Diagnosis and management of oral mucosal lesions in older people: a review

2008 ◽  
Vol 18 (2) ◽  
pp. 115-128 ◽  
Author(s):  
Victoria Ewan ◽  
Konrad Staines

Oral mucosal lesions occur frequently in older people and are important as they may reduce quality of life, represent pre-malignant change or indicate systemic disease. The commonest mucosal lesions in adults are denture-related lesions such as stomatitis, angular cheilitis, ulcers and hyperplasia, and occur in 8.4% of the adult population. In the hospital setting, oral mucosal lesions may lead to malnutrition, slow rehabilitation and recovery from illness, and adversely affect quality of life. The two major risk factors associated with oral lesions are denture use and smoking, and frequently older people have been exposed to both of these. Commonly used drugs such as antihypertensives, antidepressants and antibiotics may have oral mucosal side-effects, and polypharmacy may worsen these. Decreased awareness of changes in the oral mucosa, or inability to raise concerns due to dementia, delirium, social isolation, or difficulty accessing dental care may further compound the problem. Hospital admission could represent an opportunity to intervene, but oral mucosal lesions, and indeed oral hygiene, are areas which can be overlooked by doctors. This article is intended to highlight common or important oral mucosal diseases and increase awareness of these conditions for the practising hospital or community geriatrician.

2014 ◽  
Vol 3 (1) ◽  
pp. 29-32
Author(s):  
Maryam Baharvand ◽  
Hossein Karami ◽  
Hamed Mortazavi

ABSTRACT Aim The mouth does many functions, such as speaking, chewing, taste perception and swallowing. Therefore, any pathologic changes of oral mucosa might affect patients’ life quality. The aim of this study was to investigate quality of life (QoL) in patients with oral mucosal lesions. Materials and methods A total of 40 patients with oral mucosal lesions attending at Oral Medicine Department of Shahid Beheshti University of Medical Sciences Dental School entered in a cross-sectional study. Variables, such as age, sex, level of education, kind of lesions, systemic disease and medicine consumptions were recorded in data sheets, and QoL was assessed using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire -Head and Neck 35 (EORTC-QLQ-H&N35). Data were analyzed by Statistical Package for the Social Sciences (SPSS) software (version 16), backward regression model, student's t-test and Chi-square test. Results Out of 40 patients with mean age of (44 ± 13), 25(62.5%) were women and 15(37.5%) were men. The mean score of life quality was 43.8 ± 9.8 (range of score: 30-120), whereas in mostly frequent oral lesions it was reported to be 41.7 ± 6.4 (lichen planus), 40.8 ± 6.7 (mucocele), 42.4 ± 7.2 (irritation fibrosis), respectively. Regression analysis showed that higher levels of education affect quality of life and its aspects of pain, sexual function, xerostomia, swallowing and speaking negatively. Recurrent aphthous stomatitis deteriorated aspects of pain, and eating of QoL. However, irritation fibrosis and mucocele aggravated QoL in terms of swallowing and social relationship respectively. Conclusion Oral mucosal lesions deteriorate QoL mildly. Different dimensions of life quality can be affected by recurrent aphthous stomatitis, irritation fibrosis and mucocele. How to cite this article Baharvand M, Karami H, Mortazavi H. Evaluation of Life Quality in Patients with Oral Mucosal Lesions. Int J Experiment Dent Sci 2014;3(1):29-32.


Author(s):  
José Antonio Del Barrio ◽  
Ana Isabel Sánchez Iglesias ◽  
Josefa González

Abstract.The Ageing people with disabilities, he has not yet gained scientific and social the interest that requires enormous relevance and significance of the topic. The adult population is growing dramatically, from extending their life expectancy, having increasingly elderly in our society, and therefore, more people with disabilities reach this stage of life. We will have to pay particular attention to its various and numerous fronts: cognitive, health, emotional life, social life, development of hobbies, occupation time, mode of residence or housing, self-awareness, coping with loss, and many other things....However, rarely the intellectual disability is related whit old age. Therefore, in this intervention centering on new approaches to disability: the model of support and quality of life; It addressed, the aging of older people with intellectual and developmental disabilities, with its peculiarities and needs. Both cognitive and the emotional and mental wellbeing aspects are mainly considered. It should be identified, assessment tools, programs and guidelines, all aimed at promoting a process of active aging, which contributes to improving the quality of life of older people with intellectual disabilities, promoting every one of the dimensions that make up this concept.A great social challenge is now the STAGE ageing of people with disabilities. It will be the great challenge of our century on aging.Keywords: Ageing, Mental Disability, Psychological Changes, Assessment, Intervention, Support, Quality of LifeResumen.El envejecimiento de las personas con discapacidad, no ha cobrado todavía el interés científico y social que requiere la enorme relevancia y transcendencia del tema. La población adulta va creciendo espectacularmente, a partir de la prolongación de su esperanza de vida, teniendo cada vez más ancianos en nuestra sociedad, y, por ende, más personas con discapacidad llegan a esta etapa de la vida. Habrá que prestar particular atención a sus distintos y numerosos frentes: cognitivos, salud, vida afectiva, vida social, desarrollo de aficiones, ocupación del tiempo, modo de residencia o de vivienda, conciencia de sí, afrontamiento de pérdidas, y tantas otras cosas….Sin embargo, muy pocas veces se relaciona la discapacidad intelectual con la vejez. Por ello, en esta intervención centrándolo en los nuevos enfoques sobre discapacidad: el modelo de apoyos y la calidad de vida; se aborda, el proceso de envejecimiento de las personas mayores con discapacidades intelectuales y del desarrollo, con sus peculiaridades y necesidades. Se consideran fundamentalmente los aspectos tanto cognitivos como del bienestar emocional y psíquico.Habrá que identificar, herramientas de evaluación, programas y pautas de actuación, todo ello, orientado a la promoción de un proceso de envejecimiento activo, que contribuya a la mejora de la Calidad de Vida de las personas mayores con discapacidad intelectual, promoviendo todas y cada una de las dimensiones que integran este concepto.Un gran desafío social es ahora la ETAPA DE LA VEJEZ  de las personas con discapacidad. Será el gran reto de nuestro siglo en materia de envejecimiento.Palabras Clave: Envejecimiento, Discapacidad Intelectual, Cambios psicológicos, Evaluación, Intervención, Apoyos, Calidad de Vida


2015 ◽  
Vol 43 (6) ◽  
pp. 578-585 ◽  
Author(s):  
Luísa Jardim Corrêa de Oliveira ◽  
Dione Dias Torriani ◽  
Marcos Britto Correa ◽  
Marco Aurélio Peres ◽  
Karen Glazer Peres ◽  
...  

Author(s):  
Kathy Murphy ◽  
Eamon O'Shea ◽  
Adeline Cooney ◽  
Dympna Casey
Keyword(s):  

2017 ◽  
Vol 2 (5) ◽  
pp. 135
Author(s):  
Ahmad Shahir Abdul Mutalib ◽  
Akehsan Haji Dahlan ◽  
Ajau Danis

This study explores the practice of financial interdependence among Malay older people who live in the community in Malaysia. Eleven Malay older people participated in this qualitative study by an in-depth interview. The data was analyzed using six stages of the interpretative phenomenological analysis. Two main themes emerged from the interview transcripts are issues regarding living expenses and financial assistance. Financial interdependence is one of the most effective ways for the Malay older people in the community in Malaysia to adapt their retired status, to achieve maximum life satisfaction and productivity thereby improving their overall quality of life.Keywords: Financial interdependence, Older people, Quality of life, Interpretative phenomenological analysisISSN: 2398-4287© 2017. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.


2019 ◽  
Vol 97 (1) ◽  
pp. 113-175 ◽  
Author(s):  
CATHERINE J. EVANS ◽  
LUCY ISON ◽  
CLARE ELLIS‐SMITH ◽  
CAROLINE NICHOLSON ◽  
ALESSIA COSTA ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-154
Author(s):  
Afeez Hazzan

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.


Author(s):  
Carla Blázquez-Fernández ◽  
David Cantarero-Prieto ◽  
Marta Pascual-Sáez

The financial crisis of 2008 precipitated the “Great Recession”. In this scenario, we took Spain as a country of study, because although it experienced significant negative shocks associated with macroeconomic variables (GDP or unemployment), its welfare indicators have been marked by limited changes. This study used data from waves 2 and 4 (years 2006–2007 and 2010–2012, respectively) of the Survey on Health, Aging and Retirement in Europe (SHARE). Specifically, through logistic regressions we have analysed the effects of socioeconomic, demographic, health and “Great Recession” factors on the quality of life (QoL) of elders in Spain. Although QoL did not change too much during the “Great Recession”, the results confirmed the importance of several factors (such as chronicity) that affect the satisfaction with the QoL among the older people. In this regard, statistically significant effects were obtained for individual exposure to recession. Therefore, a decrease in household income in the crisis period with respect to the pre-crisis period would increase by 44% the probability of reporting a low QoL (OR = 1.44; 95% CI: 1.00–2.07). Furthermore, gender differences were observed. Health and socioeconomic variables are the most significant when determining individual QoL. Therefore, when creating policies, establishing multidisciplinary collaborations is essential.


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