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The Role of Neurocognitive Disorders in Sustaining “Ageism as a Key Factor for Noninvasive Ventilation Failure”

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Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders

Abstract

Aging is a heterogeneous process characterized prevalently by multimorbidity. Neurocognitive disorders (NCDs) are organic brain diseases with psychiatric symptoms, often comorbid with the exacerbation of chronic physical illnesses, especially in pulmonary disease. Noninvasive mechanical ventilation (NIMV) plays a crucial role in treating patients with respiratory failure as the first choice in the elderly when physicians consider the correct selection criteria for its application. NIMV failure should be managed carefully, considering patients’ characteristics. Ageism, a tendency to systematically stereotype and discriminate against older adults just for their age, is a severe concern, in the health system. Coronavirus-19 pandemic burst this concept as age represented one of the criteria for intensive care exclusion. NCD needs to be recognized and contextualized, allowing the healthcare organization improvement in the care of people with acute disease and psychiatric manifestations. The implementation of strategies to address the cognitive and behavioural disorders management, thanks to efficient integration of geriatricians in the healthcare pathways, should break down the latent ageism in healthcare professionals. This chapter aims to illustrate the effect of ageism in the healthcare system and how NCD could represent one of its drivers.

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Acknowledgment

We want to thank Mr. Luigi Piazzini for his support in the conceptualization of this chapter.

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Authors and Affiliations

  1. Geriatric Unit and Neurorehabilitation Department, AUSL—IRCCS Reggio Emilia, Reggio Emilia, Italy

    Vincenza Frisardi & Maria Luisa Davoli

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  1. Vincenza Frisardi
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  2. Maria Luisa Davoli
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Correspondence to Vincenza Frisardi .

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Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Murcia, Spain

    Antonio M. Esquinas

  2. Cognitive Disorders and Dementia Unit, University of Modena and Reggio Emilia, Modena, Italy

    Andrea Fabbo

  3. Department of Psychiatry and Neurology, Cukurova University, Adana, Türkiye

    Filiz Koc

  4. Psychoneuroimmunology and Psychopharmacology, Medical University of Silesia, Katowice, Poland

    Agnieszka Prymus

  5. Department of Pneumonology, Medical University of Silesia, Katowice, Poland

    Małgorzata Farnik

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Frisardi, V., Davoli, M.L. (2023). The Role of Neurocognitive Disorders in Sustaining “Ageism as a Key Factor for Noninvasive Ventilation Failure”. In: Esquinas, A.M., Fabbo, A., Koc, F., Prymus, A., Farnik, M. (eds) Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders . Springer, Cham. https://doi.org/10.1007/978-3-031-27968-3_35

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