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Most Common Health Issues of Older People

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Older People: Improving Health and Social Care

Abstract

This chapter gives an overview of the most common health issues older people experience. Older persons vary in regard to their independence and economic self-sufficiency as well as their wellbeing and health. Part of the older people live independently and support themselves with their own income; some of them being still active in working life. However, big part of the older population is dependent and vulnerable with growing need for support and care. It is important to understand that older population is not a homogenous group of people, instead, including a variety of different groups with different life history, needs and hopes.

Older people face numerous physical, psychological and social challenges that have impact on their sense of self and capacity to enjoy their life. In older age, it is common that a person has one or more somatic age-related diseases. In addition, the association of ageing with psychological problems is complex. Depression and other psychological and social problems, like anxiety, fear and loneliness, occur more often in older people. A combination of problems is typical for the older old persons and can result in frailty. Frailty increases the risk of falls. Also, frail older people are more at risk for deterioration of oral health, and oral health problems contribute to many other health problems such as malnutrition.

This chapter deals, in addition to different groups of older people, with physical decline related to functional ability and the physical and psychosocial challenges caused by ageing. In addition, frailty and its consequences well will be discussed, with special attention to oral healthcare. The chapter ends with an overview of health problems that might occur in palliative care at the end of life.

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References

  1. Eurostat. Population structure and ageing. 2017. http://ec.europa.eu/eurostat/statistics-explained/index.php/Population_structure_and_ageing.

  2. Trail Ross AE, Summerlin E. Senior health. In: Nies MA, McEwen M, editors. Community/public health nursing. Promoting the health of populations. Philadelphia: Saunders; 2007. p. 332–58.

    Google Scholar 

  3. European Commission. Population ageing in Europe: facts implications and policies. EUR 26426 EN; 2014.

    Google Scholar 

  4. World Health Organisation. World report on ageing and health: Geneva, WHO; 2015.

    Google Scholar 

  5. Eliopoulos C. Gerontological nursing. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.

    Google Scholar 

  6. MAGGIE major ageing and gender issues in Europe. Project report. www.maggie-project.org.

  7. SHARE. Survey of health, ageing and retirement in Europe. Project reports. www.share-project.org.

  8. Kingston A, Wohland P, Wittenberg R, Robinson L, Brayne C, Matthews FE, Jagger C. The cognitive function and ageing studies collaboration. Is late-life dependency increasing or not? A comparison of the cognitive function and ageing studies (CFAS). Lancet. 2017;390:1676. https://doi.org/10.1016/S0140-6736(17)31575-1.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kirkwood TB. Understanding the odd science of aging. Cell. 2005;120(4):437–47.

    Article  CAS  PubMed  Google Scholar 

  10. World Health Organisation. World report on ageing and health. Editorial team John Beard, Alana Officer and Andrew Cassels, overall guidance of Flavia Bustreo, Anne Marie Worning; and Anarfi Asamoa-Baah. Geneva: WHO; 2015.

    Google Scholar 

  11. Sehl ME, Yates FE. Kinetics of human aging: I. Rates of senescence between ages 30 and 70 years in healthy people. J Gerontol A Biol Sci Med Sci. 2001;56(5):B198–208.

    Article  CAS  PubMed  Google Scholar 

  12. World Health Organization. Active ageing: a policy framework. 2002. http://www.who.int/ageing/publications/active_ageing/en/.

  13. Kirkwood TB. Systems biology of ageing and longevity. Philos Trans R Soc Lond Ser B Biol Sci. 2011;366(1561):64–70.

    Article  Google Scholar 

  14. Roberts S, Colombier P, Sowman A, Mennan C, Rölfing JH, Guicheux J, Edwards JR. Ageing in the musculoskeletal system. Acta Orthop. 2016;87(sup363):15–25.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Bautmans I, Van Puyvelde K, Mets T. Sarcopenia and functional decline: pathophysiology, prevention and therapy. Acta Clin Belg. 2009;64(4):303–16.

    Article  PubMed  Google Scholar 

  16. Bautmans I. Spieren en spierfunctie (Muscle and muscle function). Chapter 4. In: Cambier D, Hobbelen JSM, de Vries NM, editors. Geriatrie in de fysiotherapie en kinesitherapie. Houten: Bohn Stafleu van Loghum; 2017. ISBN 978-e90-368-1349-4 (in Dutch).

    Google Scholar 

  17. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.

    Article  CAS  PubMed  Google Scholar 

  18. Lexell J. Human aging, muscle mass, and fiber type composition. J Gerontol A Biol Sci Med Sci. 1995;50:11–6.

    PubMed  Google Scholar 

  19. Marcell TJ. Sarcopenia: causes, consequences and preventions. J Gerontol A Biol Sci Med Sci. 2003;58(10):M911–6.

    Article  PubMed  Google Scholar 

  20. Van Dieen JH, Pijnappels M. Balanscontrole bij veroudering (Balance control in ageing) Chapter 5. In: Cambier D, Hobbelen JSM, de Vries NM, editors. Geriatrie in de fysiotherapie en kinesitherapie. Houten: Bohn Stafleu van Loghum; 2017. ISBN 978-90-368-1349-5 (in Dutch).

    Google Scholar 

  21. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008;38(6):467–78.

    Article  CAS  PubMed  Google Scholar 

  22. Davis JC, Best JR, Khan KM, Dian L, Lord S, Delbaere K, Hsu CL, Cheung W, Chan W, Liu-Ambrose T. Slow processing speed predicts falls in older adults with a falls history: 1-year prospective cohort study. J Am Geriatr Soc. 2017;65(5):916–23.

    Article  PubMed  Google Scholar 

  23. Bohannon RW. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing. 1997;26(1):15–9.

    Article  CAS  PubMed  Google Scholar 

  24. Cesari M, Kritchevsky SB, Penninx BW, Nicklas BJ, Simonsick EM, Newman AB, Tylavsky FA, Brach JS, Satterfield S, Bauer DC, Visser M, Rubin SM, Harris TB, Pahor M. Prognostic value of usual gait speed in well-functioning older people—results from the health, aging and body composition study. J Am Geriatr Soc. 2005;53(10):1675–80.

    Article  PubMed  Google Scholar 

  25. Peel NM, Kuys SS, Klein K. Gait speed as a measure in geriatric assessment in clinical settings: a systematic review. J Gerontol A Biol Sci Med Sci. 2013;68(1):39–46.

    Article  PubMed  Google Scholar 

  26. Kuys SS, Peel NM, Klein K, Slater A, Hubbard RE. Gait speed in ambulant older people in long term care: a systematic review and meta-analysis. J Am Med Dir Assoc. 2014;15(3):194–200.

    Article  PubMed  Google Scholar 

  27. Jahn K, Kressig RW, Bridenbaugh SA, Brandt T, Schniepp R. Dizziness and unstable gait in old age—etiology, diagnosis and treatment. Dtsch Arztebl Int. 2015;112:387–93.

    PubMed  PubMed Central  Google Scholar 

  28. Hertzog C, Kramer AF, Wilson RS, Lindenberger U. Enrichment effects on adult cognitive development: can the functional capacity of older adults be preserved and enhanced? Psychol Sci Public Interest. 2008;9:1–65.

    Article  PubMed  Google Scholar 

  29. Heyl V, Wahl HW. Experiencing age related vision and hearing impairment: the psychosocial dimension. J Clin Outcomes Manag. 2014;21:323–35.

    Google Scholar 

  30. Cowie C, Rust KF, Ford ES, et al. Full accounting of diabetes and prediabetes in the U.S. population in 1988-1994 and 2005-2006. Diabetes Care. 2009;32:287–94.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Valiyeva E, Russell LB, Miller JE, et al. Lifestyle-related risk factors and risk of future nursing home admission. Arch Intern Med. 2006;166:985–90.

    Article  PubMed  Google Scholar 

  32. Abdelhafiz AH, Alan J, Sinclair AJ. Management of Type 2 diabetes in older people. Diabetes Ther. 2013;4(1):13–26.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Lu FP, Lin KP, Kuo HK. Diabetes and the risk of multi-system aging phenotypes: a systematic review and meta-analysis. PLoS One. 2009;4(1):e4144.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  34. Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care. 2012;35:2650–64.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Morley JE, Sinclair A. Individualizing treatment for older people with diabetes. Lancet. 2013;382:378–80.

    Article  PubMed  Google Scholar 

  36. Wilkins E, Wilson L, Wickramasinghe K, Bhatnagar P, Leal J, Luengo-Fernandez R, Burns R, Rayner M, Townsend N. European cardiovascular disease statistics. Brussels: European Heart Network; 2017.

    Google Scholar 

  37. Hrobonova E, Breeze E, Fletcher AE. Higher levels and intensity of physical activity are associated with reduced mortality among community dwelling older people. J Aging Res. 2011;2011:1.

    Article  Google Scholar 

  38. Kesteloot H, Sans S, Kromhout D. Dynamics of cardiovascular and all-cause mortality in western and Eastern Europe between 1970 and 2000. Eur Heart J. 2006;27:107–13.

    Article  PubMed  Google Scholar 

  39. Benjamin EJ, Blaha MJ, Chiuve SE, et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017;135:146–603.

    Article  Google Scholar 

  40. Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2014;63:2889–934.

    Article  PubMed  Google Scholar 

  41. Rich MW, Chyun DA, Skolnick AH, et al. Knowledge gaps in cardiovascular care of the older adult population: a scientific statement from the American Heart Association, American College of Cardiology, and American Geriatrics Society. Circulation. 2016;133:2103–22.

    Article  PubMed  Google Scholar 

  42. Blumenthal J, Sherwood A, Babyak MA, Watkins LL, Waugh R, Georgiades A, Bacon SL, Hayano J, Coleman RE, Hinderliter A. Effects of exercise and stress management training on markers of cardiovascular risk in patients with ischemic heart disease: a randomized controlled trial. JAMA. 2005;293:1626–34.

    Article  CAS  PubMed  Google Scholar 

  43. Orkaby A, Onuma O, Qazi S, Gaziano M, Driver J. Preventing cardiovascular disease in older adults: one size does not fit all. Cleve Clin J Med. 2018;85(1):55–64.

    Article  PubMed  Google Scholar 

  44. Lionakis N, Mendrinos D, Sanidas E, Favatas G, Georgopoulou M. Hypertension in the elderly. World J Cardiol. 2012;4(5):135–47.

    Article  PubMed  PubMed Central  Google Scholar 

  45. CancerStats. Cancer Research UK. http://www.cancerresearchuk.org/cancer-info/cancerstats/incidence/age/.

  46. Rodin MB, Mohile SG. A practical approach to geriatric assessment in oncology. J Clin Oncol. 2007;25:1936–44.

    Article  PubMed  Google Scholar 

  47. Extermann M, Boler I, Reich RR, et al. Predicting the risk of chemotherapy toxicity in older patients: the chemotherapy risk assessment scale for high- age patients (CRASH) score. Cancer. 2012;118:3377–86.

    Article  PubMed  Google Scholar 

  48. Kua J. The prevalence of psychological and psychiatric sequelae of cancer in the elderly- how much do we know? Ann Med Singapore. 2005;34:250–6.

    CAS  Google Scholar 

  49. DuBeau CE. Beyond the bladder: management of urinary incontinence in older women. Clin Obstet Gynecol. 2007;50:720–34.

    Article  PubMed  Google Scholar 

  50. Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008;299:1446–56.

    Article  CAS  PubMed  Google Scholar 

  51. Kothe H, Bauer T, Marre R, Suttorp N, Welte T, Dalhoff K. Outcome of community-acquired pneumonia: influence of age, residence status and antimicrobial treatment. Eur Respir J. 2008;32(1):139–46.

    Article  CAS  PubMed  Google Scholar 

  52. Velez JA, Mortensen EM, Anzueto A, Restrepo MI. Antimicrobial treatment of community-acquired pneumonia in the elderly. Aging Health. 2006;2(6):999–1011.

    Article  CAS  Google Scholar 

  53. https://vaccine-schedule.ecdc.europa.eu/Scheduler/.

  54. Tsan L, Langberg R, Davis C, Phillips Y, Pierce J, Hojlo C, Gibert C, Gaynes R, Montgomery O, Bradley S, Danko L, Roselle G. Nursing home-associated infections in Department of Veterans Affairs community living centers. Am J Infect Control. 2010;38(6):461–6.

    Article  PubMed  Google Scholar 

  55. Cotter M, Donlon S, Roche F, Byrne H, Fitzpatrick F. Healthcare-associated infection in Irish long-term care facilities: results from the first National Prevalence Study. J Hosp Infect. 2012;80(3):212–6.

    Article  CAS  PubMed  Google Scholar 

  56. Curns AT, Holman RC, Sejvar JJ, Owings MF, Schonberger LB. Infectious disease hospitalizations among older adults in the United States from 1990 through 2002. Arch Intern Med. 2005;165(21):2514–20.

    Article  PubMed  Google Scholar 

  57. Juthani-Mehta M, Quagliarello VJ. Infectious diseases in the nursing home setting: challenges and opportunities for clinical investigation. Clin Infect Dis. 2010;51(8):931–6.

    Article  PubMed  Google Scholar 

  58. Huang AJ, Brown JS, Boyko EJ, Moore EE, Scholes D, Walter LC, Lin F, Vittinghoff E, Fihn SD. Clinical significance of postvoid residual volume in older ambulatory women. J Am Geriatr Soc. 2011;59(8):1452–8.

    Article  PubMed  Google Scholar 

  59. Fried TR, Vaz Fragoso CA, Rabow MW. Caring for the older person with chronic obstructive pulmonary disease: “I was worried that he didn’t have much room to decline”. JAMA. 2012;26(12):308.

    Google Scholar 

  60. Glyn-Jones S, et al. Osteoarthritis. Lancet. 2015;386:376–87.

    Article  CAS  PubMed  Google Scholar 

  61. Valdes AM, Stocks J. Osteoarthritis and ageing. Eur Med J. 2018;3(1):116–23.

    Google Scholar 

  62. Van den Bergh JP, Van Geel TA, Geusens PP. Osteoporosis, frailty and fracture: implications for case finding and therapy. Nat Rev Rheumatol. 2012;8(3):163–72.

    Article  PubMed  CAS  Google Scholar 

  63. Li G, et al. An overview of osteoporosis and frailty in the elderly. BMC Musculoskelet Disord. 2017;18:46.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Eaton WW, Muntaner C, Smith C, Tien A, Ybarra M. Center for Epidemiologic Studies Depression Scale: review and revision (CESD and CESD-R). In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 3rd ed. Mahwah, NJ: Lawrence Erlbaum; 2004. p. 363–77.

    Google Scholar 

  65. European Collaboration on Dementia. http://www.alzheimer-europe.org/Research/European-Collaboration-on-Dementia.

  66. Folstein MF, Folstein SE, McHugh PR. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.

    Article  CAS  PubMed  Google Scholar 

  67. Papastavrou E, Kalokerinou A, Alevizopoulos G, Papakostas S, Sourtzi P. Caring for a relative with dementia: family caregiver burden. J Adv Nurs. 2007;58(5):446–57.

    Article  PubMed  Google Scholar 

  68. Kolanowski A. Delirium in people living with dementia: a call for global solutions. Aging Ment Health. 2016;22:444. https://doi.org/10.1080/13607863.2016.1244805.

    Article  PubMed  Google Scholar 

  69. Dijkman B, Roodbol P, Aho J, Achtschin-Stieger S, Andruszkiewicz A, Coffey A, Felsmann M, Klein R, Mikkonen I, Oleksiw K, Schoofs G Soares C, Sourtzi P. European core competences framework for health and social care professionals working with older people. Ellan; 2016. 43p.

    Google Scholar 

  70. Soares C, Marques A, Clarke P, et al. Older people’s views on professional competences. ELLAN WP 4 report. http://ellan.savonia.fi/images/WP4_Report_3_07_2016.pdf.

  71. Fedarko NS. The biology of ageing and frailty. Clin Geriatr Med. 2011;27(1):27–37.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–7.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Lally F, Crome P. Understanding frailty. Postgrad Med J. 2007;83(975):16–20.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Chen X, Mao G, Leng SX. Frailty syndrome: an overview. Clin Interv Aging. 2014;19(9):433–41.

    Google Scholar 

  75. Bernabei R, Martone AM, Vetrano DL, Calvani R, Landi F, Marzetti E. Frailty, physical frailty, sarcopenia: a new conceptual model. Stud Health Technol Inform. 2014;2013:78–84.

    Google Scholar 

  76. Landi F, Calvani R, Cesari M, Tosato M, Martone AM, Ortolani E, Savera G, Salini S, Sisto AN, Picca A, Marzetti E. Sarcopenia: an overview on current definitions, diagnosis and treatment. Curr Protein Pept Sci. 2017;6.

    Google Scholar 

  77. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489–95.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Steverink N, Slaets JPJ, Schuurmans H, van Lis M. Measuring frailty: development and testing of the Groningen frailty indicators (GFI). Gerontologist. 2001;41(special issue 1):236–7.

    Google Scholar 

  79. Romeno-Ortuno R, Walsh CD, Lawlor BA, Kenny RA. A frailty instrument for primary care: findings from the survey of health, ageing and retirement in Europe (SHARE). BMC Geriatr. 2010;24(10):57.

    Article  Google Scholar 

  80. Boulillon K, Kivimäki M, Hamer M, Sabia S, Fransson EI, Singh-Manoux A, Gale CR, Batty GD. Measures of frailty in population-based studies: an overview. BMC Geriatr. 2013;13:64.

    Article  Google Scholar 

  81. Vermeulen J, Neyens JC, van Rossum E, Spreeuwenberg MD, de Witte LP. Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review. BMC Geriatr. 2011;1(11):33.

    Article  Google Scholar 

  82. Amer M, Farid T, El-Rahman E, EL-Maleh D, Omar O, Mabrouk R. Ability of comprehensive geriatric assessment to detect frailty. Adv Aging Res. 2014;3:63–9.

    Article  Google Scholar 

  83. Sacha J, Sacha M, Soboń J, Borysiuk Z, Feusette P. Is it time to begin a public campaign concerning frailty and pre-frailty? A review article. Front Physiol. 2017;11:484.

    Article  Google Scholar 

  84. Mitnitski AB, Mogilner AJ, Rockwood K. Accumulation of deficits as a proxy measure of aging. ScientificWorldJournal. 2001;8(1):323–36.

    Article  Google Scholar 

  85. Crome P, Lally F. Frailty: joining the giants. CMAJ. 2011;183(8):889–90.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Panza F, D’Introno A, Colacicco AM, Capurso C, Parigi AD, Capurso SA, Caselli RJ, Pilotto A, Scafato E, Capurso A, Solfrizzi V. Cognitive frailty: Predementia syndrome and vascular risk factors. Neurobiol Aging. 2006;27(7):933–40.

    Article  CAS  PubMed  Google Scholar 

  87. Kelaiditi E, Cesari M, Canevelli M, van Kan GA, Ousset PJ, Gillette-Guyonnet S, Ritz P, Duveau F, Soto ME, Provencher V, Nourhashemi F, Salvà A, Robert P, Andrieu S, Rolland Y, Touchon J, Fitten JL, Vellas B. IANA/IAGG. Cognitive frailty: rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group. J Nutr Health Aging. 2013;17(9):726–34.

    Article  CAS  PubMed  Google Scholar 

  88. Ruan Q, Yu Z, Chen M, Bao Z, Li J, He W. Cognitive frailty, a novel target for the prevention of elderly dependency. Ageing Res Rev. 2015;20:1–10.

    Article  PubMed  Google Scholar 

  89. Lipschitz S. Comprehensive geriatric assessment. Afr J Online. 2007;25:418–30.

    Google Scholar 

  90. Marty E, liu Y, Samuel A, Or O, Lane J. A review of sarcopenia: enhancing awareness of an increasingly prevalent disease. Bone. 2017;17(17):30345–9.

    Google Scholar 

  91. Bosaeus I, Rothenberg E. Nutrition and physical activity for the prevention and treatment of age-related sarcopenia. Proc Nutr Soc. 2016;75(2):174–80.

    Article  CAS  PubMed  Google Scholar 

  92. de Vries NM, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Staal JB, Nijhus-van der Sanden MW. Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life community-dwelling older adults with impaired mobility, physical and/or multi-morbidity: a meta-analysis. Ageing Res Rev. 2012;11(1):136–49.

    Article  PubMed  Google Scholar 

  93. Theou O, Stathokostas L, Roland KP, Jakobi JM, Patterson C, Vandervoort AA, Jones GR. The effectiveness of exercise interventions for the management of frailty: a systematic review. J Aging Res. 2011;4:569194.

    Google Scholar 

  94. Artaza-Artabe I, Sáez-López P, Sánchez-Hernández N, Fernández-Gutierrez N, Malafarina V. The relationship between nutrition and frailty: effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas. 2016;93:89–99.

    Article  CAS  PubMed  Google Scholar 

  95. Bollwein J, Volkert D, Diekmann R, Kaiser MJ, Uter W, Vidal K, Sieber CC, Bauer JM. Nutritional status according to the mini nutritional assessment (MNA®) and frailty in community dwelling older persons: a close relationship. J Nutr Health Aging. 2013;17(4):351–6.

    Article  CAS  PubMed  Google Scholar 

  96. Boucher BJ. The problems of vitamin d insufficiency in older people. Aging Dis. 2012;3(4):313.

    PubMed  PubMed Central  Google Scholar 

  97. Scott IA, Hilmer SN, Reeve E, Potter K, Le Couteur D, Rigby D, Gnjidic D, Del Mar CB, Roughead EE, Page A, Jansen J. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827–34.

    Article  PubMed  Google Scholar 

  98. Savva GM, Donoghue OA, Horgan F, O’Regan C, Cronin H, Kenny RA. Using timed up-and-go to identify frail members of the older population. J Gerontol A Biol Sci Med Sci. 2013;68(4):441–6.

    Article  PubMed  Google Scholar 

  99. Coleman P. Improving oral health care for the frail elderly: a review of widespread problems and best practices. Geriatr Nurs. 2002;23(4):189–99.

    Article  PubMed  Google Scholar 

  100. Hoeksema AR, Spoorenberg S, Peters LL, Meijer H, Raghoebar GM, Vissink A, Wynia K, Visser A. Elderly with remaining teeth report less frailty and better quality of life than edentulous elderly: a cross-sectional study. Oral Dis. 2017;23(4):526–36. https://doi.org/10.1111/odi.12644. Epub 2017 Mar 9.

    Article  CAS  PubMed  Google Scholar 

  101. Niesten D, Witter DJ, Bronkhorst EM, Creugers NHJ. Oral health care behavior and frailty-related factors in a care-dependent older population. J Dent. 2017;61:39–47. https://doi.org/10.1016/j.jdent.2017.04.002. Epub 2017 Apr 2.

    Article  PubMed  Google Scholar 

  102. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs. 2005;52(4):410–9.

    Article  PubMed  Google Scholar 

  103. Soini H, Routasalo P, Lauri S, Ainamo A. Oral and nutritional status in frail elderly. Spec Care Dentist. 2003;23(6):209–15.

    Article  PubMed  Google Scholar 

  104. Somma F, Castagnola R, Bollino D, Marigo L. Oral inflammatory process and general health. Part 1: the focal infection and the oral inflammatory lesion. Eur Rev Med Pharmacol Sci. 2010;14:1085–95.

    CAS  PubMed  Google Scholar 

  105. Yoneyama T, Hashimoto K, Fukuda H, Ishida M, Arai H, Sekizawa K, Yamaya M, Sasaki H. Oral hygiene reduces respiratory infections in elderly bed-bound nursing home patients. Arch Gerontol Geriatr. 1996;22:11–9.

    Article  CAS  PubMed  Google Scholar 

  106. Teeuw WJ, Gerdes VE, Loos BG. Effect of periodontal treatment on glycemic control of diabetic patients: a systematic review and meta-analysis. Diabetes Care. 2010;33:421–7.

    Article  PubMed  PubMed Central  Google Scholar 

  107. Coleman P, Watson NM. Oral care provided by certified nursing assistants in nursing homes. J Am Geriatr Soc. 2006;54(1):138–43.

    Article  PubMed  Google Scholar 

  108. Vanobbergen JN, De Visschere LM. Factors contributing to the variation in oral hygiene practices and facilities in long-term care institutions for the elderly. Community Dent Health. 2005;22(4):260–5.

    PubMed  Google Scholar 

  109. Weening-Verbree LF. Rapport Krasse Tanden; 2014.

    Google Scholar 

  110. Weening-Verbree L, Huisman-de Waal G, van Dusseldorp L, van Achterberg T, Schoonhoven L. Oral health care in older people in long term care facilities: a systematic review of implementation strategies. Int J Nurs Stud. 2013;50(4):569–82. https://doi.org/10.1016/j.ijnurstu.2012.12.004. Epub 2013 Jan 3.

    Article  CAS  PubMed  Google Scholar 

  111. Dougall A, Fiske J. Access to special care dentistry, part 9. Special care dentistry services for older people. Br Dent J. 2008;205(8):421–34. https://doi.org/10.1038/sj.bdj.2008.891.

    Article  CAS  PubMed  Google Scholar 

  112. Kiyak HA1, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ. 2005;69(9):975–86.

    PubMed  Google Scholar 

  113. Garssen J. Demografie van de vergrijzing. CBS 2011 (Dutch central agency for statistics). 2011. http://www.cbs.nl.

  114. Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people—call for public health action. Community Dent Health. 2010;27(Supplement 2):257–68.

    CAS  PubMed  Google Scholar 

  115. Branca S, Bennati E, Ferlito L, Spallina G, Cardillo E, Malaguarnera M, Motta M. The health-care in the extreme longevity. Arch Gerontol Geriatr. 2009;49:3234.

    Article  Google Scholar 

  116. Verenso. Richtlijn mondzorg voor zorgafhankelijke cliënten in verpleeghuizen; 2007.

    Google Scholar 

  117. Vilans. Kick protocollen: Mondverzorging bij afwezigheid gebit of gebitsprothese, Poetsen natuurlijk gebit, Schoonmaken gebitsprothese, Mondverzorging in palliatieve fase en bij chemotherapie of radiotherapie. 2017. www.vilans.nl.

  118. WHO, Regional Office for Europe. Palliative care for older People; Better practices. 2011. http://www.euro.who.int/__data/assets/pdf_file/0017/143153/e95052.pdf.

  119. The Finnish Association for Palliative Care. https://www.sphy.fi/yhdistyksemme/historiaa/the-finnish-association-for-pall/.

  120. Saarto T. Palliatiivisen hoidon määritelmä. In: Saarto T, Hänninen J, Vainio A, Antikainen R, editors. Palliatiivinen hoito. 3rd ed. Helsinki: Kustannus OY Duodecim; 2015. p. 31–43.

    Google Scholar 

  121. Cancer Care Ontario. 2005. https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13262.

  122. Caraceni A, Cherny N, Fainsinger R, Kaasa S, Poulain P, Radbruch L, De Conno F. Pain measurement tools and methods in clinical research in palliative care: recommendations of an Expert Working Group of the European Association of Palliative Care. J Pain Symptom Manage. 2002;23:239–55.

    Article  PubMed  Google Scholar 

  123. Vainio A, Vuorinen E. Kivun esiintyvyys palliatiivisessa hoidossa. In: Saarto T, Hänninen J, Vainio A, Antikainen R, editors. Palliatiivinen hoito. 3rd ed. Helsinki: Kustannus OY Duodecim; 2016.

    Google Scholar 

  124. Hänninen J. Oireiden esiintyvyys palliatiivisessa hoidossa. In: Saarto T, Hänninen J, Vainio A, Antikainen R, editors. Palliatiivinen hoito. 3rd ed. Helsinki: Kustannus OY Duodecim; 2015. p. 31–43.

    Google Scholar 

  125. Alexander K, Goldberg J, Korc-Grodzicki B. Palliative care and symptom management in older patients with cancer. Clin Geriatr Med. 2016;32:45–62.

    Article  PubMed  Google Scholar 

  126. Paineurope. http://www.paineurope.com/tools/who-analgesic-ladder.

  127. Coyle N, Layman-Goldstein M, Huner Johnson L. Pain assessment and pharmacological/nonpharmacological interventions. In: Matzo M, Sherman DW, editors. Palliative care nursing: quality care to the end of life. 4th ed. New York: Springer; 2014. p. 548–618.

    Google Scholar 

  128. Abdulla A, Adams N, Bone M, Elliott AM, Gaffin J, Jones D, Knaggs R, Martin D, Sampson L, Schofield P. Guidance on the management of pain in older people. Age Ageing. 2013;42:1–57.

    Article  Google Scholar 

  129. Hökkä M, Kaakinen P, Pölkki T. A systematic review: non-pharmacological interventions in treating pain in patients with advanced cancer. J Adv Nurs. 2014;70(9):1954–69.

    Article  PubMed  Google Scholar 

  130. Balkstra C. Dyspnea. In: Matzo M, Sherman DW, editors. Palliative care nursing: quality care to the end of life. 4th ed. New York: Springer; 2014. p. 620–46.

    Google Scholar 

  131. Baralatei FT, Ackermann RJ. Care of patients at the end of life: management of nonpain symptoms. FP Essent. 2016;447:18–24.

    PubMed  Google Scholar 

  132. LeBlanc TW, Abernethy AP. Building the palliative care evidence base: lessons from a randomized controlled trial of oxygen vs room air for refractory dyspnea. J Natl Compr Cancer Netw. 2014;12:989–92.

    Article  Google Scholar 

  133. Clark K, Herndon JE II, Marcello J, Young IH, Bull J, Wilcock A, Booth S, Wheeler JL, Tulsky JA, Crockett AJ, Currow DC. Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial. Lancet. 2010;4(376):784–93.

    Google Scholar 

  134. Simon ST, Higginson IJ, Booth S, Harding R, Weingärtner V, Bausewein C. Benzodiazepines for the relief of breathlessness in advanced malignant and non-malignant diseases in adults. Cochrane Database Syst Rev. 2016;20:10.

    Google Scholar 

  135. Kamal AH, Maguire JM, Wheeler JL, Currow DC, Abernethy AP. Dyspnea review for the palliative care professional: treatment goals and therapeutic options. J Palliat Med. 2012;15:106–14.

    Article  PubMed  PubMed Central  Google Scholar 

  136. Varkey B. Opioids for palliation of refractory dyspnea in chronic obstructive pulmonary disease patients. Curr Opin Pulm Med. 2010;16:150–4.

    Article  CAS  PubMed  Google Scholar 

  137. Cairns LM. Managing breathlessness in patients with lung cancer. Nurs Stand. 2012;27:44–9.

    Article  PubMed  Google Scholar 

  138. Booth S, Moosavi SH, Higginson IJ. The etiology and management of intractable breathlessness in patients with advanced cancer: a systematic review of pharmacological therapy. Nat Clin Pract Oncol. 2008;5:90–100.

    Article  CAS  PubMed  Google Scholar 

  139. Thomas S, Bausewein C, Higginson I, Booth S. Breathlessness in cancer patients—implications, management and challenges. Eur J Oncol Nurs. 2011;15:459–69.

    Article  PubMed  Google Scholar 

  140. Galbraith S, Fagan P, Perkins P, Lynch A, Booth S. Does the use of a handheld fan improve chronic dyspnea? A randomized, controlled, crossover trial. J Pain Symptom Manag. 2010;39:831–8.

    Article  Google Scholar 

  141. Nicolini A, Mascardi V, Grecchi B, Ferrari-Bravo M, Banfi P, Barlascini C. Comparison of effectiveness of temporary positive expiratory pressure versus oscillatory positive expiratory pressure in severe COPD patients. Clin Respir J. 2018;12:1274–82.

    Article  PubMed  Google Scholar 

  142. Pöyhiä R, Lehto J. Hikka. In: Saarto T, Hänninen J, Vainio A, Antikainen R, editors. Palliatiivinen hoito. 3rd ed. Helsinki: Kustannus OY Duodecim; 2015.

    Google Scholar 

  143. Cancer Research UK. Coping with cancer. Hiccups and cancer. http://www.cancerresearchuk.org/about-cancer/coping/physically/hiccups-and-cancer. Accessed 1 Aug 2017.

  144. Marinella MA. Diagnosis and management of hiccups in the patient with advanced cancer. J Support Oncol. 2009;7:122–7.

    PubMed  Google Scholar 

  145. Blush RR III, Pamala D. Larsen 709. In: Matzo M, Sherman DW, editors. Palliative care nursing quality care to the end of life. 4th ed. New York: Springer. p. 620–46.

    Google Scholar 

  146. Clark K, Lam LT, Talley NJ, Phillips JL, Currow DC. Identifying factors that predict worse constipation symptoms in palliative care patients: a secondary analysis. J Palliat Med. 2017;20:528–32.

    Article  PubMed  Google Scholar 

  147. Haig S. Diagnosing dying: symptoms and signs of end-stage disease. End Life Care. 2009;4:8–13. www.endoflifecare.co.uk. Accessed 15 Sept 2017.

    Google Scholar 

  148. Chand S. Dealing with the dying patient—treatment of terminal restlessness. Pharm J. 2013;290:382.

    Google Scholar 

  149. Hospital Patients Alliance. Signs and symptoms of approaching death. http://www.hospicepatients.org/hospic60.html. Accessed 3 Oct 2017.

  150. Cancer research UK. What happens in the final days of life. http://www.cancerresearchuk.org/about-cancer/coping/dying-with-cancer/last-few-weeks-and-days/final-days. Accessed 3 Oct 2017.

  151. Hospital Patients Alliance. Terminal agitation: a major distressful symptom in the dying. http://www.hospicepatients.org/terminal-agitation.html. Accessed 15 Dec 2017.

  152. Maluso-Bolton T. Terminal agitation. J Hosp Palliat Nurs. 2000;2:9–20.

    Article  Google Scholar 

  153. Brajtman S. The impact on the family of terminal restlessness and its management. Palliat Med. 2003;17:454–60.

    Article  PubMed  Google Scholar 

  154. Nunn C. It’s not just about pain: symptom management in palliative care. Nurse Prescrib. 2014;12:338–44.

    Article  Google Scholar 

  155. Dahlin CM. Anxiety, depression and delirium. In: Matzo M, Sherman DW, editors. Palliative care nursing quality care to the end of life. 4th ed. New York: Springer. p. 647–93.

    Google Scholar 

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Sourtzi, P. et al. (2019). Most Common Health Issues of Older People. In: Dijkman, B., Mikkonen, I., Roodbol, P. (eds) Older People: Improving Health and Social Care. Springer, Cham. https://doi.org/10.1007/978-3-319-97610-5_3

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