scholarly journals Caregivers of non-dependent old person: perceived loneliness is associated with poor health status

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Arlotto ◽  
S Gentile ◽  
A C Durand ◽  
S Bonin Guillaume

Abstract Objectives Informal care has poor effects on caregivers’ health status. Several studies targeted informal caregivers of dependent or severely ill old persons. But, few of them analysed non-dependent old persons caregivers and their perceived loneliness. We hypothesized that perceived loneliness is an independent factor that worsen the caregiver burden and perceived health status. The aim of this study is to analyze factors associated to the perceived loneliness of caregivers of the non-dependent old persons. Methods A Cross-sectional study has been conducted among 876 dyads. Old persons over 70 years of age, non-dependent, living at home and their caregiver eligible for social support by retirement and occupational health insurance in South-east of France were included. Caregivers were assessed by the Mini-Zarit Scale for the burden, and with 5-point -Likert scales for loneliness and perceived health status. A multivariate logistic regression model was performed to analyze explanatory variables related to loneliness. Results Characteristics of the caregivers were: 64.5% female, 29% spouse, 61% children; 64% with frailty and 38% with high burden, 10.5% of them felt often or always lonely. Loneliness was positively associated to (OR; CI 95%): caregiver’s poor health status (3.40; 1.60-7.23), burden (4.06; 1.99-8.27), sleep disorders (3.75; 1.85-7.60), anxiety (6.64; 3.23-13.65) and a bad relationship with the old persons (2.17; 1.11-4.25). Loneliness was negatively associated to a good family support (0.33; 0.17-0.63) and living alone (0.34; 0.16-0.76). Discussion Loneliness should be differentiated from social isolation. Caregivers loneliness is not very frequent but highly correlated to a poor health status perception. Thus, it is essential that health care providers assess for caregivers’ perceived loneliness to implement specifics supporting actions to improve health status. Key messages Caregivers loneliness is not very frequent but highly correlated to a poor health status perception. It is essential that health care providers assess for caregivers’ perceived loneliness to implement specifics supporting actions to improve health status.

2018 ◽  
Vol 67 (2) ◽  
pp. 78-86
Author(s):  
Stacy Logsdon ◽  
M. Laurie Branstetter ◽  
Eve Main

Manufacturing workers comprise 8.8% of the total U.S. workforce representing a sizable population for disease prevention and health promotion by occupational health nurses within worksite wellness programs. The purpose of this study was to examine the relationship between perceived health status and objective health status including existing chronic disease among rural manufacturing workers. Rural manufacturing workers ( n = 114) completed a general health survey and consented to a retrospective chart review. All were participants in a direct incentive wellness program with biometric data available. The majority of participants were males between the ages of 46 and 60 years, and nearly half of the sample had a college degree. A statistically significant difference was observed between number of chronic diseases and lower perceived health status. These findings have implications for occupational health nurses and other health care providers to identify workers at risk for chronic illness through self-perceived health status assessment.


2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 173-178 ◽  
Author(s):  
Sonya Jooma ◽  
Michael J. Hahn ◽  
Lucia A. Hindorff ◽  
Vence L. Bonham

The potential of genomics to improve health comes with the peril that the benefits will not be equitably available to all populations. Existing health disparities can be exacer­bated if the implementation of genomic medicine does not intentionally focus on health equity. Defining what health equity means in the context of genomics and outlining how it can be achieved is impor­tant for the future of the field. Strategies to improve health equity include addressing underrepresentation of diverse popula­tions in genomic research, investigating how genomic services can be deployed in diverse health care settings and underserved communities, increasing workforce diversity, supporting infrastructure development out­side traditional research centers, and engag­ing communities and health care providers. By employing these strategies, the genomic research community can advance health equity in genomic medicine. Ethn Dis. 2019;29(Suppl 1):173-178; doi:10.18865/ed.29.S1.173.


Author(s):  
OMAR ABDULWAHID SALIH AL-ANI

Objective: Intravenous errors are one of the most frequent and common medical errors, but no direct causes found. The theory of human error is the most common expression of errors in hospitals, and this can endanger the lives of patients. This research study aims to identify the errors in the vein and try to find solutions to avoid those errors where the study conducted on a sample of hospitals in Baghdad. Methods: The study conducted to improve health quality in some hospitals. During the study period, a group of severe cases was detected, which based on intravenous infusions. Patients’ data and information were collected through five sources, examined and documented venous errors found and placed in a standard classification according to an incorrect dose and incorrect medication. The incorrect dose includes the following: Overdose, extra dose, underdose, wrong strength, and wrong form. Results: During the period of study, a total of 99 cases, among these cases, 52 incorrect medications include (drug-drug interaction, drug-disease interaction, and not indicated medication) the incorrect dose 42 and route of administration and incorrect rate also take place in mistakes. Conclusion: Intravenous errors can cause significant harm to patients and health-care providers, so proper attention paid to them. Several reasons may cause medication errors such as lack of experience and knowledge of health-care providers, inaccurate communications that do not explain the drug, and the exact dose. The prescribing errors in the medication or dosage were collected, discussed, and clarified so that the risks arising from them observed so that health-care providers and hospital specialists would be alerted and the study would serve as an alarm for health organizations.


1996 ◽  
Vol 1 (3) ◽  
pp. 179-182 ◽  
Author(s):  
Peggy Foster

Health promotion activities are actively encouraged in most countries, including the UK. Meanwhile many health care providers and health experts are becoming increasingly concerned about the growing evidence of significant health inequalities between social groups in the UK, and in particular the strong association between relative deprivation and poor health. In 1995, a report for the British government entitled ‘Variations in health: What can the Department of Health and the NHS do?’, identified the need for the Department of Health and the NHS to play a key role in coordinating and implementing public health programmes intended to reduce inequalities in health. Examination of existing evidence on the effectiveness of health promotion and prevention programmes designed to improve the health status of the most vulnerable groups in society reveals very little evidence to support current enthusiasm for adopting public health strategies in order to reduce variations in health status between the affluent and the poor. Alternative and potentially more effective health care responses to inequalities in health status need to be considered.


Nowadays the health care providers play a very important role in human health care. Currently, the health issues are addressed in traditional hospital systems by conducting several investigations to predict the type of diseases like diabetes mellitus, cardiovascular diseases, nephrological diseases, etc. This investigation doesn’t provide any early signs of human health care system. As being a human, have a chance of occurring cardiovascular disease, it is one of the most common diseases worldwide so, it may be considered as a main cause of death. The proposed model will predict the human health status based on activities perform by him to prevent cardiovascular diseases. So, in case of health care centre to represent current health care status using Social Networks, having different conventional methods, in that ontology is one among them. WordSet is the source for ontology where the information is present. These information’s are presented in the deep semantic web, these are considered as input to determine the cardiovascular health status based on the activity of a person shared in online Social Networks allowing access between persons and places.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S499-S500
Author(s):  
Traci L Wilson ◽  
Suzanne R Kunkel ◽  
Jane Straker ◽  
Marisa Scala-Foley ◽  
Elizabeth Blair

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.


2012 ◽  
Vol 6 (6) ◽  
pp. 479-488
Author(s):  
Catherine Murphy ◽  
Ronald J DeBellis

Pharmacotherapy can have a significant impact on a patient’s quality of life and health status, potentially affecting multiple lifestyle areas, including weight, smoking status, sleep, and mood. Although pharmacotherapy can have a positive effect on such areas, its effects can also be detrimental. Pharmacists may be the most accessible health care providers to the general public, and their role in advising patients and other health care providers in making appropriate pharmacotherapy choices to positively affect one’s health and lifestyle areas is essential. This review will examine the effects of pharmacotherapy on different areas of lifestyle medicine and the role of the pharmacist as the medication expert in advising and informing patients and providers.


Author(s):  
Jumelie A. Miller

BACKGROUND: Depression is a debilitating disease that can significantly affect one’s life. Perceived discrimination has been shown to have an impact on depressive symptoms. The purpose of this review is to examine the relationship between discrimination and depressive symptomatology. AIMS: This literature review provides a synthesis of recent literature that provides valuable information that can be used to recognize depressive symptomatology and to improve health outcomes for African American men experiencing depression. METHODS: This literature review examines the current literature and synthesizes 13 studies that met the inclusion criteria utilizing metanarrative methodology with RAMSES standards. Attention was paid to the six guiding principles characteristic of a metanarrative review. PRISMA guidelines were followed for this review. Articles that focused on specific subsets of the African American male community were excluded. RESULTS: It was noted that perceived discrimination was positively associated with depressive symptomatology in African American men. While similar methods for measuring depression were noted in several of the studies, measurement of discrimination varied. Additional factors that appeared to have an association with the relationship between discrimination and depression in this population included social supports, masculine role norms, and sociodemographic factors such as age. CONCLUSION: This synthesis of the literature also can be used to improve health care providers’ engagement with this population to improve the quality of care and health care outcomes. As a result of this review it was found that a positive relationship exists between discrimination and depressive symptomatology in African American men.


2002 ◽  
Vol 162 (7) ◽  
pp. 792 ◽  
Author(s):  
Kate R. Lorig ◽  
Diana D. Laurent ◽  
Richard A. Deyo ◽  
Margaret E. Marnell ◽  
Marian A. Minor ◽  
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