scholarly journals Real-world implications of apathy among older adults: Independent associations with activities of daily living and quality of life

2018 ◽  
Vol 40 (9) ◽  
pp. 895-903 ◽  
Author(s):  
Savanna M. Tierney ◽  
Steven Paul Woods ◽  
Michael Weinborn ◽  
Romola S. Bucks
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Real World ◽  
Daily Living

scholarly journals Commentary: Real-world implications of apathy among older adults: Independent associations with activities of daily living and quality of life.

2019 ◽  
Author(s):  
Di Gioia Tina ◽  
Alessandro Bortolotti
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Real World ◽  
Daily Living ◽  
Daily Life ◽  
Daily Activities ◽  
Cognitive Characteristics ◽  
Early Withdrawal

Apathy refers to a set of behavioral, emotional and cognitive characteristics such as reduced interest and participation in the main activities of daily life, lack of initiative, a tendency to early withdrawal from the activities started, indifference and flattening of the affections. The work of Tierney et al.(2018) studied how much and if apathy contributes to the problems of managing daily activities and qualities and in the following work new tests have been added that could be useful to further improve the research and to improve the distinction between apathy and depression.

The association of polypharmacy with functional status impairment, frailty, and health-related quality of life in older adults with gastrointestinal malignancy: Results from the Cancer and Aging Resilience Evaluation (CARE) registry.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 118-118
Author(s):  
Darryl Alan Outlaw ◽  
Chen Dai ◽  
Mustafa Al-Obaidi ◽  
Smith Giri ◽  
Smita Bhatia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Daily Living ◽  
Cancer Type ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

118 Background: The majority of new cancer diagnoses occur in adults greater than 65 years of age. Polypharmacy is a common and potentially devastating problem amongst older adults; however, its prevalence and impact in older adults with gastrointestinal (GI) malignancy is poorly understood. Our objective was to examine the prevalence of polypharmacy and its association with functional status impairments, frailty, and health-related quality of life (HRQoL) in older adults with GI malignancy. Methods: The Cancer and Aging Resilience Evaluation (CARE) registry at the University of Alabama at Birmingham (UAB) is an ongoing prospective cohort study that uses a brief geriatric assessment (CARE survey) in older adults with cancer. We evaluated older adults diagnosed with GI malignancy prior to starting cancer therapy. Our primary outcomes of interest were functional status impairments, including dependence in activities of daily living (ADL) and instrumental activities of daily living (IADL), frailty (as defined by a frailty index derived using the principles of deficit accumulation), and HRQoL (assessed via PROMIS 10 global that includes physical and mental scores). Patients were dichotomized into those taking ≥9 vs. < 9 medications. Multivariable analyses examined associations between polypharmacy and the above-listed outcomes, adjusted for age, sex, race, cancer type, cancer stage, and comorbidities. Results: Overall, 357 patients met eligibility criteria; mean age: 70.1 years; primary diagnoses: colorectal (33.6%), pancreatic (24.6%), hepatobiliary (16.2%), gastroesophageal (10.9%), other (14.6%). Patients reported taking a mean of 6.2 medications: 27.7% with 0-3 medications, 48.2% with 4-8 medications, and 24.1% with ≥ 9 medications. Patients taking ≥ 9 medications were more likely to report limitations in ADL (adjusted odds ratio [aOR] 3.29, 95% CI 1.72-6.29) and IADL (aOR 2.86, 95% CI 1.59-5.14). Polypharmacy was also associated with frailty (aOR 3.06, 95% CI 1.73-5.41) and lower physical (aOR 2.82, 95% CI 1.70-4.69) and mental (aOR 1.73, 95% CI 1.03-2.91) HRQoL. Conclusions: Independent of comorbid conditions, polypharmacy was associated with functional status limitations, frailty, and reduced HRQoL in older adults with GI malignancy. Further study of specific medications and interactions is warranted in order to reduce the negative consequences of polypharmacy in this growing and vulnerable population.

scholarly journals A Comprehensive Overview of Mobility and Aging in the Year 2020 (and beyond)

2020 ◽  
Author(s):  
Melissa Lunsman O’Connor
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Motor Vehicle ◽  
Motor Vehicle Crashes ◽  
Mobility Limitations ◽  
Comprehensive Overview

Mobility can be defined as the ability to move effectively and purposefully though the environment in order to accomplish goals. Mobility can be conceptualized and measured in four broad ways. First, the speed, success, and quality of specific movements can be measured, such as gait and balance. Second, one can assess a person’s ability to complete activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that involve movement. Third, the occurrence of adverse events, such as falls and motor vehicle crashes, can be measured. Finally, the range of a person’s movement inside and outside the home can be assessed. Regardless of how it is conceptualized, mobility is one of the most important determinants of quality of life and independence in adulthood. Unfortunately, the prevalence of mobility limitations increases with age. This book chapter will provide a comprehensive overview of mobility among older adults.

scholarly journals Relationship between activities of daily living and depression among older adults and the quality of life of family caregivers

2018 ◽  
Vol 5 (2) ◽  
pp. 97-104 ◽  
Author(s):  
Hui Xie ◽  
Pei-Wen Chen ◽  
Long Zhao ◽  
Xuan Sun ◽  
Xian-Jie Jia
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Family Caregivers ◽  
Psychological Health ◽  
Daily Living ◽  
Short Form ◽  
Summary Score ◽  
Sf 36

Abstract Objective The purposes of this study were to explore the associations of activities of daily living (ADL) and depression among older adults with family caregivers’ quality of life and provide evidence for improving family caregivers’ quality of life. Methods Older adults (n=395) and their family caregivers (n=395) were selected as participants. The ADL scale and Geriatric Depression Scale were used to assess ADL and depression among older adults, and the 36-Item Short Form Health Questionnaire (SF-36) was used to assess family caregivers’ quality of life. Descriptive statistics and multiple linear regression were used to analyze the data. Results The older adults’ ADL and depression scores were 21±7 and 11±6, respectively. Approximately 69.9% of older adults had declining or severely impaired ADL, and 47.1% had mild or moderate-to-severe depression. Family caregivers’ mean quality of life score was 529±100. There was a negative correlation of older adults’ ADL and depression with caregivers’ quality of life. The correlation coefficient between ADL and the SF-36 mental component summary score was stronger than it was with the SF-36 physical component summary score. Conclusions The ADL and depression of older adults influenced family caregivers’ quality of life. Psychological health deserves closer attention, especially that of caregivers of disabled older adults.

scholarly journals Effects of an Exergame Software for Older Adults on Fitness, Activities of Daily Living Performance, and Quality of Life

2018 ◽  
Vol 7 (5) ◽  
pp. 341-346 ◽  
Author(s):  
Silke Neumann ◽  
Ursula Meidert ◽  
Ricard Barberà-Guillem ◽  
Rakel Poveda-Puente ◽  
Heidrun Becker
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living

scholarly journals Implantable system for treprostinil: a real-world patient experience study

2020 ◽  
Vol 10 (2) ◽  
pp. 204589402090788 ◽  
Author(s):  
Shelley Shapiro ◽  
Robert C. Bourge ◽  
Patti Pozella ◽  
David F. Harris ◽  
Erick H. Borg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Activities Of Daily Living ◽  
Patient Experience ◽  
Real World ◽  
Daily Living ◽  
Infusion Pump ◽  
Pulmonary Arterial

Parenteral prostanoids are effective for improving outcomes in patients with pulmonary arterial hypertension. However, subcutaneous or intravenous delivery via an external pump places a significant burden on patients. Consequently, the Implantable System for Remodulin© (treprostinil) was developed and is associated with a low rate of complications (United Therapeutics (Research Triangle Park, NC) in collaboration with Medtronic, Inc. (Mounds View, MN)). The current real-world experience study evaluated pulmonary arterial hypertension patients' perceptions of their quality of life, ability to perform activities of daily living, perceptions on the benefits and risks of the implantable system, and their social interactions before and after receiving the implantable system. Pulmonary arterial hypertension patients who had been transitioned from an external infusion pump to the implantable system completed a mix of quantitative and qualitative questions administered online over the course of a six-day period. A total of 20 patients completed the study. All patients reported that their quality of life, confidence out in public, and ability to travel long distances had improved. Over 90% of patients reported that their overall level of independence was better since receiving the implantable system, and most patients indicated that their ability to independently perform specific activities of daily living had improved. Responses to the qualitative questions suggested that the implantable system saved time, improved interpersonal relationships, and increased freedom. Results from this real-world patient experience study suggest this novel delivery system provides improvements in factors that are of substantial importance to patients.

scholarly journals Functional Ability, Participation, and Health-Related Quality of Life After Hip Fracture

2018 ◽  
Vol 39 (1) ◽  
pp. 41-47
Author(s):  
Orit Segev-Jacubovski ◽  
Hagit Magen ◽  
Adina Maeir
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Abilities ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Hip fracture is prevalent among older adults impacting on all aspects of daily life. The gaols of this study were: (a) Examine the trajectory of activities of daily living (ADL)/instrumental activities of daily living (IADL) functioning and participation among older adults with hip fracture from prefracture to 6-months postrehabilitation; (b) determine the relationship between health-related quality of life (HRQoL), functional abilities, and participation 6-months postrehabilitation; and (c) examine whether functional outcomes can predict HRQoL. Both retrospective and prospective data were analyzed. Fifty-five participants (Mean age = 80.82) completed the motor component of the functional independence measure (mFIM), IADL questionnaire, Activity Card Sort, and SF-12. Prefracture levels of function and participation were not attained. Significant correlations were found between HRQoL, functional abilities, and participation. ADL functioning and mobility predicted Physical SF-12, whereas social-cultural activity predicted Mental SF-12. Significant loss of functioning and participation was found, persisting 6 months after rehabilitation that impede their HRQoL. Improving functioning, mobility, and social participation can be achieved by occupational therapy intervention for promoting HRQoL among elderly with hip fracture.

Sign in / Sign up

Export Citation Format

Share Document