scholarly journals The concept of quality of life in dementia in the different stages of the disease

2005 ◽  
Vol 17 (3) ◽  
pp. 353-370 ◽  
Author(s):  
Teake P. Ettema ◽  
Rose-Marie Dröes ◽  
Jacomine de Lange ◽  
Marcel E. Ooms ◽  
Gideon J. Mellenbergh ◽  
...  

In order to conceptually define quality of life (QOL) in dementia, the literature on QOL in the elderly population, in chronic disease and in dementia was studied. Dementia is a progressive, age-related, chronic condition and to avoid omissions within the dementia-specific concept of QOL, a broad orientation was the preferred approach in this literature study. Adaptation is a major outcome in studies investigating interventions aimed at improving QOL in chronic conditions, but to date, it has not been used in the definition of QOL. It is argued that adaptation is an important indication of QOL in people with chronic diseases and therefore also in dementia. Some crucial issues in assessing dementia-related QOL that are relevant to clarify the continuing debate on whether QOL, particularly in dementia, can be measured at all, are discussed. Then the following conceptual definition is offered: dementia-specific QOL is the multidimensional evaluation of the person–environment system of the individual, in terms of adaptation to the perceived consequences of the dementia.

Sensors ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 517
Author(s):  
Ilia Adami ◽  
Michalis Foukarakis ◽  
Stavroula Ntoa ◽  
Nikolaos Partarakis ◽  
Nikolaos Stefanakis ◽  
...  

Improving the well-being and quality of life of the elderly population is closely related to assisting them to effectively manage age-related conditions such as chronic illnesses and anxiety, and to maintain their independence and self-sufficiency as much as possible. This paper presents the design, architecture and implementation structure of an adaptive system for monitoring the health and well-being of the elderly. The system was designed following best practices of the Human-Centred Design approach involving representative end-users from the early stages.


2020 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Majesty Kowureng ◽  
Kairupan Kairupan ◽  
Ns. Kristamuliana

Abstract : The increasing elderly population is a global phenomenon nowadays. Faced with this, the importance of ensuring the elderly is not only seen from a long life but also the quality of life of the elderly needs to be considered. Objective. The purpose of this literature study is to explain the quality of life and strategies to improve the quality of life of the elderly who live in nursing homes. Method. The method used to compile this literature study is by searching through an electronic database. Searching for articles is done by using the keywords Quality Of Life, Elderly, Nursing Homes, that are traced through Google Scholar, Pubmed, and Science Direct. The Joanna Briggs Institute (JBI) Critical Appraisal is used to assess and analyze the quality of the article methodology. Result. There were 723 articles published from 2015 to 2019 related to the quality of life of elderly living in nursing homes that were identified. However, of 723 articles, only 6 articles met with the review requirements. Six articles that meet the inclusion criteria are divided into two major themes, namely the quality of life of elderly living in nursing homes (4 studies) and interventions that affect improving the quality of life of elderly living in nursing homes (2 studies). Conclusion. This literature study concludes that the majority of elderly people living in nursing homes had a moderate quality of life and physical activity interventions and religious-spiritual interventions affected improving the quality of life in elderly nursing homes. Suggestion. The author suggests making modifications to the nursing care of the elderly who live in nursing homes that are adjusted to any changes that occur in the elderly needed to improve their quality of life.Keywords : Quality of Life, Elderly, Nursing Homes. Abstrak: Peningkatan populasi lanjut usia merupakan fenomena global saat ini. Menghadapi hal tersebut, pentingnya menjamin lanjut usia bukan hanya dilihat dari umur yang panjang, tetapi juga kualitas hidup lanjut usia perlu untuk diperhatikan. Tujuan penelitian ini untuk menjelaskan kualitas hidup dan strategi peningkatan kualitas hidup lanjut usia yang tinggal di panti. Metode yang digunakan untuk menyusun studi literatur ini adalah dengan mencari melalui database elektronik. Pencarian artikel dilakukan dengan menggunakan kata kunci Quality Of Life, Elderly, Nursing Homes, yang ditelusuri melalui Google Scholar, Pubmed, dan Science Direct. Menilai dan menganalisis kualitas metodologi dalam setiap studi menggunakan The Joanna Briggs Institute (JBI) Critical Appraisal. Hasil. Didapatkan 723 artikel terkait kualitas hidup lanjut usia yang tinggal di panti yang diidentifikasi dan dipublikasikan dari tahun 2015-2019. Dari 723 artikel hanya 6 artikel yang memenuhi syarat untuk dianalisis. Enam artikel yang memenuhi kriteria inklusi terbagi menjadi dua tema besar yaitu kualitas hidup lanjut usia yang tinggal di panti (4 studi) dan intervensi yang berpengaruh meningkatkan kualitas hidup lanjut usia yang tinggal di panti (2 studi). Kesimpulan. Dari studi literatur ini dapat disimpulkan bahwa sebagian besar lanjut usia yang tinggal di panti memiliki kualitas hidup pada tingkat sedang dan intervensi aktivitas fisik dan intervensi spiritual keagamaan berpengaruh pada peningkatan kualitas hidup lanjut usia yang tinggal di panti. Saran. Melakukan modifikasi pada asuhan keperawatan lanjut usia yang tinggal di panti yang disesuaikan dengan setiap perubahan yang terjadi pada lanjut usia sangat diperlukan demi meningkatkan kualitas hidup mereka.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nesreen Fathi Mahmoud ◽  
Huda Zahran ◽  
Sherif Abdelmonam

Abstract Background This study focuses on the self-perception of the voice in the elderly as assessed by the Voice-Related Quality of Life (V-RQOL) questionnaire. This work aimed to compare differences in the voice-related quality of life outcomes between (1) elderly with and without voice disorders, (2) female and male elderly with voice disorders, and (3) different types of voice disorders, and to explore the correlation between the V-RQOL and perceptual analysis done by the clinician. Forty-three dysphonic and 44 non-dysphonic elderly filled out the Voice-Related Quality of Life (V-RQOL) protocol that analyzes the impact of dysphonia on life quality. Vocal perceptual assessment of each subject with dysphonia was made by three voice therapists, followed by a flexible nasofibrolaryngoscope. Results A significant statistical difference was found between the means of total V-RQOL scores and its subdomains for each group (dysphonic and non-dysphonic). No significant differences were found between male and female elderly with dysphonia. The statistical analysis showed a significant correlation with the vocal assessment made by the clinicians and the V-RQOL self-assessment made by the subjects. Conclusions This study provides valuable information regarding the risk factors that contribute to vocal quality in the elderly population. Our results revealed that different types of voice disorders are common among the elderly population with significant negative effects on quality of life. It was observed that the poorest score on the V-RQOL was for functional voice disorders, followed by neoplastic lesions, whereas MAPLs had the best score on the V-RQOL.


2010 ◽  
Vol 46 (4) ◽  
pp. 617-632 ◽  
Author(s):  
André de Oliveira Baldoni ◽  
Farah Maria Drumond Chequer ◽  
Elisa Raquel Anastácio Ferraz ◽  
Danielle Palma de Oliveira ◽  
Leonardo Régis Leira Pereira ◽  
...  

In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can affect the safety and quality of life in the elderly. Thus, the aim of this review was to identify drugs that should be used with caution in elderly patients in order to avoid intoxication and/or adverse drug events.


2020 ◽  
Vol 67 (4) ◽  
pp. 1155-1167
Author(s):  
Pavle Radanov ◽  
Ivana Lešević ◽  
Pavle Brzaković ◽  
Dragan Pajić

In the Republic of Serbia, on March 15 th , 2020 Government decided to declare a state of emergency due to the Covid-19 pandemic. One of the measures was a movement ban for people over 65 in urban areas and those over 70 in rural areas. This research should indicate how people over 65 in urban areas have endured this situation, especially in relation to the same population in rural areas, as well as implications of the movement ban on the quality of life of the elderly population. Special importance is given to the rural population engaged in agriculture. A tool of data collection in this research was anonymous survey. Respondents' answers were statistically processed, which led to clear conclusions about the large negative consequences for the elderly population, including the agricultural activities in rural areas. Covid-19 is still present, which opens further questions related to the quality of life of the elderly population, if necessity for similar measures recurs in the future.


2021 ◽  
pp. medethics-2020-107185
Author(s):  
Sara Kate Heide

Defining quality of life is a difficult task as it is a subjective and personal experience. However, for the elderly, this definition is necessary for making complicated healthcare-related decisions. Commonly these decisions compare independence against safety or longevity against comfort. These choices are often not made in isolation, but with the help of a healthcare team. When the patient’s concept of quality of life is miscommunicated, there is a risk of harm to the patient whose best interests are not well understood. In order to bridge this gap in understanding and unite seniors with their caretakers as a cohesive team, we need to establish a definition of quality of life. In this paper, my personal experiences with the elderly will be analysed along with five essays on the topic of ageing. These sources provide clear evidence that quality of life for seniors is majorly determined by the ability to preserve one’s lifelong identity. When making difficult decisions in geriatric healthcare, this greater understanding of the determinants of life quality will allow treatments to best serve the elderly. Defining quality of life allows healthcare providers to shift the focus from minimising disability toward maximising ability. I believe this shift would provide seniors with better health outcomes and properly enhance the quality of their years.


Author(s):  
Sara Paiva ◽  
Rui Peleja ◽  
Jorge Cunha ◽  
Carlos Abreu

With increased life expectancy, the incidence of age-related cognitive impairments, faced by the elderly and older generations, is growing. Among the population with cognitive impairments, those that suffer from Alzheimer's disease are the most common. The Alzheimer's disease is a chronic degenerative brain disorder that is characterised by a failure of memory and, in some instances, by disorders in language, perception and planning. As a consequence of the progressive damages imposed by the illness, patients will increasingly seek and need assistance. This paper presents a tool to aid the development and managing of caregiving communities, comprising immediate family members, relatives, neighbours and healthcare professionals, to assist patients with Alzheimer's disease. Such communities could have a strong impact on the quality of care provided to the patients. At the same time, it is hoped that involving communities will significantly improve the quality of life of Alzheimer's patients and their families while reducing the costs related to the care provided.


Age-related macular degeneration (AMD) is a degenerative disorder of the central retina and represents the leading cause of severe visual impairment in the elderly population of industrialized societies. It is known that it currently exists between 30 and 50 million people around the world and is estimated that will have doubled by the end of the coming decade. Several large epidemiologic studies have evaluated the prevalence of non-neovascular or so-called dry AMD. There is some variation in the prevalence of non-neovascular AMD depending on the exact definition of AMD. All of them report a higher prevalence of early AMD and an increasing prevalence with age. It is seen most in Caucasians and least in people with Africans and it is not related to gender.


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