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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 3 days ago

The role of pharmacists in geriatric #care: current evidence and practice

#Pharmacy #Pharmacology #Geriatrics #Frailty #Aging #MedMastodon

https://link.springer.com/article/10.1007/s40520-025-03254-7?utm_source=springer_etoc&utm_medium=email&utm_campaign=CONR_40520_AWA1_GL_DTEC_054CI_TOC-130126&utm_content=etoc_springer_20260113

SpringerLink

The role of pharmacists in geriatric care: current evidence and practice - Aging Clinical and Experimental Research

Introduction Pharmacists are among the most available and frequently consulted healthcare providers supporting older adults. They can actively contribute to thorough geriatric assessments and interventions and are often included in geriatric teams across different care settings. Aim This narrative review aims to compile current knowledge and practical approaches related to pharmacists’ roles in caring for older adults. Methods We searched in three databases and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Included studies were randomized clinical trials (RCTs) and systematic reviews, published between the years 2014 and 2024 in any language, reporting on the involvement of pharmacists in geriatric care, their interventions and results. Results From 306 identified different records, 32 studies were included in the final synthesis. The majority (22; 68.8%) were systematic reviews, ten were RCTs. The studies reported on the role of pharmacists in geriatric care in diverse settings including home, community, outpatient clinics, hospital, long-term care and residential facilities. While interventions were often multifaceted and complex, they more commonly comprised medication reviews and medication reconciliation. Positive outcomes resulting from pharmacists´ interventions were reported in 71.9% of the studies, mostly focused on medication appropriateness, deprescribing, medication safety and effectiveness. Conclusion Our narrative review highlights the growing evidence supporting the integration of pharmacists into geriatric care teams across diverse clinical settings. Despite heterogeneity among studies and limited high-certainty evidence, the findings underscore the potential of pharmacists to contribute meaningfully to person-centred, multidisciplinary care in this vulnerable population.
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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp last month

Causal relationships between #sarcopenia, #frailty, and #health outcomes: A systematic review of Mendelian randomization studies

#Geriatrics #Care #Research #MedMastodon

https://www.sciencedirect.com/science/article/pii/S0531556525002827?dgcid=rss_sd_all

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp last month

Supporting #Ageing at Home: Developing Ireland’s Home #Care Workforce

- Attract and develop a competent and motivated #workforce
- Enhance #working lives and retention
- Utilise #career pathways for quality and impact
- Invest in #data and digital for home care

#Geriatrics #Health #Aging #MedMastodon

https://academic.oup.com/ageing/article/doi/10.1093/ageing/afaf318.161/8371705?rss=1

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp last month

What Matters Most to People Living With #Dementia and Their #Care Partners During Emergency Department Visits

#Geriatrics #Frailty #ER #MedMastodon

https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.70238?af=R

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Just seen another article published on "osteosarcopenic #obesity"...

What about "cardiorespiratory osteosarcopenic obesity" or "urodigestive osteosarcopenic obesity'?

When people thinks that, in #geriatrics, 1 plus 1 gives 2...

#Frailty #MedMastodon #Medicine #Care

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Great article on #frailty !!!

"...persistent gap between #algorithmic tools and #clinical needs..."

"...models optimised on #outcomes cannot distinguish between those who lack [...] capacities and those who experience adverse outcomes..."

#MedMastodon #Geriatrics #Aging #Ageing #Medicine #Care #Health #OlderPeople #EasyThingsAreBetter

👇👇👇
https://academic.oup.com/ageing/article-abstract/54/10/afaf309/8300885?redirectedFrom=fulltext&login=false

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

The conceptualisation and measurement of social #frailty in older people: an umbrella review

#Geriatrics #Social #SocialSciences #Aging #Ageing #Care #IntegratedCare

https://www.sciencedirect.com/science/article/pii/S2260134125000696?via%3Dihub

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Perceived needs and priorities of older persons in #humanitarian crises: A scoping review

Older persons often remain invisible during humanitarian crises. Where are they? What do they need? Are their priorities adequately considered?

#Care #Emergency #Health #medmastodon #Medicine #Aging #Ageing #Geriatrics

👇
https://link.springer.com/article/10.1007/s40520-025-03226-x

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

I recommend (re-)reading the article MTinetti & Terri Fried wrote more than 20 years ago (2004): The End of the Disease Era ( https://www.amjmed.com/article/S0002-9343(03)00666-1/abstract )

Re-orient #care to allow better tailored interventions for the (globally) #aging population
#Geriatrics

https://www.theguardian.com/society/2025/oct/31/nearly-150000-aged-90-and-above-wait-12-hours-england?utm_source=chatgpt.com

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Towards a global scale for functional ability: what gets measured and gets done—but are we measuring the right thing?

"...A standardised scale based on the #WHO ’s five domains should be developed and integrated into global #ageing surveys..."

#Aging #Care #Health #Geriatrics #HealthyAgeing

https://academic.oup.com/ageing/article/54/11/afaf323/8315880

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Contextualizing Age-Friendly #Care Within Social Drivers of Health

#Geriatrics #Environment #SocialCare #SocialSciences #MedMastodon #Medicine #Aging #Ageing

https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.70197?af=R

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

Opportunities to Improve End-of-Life Care in Assisted Living: Results From a National Survey of Administrators

#PalliativeCare #Care #Geriatrics #EndOfLife #Medicine #LongTermCare #LTC

https://www.jamda.com/article/S1525-8610(25)00498-0/fulltext?dgcid=raven_jbs_aip_email

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 2 months ago

An overview of care #coordination elements for older adults with long-term care needs: A narrative review

"...Lacks information on how #care coordination works in low-income countries..."

"...Work overload, lack of time, and miscommunication are common barriers..."

#Geriatrics #LongTermCare #LTC

https://www.sciencedirect.com/science/article/pii/S0167494325003346?via%3Dihub

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Matteo Cesari
Matteo Cesari
@macesari@mastodon.social  ·  activity timestamp 3 months ago

Just seen another paper published on oral #frailty . I am wondering when we will get to a "feet frailty", a "digestive frailty", or a "friendship frailty"... 😆

This is nonsense to me.

Geriatric medicine should avoid constructs that, rather than providing a person-centred approach, promote a partial/fragmented evaluation of the individual.

#CGA #Geriatrics #FragmentationOfCare #IntegratedCare #MedMastodon #Research #Medicine

Suggested reading👇
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=27676177

PubMed

The Chimeric Nihilism of Geriatrics - PubMed

The Chimeric Nihilism of Geriatrics
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