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Hopelessness during acute hospitalisation is a strong predictor of mortality

Por: Gruber · R. · Schwanda · M.

Commentary on: Reichardt LA, Nederveen FE, van Seben R, et al. Hopelessness and other depressive symptoms in adults 70 years and older as predictors of all-cause mortality within 3 months after acute hospitalisation: the Hospital-ADL Study. Psychosom Med 2019;81:477–85.

Implications for practice and research

  • Being aware of the importance of mental health in acute hospitalisation can be life-saving.

  • In further research data of psychiatric/psychological interventions during the patients hospital stay as well as the cause of death after discharge are necessary to find out more about the relationship between feeling hopeless and mortality.

  • Context

    Late-life depression (LLD) is a very common mental health disorder in elderly people (after age 60) all over the world.

    Increased morbidity and mortality as well as a higher risk for dementia, coronary heart disease or suicide are associated with LLD.1

    Anhedonia and a depressed mood through most of the...

    Feeling fearful and lonely are indicative experiences of emotional distress for people with dementia

    Por: Gruber · R. · Schwanda · M.

    Commentary on: Petty S, Harvey K, Griffiths A, et al. Emotional distress with dementia: a systematic review using corpus-based analysis and meta-ethnography. Int J Geriatr Psychiatry 2018;33:679–87.

    Implications for practice and research

  • Using the advanced nursing process could provide individual as well as evidence-based care for people with dementia who suffer from emotional distress.

  • Further research is necessary to demonstrate all emotional aspects of individuals with dementia.

  • Context

    People who suffer from dementia have a decline in thinking, memory, orientation and behaviour.1 Furthermore, this syndrome is accompanied by a lack of ability to act appropriately in everyday activities. Currently, about 50 million people have dementia worldwide.1 This disease does not only affect the person concerned but also their caregivers, their families and society. The signs and symptoms linked to dementia are forgetfulness, getting lost in familiar places, and at home, or...

    Increased knowledge of oral anticoagulants and treatment satisfaction leads to better adherence to oral anticoagulants in patients with atrial fibrillation

    Por: Schwanda · M. · Gruber · R.

    Commentary on: Smet L, Heggermont WA, Goossens E, et al. Adherence, knowledge, and perception about oral anticoagulants in patients with atrial fibrillation at high risk for thromboembolic events after radiofrequency ablation. J Adv Nurs 2018;74:2577–87.

    Implications for practice and research

  • Increased knowledge about oral anticoagulants (OACs) and treatment satisfaction may increase the adherence to OAC in patients with atrial fibrillation (AF).

  • There is a need for long-term effects of educational interventions regarding adherence and the intake of OAC in patients with AF.

  • Context

    AF occurs frequently and leads to a higher incidence of thromboembolic events and stroke. Therefore, OACs are crucial and recommended. This therapy can be carried out with vitamin K antagonists (VKAs) or non-VKA OAC (NOACs). Both have demonstrated a significant reduction in the risk of thromboembolic events. Additionally, an effective rhythm control strategy, the catheter ablation, is useful and reduces the...

    Hospital admission may increase the risk of potentially inappropriate prescribing among older primary care patients

    Por: Schwanda · BSc · MScN · RN · M. · Gruber · BScN · MSc · RN · R.

    Commentary on: Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. BMJ 2018;363:k4524. doi: 10.1136/bmj.k4524.

    Implications for practice and research

  • The process of medication reconciliation could be a strategy to reduce the risk of potentially inappropriate prescribing among older primary care patients.

  • There exists a significant association between hospital admission and potentially inappropriate prescribing, but further research regarding medication management across all involved healthcare professions is needed.

  • Context

    A crucial approach of the WHO’s third global patient safety challenge is to identify potentially inappropriate prescribing, associated with adverse drug events, hospital admissions and reduced quality of life.1 The omission of beneficial drugs, the use of drugs with a drug–drug interaction, the use of incorrect drug dosages and/or prescribing durations and the prescribing of drugs primarily...