NY).

Surgery in geriatrics and frailty
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Resumen

El programa ALIGN-CARE (Aging, Life Innovations, Goals and Needs-Collaboration Achieving Readiness and Empowerment) mejora la preparación quirúrgica para adultos mayores frágiles. Este modelo interdisciplinario de cogestión evolucionó a través de estrategias adaptativas y colaboración de las partes interesadas.

Palabras clave:
análisis de documentoscogestión de cirugía geriátricaestrategias de implementacióndesarrollo de programas

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Área de la Ciencia:

  • Medicina Geriátrica
  • Atención Quirúrgica
  • Desarrollo de Programas de Salud

Sus antecedentes:

  • Los adultos mayores frágiles requieren una preparación especializada para la cirugía.
  • Los modelos interdisciplinarios de cogestión pueden mejorar los resultados quirúrgicos para esta población.

Objetivo del estudio:

  • Examinar el desarrollo e implementación del programa de cogestión ambulatoria de cirugía geriátrica ALIGN-CARE.
  • Identificar procesos y estrategias clave que apoyan el avance de programas interdisciplinarios complejos para adultos mayores.

Principales métodos:

  • Se utilizó el marco de evaluación del Medical Research Council (MRC).
  • Se realizó una revisión documental y análisis temático de 84 reuniones del programa (enero de 2020-enero de 2022).
  • Se analizaron cuatro tipos recurrentes de reuniones: asesora, interdisciplinaria, de cirujanos e investigadora.

Principales resultados:

  • El programa ALIGN-CARE desarrolló y estabilizó cuatro componentes principales: derivación, programación, evaluación y planificación.
  • La flexibilidad y la capacidad de respuesta del programa fueron impulsores críticos de la implementación.
  • Las reuniones de las partes interesadas facilitaron la adaptación y maduración del programa.

Conclusiones:

  • El método de análisis documental identificó procesos esenciales para el desarrollo de la cogestión quirúrgica geriátrica.
  • El desarrollo de ALIGN-CARE resalta la importancia de las estrategias adaptativas en programas interdisciplinarios complejos.
  • Este estudio proporciona información sobre el avance de la atención para adultos mayores sometidos a cirugía.