534 - Grief in de elderly and its impact

IntroductionWith coronavirus disease 2019 (COVID-19) a lot of people have succumbed and older adults were disproportionately affected. (1,2) Also, grief is encountered frequently in clinical practice with the elderly, and can be defined as the natural response to the death of a loved one. Still, when a failure of adaptation occurs then a Prolonged Grief Disorder (PGD) can be diagnosed, which has been recently included in ICD-11. The principal feature of PGD is a persistent preoccupation or an intense longing for the deceased that lasts longer than 6 months after the death. (3)Objective:Comprehend the grief in the elderly and its implications in their health.Methods:The author conducted a literature review by searching the Pubmed database using the keywords elderly; grief; complicated grief; covid-19Results:PGD is relatively prevalent among the elderly and has been associated with some variables related to the death time of the deceased, being the prevalence inversely correlated with the deceased’s. (4, 5) Additionally, older adults present a higher risk of developing PGD when they are lesseducated, male, have poorer cognitive performance, and a history of depression. (3) PGD is characterized by sadness, fascination with or excessive avoidance of the memories associated with the deceased, the memory of the loss and mental ruminations about death. According to some investigations, PGD reduces life expectancy, increasing the odds of death, causes severe behavioural symptoms, and is associated with longer-term functional impairment. (4,5)Conclusion:Given these results, it is easy to understand the need for a closer monitoring of these patients during this global crisis. Moreover, it is also important to find new ways to do that while complying with COVID-19 rules and restrictions. A short-term evidence-based intervention for PGD effective in the elderly is based on support focused upon these seven themes: understanding their grief, managing emotional pain, thinkingabout the future, strengthening their relationships, telling the story of the dead, learning to live with reminders of the deceased, and connecting with memories. (3)

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Neuroticism may be associated with history of depression in the elderly

International Journal of Geriatric Psychiatry ◽

10.1002/gps.930060703 ◽

1991 ◽

Vol 6 (7) ◽

pp. 483-488 ◽

Cited By ~ 10

Author(s):

Robert C. Abrams ◽

Robert C. Young ◽

George S. Alexopoulos ◽

Jonathan H. Holt

Keyword(s):

The Elderly ◽

History Of ◽

History Of Depression

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Relationship between progression of brain white matter changes and late-life depression: 3-year results from the LADIS study

The British Journal of Psychiatry ◽

10.1192/bjp.bp.111.098897 ◽

2012 ◽

Vol 201 (1) ◽

pp. 40-45 ◽

Cited By ~ 53

Author(s):

Michael J. Firbank ◽

Andrew Teodorczuk ◽

Wiesje M. Van Der Flier ◽

Alida A. Gouw ◽

Anders Wallin ◽

...

Keyword(s):

White Matter ◽

Depression Scale ◽

Late Life ◽

The Elderly ◽

Late Life Depression ◽

White Matter Changes ◽

Brain White Matter ◽

History Of ◽

Depressive Episodes ◽

History Of Depression

BackgroundBrain white matter changes (WMC) and depressive symptoms are linked, but the directionality of this association remains unclear.AimsTo investigate the relationship between baseline and incident depression and progression of white matter changes.MethodIn a longitudinal multicentre pan-European study (Leukoaraiosis and Disability in the elderly, LADIS), participants aged over 64 underwent baseline magnetic resonance imaging (MRI) and clinical assessments. Repeat scans were obtained at 3 years. Depressive outcomes were assessed in terms of depressive episodes and the Geriatric Depression Scale (GDS). Progression of WMC was measured using the modified Rotterdam Progression scale.ResultsProgression of WMC was significantly associated with incident depression during year 3 of the study (P = 0.002) and remained significant after controlling for transition to disability, baseline WMC and baseline history of depression. There was no significant association between progression of WMC and GDS score, and no significant relationship between progression of WMC and history of depression at baseline.ConclusionsOur results support the vascular depression hypothesis and implicate WMC as causal in the pathogenesis of late-life depression.

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Prevalence of Falling and its relation with Chronic diseases and Balance of Older Adults in Urmia City

International Journal of Ayurvedic Medicine ◽

10.47552/ijam.v9i4.1114 ◽

2019 ◽

Vol 9 (4) ◽

pp. 273-278

Author(s):

Seyed Saeed Mazloomy Mahmoodabad ◽

Moradali Zareipour ◽

Mohsen Askarishahi ◽

Alireza Beigomi

Keyword(s):

Older Adults ◽

Chronic Diseases ◽

Elderly People ◽

The Elderly ◽

Cluster Sampling ◽

Balance Assessment ◽

Cross Sectional ◽

History Of ◽

Assessment Questionnaire ◽

Epidemic Diseases

Introduction: Falling is one of the most common and serious health problems in the elderly people. As a result of aging , the muscles will be departed, so it will be difficult to balance and gait. This study aims to Prevalence of falling and its relation with chronic diseases and balance of Older Adults in Urmia city. Methods: This is a cross-sectional (descriptive-analytic) study in which 200 elderly people were selected by random cluster sampling method. Data were collected by using a two-part questionnaire which was included demographic information, common epidemic diseases and history of falling of the elderly people in the last year and Tinetti balance assessment questionnaire. Data were analyzed by using t- test and logistic regression in SPSS v.21 software. Results: The results of this study showed that, the rate of falling was 30 percent. Diseases such as cardiovascular diseases, arthritis, osteoarthritis, stroke, visual impairment, respiratory disease, fecal incontinence increase the risk of falling in the elderly people. Logistic Recession Results show that old age (OR = 4.2, p = .04; 95%CI = 0.87-1.3)female (OR = 2.2, p = .03; 95%CI = 0.59-2.7)chronic disease (OR = 1.7, p = .05; 95%CI = 0.49-3.07)Poor economic situation (OR = 1.4, p = .008; 95%CI = 0.57-7.3) Low balance (OR = 9.6, p < .0001; 95%CI = 2.3-7.1)،increased the likelihood of falling elderly. Conclusion: The findings of this study showed that the rate of falling in Iranian elderly people is relatively high. The appropriate and effective preventive interventions should be made according to effective factors in falling of older adults.

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Comparison of Attitudes of Young Adults and Older Adults Toward Short-Term and Long-Term Care for the Elderly

PsycEXTRA Dataset ◽

10.1037/e413792005-701 ◽

2000 ◽

Author(s):

Nancy Patrick

Keyword(s):

Older Adults ◽

Young Adults ◽

Long Term Care ◽

The Elderly ◽

Short Term ◽

Term Care ◽

Care For The Elderly

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Does a history of depression influence neuropsychological functioning among older adults?

PsycEXTRA Dataset ◽

10.1037/e536802014-001 ◽

2014 ◽

Author(s):

Elise N. Albert ◽

Steven A. Rogers

Keyword(s):

Older Adults ◽

Neuropsychological Functioning ◽

History Of ◽

History Of Depression

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Sarcopenia and Charlson Comorbidity Index are Risk Factors for Short-Term Postoperative Prognosis of Elderly Patients with Gastrointestinal Tumor: A Retrospective Study

10.21203/rs.3.rs-689510/v1 ◽

2021 ◽

Author(s):

Jiaqiu Wang ◽

Liqian Xu ◽

Shunmei Huang ◽

Quan Hui ◽

Xuexue Shi ◽

...

Keyword(s):

Risk Factors ◽

Older Adults ◽

Charlson Comorbidity Index ◽

Older Patients ◽

Gastrointestinal Tumor ◽

Short Term ◽

Postoperative Prognosis ◽

History Of ◽

Comorbidity Index ◽

Independent Risk Factors

Abstract Background Sarcopenia is one of the most common syndromes in the older adults. Gastrointestinal tumor is a malignant disease with high incidence. This study aimed to investigate the risk factors of sarcopenia in older adults with gastrointestinal tumor, the prognostic indicators of and short-term outcomes after resection for gastrointestinal tumor, and to explore the relationship between sarcopenia and short-term postoperative prognosis.Method A total of 247 older patients with gastrointestinal tumors who underwent radical resection in 2019 were included in this study. Relevant indexes were calculated using L3 slice image of computed tomography (CT) to evaluate sarcopenia. Short-term postoperative complications and length of stay were considered as short-term outcome of this study.Results Advanced age, lower higher body mass index (BMI), lower hemoglobin, having history of abdominal surgery and higher visceral fat index (VFI) were risk factors of sarcopenia, while higher BMI and lower subcutaneous fat index (SFI) were protective factors of sarcopenia. Further multivariate logistic regression analysis showed that having history of abdominal surgery, advanced age and lower BMI were independent risk factors. Sarcopenia and higher Charlson comorbidity index were independent risk factors of short-term postoperative complications in the elderly with gastrointestinal tumor. Higher Charlson comorbidity index gave rise to longer length of stay.ConclusionsSarcopenia and higher Charlson comorbidity index predict poor short-term prognosis of older patients undergoing gastrointestinal tumor resection.

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Health Service Utilization and associated factors Among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia

Community Medicine and Health Education Research ◽

10.33702/cmher.201901.1.2 ◽

2019 ◽

Vol 1 (1) ◽

pp. 8-19

Author(s):

Abiru Neme Negewo ◽

Wadu Wolancho Debocha ◽

Gadisa Bekele Bedada

Keyword(s):

Older Adults ◽

Health Service ◽

Health Services ◽

Medical History ◽

Service Utilization ◽

Chronic Condition ◽

Health Service Utilization ◽

Associated Factors ◽

The Elderly ◽

History Of

In any country use of health services by elderly could vary according to the cultural, social, economic and demographic situation of the person who may need care. In certain contexts, it particularly varies with age and sex of the potential service user. However; there is paucity of information on the level and associated factors on health service utilization among elderly population in Ethiopia in general and in the study site in particular. To assess Factors Health Service Utilization and associated factors Among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia. A community based cross sectional study carried out on 284 elderly populations residing in Ambo town from February- March 2018. The collected data was cleaned, coded and entered into computer and analyzed using SPSS windows version 20.0. Descriptive statistics were done to summarize data. Binary and multiple logistic regression was undertaken to determine the independent predictor of health service utilization. The following factors were identified as determinants of health service utilization among the elderly in Ambo: a medical history of at least one chronic condition (OR = 1.737; [0.425-2.562]; p < 0.000), who had reported enough money to meet their need were 75% utilize health services when compared to participants who did not have enough money to meet their need 47.3% (OR = 1.587; 95% CI = [1.236 – 2.037], p = 0.004). Age, Income, education, medical history of at least one chronic condition and poor perceived health status were the most pervasive determinants of health service utilization. These factors could help health policy makers and health service providers identify and understand the situation of the elderly and consequently create conducive environment for providing appropriate health services.

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Short-term effects of Asian dust in patients with a history of disease: A case-crossover study among the elderly men and women in Japan

ISEE Conference Abstracts ◽

10.1289/isee.2016.3048 ◽

2016 ◽

Vol 2016 (1) ◽

Author(s):

Saori Kashima* ◽

Takashi Yorifuji ◽

Etsuji Suzuki ◽

Yuuki Tsuchihashi ◽

Akira Eboshida

Keyword(s):

Crossover Study ◽

The Elderly ◽

Asian Dust ◽

Elderly Men ◽

Short Term ◽

Men And Women ◽

Case Crossover ◽

History Of Disease ◽

History Of ◽

Short Term Effects

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Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17114085 ◽

2020 ◽

Vol 17 (11) ◽

pp. 4085

Author(s):

Begoña Pellicer-García ◽

Isabel Antón-Solanas ◽

Enrique Ramón-Arbués ◽

Loreto García-Moyano ◽

Vicente Gea-Caballero ◽

...

Keyword(s):

Older Adults ◽

Associated Factors ◽

Assessment Tool ◽

Adult Population ◽

Previous History ◽

Depression Scale ◽

The Elderly ◽

Assessment Tools ◽

Risk Of Falling ◽

History Of

Falls in the elderly are one of the main geriatric syndromes and a clear indicator of fragility in the older adult population. This has serious consequences, leading to an increase in disability, institutionalization and death. The purpose of this cross-sectional study was to analyze the prevalence of risk of falling and associated factors in a population of 213 non-institutionalised, able older adults with a history of falling in the previous year. We used the following assessment tools: Questionnaire of the WHO for the study of falls in the elderly, Geriatric Depression Scale and Tinetti’s Gait and Balance Assessment Tool. Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling. In order to prevent fall reoccurrence, community-based fall prevention programs should be implemented.

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