Communication challenges with the elderly

Author(s):  
Ronald D. Adelman ◽  
Michele G. Greene ◽  
Milagros D. Silva

The significant growth in the elderly population brings with it increased utilization of healthcare resources. Effective geriatric medical care requires effective communication and consideration of the challenges to communication in all stages of the continuum through health and disease. Given the often-negative perceptions of the elderly and the great heterogeneity of this population, it is imperative that health professionals assess each older patient as an individual. The impact of a cancer diagnosis and treatment, as well as a terminal illness, has a powerful effect on the lives of older people. Health professionals who care for the elderly with sensitivity to their personhood, their medical status, and psychosocial needs will have a profound influence on the quality of older patients’ lives.

2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta


Author(s):  
Silvana Tanalise Guedes Almeida ◽  
Maria Augusta Medeiros de Souza ◽  
Jailson Alberto Rodrigues ◽  
Débora Cíntia Oliveira da Silva ◽  
Jordana De Almeida Nogueira ◽  
...  

Objetivo: analisar os fatores que influenciam o desempenho das equipes de saúde da família (ESF) na atenção a pessoa idosa na perspectiva da micro e mesogestão. Método: Estudo tipo inquérito, realizado em João Pessoa - PB, que envolveu 250 profissionais de saúde. Os dados foram coletados por fonte primária, utilizando-se um questionário contendo questões relacionadas à avaliação dos serviços de saúde na atenção ao idoso. Resultados: Quanto aos componentes da micro-gestão, 22,8% apontou falta de aperfeiçoamento para o trabalho com o idoso, baixa oferta de atividades grupais (26,4%), desarticulação da equipe (18,8%) e práticas pouco humanizadas (16,4%). Entre os componentes da esogestão, foram mencionadas inadequação e indisponibilidade de recursos materiais e humanos (16,4%/12,4%), inacessibilidade (28,4%); baixo cumprimento do princípio da integralidade (9,6%). Conclusão: Ampliar a capacidade resolutiva das ESF e potencializar as atribuições específicas da micro-gestão requer adequação tecnológica/estrutural das unidades, investimento em capacitação, inclusão social do idoso. Descritores: Pessoa idosa, Atenção Primária à Saúde, Avaliação de Serviços de saúde.


Author(s):  
Huyen Thi Thanh Vu ◽  
Long Hoang Nguyen ◽  
Thanh Xuan Nguyen ◽  
Thu Nguyen ◽  
Tam Ngoc Nguyen ◽  
...  

This study assessed the knowledge and attitude toward palliative care for the elderly among health professionals in a tertiary geriatric hospital in Vietnam and explored their determinants. Cross-sectional data were obtained on 161 geriatric health professionals at the National Geriatric Hospital. Modified-Palliative Care Knowledge Test and Frommelt Attitudes Toward Care of the Dying instruments were used to measure knowledge and attitude toward geriatric palliative care. As a result, 40.5% physicians and 74.2% nurses showed insufficient knowledge about geriatric palliative care (p < 0.05). The lowest score was for dyspnea, following by gastrointestinal and pain problems. No significant difference was found regarding the attitude between physicians and nurses (p > 0.05). Health professional category, age, and years of experience were found to be associated with knowledge about palliative care. Meanwhile, only knowledge score had correlations with total attitude score (Coef. = 0.2; 95%CI = 0.1–0.3), attitude toward patients (Coef. = 0.1; 95%CI = 0.0–0.1) and toward patients’ family (Coef. = 0.1; 95%CI = 0.0–0.1). This study highlights a significant knowledge gap and preferable attitude toward palliative care for the elderly among physicians and nurses in the geriatric hospital. Intensive training about geriatric palliative care, focusing on pain, dyspnea and gastrointestinal issue management, should be performed to ensure the quality of palliative care services, especially in nurses.


2012 ◽  
Vol 3 ◽  
Author(s):  
Marie Wörlén

The setting of priorities is an integrated part of social-work politics in Sweden as well as internationally. This article explores Swedish social services and how politicians on the political boards wish to make priorities and what these priorities involve. The use of regression analyses also reveals which circumstances are of importance for allocative precedence and the impact different distributive principles have. It is hard to detect clear-cut patterns of circumstances that guide the judgements in any one direction. The results show that political affiliation overall is not a determining factor for attitudes towards how priorities are made. Another result is a manifest area bias, suggesting that respondents tend to see to the interests of their own professional domain, a result most visible among the politicians involved with Care for the Elderly and Disabled (CED). Yet, with regard to allocative principles, political colour seems to matter. Conservative politicians, as expected, agree with the principles of economy and of capacity to benefit, while the socialist block, less expectedly, seems to embrace the principle of deservingness.


10.3823/2277 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Verônica Lourdes Lima Batista Maia ◽  
Eliana Campelo Lago ◽  
Carmen Viana Ramos ◽  
Márcia Astrês Fernandes ◽  
Eucário Leite Monteiro Alves

Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial), and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.


2016 ◽  
Vol 8 (4) ◽  
pp. 677-697 ◽  
Author(s):  
Fang Chang ◽  
Yaojiang Shi ◽  
Hongmei Yi ◽  
Natalie Johnson

Purpose The purpose of this paper is to evaluate the effect of adult children migration on the health status of elderly parents. Increased labor migration in developing countries that lack adequate social security systems and institutionalized care for the elderly is a phenomenon that is important to understand. When their adult children go away to work, it is not clear what effect there will be on “left-behind” elderly parents. Design/methodology/approach This study employs nearly nationally representative data from five provinces, 25 counties, 101 villages and 2,000 households, collected from two waves of data in 2007 and 2011. This sample comprises a subset of households which include both elderly individuals (above 60 years old) and their grown (working-aged) children in order to estimate the impact of adult child migration on the health of elderly parents in rural China. Findings This study finds that adult child migration has a significant positive impact on the health of elderly family members. Practical implications These findings are consistent with the explanation that migration raises family resources, which in turn may contribute to better health outcomes for elderly household members. Originality/value This is the first paper to attempt to identify the relationship between household migration and the health of elderly parents within the Chinese context.


2016 ◽  
Vol 48 (10) ◽  
pp. 1203-1241 ◽  
Author(s):  
Anjali Joseph ◽  
Young-Seon Choi ◽  
Xiaobo Quan

The physical environment of residential health, care, and support facilities (RHCSF) is a critical component in providing supportive and resident-centered care for the elderly. Although past reviews of the literature have focused on specific settings for the elderly or specific residential populations of the elderly, a systematic literature review that covers the range of settings and populations has been lacking. This article provides an overview and synthesis of the most recent empirical evidence addressing the impact of the physical environment on residents and staff of RHCSFs. The review also identifies gaps where future research is needed. This review found 66 studies examining the relationship between the built environment and outcomes in three broad domains of resident quality of life, resident safety, and staff and organizational outcomes. The studies address a range of topics including the impact on elderly residents of the facility scale and size, outdoor environments, and environmental quality.


2019 ◽  
Vol 72 (3) ◽  
pp. 825-829 ◽  
Author(s):  
Rosa Cândida Carvalho Pereira de Melo ◽  
Paulo Jorge Costa ◽  
Liliana Vanessa Lúcio Henriques ◽  
Luiza Hiromi Tanaka ◽  
Paulo Joaquim Pina Queirós ◽  
...  

ABSTRACT Objective: To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly. Methodology: This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations. Results: The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care. Conclusion: The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.


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