Comparative Analysis of Methods for Monitoring Activities of Daily Living for the Elderly People

Author(s):  
D. R. Kalbande ◽  
Anushka Kanawade ◽  
Smruti Varvadekar
2018 ◽  
Vol 12 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Ana Iza Gomes da Penha Sobral ◽  
Cláudia Marina Tavares de Araújo ◽  
Marcos Felipe Falcão Sobral

Abstract Mild Cognitive Impairment is characterized as an intermediate form between age-related change and dementia. For the elderly, autonomy and independence are related to the ability to remain active in conducting their social activities and, for this to occur, communication is fundamental in this process. Objective: To assess the association between communication and the abilities of elderly people with mild cognitive impairment to perform instrumental activities of daily living. Methods: A cross-sectional, quantitative, analytical, correlational study was conducted at the Open University of the Third Age (UnATI), a program of the Federal University of Pernambuco. This study included 92 people, comprising 46 elderly with mild cognitive impairment and a caregiver or family member who met the inclusion criteria. The elderly were asked to complete a sociodemographic questionnaire and Lawton-Brody’s Instrumental Activities of Daily Living Scale. The caregivers were asked to complete the Functional Assessment of Communication Skills. The following variables were studied: social communication skills and instrumental activities of daily living. Data were stored in an Excel® 2007 spreadsheet, and the Pearson correlation test was used for the statistical analysis. Results: There were statistically significant correlations in four domains of social communication: referring to family members by name (p=0.0033); requesting information about people or events (p=0.0355); understanding conversations in a noisy environment (p=0.0448); and understanding what they watch on television or listen to on the radio (p=0.0127). Conclusion: Changes in the communication of elderly people with mild cognitive impairment interfere with their ability to perform instrumental activities autonomously and independently.


Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 200-211 ◽  
Author(s):  
Marzieh Mohamadzadeh ◽  
◽  
Vahid Rashedi ◽  
Mitra Hashemi ◽  
Vahidreza Borhaninejad ◽  
...  

Objectives: Physical disability to perform daily living activities is one of the major causes of depression in the elderly people. On the other hand, depression is associated with loss of interest in daily activities and lack of independence. The present study aimed to assess the relationship of depression with the ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults in Iran. Methods & Materials: This cross-sectional study was performed on 148 elderly people aged ≥60 years who were selected by multi-stage cluster sampling method. Data were collected by using ADL, IADL, and 15-item Geriatric Depression Scale (GDS-15) questionnaires and were then presented by using descriptive statistics and analyzed by Chi-square test, Pearson correlation coefficient, and regression analysis. Results: Participants were 86 female (58.1%) and 62 male (41.9%); 109 (73.6%) aged 60-75 years, and the rest were older than 75 years; 71 (48%) had moderate or severe depression; 4(2.7%) and 61(41.2%) were dependent or in need of help performing ADL and IADL, respectively. Statistical analysis showed that depression has a significant negative correlation with ADL (r= -0.304, P<0.001) and IADL (r=-0.193, P>0.01); i.e. by increasing one of them, the depression decreases. Conclusion: The ability of the elderly people to perform ADL and IADL can be a good predictor of depression in them. With early assessment of their health and ability by health teams and family members, it is possible to prevent the development of their disability and depression.


Author(s):  
Rogério Ferrinho Ferreira ◽  
Luís Amador Ribeiro ◽  
César João Fonseca

To identify the gains in elderly functional independence through the implementation of the rehabilitation nursing program, a pilot study involving the quantitative, descriptive, and cross-sectional case study methodology was applied to an accidental sample of elderly people, with only two persons having completed the previously defined intervention program. The Rikli and Jones functional fitness test for older adults exercises, such as a rehabilitation nursing exercise program and the Barthel scale, were used to measure the functional independence of the elderly in the performance of activities of daily living. From the implementation of the rehabilitation nursing program to the elderly who concluded it in its entirety, the results show global gains in the functional aptitude program and an improvement in functional independence with gains in most activities of daily living. An improvement in the functional independence of elderly people who participated in the rehabilitation nursing program involving the functional fitness exercises of Rikli and Jones was verified.


Author(s):  
Satyanarayana Konda ◽  
Ravi Kumar B. P. ◽  
Purushottam A Giri

Background: The population of elderly people aged ≥60 years is increasing worldwide and is projected to reach 1.5 billion by 2050. In India, the elderly people constitute 8.1% of the total population. Malnutrition is highly prevalent in the elderly population due to various diseases and impairments.Methods: A cross-sectional study was carried out amongst 209 elderly people from February 2018 to April 2018. A questionnaire was used to collect data related to socio-demographic characteristics, Mini Nutritional Assessment (MNA) and regarding medication use, comorbidity, use of a walking aid, smoking and alcohol consumption. The MNA tool was used for the assessment of nutrition status. For an assessment of functional status, the activities of daily living scale and instrumental activities of daily living scale were used. Descriptive analysis and Chi-square test were used to present the data.Results: The average MNA score was 23.5 (SD=4.3, range: 7-30) and that of BMI was 23.8 (SD=3.9, range: 15.6-38.9). Of 209 study participants, 9.1% were malnourished, 32.5% were at risk of malnutrition and remaining 58.4% were having normal nutritional status. The possible predictors of malnutrition were older age, lower education level, staying single, unemployed, low income and less than three meals daily.Conclusions: The overall prevalence of malnutrition was found to be 9.1% but the proportion of elderly people at risk of malnutrition was relatively high. Diagnosis and treatment of elderly people at high risk for malnutrition based on the findings of this study may improve functional status and prognosis of elderly people.


2010 ◽  
Vol 124 (9) ◽  
pp. 957-962 ◽  
Author(s):  
A O Lasisi ◽  
O Gureje

AbstractBackground:Dizziness is prevalent among the elderly. However, little is known about its impact on quality of life and disability, especially in developing countries, where the number of elderly people is increasing.Aim:This study aimed to determine the prevalence of disability, and the quality of life, among elderly persons with dizziness living in the community.Setting and design:Longitudinal cohort study of dizziness among elderly persons (i.e. aged 65 years and over) residing in Yoruba-speaking areas of Nigeria.Method:Face-to-face interviews with respondents selected using a multi-stage, stratified area probability sampling of households. Dizziness was based on self-reporting and health-related quality of life was measured using the brief version of the World Health Organization quality of life assessment.Result:Dizziness was reported and confirmed in 318/1281 elderly respondents, a prevalence of 24.8 per cent. Respondents comprised 197 (61.9 per cent) women and 121 (38.1 per cent) men. Thirty-nine respondents (12.3 per cent) were aged 65–69 years, 91 (28.6 per cent) 70–74 years, 66 (20.8 per cent) 75–79 years and 122 (38.4 per cent) ≥80 years. The prevalence of disability in activities of daily living was 29.56 per cent, and that of disability in instrumental activities of daily living 10.1 per cent. The influence of gender was not significant. The prevalence of disability in activities of daily living (p = 0.00) and in instrumental activities of daily living (p = 0.00) increased significantly with age. Univariate analysis revealed that disability in activities of daily living (p = 0.00), disability in instrumental activities of daily living (p = 0.01), poor family interaction (p = 0.00), poor community involvement (p = 0.00), overall poor health (p = 0.00), current depression (p = 0.01), and difficulty with sedentary (p = 0.00) and vigorous (p = 0.00) activities were significantly more common among elderly respondents with dizziness, compared with non-dizzy elderly respondents. In contrast, cognitive impairment (p = 0.05) was not significantly correlated. The probabilities of the occurrence of difficulty with vigorous or sedentary mobility in our elderly respondents were 2.6 and 1.9, respectively, compared with non-dizzy elderly respondents. Similarly, the probabilities of the occurrence of disability in activities of daily living, current depression and dementia were 1.6 each. Logistic regression analyses for age, sex, medical conditions and presence of disability confirmed that dizziness was significantly associated with worsened cognition. Similarly, dizziness was significantly associated with reduced total quality of life (p = 0.00), and also with reductions in the physical (p = 0.00), psychological (p = 0.00) and environmental (p = 0.00) domains of the research instrument.Conclusion:Among elderly people with dizziness, there was a high prevalence of significant disability requiring assistance. In addition, dizziness alone significantly reduced these individual's overall total quality of life, and their quality of life as regards physical, psychological and environmental parameters. This information will assist policy planning for the elderly.


1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 23-25 ◽  
Author(s):  
Kevin Doughty ◽  
Jan Costa

An automated scheme is proposed to assess the ability of elderly people to live alone in the community. It employs an Enhanced Activities of Daily Living index based on a computerized questionnaire form. In addition, a number of low-cost sensors have been developed which provide electronic measures of certain activities; these can provide additional inputs to the assessment form using telemetry. The sensors are capable of measuring a wide range of functional performance, thus providing the means of continuously and objectively assessing a patient's condition following hospitalization.


2021 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Sri Wahyuni ◽  
Christantie Effendy ◽  
Fitrina Mahardani Kusumaningrum ◽  
Fatwa Sari Tetra Dewi

Background: Health in the elderly does not merely refer to a condition free from disease but should also have elements regarding functionality and independence. Purpose: This study aimed to measure Activities of Daily Living (ADLs) and to identify the factors affecting ADLs among the elderly population in Sleman District. Methods: A cross-sectional study was carried out using secondary data from the Multidimensional Elderly Care project, nested on the Health Demographic and Surveillance System in Sleman, involving 549 elderly participants. The independence of these elderly people was measured using an Activities of Daily Living Scale questionnaire. Factors measured were cognitive (using the Mini-Mental State Examination questionnaire), psychological (using the Geriatric Depression Scale or Cornell Scale for Depression in Dementia questionnaires), economic (using the Financial Management Behavior Scale questionnaire), and nutritional status (using the Mini Nutritional Assessment questionnaire). The data were analyzed using the chi-square test, Fisher test, and Poisson test for bivariate analysis, while multivariate analysis using a logistic regression test. Results: The prevalence of elderly dependence was 14.03%. Elderly dependence was significantly related to age, job, residence, financial management, dementia, depression, malnutrition, and stroke disease in the bivariate analysis. However, after multivariate analysis, only age (>86 years) (PR = 4.31; 95% CI = 1.91–9.72), malnutrition (PR = 6.62; 95% CI = 3.79–11.57), and stroke (PR = 3.06; 95% CI = 2.03–4.61) were still shown to be related to elderly dependence. Conclusion: Increasing age, malnutrition, and stroke in elderly people lead to higher dependency in their ADLs.


Author(s):  
Bruna Menezes Aguiar ◽  
Patrícia Oliveira Silva ◽  
Maria Aparecida Vieira ◽  
Fernanda Marques da Costa ◽  
Jair Almeida Carneiro

Abstract Objective: To estimate the prevalence and self-reported socio-demographic and health factors associated with functional disability in basic and instrumental activities of daily living among the elderly. Method: A cross-sectional study was carried out, based on a representative sample of elderly people receiving care at a reference unit in the north of the state of Minas Gerais. The data were collected in 2015. Demographic and socioeconomic variables, morbidity, hospitalizations in the previous year, frailty (Edmonton Frail Scale), geriatric depression (GDS-15), and functional disability (Katz Index, Lawton and Brody Scales) were analyzed. Multiple analysis was performed using Poisson regression with robust variance. Results: 360 elderly people aged 65 years and over participated in the study. The prevalence of functional disability for Basic Activities of Daily Living was 21.4% while for instrumental activities it was 78.3%. Functional disability in basic activities was higher among elderly males (p=0.03) who had suffered strokes (p=0.00) and were frail (p=0.00), while for instrumental activities it was higher among older elderly persons (p=0.04); who were illiterate (p=0.00), had less than five years of schooling (p=0.02); had depressive symptoms (p=0.00) and were frail (p=0.00). It was lower among elderly persons who lived alone. Conclusion: A high prevalence of functional disability was identified among the elderly for instrumental activities of daily living, demonstrating the need for an effective and immediate approach by health professionals, who should employ preventive care in order to tackle this problem.


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