Deutsch

Dr. Anton Schönstein - Psychologist M.Sc.
Network Aging Research
Bergheimer Straße 20
D-69115 Heidelberg

Phone: +49 (0)6221 54 8125
schoenstein(at)nar.uni-heidelberg.de

Fellows: PD Dr. Anke Bahrmann, Prof. Dr. Hans-Werner-Wahl

 

Optimised Healthcare of the Elderly in the Emergency Department/ the Acute Inpatient Treatment  – An Implementation-Study to Evaluate the “Geriatric Check”

The demographic change causes a need for an altered healthcare system. Frequently the treatment of older patients is marked by chronical illnesses and functional limitations. This leads to special requirements to the medical, nursing and psychosocial structure of supply, which constitutes a challenge for the collaboration of health care and social systems. Without the application of a systematic assessment cognitive, depressive or functional impairments, as well as compensatory mechanisms can be easily overlooked. The “Geriatric Concept of Baden-Württemberg” claims to quickly identify and stratify the risks imposed to elder patients in regards to functional and cognitive impairments within the emergency department and in the acute inpatient setting. Therefore geriatric screening and assessment should become an integral part of the treatment of elder patients. The aim of the dissertation project is to validate the “Geriatrics-Check” which will be compared with previous versions of geriatric screening and assessments. An evaluation of the interface is planned with regard to the further treatment of geriatric patients. The purpose is to reduce renewed readmissions in the emergency department, rehospitalisation, admission to nursing home and total mortality.

 

Publications

• Laryionava, K., Schönstein, A., Heußner, P., Hiddemann, W., Winkler, E. C., & Wahl, H. W. (2021). Experience of Time and Subjective Age When Facing a Limited Lifetime: The Case of Older Adults with Advanced Cancer. Journal of Aging and Health, https://doi.org/10.1177/08982643211063162.
• Schönstein, A., Ngo, D. T. T., Stephan, Y., Siè, A., Harling, G., Bärnighausen, T., & Wahl, H. W. (2021). Feeling Younger in Rural Burkina Faso: Exploring the Role of Subjective Age in the Light of Previous Research from High Income Countries. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences. Advance online publication. https://doi.org/10.1093/geronb/gbab151
• Schönstein, A., Dallmeier, D., Denkinger, M., Rothenbacher, D., Klenk, J., Bahrmann, A., & Wahl, H. W. (2021). Health and Subjective Views on Aging: Longitudinal Findings from the ActiFE Ulm Study. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences. Advance online publication. https://doi.org/10.1093/geronb/gbab023
• Ullrich, P., Werner, C., Bongartz, M., Eckert, T., Abel, B., Schönstein, A., Kiss, R., Hauer, K. (2020). Increasing Life-Space Mobility in community-dwelling older persons with cognitive impairment following rehabilitation: A randomized controlled trial. The Journals of Gerontology: Series A, https://doi.org/10.1093/gerona/glaa254
• Schneider, J., Schönstein, A., Teschauer, W., Kruse, A., & Teichmann, B. (2020). Hospital Staff’s Attitudes Toward and Knowledge About Dementia Before and After a Two-Day Dementia Training Program. Journal of Alzheimer's Disease, 77 (1), 355-365.
• Schönstein, A., Wahl, H. W., Katus, H. A., & Bahrmann, A. (2019). SPMSQ for risk stratification of older patients in the emergency department. Zeitschrift für Gerontologie und Geriatrie, 52 (4), 222- 228.
• Schnabel, E. L., Wahl, H. W., Schönstein, A., Frey, L., & Draeger, L. (2019). Nurses’ emotional tone toward older inpatients: Do cognitive impairment and acute hospital setting matter? European Journal of Ageing, 1-11.

 

Conference Contributions

• Laryionava, K., Schönstein, A., Heußner, P., Hiddemann, W., Winkler, E. C., & Wahl, H. W. (2021). Experience of Time and Subjective Age When Facing a Limited Lifetime: The Case of Older Adults with Advanced Cancer. Journal of Aging and Health, https://doi.org/10.1177/08982643211063162.
• Schönstein, A., Wahl, H.-W., Denkinger, M., Dallmeier, D., Rothenbacher, D., Klenk, J., & Bahrmann, Bahrmann A. (2020, recorded in October). Are Different Diseases in old Age Connected with Different Views on Aging? Individual oral presentation as part of a symposium at the Annual Scientific Meeting of the Gerontological Society America.
• Kunz, A. L., Schönstein, A., Katus, H. A., & Bahrmann, A. (2020, Februar). Risikostratifizierung älterer Menschen anhand von kardiovaskulären Biomarkern aus der Routinediagnostik. Referat anlässlich des 9. Symposiums des Cardiology Career Program in Heidelberg.
• Eckstein, C., Ritzi, S. & Schönstein, A. (2019, November). Erkennen – vermeiden – handeln. Sensibler Umgang mit geriatrischen Patienten in der klinischen Versorgung. Podiumsdiskussion anlässlich des Wissenschaftstags „Das Demenzsensible Krankenhaus – Fakten. Praxis. Perspektiven.“ der Robert Bosch Stiftung in Berlin.
• Schönstein, A. (2019, September). Optimierte Versorgung älterer Menschen in der Notaufnahme. Referat anlässlich des Geriatrie Symposiums der Universitätsklinik Heidelberg.
• Schönstein, A., Wahl, H.-W., Katus, H.-A. & Bahrmann, A. (2018, September). Psychogeriatrische Risikofaktoren in der Notaufnahme. Referat anlässlich des Gerontologie und Geriatrie Kongresses in Köln.
• Schönstein, A., Bahrmann, A., Katus, H. A. & Wahl, H.-W. (2017, Oktober). Evaluation des „GeriatrieChecks“ in der Heidelberger Chest-Pain-Unit. Poster Präsentation für das 7. Symposium des Cardiology Career Program in Heidelberg.

Vita

since 02/2022	Statistician, Veramed
2017 - 2022	Member of the Graduate Programme “People with Dementia in Acute-care Hospitals”, Heidelberg University
2014 - 2017	Master of Science in Psychology, University of Innsbruck
2014 - 2016	Student Assistant (Learning and Memory, Psychological Diagnostics)
2011 - 2014	Bachelor of Science in Psychology,  University of Innsbruck