L'aide à domicile aux personnes âgées dépendantes de la région de Montréal: analyse secondaire de l'enquête ESLA, 1986–1987

1994 ◽  
Vol 13 (2) ◽  
pp. 187-200 ◽  
Author(s):  
Jean-Pierre Thouez ◽  
Yves Bussière ◽  
Nathalie Chicoine ◽  
Pierre Laroche ◽  
Robert Pampalon
Keyword(s):  
Marital Status ◽  
Elderly Person ◽  
Secondary Analysis ◽  
The Elderly ◽  
Activity Limitations ◽  
Elderly Persons ◽  
Household Tasks ◽  
Descriptive Research ◽  
Everyday Activities ◽  
The Family

ABSTRACTSecondary analysis of data from the Health and Activity Limitations Survey (HALS) in the metropolitan Montreal area shows that 3.5 out of 10 elderly persons living in a household had a disability. In this descriptive research, we locate the dependency level according to the attributes of the elderly and of their residence. Approximately three out of four elderly with a disability receive help and one out of three are assessed as needing more help. Assistance varies with the person who helps. The family mostly helps for everyday activities, friends for shopping, and private or governmental services for personal care and household tasks. Assistance varies also with the marital status of the elderly person. Finally, the presence of special devices is associated with type of housing.

Promotion of self-care to the person dependent on nursing care

2011 ◽  
Vol 6 (1) ◽  
pp. 165
Author(s):  
Vanessa Sofia Henriques Costa ◽  
Ana Sara Resende Pereira Marques ◽  
Mário Jorge Oliveira ◽  
Nélson Filipe Lameiro Lino ◽  
Cristina Lavareda Baixinho ◽  
...  
Keyword(s):  
Elderly Person ◽  
Self Care ◽  
Femoral Fractures ◽  
The Elderly ◽  
Lower Limbs ◽  
Elderly Persons ◽  
The Family ◽  
Care Of Elderly ◽  
The Moment ◽  
Management Of Care

ABSTRACTObjective: to identify the difficulties in self-care, on the elderly person with fracture of the proximal end of the femur. Method: literature review, informal interviews and practice reflection based on the Gibbs Cycle. Results: There is a marked dependence on the self-care of elderly persons with fracture of the proximal end of the femur, at the moment of hospitalization; a positive evolution occurs towards independence during hospitalization; when the elderly persons were asked about the main difficulties that will arise at home, all of them referred walking, transfers, and dressing/undressing lower limbs; the caregivers mentioned by the elderly persons are mostly the spouses or the sons, whom require more information for a home return with confidence. Conclusion: in one continuum of care perspective, it is essential to prepare the returning home of the elderly person in order to increase the autonomy and independence, enable the family for the management of care that increase the functionality, decreasing the limitations imposed by the fracture, surgery and the risk of developing complications, namely those associated with immobility; such fact will have direct consequences on the motivation and responsibility for the restoring of his health and progress towards independence. Descriptors: self-care; aged; femoral fractures; Patient discharge.RESUMOObjectivo: identificar as dificuldades no autocuidado, no idoso com fractura do terço proximal do fémur. Método: estudo em que foi usada a revisão da literatura, entrevistas informais e reflexão sobre a prática de cuidados tendo por base o ciclo de Gibbs. Para sustentar a reflexão utilizaram-se como instrumentos: o Índice de Barthel, aplicado no 1º dia de internamento, no 2º dia do pós-operatório e no último dia de internamento, a idosos submetidos a cirurgia por fractura da extremidade proximal do fémur e realizaram-se entrevistas informais a enfermeiros, a cuidadores e a clientes, durante o internamento e na primeira consulta após o regresso a casa. Resultados: há dependência marcada no autocuidado dos idosos com fractura da extremidade proximal do fémur, no momento da admissão hospitalar; ocorre uma evolução positiva, no sentido da independência durante o internamento; quando questionados sobre as principais dificuldades que irão surgir no domicílio, todos os idosos referiram a deambulação, as transferências e o vestir/despir os membros inferiores. Conclusão: na perspectiva de continuidade de cuidados, é fundamental preparar o regresso a casa para aumentar a autonomia e independência do idoso, capacitar a família para a manutenção dos cuidados que aumentem a funcionalidade, diminuindo as limitações impostas pela fractura e cirurgia e o risco de aparecimento de complicações, nomeadamente as associadas à imobilidade; tal facto terá consequências directas na motivação e responsabilização pelo restabelecimento do seu estado de saúde e progressão para a independência. Descritores: autocuidado; idoso; fraturas do fémur; alta do paciente.RESUMENObjetivo: Identificar las dificultades en el auto-cuidado en pacientes ancianos con fractura del extremo proximal del fémur. Método: revisión de la literatura, entrevistas informales y la deliberación sobre la práctica del cuidar teniendo en cuenta el ciclo de Gibbs. Resultados: existe una marcada dependencia en el auto-cuidado de los pacientes ancianos con fractura del extremo proximal del fémur, en el momento de ingreso en el hospital; hay una evolución positiva, en el sentido de la independencia durante la hospitalización; cuando se les preguntó acerca de las principales dificultades que surgen en el hogar, todos os adultos mayores señalaron la deambulación, los traslados y vestir/desvestir los miembros inferiores; los cuidadores referidos por los ancianos son en su mayoría las esposas y los hijos, los cuáles necesitan más información para poder regresar a su casa con confianza. Conclusión: con el objetivo de mantener la continuidad de los cuidados, es fundamental la preparación del regreso a casa para aumentar así la autonomía e independencia del anciano, capacitando a la familia para el mantenimiento de los cuidados que aumenten la funcionalidad, disminuyendo las limitaciones impuestas por la fractura y la cirugía y el riesgo de desarrollar complicaciones, especialmente aquellas asociadas con la inmovilidad; este hecho tendrá consecuencias directas en la motivación y la responsabilidad para la restauración de su estado de salud y el progreso hacia la independencia. Descriptores: autocuidado; anciano; fracturas del fémur; alta del paciente. 

scholarly journals Home-based oral healthcare strategies of elderly people with Alzheimer's disease

2016 ◽  
Vol 19 (5) ◽  
pp. 851-860 ◽  
Author(s):  
Alessandra Martins Ferreira Warmling ◽  
Silvia Maria Azevedo dos Santos ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Oral Health ◽  
Elderly Person ◽  
The Elderly ◽  
Oral Health Care ◽  
University Graduates ◽  
Elderly Persons ◽  
Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

scholarly journals KECEMASAN ORANG TUA PADA ANAK DENGAN THALASEMIA DI POLI ANAK RUMAH SAKIT UMUM DAERAH H. ABDUL MANAP KOTA JAMBI TAHUN 2015

2018 ◽  
Vol 18 (1) ◽  
pp. 110
Author(s):  
Reta Renylda
Keyword(s):  
Psychosocial Problems ◽  
The Elderly ◽  
Total Sample ◽  
Anxiety Level ◽  
Elderly Parents ◽  
Economic Problems ◽  
Descriptive Research ◽  
The Family ◽  
Quantitative Descriptive ◽  
Severe Anxiety

Children with thalassemia must undergo blood transfusions to sustain life and routinely done in periods of continuous lama.Pengobatan will have an impact on psychosocial problems in the family, especially in the elderly. Parents will face a backlash in any care and treatment such as guilt, anxiety, fear, sadness, economic problems and worry about not getting the proper care and treatment.This research is a quantitative descriptive research that aims to describe the level of anxiety of parents of children with thalassemia in Poly Children's Hospital. H. Abdul Manap Jambi City in 2015. The population in this study were all parents whose children suffer from thalassemia as many as 56 people with a total sample of 33 people. This research was conducted on the 26th of June to July 26, 2015 with interview techniques and questionnaires.  Results showed that of the 33 respondents, it is as much as 26 respondents (78.8%) had moderate anxiety level, as many as six respondents (18.2%) had mild anxiety level and 1 respondent (3%) had severe anxiety level. It is expected that nurses need to pay attention to and involve parents in performing nursing care in children with thalassemia, and improve the provision of information about the treatment of children to parents, so as to reduce anxiety.Keywords: Anxiety, Parents, Thalassemia

scholarly journals Changes and Differentials in the Prevalence of Activity Limitations among Finns Aged 65-74: Comparison of the Mini-Finland Health Examination Survey (1978-80) and the FINRISK-97 Senior Survey (1997)

2002 ◽  
pp. 55-75
Author(s):  
Martelin Tuija ◽  
Koskinen Seppo ◽  
Kattainen Anna ◽  
Sainio Päivi ◽  
Reunanen Antti
Keyword(s):  
Marital Status ◽  
Functional Capacity ◽  
Time Trends ◽  
The Elderly ◽  
Activity Limitations ◽  
Health Examination ◽  
The Past ◽  
Health Examination Survey ◽  
Gender Education ◽  
Increasing Trend

This study analyses time trends in the prevalence of activity limitations andconsequent need for help according to gender, education and marital status amongFinns aged 65-74 years. The study is based on the Mini-Finland Health ExaminationStudy carried out in 1978-80 and the FINRISK-97 Senior Survey collected in 1997.During the past 20 years, functional capacity of the elderly at ages 65 to 74 hasimproved markedly. Women, more often than men, have limitations in severalactivities, but the reverse is true in some activities. Persons with higher than basiceducation have less activity limitations than others. Married or cohabiting men reportfewer difficulties in several activities than other men, but among women differencesaccording to marital status are small. A continuation of the observed decline infunctional limitations would significantly attenuate the increasing trend in the burdenof disability that is to be expected because of the ageing of the population.

scholarly journals The link between cognitive state and general self-esteem among institutionalized elderly persons: can health condition serve as a mediating factor?

2018 ◽  
Vol 21 (4) ◽  
pp. 456-463
Author(s):  
Cristina Imaginário ◽  
Magda Rocha ◽  
Paulo Puga Machado ◽  
Cristina Antunes ◽  
Teresa Martins
Keyword(s):  
Elderly Person ◽  
The Elderly ◽  
Self Esteem ◽  
Health Condition ◽  
Cognitive State ◽  
Elderly Persons ◽  
Cognitive Changes ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Mediating Factor

Abstract Objective: to assess whether the health condition of an elderly person can serve as a mediating factor between the cognitive state and general self-esteem of the institutionalized elderly. Method: a quantitative, cross-sectional correlational study was performed, based on the path analysis technique.The following instruments were used for data collection: the Mini-Mental State Examination, the Tinetti Performance Oriented Mobility Assessment, the Mini Nutritional Evaluation and the Rosenberg Self-Esteem Scale. Results: the sample was composed of 312 elderly patients of both genders (112 men and 200 women), with an average age of 83.39 (+7.09) years. Most of the elderly persons were widowed, with a low educational level, and had been institutionalized in Residential Care Facilities for the Elderly for on average 54.6 (+51.69) months. The mediating factor of health condition renders the link between the cognitive state and self-esteem of the elderly null. However, the analysis of the decomposition of the effects showed a significant indirect effect between the cognitive state and health condition. The total effect of cognitive state on the health condition of the elderly is significant, positive and direct. Conclusion: based on the results of this study we maintain that cognitive changes can affect the nutritional state and physical balance of the institutionalized elderly.

Dangerous Situation Detection for Elderly Persons in Restrooms Using Center of Gravity and Ellipse Detection

2017 ◽  
Vol 29 (6) ◽  
pp. 1057-1064 ◽  
Author(s):  
Lin Meng ◽  
Xiangbo Kong ◽  
Daiki Taniguchi ◽  
◽  
Keyword(s):  
Detection System ◽  
Elderly Person ◽  
The Elderly ◽  
Hospital Staff ◽  
Center Of Gravity ◽  
Human Detection ◽  
Elderly Persons ◽  
Ellipse Detection ◽  
Dangerous Situation ◽  
The Difference

We developed a restroom danger detection system (RDDS) for detecting dangerous situations and protecting the elderly. Restrooms are particularly dangerous places for elderly persons. Our RDDS detects danger in real time by using image processing and sends an alert to a family member, hospital staff, etc. It comprises four processes: person detection, center of gravity detection, ellipse detection, and danger decision. The human detection process calculates the difference between an image of the empty restroom and one of the restroom when it is occupied (to which a brightness correction has been applied). The difference image is binarized and used for detecting the presence of a person. If a person is detected, the person’s center of gravity and ellipse are detected in the binarized image after it is denoised. The obtained information is used for detecting a dangerous situation. If the dangerous situation continues for 60 seconds, an alert is sent. Testing showed that our system can detect a dangerous situation within 1.5 seconds. This RDDS is one step toward the development of a comprehensive elderly person protection system.

Why suicide? Elderly people who committed suicide and their experience of life in the period before their death

2009 ◽  
Vol 22 (2) ◽  
pp. 209-218 ◽  
Author(s):  
Ildri Kjølseth ◽  
Øivind Ekeberg ◽  
Sissel Steihaug
Keyword(s):  
Elderly People ◽  
Qualitative Interviews ◽  
Functional Decline ◽  
Elderly Person ◽  
The Elderly ◽  
Elderly Persons ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
Family Doctors ◽  
Home Based

ABSTRACTBackground: The objective of this study is to acquire an understanding of the suicides among a group of elderly people by studying how they experienced their existence towards the end of life.Methods: This is a psychological autopsy study based on qualitative interviews with 63 informants in relation to 23 suicides committed by persons aged over 65 in Norway. Informants who knew the deceased persons well describe what the elderly person communicated to them about their experience of life in the period before the suicide and how they as informants saw and understood this. The informants comprise relatives, family doctors and home-based care nurses. The analysis of the interviews follows the systematic text condensation method.Results: The descriptions are divided into three main elements: the elderly persons' experiences of life, their perception of themselves, and their conceptions of death. “Experience of life” has two sub-topics: this life has been lived and life as a burden. Everything that had given value to their life had been lost and life was increasingly experienced as a burden. Their “perception of themselves” concerned losing oneself. Functional decline meant that they no longer had freedom of action and self-determination. “Conceptions of death” involve the following sub-topics: acknowledgement/acceptance and death is better than life. Life had entered into its final phase, and they seemed to accept death. For some time, many of them had expressed the wish to die.Conclusions: The results lead us to argue that their suicides should be considered as existential choices. The sum total of the different forms of strain had made life a burden they could no longer bear. Age meant that they were in a phase of life that entailed closeness to death, which they could also see as a relief.

scholarly journals Geriatric health related problems in an urban area of southern Rajasthan

2019 ◽  
Vol 6 (10) ◽  
pp. 4545
Author(s):  
Nitesh Mangal ◽  
Dilip Kumar L. ◽  
K. A. Varghese ◽  
Meet Chauhan ◽  
Matariswa Samanta
Keyword(s):  
Urban Area ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Elderly Persons ◽  
Elderly Male ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test

Background: There is a paradigm shift in the social values towards the elderly people due to urbanization and higher educational linked migration. Consequently, problems like loneliness, lack of emotional support, economic insecurities are faced by the elderly population. The objectives of the study were to assess the socio-economic dimensions and to examine the morbidity and mortality patterns of elderly persons in the study area.Methods: A cross- sectional study was conducted among 536 elderly persons from May to August 2019 in an urban area of Udaipur. A pre-structured and pre-tested questionnaire was used to collect information on socio-demographic details, morbidity profile and socio-economic problems of elderly persons. The data was analyzed using class frequencies, ‘t’ test for equality of gender difference in mortality ages and Chi-square test for association of age class with morbidity.Results: A majority of study subjects were females (52.05%). There was significant difference in proportions of elderly male and female persons across their educational levels. The chi-square test for association of age classes with number of health problems revealed significant association. About 56.34% of 536 elderly people were leading an unsatisfactory life.Conclusions: The major morbidities included arthritis, hypertension, diabetes, cataract, dental problems, cardiovascular problems etc. Financial problems were more severe among elderly. The availability of trained paramedical professionals for home care and day care units and legal bindings on family members for safety and security of elderly person can be effective measures to overcome the problems being faced by them. 

scholarly journals In Need of Care but Providers of Care: Grandparents Giving Fulltime Care to their Grandchildren in Rural Uganda

2020 ◽  
Vol 4 (1) ◽  
pp. 1-8
Author(s):  
Neema Stella ◽  
◽  
Nankwanga Annet ◽  
Keyword(s):  
Food Insecurity ◽  
Economic Status ◽  
Elderly Person ◽  
The Elderly ◽  
Economic Benefits ◽  
Rural Elderly ◽  
Elderly Persons ◽  
African Countries ◽  
Systemic Factors ◽  
The Government

Background In most African countries, the elderly face challenges that affect their health and wellbeing and are more pronounced because of the systemic factors of inadequate health care, food insecurity and the general care. Increasing population of the elderly persons in Uganda is raising concern than ever before. The purpose of this paper to ascertain care available to the rural elderly persons and their role as carers for their grandchildren and implications on their wellbeing. Methods This was a qualitative study conducted among the rural elderly aged 60 years and above in eight purposively selected district that included Lira, Nebbi, Kampala, Luwero, Pallisa, Jinja, Mbarara, and Ntungamo. The study sample consisted of 101 elderly person from whom in-depth interviews were conducted. Data was analysed using qualitative thematic content analysis. Results Rural elderly in Uganda face a lot of constraints that include access to healthcare and information, poor economic status, food insecurity and poor nutrition, and poor accommodation and housing conditions. Two broader themes emerged inductively from the analysis that include care available for the rural elderly and providing care to grandchildren. These themes generated several subthemes. Taking care of grandchildren crippled the elderly and reduced the economic benefits. That said some rural elderly were happy and felt fulfilled to care of the grandchildren despite the lack of resources. Conclusion The rural elderly in Uganda are living in doleful conditions with limited care and support. They need care but are the providers of care to the grandchildren. They are frails and may not afford to provide adequate care. They care for grandchildren many of whom are orphans and vulnerable yet they themselves need care. It is important the government and the community re-enforce this care not to put strain on elderly. The rural elderly unique challenges necessitates special targeting and mobilization of resources at the household, local, district and national levels.

scholarly journals Vitamin D intoxication through errors in administration: a case report

2018 ◽  
Vol 21 (1) ◽  
pp. 95-101
Author(s):  
Letícia Teixeira de Carvalho Vieira ◽  
Mariana Queiroz Batista ◽  
Eduardo Marques da Silva ◽  
Ricardo Alessandro Teixeira Gonsaga
Keyword(s):  
Vitamin D ◽  
Clinical Profile ◽  
Vitamin Supplementation ◽  
Daily Routine ◽  
Elderly Persons ◽  
Metabolic Encephalopathy ◽  
Household Tasks ◽  
Vitamin D Intoxication ◽  
The Family ◽  
Telephone Calls

Abstract Vitamin D intoxication caused by the irregular consumption of medications is a major concern in geriatric health. Due to errors in administering such vitamins and medical malpractice, many patients lack the proper management of vitamin supplementation, considering what is actually prescribed. The present study, which aims to report on intoxication by this vitamin, describes an elderly couple who lived alone and divided their household tasks. The wife, who is the main focus of the report, was lucid but suffered musculoskeletal disorders and used a wheelchair, while the husband could function physically. The wife was hospitalized with a clinical profile of delirium. Intoxication is a major cause of metabolic encephalopathy, which explains how the case developed. The co-adjuvant was the husband, who suffered apparent mild cognitive impairment, and modified the doctor's dosage of vitamin D alone, contradicting the guidance of the family. The family monitored the health status of the couple through weekly telephone calls to check if their medications were being taken properly. After investigation with new anamneses and a review of medical records, intoxication was confirmed due to an error in the amount of the drug administered over a prolonged period. It is extremely important to be aware of the clinical profile of hypercalcemia and how to treat the same. In geriatrics, diagnosis should involve both clinical treatment and special care to understand the daily routine of elderly persons in order to avoid further repercussions.

Sign in / Sign up

Export Citation Format

Share Document