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Biomedical subjects

I Füsgen

Publications and source records attributed to I Füsgen.

At least 19 recordsLinked to original sources
PubMed2004

[Treatment options for bladder disorders in the aged].

Urinary incontinence in the elderly is caused primarily by multiple factors such as physiologic changes of old age connected with multimorbidity and functional deficiencies, polypharmacology, psychosociological influences as well as conditions of the milieu. All these factors have to be carefully considered for therapy to be effective. Continence should be the goal of such therapy. Active participation in daily life can also be achieved by using auxiliary devices to improve the impaired quality of life. Temporary incontinence demands the search for its cause, while chronic incontinence calls for a differentiated form of therapy according to the kind of incontinence encountered. Conservative treatment consists of behavior therapy, such as toilet-(habit)-training and pelvic floor exercises. The use of drugs and auxiliary devices are equally important.

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PubMed2000

1999 rerun of the 1996 German Urinary Incontinence Survey: will doctors ever ask?

The German Incontinence Relief Society and supporting companies have been conducting numerous urinary incontinence awareness and continuing medical education campaigns. However, comparison of results from an epidemiologic survey involving 6,607 over-50-year-old patients in 1996 and a similar investigation among 6,481 patients in the same age group in 1999 reveals that German physicians are now even less likely to address this taboo subject, thus withholding appropriate care from incontinent patients. Possible reasons for this alarming development include the financial restraints imposed on German doctors in private practice and a lack of appreciation of the problems associated with incontinence among health policymakers.

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PubMed2000

Geriatric assessment in the elderly cancer patient.

Lost and remaining functions are of special importance in geriatric medicine. The level of functional deficits ultimately determines the remaining quality of life and the patient's ability to continue independently. In contrast, the actual severity of a disease measured by common standards becomes less important. Geriatric assessment is increasingly used to describe the impact of disease and to focus on the functional losses and problems that are particularly relevant to the individual elderly patient. When developing a treatment plan for older cancer patients, it is essential to consider the functional deficits caused by age-related changes or comorbidity, the remaining compensation mechanisms and the patient's expectations. Cancer treatment has to be adapted to the individual needs of elderly patients. As the number of cancer patients is rising in all areas of medical practice, a close collaboration between oncologists and geriatricians will become increasingly important.

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PubMed1999

[Geriatric assessment--description of functional deficits and follow-up assessment of elderly stroke patients].

The aim of the present study was to describe the course and outcome of rehabilitation using a national recommended assessment program (AGAST). In our study 162 patients with stroke were included. Nearly all patients had improvement of activities of daily living (Barthel Index) and mobility (Tinetti Gait and Balance Score, Frenchay Arm Test). A similar trend was observed in patients with cognitive impairment and depression on admission. Of the different tests, the Barthel Index and mobility scores were shown to be important predictors of length of hospital stay. Further evaluation of the assessment instruments is needed to assess different aspects of quality of life (self-rated well-being, satisfaction). To assess the efficiency of geriatric rehabilitation in patients with stroke, it will be important to measure resource consumption and to evaluate the long-term results.

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PubMed1999

[The elderly stroke patient - observations 18 months after the event].

The further development of 162 stroke patients (average age 77 years), who were geriatrically assessed during hospitalization, was evaluated ca. 18 months after stroke. Questionnaires were mailed to patients. 53% of the patients (n = 86) returned the questionnaire duly filled in; 20% (n = 32) had died; in the remaining 27% of cases (n = 44) no information was obtained on further development. 80% of those patients who responded lived at home despite numerous medical problems. Family members assumed most of the care required. Follow-up treatment and pain therapy proved to be particularly problematic. The Barthel Index according to data collected was significantly lower compared to figures noted upon release from the hospital. Hardly anyone among those patients received follow-up treatment. 74% of patients complained of pain although the majority has regular contacts with the family doctor. For those patients who died in the 18 months interval, significantly lower values for the activities of daily living (ADL) has already been recorded upon hospitalization. They had a less favorable view of their state of health and were less satisfied with life in general.

Activities of Daily Living↗
PubMed1998

[Incontinence, dementia and multiple morbidity--predictive factors for nursing care requirement and nursing home admission].

The present survey monitored all new admissions to 4 homes for the aged/nursing homes in the area of Velbert/Neviges (Nordrhein-Westphalia, Germany) over a 12-month period in 1996 and 1997, respectively. The study concentrated on the importance of incontinence, dementia and comorbidity when predicting need of care and removals to nursing homes. The statistical evaluation reveals a net coherence between dementia, nursing level and incontinence, and stresses the importance of these factors for the nursing home situation in Germany as the position increasingly develops into providing for and serving a clientele which is dement and heavily in need of care. Furthermore, the evaluation clearly shows that incontinence is still taboo to doctors as well as to their patients, and that, in spite of the medical and economical importance, the affected and their relatives are generally poorly informed. The described results imply a change in how to treat incontinence, dementia and comorbidity and should lead to renewed therapeutical concepts.

Activities of Daily Living↗
PubMed1992

[The geriatric day care clinic--a model also for the management of demented patients?].

The semi-stationary way of clinical treatment (day clinic) is of great importance for the geriatric field. As to diagnostics and therapy of demented patients, day hospital treatment reveal a number of advantages and disadvantages. In particular for fairly serious or seriously ill demented patients daily journey to and from the hospital are too much for them, and their clinical picture deteriorates. On the other hand, the patient benefits from a further integration into the domestic environment alongside with intensive diagnostics and therapy which is not feasible for in-patients. The need of the elderly to keep up their independence in their familiar habitat with all social and emotional contacts can be met better rather by semi-stationary diagnostics and treatment than during a full-time stationary care at the hospital.

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PubMed1992

[Rehabilitation of the aged].

It is common knowledge that in the light of demographic and social developments in the years to come our society will have to rise to the enormous challenge of medical care for the old, sick and needy. In order to shorten long-time nursing periods for old people in need of medical care preventive treatment and medical rehabilitation must be the main priority of all measures. Geriatric rehabilitation is subdivided into prophylactic rehabilitation (medical care, social sector), general rehabilitation and target-specific rehabilitation. Both the rehabilitation team and the motivation to rehabilitate are of particular importance during geriatric rehabilitation. On the whole, it has to be reckoned that older people need a distinctly longer period of recuperation, in which the clinical picture rather than the age is the decisive factor of a successful rehabilitation. As for Germany, that is only the beginning of stationary geriatric rehabilitation.

Activities of Daily Living↗
PubMed1991

[Urinary incontinence in old age].

Incontinence with onset in old age is due mainly to neurological factors, and in men to the presence of prostatic hypertrophy. Quite often, it is a combination of several different diseases that leads to urinary incontinence. A simple examination schedule suffices for a diagnosis in 90% of all cases. The examination schedule is presented. In the case of a non-inhibited neurogenic bladder, continence training is the most important therapeutic measure. However, various criteria must be observed if continence training is to be successful. The second most frequent cause of incontinence in women is a noncontractile muscle acontractility in the presence of diabetes mellitus. Suprapubic urinary puncture has considerable advantages over transurethral urinary diversion.

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