Design and Development of a Mobile Medical Application for the Management of Chronic Diseases: Methods of Improved Data Input for Older People

2007 ◽  
pp. 119-132 ◽  
Author(s):  
Alexander Nischelwitzer ◽  
Klaus Pintoffl ◽  
Christina Loss ◽  
Andreas Holzinger
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Medical Application ◽  
Data Input ◽  
Design And Development

The ‘loneliness pandemic’: implications for gerontological nursing

2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Chronic Diseases ◽  
Old Age ◽  
Social Isolation ◽  
Social Relationships ◽  
Vulnerable Groups ◽  
Negative Consequences ◽  
Gerontological Nursing

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.

Added Sugar Intake and Risk of Falling Among Older People: The Seniors-ENRICA Cohort Study

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Ballesteros JM ◽  
◽  
Struijk E ◽  
Machado-Fragua MD ◽  
Ortolá R ◽  
...  
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Risk Of Falling ◽  
Added Sugar ◽  
Cox Models ◽  
Added Sugars ◽  
Sugar Intake ◽  
Vitamin Intake ◽  
Injurious Falls ◽  
Prospective Association

Background: Added sugar intake is a key contributor to the development of several chronic diseases. We aimed to investigate the prospective association between added sugar intake and the risk of falling among older men and women. Methods: We analyzed data from 2,154 Spanish adults aged ≥65 years from the Seniors-ENRICA cohort. Baseline food consumption was collected in 2008-2010 with a validated diet history, in which 155 foods were identified to contain added sugar. The occurrence of falls was ascertained up to 2015. Analyses were conducted with Cox models adjusted for potential confounders, including nutritional status, chronic diseases and sleeping medication. Results: Over 7.2y of follow-up, 605 participants experienced ≥1 fall and 527 suffered injurious falls. The hazard ratios (95% confidence interval) for ≥1 fall across quintiles of added sugar intake were: 1.0, 1.09 (0.83-1.42), 1.07 (0.82-1.40), 1.15 (0.88-1.52), and 1.48 (1.12-1.96); p-trend 0.03. The corresponding figures for injurious falls were: 1.0, 1.17 (0.88-1.56), 1.06 (0.79- 1.41), 1.13 (0.84-1.52), and 1.40 (1.03-1.90); p-trend 0.10. These associations did not vary over strata of age, protein, calcium or vitamin intake, diet quality, physical activity or alcohol consumption. No differences were found when solid and liquid sources of added sugars were examined separately. Conclusions: Intake of added sugars was associated with a higher risk of falling in older people. This adds to the evidence to support interventions to reduce added sugar intake.

scholarly journals Prescribing Analgesics to Older People: A Challenge for GPs

2020 ◽  
Vol 17 (11) ◽  
pp. 4017
Author(s):  
Ljiljana Trtica Majnarić ◽  
Thomas Wittlinger ◽  
Dunja Stolnik ◽  
František Babič ◽  
Zvonimir Bosnić ◽  
...  
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Musculoskeletal Diseases ◽  
Age Groups ◽  
Treatment Strategies ◽  
Opioid Analgesics ◽  
Psychotropic Medications ◽  
High Rate ◽  
Increased Risk ◽  
Study Results

Background: Due to population aging, there is an increase in the prevalence of chronic diseases, and in particular musculoskeletal diseases. These trends are associated with an increased demand for prescription analgesics and an increased risk of polypharmacy and adverse medication reactions, which constitutes a challenge, especially for general practitioners (GPs), as the providers who are most responsible for the prescription policy. Objectives: To identify patterns of analgesics prescription for older people in the study area and explore associations between a long-term analgesic prescription and comorbidity patterns, as well as the prescription of psychotropic and other common medications in a continuous use. Methods: A retrospective study was conducted in 2015 in eastern Croatia. Patients were GP attenders ≥40 years old (N = 675), who were recruited during their appointments (consecutive patients). They were divided into two groups: those who have been continuously prescribed analgesics (N = 432) and those who have not (N = 243). Data from electronic health records were used to provide information about diagnoses of musculoskeletal and other chronic diseases, as well as prescription rates for analgesics and other medications. Exploratory methods and logistic regression models were used to analyse the data. Results: Analgesics have been continuously prescribed to 64% of the patients, mostly to those in the older age groups (50–79 years) and females, and they were indicated mainly for dorsalgia symptoms and arthrosis. Non-opioid analgesics were most common, with an increasing tendency to prescribe opioid analgesics to older patient groups aged 60–79 years. The study results indicate that there is a high rate of simultaneous prescription of analgesics and psychotropic medications, despite the intention of GPs to avoid prescribing psychotropic medications to patients who use any option with opioid analgesics. In general, receiving prescription analgesics does not exceed the prescription for chronic diseases over the rates that can be found in patients who do not receive prescription analgesics. Conclusion: Based on the analysis of comorbidities and parallel prescribing, the results of this study can improve GPs’ prescription and treatment strategies for musculoskeletal diseases and chronic pain conditions.

Leisure-time physical activities for community older people with chronic diseases

2010 ◽  
Vol 20 (7-8) ◽  
pp. 940-949 ◽  
Author(s):  
Yen-Chun Lin ◽  
Lian-Hua Huang ◽  
Mei Chang Yeh ◽  
John Jen Tai
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Leisure Time ◽  
Physical Activities

scholarly journals Psycho-social, Health,and Economic Aspects of an Elderly Armenian Population in Lebanon

1970 ◽  
pp. 39-48
Author(s):  
Choghik Melkon Boulghourjian
Keyword(s):  
Social Security ◽  
Older People ◽  
Chronic Diseases ◽  
Social Relationships ◽  
The Elderly ◽  
Health Problems ◽  
Social Health ◽  
Economic Aspects ◽  
Economic Problems ◽  
Armenian Population

To study how older people are treated within a society and how the elderly attest with the unavoidable problems of aging, particularly those involving health and income is of immense importance today. Health problems include normal losses inhearing, eyesight, and memory, and the increased likelihood of chronic diseases. Economic problems include loss of employment and therefore significant decreases in income and reliance on pensions, and social security. Social problems include greater difficulty to maintain social relationships because of health limitations, death of family members and friends, loss of work mates and lack of transportation.

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