Foot problems

2017 ◽  
pp. 585-590
Author(s):  
Hylton B. Menz
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Weight Bearing ◽  
Older Person ◽  
Vascular Disorders ◽  
Foot Problems ◽  
Detrimental Impact

Foot problems affect one in four people aged over 65 years and have a major detrimental impact on mobility and quality of life. With advancing age, the foot undergoes several cutaneous, vascular, neurological, and musculoskeletal changes, all of which may impair this important weight bearing function and predispose the older person to the development of foot symptoms. This chapter provides an overview of the prevalence and impact of foot problems in older people, and briefly discusses the management of common foot problems in older people including skin and nail disorders, vascular disorders, and structural deformities. The important role of footwear in the management of foot problems is also highlighted.

Providing dignified continence care to older people at end of life

2019 ◽  
Vol 25 (10) ◽  
pp. 504-512 ◽  
Author(s):  
Linda Nazarko
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
End Of Life ◽  
Older Person ◽  
Entire Family ◽  
Long Term Conditions ◽  
Age Related ◽  
Age Related Changes

The prevalence of urinary incontinence increases as a person ages, as age-related changes make it more difficult to maintain continence. Long-term conditions and treatments prescribed to treat conditions, such as heart failure, can lead to an urgency to void the bladder. Frailty can make it difficult for an older person to respond this need. At end of life, mobility is often compromised and people can experience extreme fatigue. Caregivers can obtain support to manage an individual's incontinence during the day but often struggle alone at night. Caregivers can become exhausted and a situation can reach breaking point. Working with the older person and caregivers to determine the goals of care and how to meet them can make a huge difference. It can take the pressure off the entire family, meet a person's needs and enable the person to stay at home. This article aims to enable nurses to understand the problems older people may experience and how to work with the older person and caregivers to develop solutions that maintain dignity and enhance quality of life.

scholarly journals Self-Reported Aging-Related Fatigue: A Concept Description and Its Relevance to Physical Therapist Practice

2013 ◽  
Vol 93 (10) ◽  
pp. 1403-1413 ◽  
Author(s):  
Thorlene Egerton
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older People ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Health Interventions ◽  
Older Person ◽  
Therapy Program ◽  
Physical Therapy Program

Fatigue is one of the most common symptoms experienced by older people, both with and without chronic disease. It is unpleasant and distressing and can affect functioning and quality of life. Fatigue also may inhibit an older person from participating optimally in a physical therapy program aimed at rehabilitation or the promotion of better health. However, confusion surrounds the concept of self-reported aging-related fatigue, not only because of the complexity of the problem itself but also because of lack of clarity of definition and the use of the term “fatigue” to describe a range of different concepts. This article aims to provide clarification of the concept in the context of physical therapist clinical practice. The intention is to increase awareness of the issue among physical therapists, promoting their assessment and consideration of the problem when planning health interventions involving functioning, physical activity, and exercise for older people.

Socioeconomic position and quality of life among older people: The mediating role of social support

2020 ◽  
Vol 135 ◽  
pp. 106073 ◽  
Author(s):  
A. Henriques ◽  
S. Silva ◽  
M. Severo ◽  
S. Fraga ◽  
H. Barros
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older People ◽  
Socioeconomic Position ◽  
Mediating Role

The relationship between common foot problems with falls and quality of life in older people

2021 ◽  
Author(s):  
Maryam Jalali ◽  
Parviz Mojgani ◽  
Hassan Saeedi ◽  
Fatemeh Azadinia ◽  
Maryam Niksolat ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Foot Problems ◽  
The Relationship

The Quality of Life of Thalassemic Patients: The Role of Endocrine Defect Compensation

2021 ◽  
Vol 21 ◽  
Author(s):  
Lorenza Mattia ◽  
Irene Samperi ◽  
Salvatore Monti ◽  
Vincenzo Toscano ◽  
Giuseppe Pugliese ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Early Recognition ◽  
Pubertal Development ◽  
Hormone Deficiency ◽  
Limited Data ◽  
Appropriate Therapy ◽  
Detrimental Impact

Background: The improvement of beta thalassaemia treatments has led to an increase in life expectancy. This implies the emergence of new comorbidities. Amongst others, endocrine glands are extremely sensitive to iron overload. Objective: We aimed to understand the burden of the endocrine conditions on the patient’s quality of life (QOL). Results: Hypogonadism may present with lack or delay of pubertal development, sexual dysfunctions and impaired fertility, which impact QOL in both sexes. Early recognition and treatment, as well as choosing the most appropriate therapy, according to patient’s needs (fertility, pubertal development, psychological concerns, comorbidities) are advisable. Osteoporosis affects QOL irrespective of symptoms. Growth hormone deficiency may occur both in childhood and in adulthood, and it affects different aspects of QOL. In adults, it could be difficult to examine if the symptoms are due to GHD, and a trial of GH replacement could be useful to identify benefits and needs. Glucose metabolism impairment is common in thalassaemic patients and early recognition is mandatory because long-term complication can have a detrimental impact on QOL (as blindness or dialysis). Although the incidence of adrenal insufficiency seems to be rare in thalassaemic patients, when it occurs, it has a severe impact on QOL. Conclusion: Limited data is available on QOL in thalassaemic patients, and even less related to endocrinopathies. We can speculate that endocrinopathies have an impact on everyday life. More studies are needed to allow our patients to achieve not just a longer life but also a better quality of life.

scholarly journals The Relationship Between Mild Cognitive Impairment and Mood in Older People

2018 ◽  
Author(s):  
Jennifer Yates
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Older People ◽  
Empirical Work ◽  
Ageing Study ◽  
Using Data ◽  
The Relationship

Mild cognitive impairment (MCI) has received increasing attention since the early 1990s. However, considerable controversy exists over exactly how the concept of MCI is defined and measured, and the implications of assigning or receiving a diagnosis of MCI. There is evidence of a link between MCI and mood, but empirical work remains conflicted and inconclusive. The first chapter provides an overview of the MCI concept and highlights some of the issues surrounding its definition. Chapter 2 provides a detailed description of the methodology and background to the empirical work presented in Chapters 4-6. A systematic review of the literature forms the third chapter of this thesis and establishes the need for further study into the relationship between MCI and mood. Chapter 4 makes use of data from the first Cognitive Function and Ageing Study (MRC-CFAS I) to investigate the role of subjective memory complaints (SMC) in the relationship between MCI and mood over a two year period. The results indicated that SMC may be related more strongly to mood than to objective cognitive performance, which raises questions about whether SMC should be included as a criterion in the MCI definition. Chapter 5 clarifies these findings using data from a contemporary cohort in the Cognitive Function and Ageing Study Wales (CFAS Wales). Chapter 6 investigates the role of health in the relationship between MCI and mood, again using data from CFAS Wales. The findings suggest that health problems constitute a risk factor for developing depression and anxiety, which may in turn affect cognitive functioning. This presents a useful opportunity for intervention to improve the quality of life for older people by improving their physical health, or improving the management of long-term conditions. Social networks were investigated as an influential factor in the relationship between MCI and mood, using data from CFAS Wales. Whilst increases in social network size were associated with fewer mood problems and increased cognitive functioning, they did not moderate the relationship between the two. However, this finding still showed that having more social contacts is beneficial and important to the quality of life of older people. The last chapter presents a discussion of the findings in relation to each of the research questions outlined in Chapter 1. The chapter also includes a commentary on the methodological considerations that were faced when developing this thesis, the implications of the findings and directions for future research.

Physiotherapy of the older stroke patient

2020 ◽  
pp. 269-282
Author(s):  
Dawn Hicklin ◽  
Clair Finnemore
Keyword(s):  
Quality Of Life ◽  
Stroke Patient ◽  
Treatment Options ◽  
Controversial Issues ◽  
Technological Advancement ◽  
Older Person ◽  
Case Vignettes ◽  
Insight Into

‘Physiotherapy of the older stroke patient’ introduces the role of physiotherapy in stroke and the older person. The authors have provided an insight into the influencing factors for stroke management from a therapy perspective, identified the challenges surrounding the perception of the older person and facilitated understanding of the treatments available. The chapter reviews the invisible burden of stroke, impact of age, neurological changes with ageing affecting motor function, evidence from research trials, frailty, falls, common and uncommon therapy approaches, neuroplasticity, extended roles of the physiotherapist, spasticity and controversial issues. Ongoing technological advancement and the ever-increasing developments in treatment options continue to inspire clinicians worldwide. Physiotherapists maximize function, and enhance quality of life, and form a core component of the stroke multidisciplinary team. Six excellent case vignettes are presented.

Sign in / Sign up

Export Citation Format

Share Document