Mental Status and Self-Medication Ability in the Hospitalized Elderly

Author(s):  
Louise Patrick ◽  
Katharine Howell

ABSTRACTThis study investigated the relationships among several aspects of cognitive functioning and the outcome of self-medication training in hospitalized elderly patients. Data from 53 geriatric patients who received rehabilitation treatment at the SCO Hospital in Ottawa, Canada between 1992 and 1997 were collected, on an archival basis. Patients began a graduated self-medication program after undergoing a neuropsychological evaluation. Performance scores from five different aspects of cognition were regressed on the self-medication training outcome measures. Findings revealed that aspects of cognitive functioning were significantly related to the outcome of self-medication training. Thus, psychometric measures of cognition can be useful in predicting which patients are most likely to benefit from a self-medication program, or alternatively, those who would require a modified program to be able to learn. The clinical implications of these results are discussed.

2017 ◽  
Vol 21 (3) ◽  
pp. 109-117
Author(s):  
Ayşegül Albay ◽  
Bengü Şaylan ◽  
Hacer Sali Çakır ◽  
Sema Basat

2014 ◽  
Vol 33 ◽  
pp. S74
Author(s):  
V. Aviles ◽  
H. Segurola ◽  
M. Comas ◽  
G. Cárdenas ◽  
N. Castillejos ◽  
...  

1993 ◽  
Vol 28 (7) ◽  
pp. 69-76 ◽  
Author(s):  
Peter Pompei ◽  
Christine K. Cassel

2013 ◽  
Vol 43 (1) ◽  
pp. 22-27 ◽  
Author(s):  
E. Rouveix ◽  
D. Gherissi Cherni ◽  
C. Dupont ◽  
A. Beauchet ◽  
H. Sordet Guepet ◽  
...  

2016 ◽  
Vol 42 (3) ◽  
pp. 196-202 ◽  
Author(s):  
Bruno Prata Martinez ◽  
Anne Karine Menezes Santos Batista ◽  
Isis Resende Ramos ◽  
Júlio Cesar Dantas ◽  
Isabela Barboza Gomes ◽  
...  

ABSTRACT Objective: The gait speed test (GST) is a physical test that can predict falls and aid in the diagnosis of sarcopenia in the elderly. However, to our knowledge, there have been no studies evaluating its reproducibility in hospitalized elderly patients. The objective of this study was to evaluate the safety and reproducibility of the six-meter GST (6GST) in hospitalized elderly patients. Methods: This repeated measures study involved hospitalized elderly patients (≥ 60 years of age) who underwent the 6GST by the fifth day of hospitalization, were able to walk without assistance, and presented no signs of dyspnea or pain that would prevent them from performing the test. The 6GST was performed three times in sequence, with a rest period between each test, in a level corridor. Gait speed was measured in meters/second. Reproducibility was assessed by comparing the means, intraclass correlation coefficients (ICCs) and Bland-Altman plots. Results: We evaluated 110 elderly patients in a total of 330 tests. All participants completed all of the tests. The comparisons between the speeds obtained during the three tests showed high ICCs and a low mean bias (Bland-Altman plots). The correlation and accuracy were greatest when the mean maximum speed was compared with that obtained in the third test (1.26 ± 0.44 m/s vs. 1.22 ± 0.44 m/s; ICC = 0.99; p = 0.001; mean bias = 0.04; and limits of agreement = −0.27 to 0.15). Conclusions: The 6GST was proven to be safe and to have good reproducibility in this sample of hospitalized elderly patients. The third measurement seems to correspond to the maximum speed, since the first two measurements underestimated the actual performance.


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