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Although many elderly persons continued to follow the recommended preventive measures during the transitional phase between the two pandemic waves, social mixing with younger persons constitutes a way for transmission of infections across age groups. Pandemic containment among all age groups thus remains essential to protect vulnerable populations, including the elderly.
A Swiss panel of experts met for the Dementia Summit in Brunnen, Switzerland, to discuss the latest scientific findings on basic and clinical research, as well as practical and political approaches to the challenges of dementia disorders in Switzerland. Here, they present the conference summary.
Social, cultural and experiential patterning of attitudes and behaviour towards assisted suicide in Switzerland: evidence from a national population-based study
Switzerland has the longest history of the legal practice of non-physician assisted suicide of any country. Assisted suicide is not very tightly regulated in Switzerland, and almost all assisted suicides are supported by a right-to-die organisation.
Frailty, underweight and impaired mobility are associated with institutionalisation after post-acute care
Frailty, low Short Physical Performance Battery score and being underweight at admission to PAC were significantly associated with a higher chance of subsequent institutionalisation. Strategies to improve these factors could improve post-acute care outcomes.
Age, comorbidity, frailty status: effects on disposition and resource allocation during the COVID-19 pandemic
Three aspects are of utmost importance: first, determination of frailty status (and not just the patient’s age), second, balancing of benefits and harms while considering the most likely outcome taking comorbidity into account, and third, shared decision-making focusing on the individual’s goals of care.
COVID-19 pandemic: palliative care for elderly and frail patients at home and in residential and nursing homes
The current pandemic and the publication of the SAMS Guidelines “COVID-19 pandemic: triage for intensive-care treatment under resource scarcity” have prompted the Association for Geriatric Palliative Medicine to prepare these recommendations for practice.
Older people living with serious illness and multiple old-age related co-morbidities are regarded as a group in a highly vulnerable position when it comes to decision making at the end of life. They are largely unempowered and prone to medical paternalism and ageism. Their low functional status can lead to therapeutic pessimism.
Do older adults benefit from post-acute care following hospitalisation? A prospective cohort study at three Swiss nursing homes
In this real-word sample, post-acute care resulted in a significant and clinically relevant improvement in physical performance and activities of daily living.
Drug prescription patterns, polypharmacy and potentially inappropriate medication in Swiss nursing homes: a descriptive analysis based on claims data
Since drug prescribing plays a major role in nursing home settings, its optimisation has become a public-health issue worldwide. To date, comprehensive data on drug utilisation in Swiss nursing homes are lacking.