Stéfanie M Monod

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Numerous instruments have been developed to assess spirituality and measure its association with health outcomes. This study’s aims were to identify instruments used in clinical research that measure spirituality; to propose a classification of these instruments; and to identify those instruments that could provide information on the need for spiritual(More)
OBJECTIVE To examine characteristics associated with functional recovery in older patients undergoing postacute rehabilitation. DESIGN Observational study. SETTING Postacute rehabilitation facility. PARTICIPANTS Patients (N=2754) aged ≥65 years admitted over a 4-year period. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE Functional status was(More)
BACKGROUND Loss of balance confidence is a frequent condition that affects 20-75% of community-dwelling older persons. Although a recent fall is a common trigger, loss of balance confidence also appears independent of previous experience with falls. Maintaining or improving balance confidence is important to avoid unnecessary, self-imposed restrictions of(More)
Elderly persons are at high risk of polypharmacy. Polypharmacy has been associated with numerous adverse outcomes, such as poorer quality of life, higher morbidity and mortality. However, deciding to stop or to continue a treatment is a difficult task, which confronts the physician to complex clinical and ethical choices. Such a decision requires a(More)
BACKGROUND Although spirituality is usually considered a positive resource for coping with illness, spiritual distress may have a negative influence on health outcomes. Tools are needed to identify spiritual distress in clinical practice and subsequently address identified needs. This study describes the first steps in the development of a clinically(More)
BACKGROUND The Spiritual Distress Assessment Tool (SDAT) is a 5-item instrument developed to assess unmet spiritual needs in hospitalized elderly patients and to determine the presence of spiritual distress. The objective of this study was to investigate the SDAT psychometric properties. METHODS This cross-sectional study was performed in a Geriatric(More)
OBJECTIVES To determine characteristics associated with single and multiple fallers during postacute rehabilitation and to investigate the relationship among falls, rehabilitation outcomes, and health services use. DESIGN Retrospective cohort study. SETTING Geriatric postacute rehabilitation hospital. PARTICIPANTS Patients (n = 4026) consecutively(More)
Providing or withholding nutrition in severely disabled elderly persons is a challenging dilemma for families, health professionals, and institutions. Despite limited evidence that nutrition support improves functional status in vulnerable older persons, especially those suffering from dementia, the issue of nutrition support in this population is strongly(More)
Among instruments measuring spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual well-being (FACIT-Sp-12) is the most widely used instrument in research. It has been validated in patients suffering from cancer or HIV/AIDS, but has rarely been used in elderly patients. The objectives of this study were to determine the(More)
D r. Garssen et al. are correct in their assertion that there is a risk of confounding the constructs of spiritual well-being and psychological well-being. Such criticism was previously made for spirituality constructs, and could also have been mentioned in our paper. However, the purpose of our review was to systematically identify instruments that have(More)