1ª Reunión Nacional de Trabajo Multidisciplinar en Oncogeriatría: documento de consenso / 1st National Meeting of Multidisciplinary Work in Oncogeriatrics: Expert Consensus Document

El pasado día 2 de junio de 2011 el Institut Català d’Oncologia l’Hospitalet-Hospital Duran i Reynals acogió la primera Reunión de Trabajo Multidisciplinar en Oncogeriatría. La idea de la reunión, iniciativa de las Sociedades Médicas de Oncología Radioterápica, Geriatría y Gerontología, Cuidados Paliativos y Oncología Médica, fue la de iniciar una línea de trabajo conjunta entre las diferentes especialidades que intervienen habitualmente en el manejo del paciente de edad avanzada con patología oncológica. En este documento se recoge un resumen de los temas tratados(AU)

On 2nd of June 2011 the Institut Català d’ Oncologia l’Hospitalet--Hospital Duran i Reynals hosted the first Meeting of Multidisciplinary Work in Oncogeriatrics. The reason for the meeting, which follows on from an initiative of the Medical Societies of Radiotherapy, Oncology, Geriatrics and Gerontology and Palliative Care and Medical Oncology, was to initiate a joint line of work among the different specialties that generally take part in the handling of the elderly patient suffering from oncologic pathologies. This document summarises the different subjects covered during the Meeting(AU)

[1st National Meeting of Multidisciplinary Work in Oncogeriatrics: expert consensus document]. / 1.(a) Reunión Nacional de Trabajo Multidisciplinar en Oncogeriatría: documento de consenso.

On 2nd of June 2011 the Institut Català d' Oncologia l'Hospitalet--Hospital Duran i Reynals hosted the first Meeting of Multidisciplinary Work in Oncogeriatrics. The reason for the meeting, which follows on from an initiative of the Medical Societies of Radiotherapy, Oncology, Geriatrics and Gerontology and Palliative Care and Medical Oncology, was to initiate a joint line of work among the different specialties that generally take part in the handling of the elderly patient suffering from oncologic pathologies. This document summarises the different subjects covered during the Meeting.

¿Qué hacer y qué no a lo largo del proceso demencial? Diálogo y ayuda / What should be done and not done throughout the process of dementia? Dialogue and aid

La demencia es un potente predictor de dependencia que hace que sean esas personas las que vivan más años con discapacidad. Es la enfermedad crónica que mayor dependencia ocasiona a los 12, a los 24 y a los 36 meses de su evolución, por delante de otras enfermedades discapacitantes, como el ictus, la enfermedad de Parkinson o las enfermedades cardiovasculares. Somos muchos los que conocemos las consecuencias devastadoras de las demencias, pero pocos sabemos reconocer los síntomas en las fases iniciales. Para poder combatir este hecho es necesario promover una mayor información pública y una mayor formación a los profesionales de la salud. Es necesario avanzar en 3 campos para poder desarrollar una mejor atención en las distintas fases evolutivas de las demencias: considerar la demencia como una prioridad de salud pública, combatir la creencia equívoca de que no se puede hacer nada para los pacientes diagnosticados de demencia y, finalmente, no por ello menos importante, saber reconocer la demencia incipiente. Decir que las personas con demencia reciben con menor frecuencia atención paliativa de confort que aquellos pacientes diagnosticados de cáncer a pesar de compartir, claramente, la necesidad de cuidados en fases avanzadas de la enfermedad y a pesar de ser demandada frecuentemente por familiares y cuidadores. A forma de resumen, decir que podemos actuar y mejorar en el diagnóstico precoz de la enfermedad, de la misma forma que lo podemos hacer en las distintas fases evolutivas de la demencia y, así, poder retardar y/o minimizar la dependencia y, finalmente, mejorar las medidas de confort al final de la enfermedad (AU)

Because dementia is a powerful predictor of dependence, people with this disease are those that live longest with disability. Dementia is the chronic disease provoking the greatest dependence at 12, 24, and 36 months after diagnosis, ahead of other diseases such as stroke, Parkinson's disease and cardiovascular disease. Many of us are aware of the devastating consequences of dementia, but few know how to recognize the symptoms in the initial phases. To rectify this situation, increased public information and training for health professionals is required. To improve the care of the distinct phases of dementia, progress must be made in three areas: dementia must be considered a public health priority, the erroneous belief that nothing can be done for patients with a diagnosis of dementia must be combatted and, finally, no less importantly, knowledge of how to recognize incipient dementia must be acquired. People with dementia less frequently receive palliative care than patients with cancer, despite clearly sharing the need for care in the advances stages of the disease and frequent requests by relatives and carers. In summary, action can be taken to improve the early diagnosis of dementia and the care of the distinct phases of the disease, thus delaying and/or minimizing dependency. Finally, comfort measures at the end stage can be improved (AU)

[What should be done and not done throughout the process of dementia? Dialogue and aid]. / ¿Qué hacer y qué no a lo largo del proceso demencial? Diálogo y ayuda.

Because dementia is a powerful predictor of dependence, people with this disease are those that live longest with disability. Dementia is the chronic disease provoking the greatest dependence at 12, 24, and 36 months after diagnosis, ahead of other diseases such as stroke, Parkinson's disease and cardiovascular disease. Many of us are aware of the devastating consequences of dementia, but few know how to recognize the symptoms in the initial phases. To rectify this situation, increased public information and training for health professionals is required. To improve the care of the distinct phases of dementia, progress must be made in three areas: dementia must be considered a public health priority, the erroneous belief that nothing can be done for patients with a diagnosis of dementia must be combatted and, finally, no less importantly, knowledge of how to recognize incipient dementia must be acquired. People with dementia less frequently receive palliative care than patients with cancer, despite clearly sharing the need for care in the advances stages of the disease and frequent requests by relatives and carers. In summary, action can be taken to improve the early diagnosis of dementia and the care of the distinct phases of the disease, thus delaying and/or minimizing dependency. Finally, comfort measures at the end stage can be improved.

[Geriatric assessment in the emergency departments of acute hospitals]. / Abordaje del anciano en el servicio de urgencias de un hospital de agudos.

Elderly people use often and in an appropriate way the Emergency Department (ED). However, we don't dispose of evidences that demonstrate utility of a specific model of geriatric assessment (GA) applied in ED. Nowadays; GA in ED should be used being adapted to the environment and with some clear objectives that allow to carry out a multidimensional diagnosis and to establish therapeutic priorities. GA contributes benefits in the continuity of care on the part of the Primary Attention when elderly people are discharged from an ED.

Abordaje del anciano en el servicio de urgencias de un hospital de agudos / Geriatric assessment in the emergency departments of acute hospitals

Los ancianos utilizan mucho y de forma adecuada los servicios de urgencias (SU). No existen evidencias que demuestren la efectividad de un modelo concreto de valoración geriátrica (VG) aplicado en los SU. Sin embargo, la VG en los SU debería utilizarse adecuándola al entorno y con unos objetivos claros que permitan realizar un diagnóstico multidimensional y establecer prioridades terapéuticas. La VG aporta beneficios en la continuidad de cuidados por parte de la atención primaria cuando los ancianos son dados de alta de un SU (AU)

Elderly people use often and in an appropriate way the Emergency Department (ED). However, we don’t dispose of evidences that demonstrate utility of a specific model of geriatric assessment (GA) applied in ED. Nowadays; GA in ED should be used being adapted to the environment and with some clear objectives that allow to carry out a multidimensional diagnosis and to establish therapeutic priorities. GA contributes benefits in the continuity of care on the part of the Primary Attention when elderly people are discharged from an ED (AU)