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Current Geriatrics Reports

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17.02.2024 | REVIEW

Unrepresented Older Adults: A Critical Review and Future Agenda in the Context of the Quintuple Aim

verfasst von: Rachel Brenner, Joseph Dixon, Timothy W. Farrell

Erschienen in: Current Geriatrics Reports | Ausgabe 1/2024

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Abstract

Purpose of Review

The purpose of this review is to provide a critical summary and analysis of the literature published over the past five years regarding unrepresented older adults, with emphasis on five essential themes: 1) terminology; 2) demographics and risk factors; 3) approaches to decision making; 4) adverse outcomes; and 5) preventive interventions.

Findings

The term “unrepresented” has become increasingly favored in the medical literature to describe incapacitated older adults who lack an advance directive and surrogate decision maker. Considerable gaps exist in the literature regarding demographics and risk factors, adverse outcomes, and preventive interventions. There are substantially different approaches to decision making for unrepresented older adults, which vary by state and institution.

Summary

Unrepresented older adults are among the most vulnerable and salient patients in any health care system. Frequently, these patients are hidden in plain sight until a crisis occurs. We evaluated the recent literature on unrepresented older adults, focusing on essential themes that emerged from our review. We frame our discussion in context of the Quintuple Aim for health care suggesting future research aimed at improving population health outcomes, improving patient experience, reducing health care costs, improving care team well-being, and advancing health equity.

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13.

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14.

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17.

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18.

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19.

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20.

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22.

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23.

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25.

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26.

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27.

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28.

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29.

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46.

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Titel: Unrepresented Older Adults: A Critical Review and Future Agenda in the Context of the Quintuple Aim
verfasst von: Rachel Brenner
Joseph Dixon
Timothy W. Farrell
Publikationsdatum: 17.02.2024
Verlag: Springer US
Erschienen in: Current Geriatrics Reports / Ausgabe 1/2024
Elektronische ISSN: 2196-7865
DOI: https://doi.org/10.1007/s13670-024-00406-x

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Unrepresented Older Adults: A Critical Review and Future Agenda in the Context of the Quintuple Aim

Abstract

Purpose of Review

Findings

Summary

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Purpose of Review

Findings

Summary

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Leitlinien kompakt für die Innere Medizin

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Chronische Verstopfung: „Versuchen Sie es mit grünen Kiwis!“

Blutdrucksenkung könnte Uterusmyome verhindern

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

Update Innere Medizin