Dysphagia: implications for older people

2013 ◽  
Vol 24 (1) ◽  
pp. 41-57 ◽  
Author(s):  
N Miller ◽  
J Patterson

SummaryDysphagia represents a salient concern in many conditions prevalent in older people. There are direct implications for morbidity and mortality. The importance of recognizing and managing dysphagia in hospital and the community also extends to psychosocial impact and quality of life, as well as health, economic and ethical-legal issues. This review outlines reasons for the importance of recognizing and treating dysphagia. It then proceeds to look at recent developments in our understanding of the nature, assessment and management of dysphagia in older people. Whilst there are well-established practices in assessment and management, ongoing work continues to challenge the validity and reliability of many methods. These concerns are covered and directions for future developments highlighted.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S897-S897
Author(s):  
Ali Darvishpoor Kakhki ◽  
Zhila Abedsaeedi ◽  
Patricia Davidson

Abstract Aging is accompanied by a variety of challenges and tensions that have consequences for quality of life in older people. Optimizing quality of life is a key goal for active aging. This study was conducted to describe factors and quality of life of older people in the city of Tehran. This descriptive, correlational study was conducted on a sample of 290 older people above age 60 recruited in 10 public parks in five regions of Tehran in 2019. A socio-demographic questionnaire and instrument on Quality Of Life of Older People (QOL-OP) were used for data collection. Content validity and Cronbach’s alpha were used for evaluation of the validity and reliability of questionnaires. Data were analyzed with SPSS software. Fifty-one percent of older people were male and 49% male with a mean age of 69.52(± 7.11) years. The mean scores for quality of life domains ranged from 57.61(±7.11) for family integrity, to 64.73(±7.50) for spiritual well-being on a 100-point scale. The scores on health-related quality of life domains were influenced significantly by characteristics of age, gender, marital status, housing status, income source, treatment insurance, supplementary treatment insurance, education level, living persons, number of offspring, and annual physician referral rates. The findings of this study showed that quality of life of older people was lower than expected and related to a number of factors. Monitoring modifiable factors such as treatment insurance and non-modifiable factors will help us to preserve or improve quality of life of older people.


2010 ◽  
pp. 211-220 ◽  
Author(s):  
Erzebet Ac-Nikolic ◽  
Sonja Cankovic ◽  
Natasa Dragnic ◽  
Ivana Radic

Assessment of quality of life in older people has become increasingly important as a result of ageing of the population. World Health Organization created the WHOQOL-BREF questionnaire for quality of life assessment based on results obtained from surveys carried out in 18 countries. The aim of this paper is to determine validity and reliability of the Serbian version WHOQOL-BREF questionnaire for the population older than 60 years. The WHOQOL-BREF questionnaire was used for quality of life assessment on the representative sample of 199 persons who live in Retirement home in Novi Sad. Reliability (internal consistency) was assessed through Cronbach ggga coefficient and validity by correlation between scores and individual's overall perception of quality of life and individual's overall perception of their health (convergent validity). Reliability was high for all four domains (Cronbach ggga ranges from 0.68 Social relationships to 0.79 Physical health domain). Validity was confirmed with a high correlation of all four domains (Physical health, Psychological, Social relationships and Environment) and individual's overall perception of quality of life (p < 0.001) and also with individual's overall perception of their health (p < 0.001). The results indicate that WHOQOL-BREF questionnaire (Serbian version) is valid and reliable quality of life instrument for older people. The results of the quality of life assessment are comparable with results obtained in other countries with suitable language version of the WHOQOL-BREF. .


2021 ◽  
Vol 19 (4) ◽  
pp. 417-424
Author(s):  
Nasim Sadeghi Mahall ◽  
◽  
Mohammad-Ali Hoseini ◽  
Mehdi Rahgozar ◽  
Kian Norouzi Tabrizi ◽  
...  

Objectives: Locomotive syndrome refers to reduced mobility due to impairment of locomotive organs. Because of the importance of screening locomotive syndrome among older people, this article is focused on psychometric characteristics of Geriatric Locomotive Function Scale (GLFS)-5 and comparing it with GLFS-25 in Iranian older adults Methods: This research was conducted on 320 older Iranian people. Validity and reliability of the GLFS-5 were examined and confirmed using Content Validity Index (CVI), factor analysis, correlation coefficient with the European Quality of Life Scale-5 Dimension (EQ-5D) questionnaire, the Cronbach α value for internal consistency, and intraclass correlation and Receiver Operating Characteristic (ROC) technique to determine the cutoff score for the locomotive syndrome. Results: In phase 1 of the study, 250 Iranian older people ≥60 years were analyzed. The factor analysis showed that the GLFS-25 is a multi-dimensional scale (Activities of Daily Livings [ADLs] and Quality of Life [QoL], pain, social relationship, and psychological status), and GLFS-5 is a one-dimensional scale (the ability to perform daily activities). The Cronbach α values for GLFS-25 and GLFS-5 were 0.93 and 0.84, respectively. As for association between the GLFS-25 and GLFS-5 with EQ-5D and Visual Analogue Scale (VAS) (health self-perceived), the Pearson correlation coefficients were 0.85 and -0.72 for GLFS-25 (P=0.01) and 0.82 and -0.67 for GLFS-5 (P=0.01), respectively. The cutoff scores to identify locomotive syndrome for the GLFS-25 and GLFS-5 were 16 and 4, respectively. Discussion: Considering the good validity and reliability properties of the GLFS-5 compared to GLFS-25 and the more convenient use of this short version of the GLFS, its application is highly recommended for community-based screening of locomotive syndrome in Iranian older people.


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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