scholarly journals Orthopedic rehabilitation of elderly cancer patients as a technology of longevity

2020 ◽  
Vol 22 ◽  
pp. 01013
Author(s):  
Vera V. Karaseva ◽  
Tatyana M. Elovikova ◽  
Sergey E. Zholudev ◽  
Anatoly S. Koshcheev ◽  
Artem S. Prihodkin
Keyword(s):  
Quality Of Life ◽  
Barrier Properties ◽  
The Elderly ◽  
Malignant Neoplasms ◽  
Orthopedic Rehabilitation ◽  
Before And After ◽  
Invasive Method ◽  
Upper Jaw ◽  
Jaw Defects

Defects after resection of the upper jaw lead to communication of the oral cavity with the nasal cavity, chewing disorders, aesthetic problems and other functional disorders. The aim of the study is to assess the dental status and quality of life of elderly patients with upper jaw defects, as a technology of longevity, at the stage of orthopedic rehabilitation. 24 patients were examined, divided into two groups of 12 people aged from 58 to 74 years. The main group – patients after resection of the upper jaw for malignant neoplasms. Buccal epithelial cells and quality of life of patients were studied before and after prosthetics. After orthopedic rehabilitation, there is a tendency to restore the barrier properties of the oral mucosa and improve the quality of life of patients. Orthopedic rehabilitation of patients with upper jaw defects using obturator prostheses is an appropriate and non-invasive method of treatment for the elderly.

Creating a universal questionnaire based on the protocols for assessing the severity of dysphagia

2021 ◽  
pp. 26-33
Author(s):  
Alexey Viktorovich Shapovalov ◽  
Sergey Grigoryevich Tereshchenko ◽  
Anton Pavlovich Bogdanov ◽  
Pavel A. Krieger ◽  
Alexey Sergeevich Shapovalov
Keyword(s):  
Quality Of Life ◽  
Aspiration Pneumonia ◽  
The Elderly ◽  
Timely Manner ◽  
Self Assessment ◽  
Before And After ◽  
Basic Functions ◽  
Dysphagia Therapy ◽  
Almost All

Dysphagia affects our most basic functions — the ability to eat and drink. It negatively affects the quality of life of patients, especially in the elderly, which can lead to exhaustion, dehydration, aspiration pneumonia and, ultimately, death. Dysphagia and its severity should be assessed accurately and in a timely manner. Many questionnaires have been proposed to monitor the severity and effectiveness of dysphagia therapy. This paper analyzes ten different self-assessment questionnaires for quality of life. Almost all currently available questionnaires need to be finalized. Based on the DHI (Dysphagia Disability Index) questionnaire, we proposed a special questionnaire that has a number of advantages over the others, it takes into account the age of patients, is universal, and is also suitable for assessing dysphagia, both before and after treatment.

Quality of life of patients on chronic parenteral nutrition before and after gastrointestinal tract continuity restoration

2015 ◽  
Vol 87 (4) ◽  
Author(s):  
Michał Ławiński ◽  
Edyta Kot-Mielczarska ◽  
Aleksandra Gradowska
Keyword(s):  
Quality Of Life ◽  
Gastrointestinal Tract ◽  
Parenteral Nutrition ◽  
Social Life ◽  
The Elderly ◽  
Stoma Closure ◽  
Sf 36 ◽  
Before And After ◽  
Intestinal Stoma

AbstractThe issue of the quality of life considering patients with a temporary or permanent intestinal stoma, as well as the necessity for chronic parenteral nutrition at home remain a poorly understood problem. Daily care of the intestinal stoma and the need to comply with sterile procedures required for parenteral nutrition require such patients to commit their time, which secondarily is associated with the broad aspects of social and personal life.The aim of the study was to analyse the quality of life considering patients with intestinal stomas subjected to chronic parenteral nutrition, before and after gastrointestinal tract continuity restoration.Material and methods. The survey was conducted between May and July, 2014 on a group of 71 patients (33 female and 38 male) who were under the care of the Department of General Surgery and Clinical Nutrition, Warsaw Medical University, operated during the period between 2007 and July, 2014 with a present stoma (32 patients - 45%), as well as after stoma closure (39 patients - 55%). The analysed questionnaire contained 31 questions, and the SF-36 questionnaire was additionally used, determining the quality of life.Results. Analysis of the study material showed differences in the quality of life, considering three most important determinants. Significantly worse assessment of the quality of life was reported by patients with a stoma and subject to intravenous nutrition (83.2±30.5), as compared to those after stoma closure subject to normal nutrition (52.3±33.8). Based on the SF-36 questionnaire differences between patients with a stoma and those without amounted to t(69)=2.84 (p=0.006) demonstrating that those with a stoma reported a lower quality of life. Analysis between younger and older patients, based on the SF-36 questionnaire (t(62.87)=2.49; p=0.016) showed that younger patients achieved lower results, considering dissatisfaction with life (61.55±27.5), as compared to the elderly (80.8±36.9).Conclusions. The group of patients without a stoma seem to be more independent- the vast majority do not use the help of family members (43.6%), or friends (64.1%). Patients with a stoma more often withdraw from social life. The factor that mostly reduces the quality of life is the presence of a stoma, which impairs daily functioning a lot more than the sterile procedures associated with parenteral nutrition. All patients after stoma closure consider that their overall functioning has significantly improved.

scholarly journals Benefits of Virtual Reality Used in Vestibular Rehabilitation in Adult and Elderly Individuals with Dizziness

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Maria da Glória Canto de Sousa
Keyword(s):  
Quality Of Life ◽  
Virtual Reality ◽  
Video Game ◽  
The Elderly ◽  
Vestibular Rehabilitation ◽  
Language Intervention ◽  
Psychosocial Disorders ◽  
Gender And Age ◽  
Before And After

Introduction: Aging brings about several changes in health in the elderly. Dizziness is one of the symptoms most commonly found in this age group, causing psychosocial disorders in the daily activities. Objective: To assess the benefits of virtual reality by using the video game X-Box 360, in the vestibular rehabilitation of affected individuals of dizziness. Materials and Methods: The research consists of an observational study of the quantitative type of exploratory and descriptive character. The participants were five individuals of both genders, with a mean age of 59.6 year, subject to fulfillment of Kinect games and Kinect Sport Adventure the X-Box 360, and evaluated by comparing the scores of Dizzines Handicap interventory - DHI before and after intervention. Results: 80% of participants are female, the gender and age did not influence the improvement of quality of life, 80% had reduction of DHI in the physical, functional and emotional domain and consequently improved quality of life. Conclusion: The language intervention with patients with dizziness, through the video game X-Box 360, provided improvement in the quality of life of patients surveyed.

Improved Quality of Life in the Elderly, and Nurses and Caregivers by Kinaesthetics applications: A Survey in Germany and Austria

2020 ◽  
Vol 2020 ◽  
Author(s):  
Hiroko Tadaura ◽  
Norbert Feldmann ◽  
Sabine Bartholomeyczik ◽  
Niu Kaijun ◽  
Ryoichi Nagatomi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rating Scale ◽  
The Elderly ◽  
Functional Evaluation ◽  
Sf 36 ◽  
Significant Difference ◽  
Before And After ◽  
Distress Scale

Background: The number of elderly people having physical disabilities and other chronic diseases has dramatically increased with the rapid aging of society. The importance of the care has been noticed again from the viewpoint of the prevention, and the effective care is expected for both sides to be assisted Kinästhetik/Kinaesthetics (hereinafter, referred to as Kinesthetics) and is noticed. The purpose of this study was to clarify the relationship between QOL and Kinsesthetics by conducting a comparative study on QOL, pain, and sensation of movement for elderly people under long-term medical treatment, and nurses and caregivers working at the same hospital and nursing homes.Methods: The subjects were elderly people, nurses and caregivers in geriatric wards of general hospitals and nursing homes in Austria, Germany, where Kinaesthetics clinical practice has been introduced the longest. We analyzed data from VSA-QOL (Visual Analog Scale for Quality of Life), SDS (Symptom Distress Scale) modified, pain (Numerical Rating Scale: NRS-Pain), Kinesthetic senses before and after assisting with movement, medical record surveys, functional evaluation BI (Barthel-Index), and Braden Scale for the elderly. SF -36 v2, pain (NRS-Pain) before and after the movement assistance, Kinesthetic senses in the movement support, problem on the health and countermeasure, and Kinaesthetics mastery situation were analyzed for nurses and caregivers. SOPMAS (Structure of the Observed Patient Movement Assistance Skill) evaluation was also carried out for both subjects.Results: The subjects were included in 115 elderly people of Kinaesthetics group, 34 Non-Kinaesthetics group, 149 nurses and caregivers of Kinaesthetics group, and 46 nurses and caregivers of Non-Kinaesthetics group. The QOL of the elderly in the Kinaesthetics group was significantly improved after 1 month (p=0.03). The eldely in the Kinaesthetics group showed a significant improvement for SDS after 1 month (p=0.01). There was a significant difference for Bowel in SDS in repeated measures analysis of variance (spherical assumption; time x group) (p=0.01). SF -36 v2 of Nurses and caregivers using Kinaesthetics showed a significant difference in the role emotional (p=0.04). The level of pain before and movement assistance (NRS) was further significantly enhanced in the Non-Kinaesthetics group. The muscle strain was significantly higher in the Non- Kinaesthetics group for both the elderly and nurses (p=0.01).Conclusion: Kinaesthetics applications enhance QOL among the elderly, nurses, and caregivers in Germany and Austria.

scholarly journals PENGARUH SENAM BUGAR LANJUT USIA (LANSIA) TERHADAP KUALITAS HIDUP PENDERITA HIPERTENSI

2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Gilbert W Setiawan
Keyword(s):  
Quality Of Life ◽  
Aerobic Exercise ◽  
Short Form ◽  
The Elderly ◽  
Test Plan ◽  
Serious Illness ◽  
Short Form 36 ◽  
Group Test ◽  
Before And After

Abstract: Hypertension is the most common illness experienced by residents in Indonesia. Hypertension is known as high blood pressure resulting from various factors. Hypertension is a serious illness and most often occur to the elderly, which greatly affect their quality of life. Focus on this research is finding the influence of elderly aerobic exercise on hypertension patients’ quality of life in BPLU senja cerah paniki bawah Manado. This research is a field experiment with pre-post one group test plan. To test the significance of this study, statistic test such as t paired with level of error of 5% or 0,05 is applied. Elderly aerobic exercise is instructed to 30 elderly patients with hypertension as respondents in this study. Experiment is performed by comparing the quality of life scores, measured by filling up a short- form 36 questioners by hypertension patients before and after elderly aerobic exercise. There is a significant effect of elderly aerobic exercise towards the quality of life of hypertension patients in BPLU senja cerah paniki bawah, where the value of significance is 0,00. This means there is an influence of quality of life before and after elderly aerobic exercise, where an increase in quality of life score emerges. Keywords: Elderly Aerobic Exercise, Quality of life, Hypertension   Abstrak: Hipertensi merupakan salah satu penyakit yang paling banyak dialami oleh penduduk di Indonesia. Hipertensi dikenal sebagai penyakit darah tinggi akibat dari berbagai macam faktor. Hipertensi ini merupakan penyakit serius dan paling sering terjadi terutama pada lansia yang sangat mempengaruhi kualitas hidup mereka. Fokus pada penelitian ini yaitu untuk mencari pengaruh senam bugar lansia terhadap kualitas hidup penderita hipertensi pada BPLU Senja Cerah Paniki bawah Manado. Jenis penelitian ini adalah eksperimental lapangan dengan rancangan pre-post one group test. Untuk menguji signifikan dari penelitian ini maka digunakan uji statistik berupa uji t berpasangan dengan taraf kesalahan yaitu 5 % atau 0,05. Senam bugar lansia dilakukan oleh 30 responden yang menderita hipertensi. Eksperimen dilakukan dengan membandingkan skor kualitas hidup yang diukur dengan  pengisian short-form 36 yang dilakukan lansia penderita hipertensi sebelum dan sesudah senam bugar lansia. Terdapat pengaruh yang signifikan antara senam bugar lansia terhadap kualitas hidup pasien penderita hipertensi di BPLU Senja Cerah Paniki Bawah dimana nilai signifikannya 0,000. Artinya ada pengaruh kualitas hidup sebelum dan sesudah senam buagr lansia, dimana terjadi peningkatan skor kualitas hidup. Kata Kunci: senam bugar lansia, kualitas hidup, hipertensi

scholarly journals Latent vestibular dysfunction and its effect on quality of life in elderly individuals, the need of active screening and intervention

2018 ◽  
Vol 4 (5) ◽  
pp. 1258
Author(s):  
Himanshu Swami ◽  
Aravind B. M.
Keyword(s):  
Quality Of Life ◽  
Tertiary Care ◽  
The Elderly ◽  
Vestibular Dysfunction ◽  
Care Hospital ◽  
Dizziness Handicap Inventory ◽  
Post Intervention ◽  
Before And After ◽  
The Impact

<p class="abstract"><strong>Background:</strong> Dizziness is a commonly reported complaint among elderly.. Among the elderly in particular, factors such as Ageing, presbycusis, diabetes, chronic kidney disease, osteopenia, and osteoporosis increase the risk. Dizziness handicap inventory is used to assess the quality of life among the individuals with vestibular dysfunction. This is also used to assess the impact of interventions for vestibular dysfunction. This study aims to estimate the prevalence of latent vestibular dysfunction among the Indian population, and the impact of interventions among the same.</p><p class="abstract"><strong>Methods:</strong> A prospective observational study was conducted at a tertiary care hospital. As per sample size estimates, 200 participants aged &gt;60 years without previous diagnosis of vestibular dysfunction were screened using appropriate tests. The quality of life of the affected individuals were assessed using Dizziness Handicap Inventory Score (DHIS) before and after intervention.  </p><p class="abstract"><strong>Results:</strong> The prevalence of latent vestibular dysfunction was found to be 23.5%. Most of them reported having moderate handicap due to the condition. Following intervention, those with moderate handicap either became normal (47.8%) or had residual mild handicap (52.2%). The mean DHIS score significantly decreased from 40.91 points during pre-intervention to 16.12 points post-intervention.</p><p class="abstract"><strong>Conclusions:</strong> Around one-fourth of the Indian elderly is found to have latent vestibular dysfunction. It has a major impact on the individual’s quality of life. Yet, screening and intervention is found to make a considerable improvement among the affected individuals.</p>

scholarly journals Effect of physical activity level on the course of pneumonia caused by COVID-19

2020 ◽  
Author(s):  
AS Samoylov ◽  
YuD Udalov ◽  
SE Nazaryan ◽  
AV Naikina
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Exercise Therapy ◽  
Public Awareness ◽  
The Elderly ◽  
Severe Form ◽  
Activity Level ◽  
Early Recovery ◽  
Before And After

Data from medical records of 144 COVID-19 patients who completed inpatient treatment, as well as subsequent questionnaires using a modified questionnaire, were analyzed. The relationship between the level of physical activity, performance, and quality of life (before and after treatment), age, frequency of exercise therapy at the hospital stage, the presence of stool disorders, and episodes of increased blood pressure after treatment with the course of the disease were evaluated. Patients were divided into a control and experimental group depending on the initial subjective level of performance. The moderate form prevailed (69,44%). The mild form is typical for younger patients, patients older than 50 years make up 62,49% of the total number of cases of severe course. Patients who had a severe form of the disease noted the quality of life and performance before the disease at a lower level, in contrast to those who had a medium and light form. Initially leading a more active lifestyle, patients with initially higher performance and quality of life who performed exercise therapy at the hospital stage (with mild and moderate forms) have a more favorable course of the disease (reducing the time of hospitalization, early recovery of performance, reducing the number of CT scans). The initial higher physical activity contributes to a more favorable course of the disease. The initial higher physical activity contributes to a more favorable course of the disease. It is necessary to raise public awareness of the benefits of regular physical activity and its connection with the course of the disease, especially among the elderly, as well as to introduce exercise therapy at all stages of treatment.

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