The Prevalence and Associated Factors of the Fear of Falling in Elderly Patients at the Primary Care Clinic of Songklanagarind Hospital

2021 ◽  
Vol 37 (1) ◽  
pp. 44-49
Author(s):  
Panya Chamroonkiadtikun ◽  
Thareerat Ananchaisarp ◽  
Panitan Wajancomkul
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Associated Factors ◽  
Fear Of Falling ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals Associated Factors of Chronic Kidney Disease among Hyponatraemic Elderly Patients Attending a Primary Care Clinic

2018 ◽  
Author(s):  
Chai Li Tay
Keyword(s):  
Primary Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Associated Factors ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
Loop Diuretics ◽  
Care Clinic ◽  
End Stage

Introduction: Chronic kidney disease (CKD) emerges to be an important geriatric health issue. It may progress to end stage renal failure and affect the quality of life. However, little is known about the associated factors of CKD. So this study aimed to determine the associated factors of CKD among hyponatraemic elderly. Methods: This is a retrospective study of hyponatraemic patients aged ≥ 60 years attending outpatient clinic in 2014. Blood test results of glucose, potassium, creatinine, medical history, blood pressure, medication and demographic  data were  captured from patient records. Each patient’s estimated glomerular filtration rate (eGFR) was calculated using the CKD-EPI Creatinine Equation. CKD is defined as eGFR of < 60 ml/min/1.73m2. SPSS 21 was used to do the analysis. Results: Totally 257 patients with mean age of 72.9 ± 7.3 years were enrolled in this study. Of them 73 (28.4 %) elderly had CKD. The mean eGFR was 72.62 ± 24.14 ml/min/1.73m2, mean BP was (135.75 ± 18/10) mmHg. Of the participants, 134 (52.1 %) were men, 151 (58.8 %) were diabetics, 247 (96.1 %) had hypertension. The independent associated factors of CKD were increasing age (OR 1.08; 95 % CI 1.03-1.13; p = 0.002), hyperglycaemia (OR 1.10; 95 % CI 1.02-1.18; p = 0.017) and the use of loop diuretics (OR 5.15; 95 % CI 1.52-17.38; p = 0.008). Conclusion: Hyperglycaemia and loop diuretics usage are found to be significantly associated with CKD among elderly patients attending a primary care clinic. Hence every effort should be made to optimise glucose control and cautious in the usage of loop diuretics to retard the decline in renal function.

scholarly journals The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

2021 ◽  
Vol 18 (17) ◽  
pp. 9044
Author(s):  
Siti Nur Hidayah Abd-Rahim ◽  
Mohamed-Syarif Mohamed-Yassin ◽  
Suraya Abdul-Razak ◽  
Mohamad Rodi Isa ◽  
Noorhida Baharudin
Keyword(s):  
Primary Care ◽  
Health Literacy ◽  
Elderly Patients ◽  
Associated Factors ◽  
Medical Information ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Limited Health Literacy ◽  
Academic Primary Care ◽  
Limited Health

Limited health literacy (HL) is linked to many negative health outcomes, including poor self-management of chronic diseases and medication adherence among patients. There are a lack of data regarding HL in the elderly population in Malaysia. This study aimed to determine the prevalence of limited HL levels and its associated factors among elderly patients in an urban academic primary care clinic in Selangor, Malaysia. A cross-sectional study was conducted among 413 elderly patients (≥60 years old) who attended this academic primary care clinic between January 2020 and January 2021. Sociodemographic data, clinical characteristics, and health literacy scores were collected. Descriptive statistics (median with interquartile ranges (IQR), frequency, and percentages) and multiple logistic regression were utilized. The prevalence of limited HL in our population was 19.1% (95% CI: 15.3, 23). The middle-old (70–79 years) and very-old (≥80 years) age groups were more likely to have limited HL (aOR 4.05; 95% CI: 2.19, 7.52 and aOR 4.36; 95% CI: 1.02, 18.63, respectively). Those with at least secondary school education (aOR 0.06; 95% CI: 0.02, 0.24) and those who found medical information via the internet/television (aOR 0.21; 95% CI: 0.05, 0.93) had lower odds of having limited HL. In conclusion, having limited HL levels was not common among elderly patients in this primary care clinic. Further studies involving rural and larger primary care clinics in Malaysia are required to support these findings.

scholarly journals Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Lawrence A. Adebusoye ◽  
Modupe M. Ladipo ◽  
Eme T. Owoaje ◽  
Adetola M. Ogunbode
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Anak Kelak Johny ◽  
Whye Lian Cheah ◽  
Safii Razitasham
Keyword(s):  
Primary Care ◽  
Complementary Medicine ◽  
Associated Factors ◽  
Primary Care Clinic ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Medical Doctor ◽  
Open Communication ◽  
Cross Sectional ◽  
Care Clinic

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

Potentially Inappropriate Prescribing among Elderly Patients at a Primary Care Clinic in Oman

2019 ◽  
Vol 35 (2) ◽  
pp. 209-216
Author(s):  
Said Al-Busaidi ◽  
Ayman Al-Kharusi ◽  
Mustafa Al-Hinai ◽  
Ibrahim Al-Zakwani ◽  
Fatma Al-Ghafri ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Primary Care Clinic ◽  
Potentially Inappropriate Prescribing ◽  
Care Clinic

scholarly journals Profile and correlates of functional status in elderly patients presenting at a primary care clinic in Nigeria

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Samuel A. Ajayi ◽  
Lawrence A. Adebusoye ◽  
Adetola M. Ogunbode ◽  
Joshua O. Akinyemi ◽  
Ayodeji M. Adebayo
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Functional Status ◽  
Functional Disability ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
The Elderly ◽  
Personal Hygiene ◽  
Care Clinic ◽  
Family Unit

Background: Assessing the functional status of elderly patients is central in measuring their health outcome. Little is known about the functional status of elderly patients attending our primary care clinic in Nigeria.Objective: To assess the correlates of functional status in elderly patients presenting at the General Outpatient Clinic of the University College Hospital, Ibadan, Nigeria.Method: A cross-sectional study of 360 randomly selected patients aged 60 years and above was undertaken to assess their functional status by scoring their basic activities of daily living (BADL) using the Modified Bathel Index. An interviewer-administered questionnaire was used to obtain the socio-demographic data, anthropometric measurements and morbidities of each patient.Results: The mean age was 69.1 ± 6.6 years with a female-to-male ratio of 1.9: 1. The prevalence of overall functional disability (defined as when assistance was sought in the performance of at least one of the components of BADL) was 88.3%. The highest prevalence of functionaldisability was experienced in the area of personal hygiene and grooming (95.3%) and transferring from bed to chair (95.3%). Overall functional disability significantly increasedwith increasing age (χ2 for trend=14.004, p < 0.0001), living in a polygamous family unit (p = 0.025), and lack of formal education (p = 0.020).Conclusion: Functional disability was high amongst the elderly in this setting. Age, education, and living in a polygamous type of family unit had significant influence on the functional status. High premium should, therefore, be placed on considering these factors in reducing functional disability in the elderly.

scholarly journals Knowledge of Osteoporosis among Men Attending Primary Care Clinic and the Associated Factors

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Suhaiza Samsudin ◽  
Syahnaz Mohd Hashim ◽  
Azmawati Nawi
Keyword(s):  
Primary Care ◽  
Calcium Intake ◽  
Associated Factors ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Care Doctors ◽  
Definition Of

Introduction: Osteoporosis has frequently been regards as a disease of women only. However, men are also at risk of developing osteoporosis. We aimed to evaluate the knowledge of osteoporosis among men and its associated factors. Materials and method: A cross-sectional study of 245 male patients aged 50 and above was conducted in the primary care clinic, University Kebangsaan Malaysia Medical Centre. The research instrument used in this study was a validated self-administered questionnaire which consists of socio-demographic data and 16 items of knowledge of osteoporosis among men. Results: The mean score for knowledge was 7.78± 3.32 out of 16 points. Most of the subjects (83 percent) knew the definition of osteoporosis but were not aware that osteoporosis was a silent disease. Only a quarter of subjects (38 percent) recognized family history as a risk factors for osteoporosis. Despite 78 percent of subjects answer correctly regarding importance of calcium intake in their diet however only 7 percent of them knew the recommended dosage of daily calcium intake. Knowledge of osteoporosis was found to be significantly associated with education and total monthly household income. Conclusion: Findings indicate limited knowledge of osteoporosis among the subjects. Public education of osteoporosis among men is important to increase their knowledge. Meanwhile, primary care doctors should also emphasize and educate men regarding osteoporosis to enhance their knowledge of the disease.

scholarly journals Physician and Nurse Perspectives of an Interprofessional and Integrated Primary Care-Based Program for Seniors

2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Ainsley Elizabeth Moore ◽  
Kalpana Nair ◽  
Christopher Patterson ◽  
Joy White ◽  
Shelly House ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Primary Care Clinic ◽  
The Elderly ◽  
Major Theme ◽  
Integrated Models ◽  
Front Line ◽  
Care Clinic ◽  
Multidisciplinary Program ◽  
Primary Care Practitioners

Background: In Canada, primary care practitioners provide the majority of care for elderly patients. Increasing volume and complexity of care compounded by a shortage of specialized geriatric services has lead to problems of fragmented, inefficient,and often ineffective service for this population. Integrated models that bridge primary and secondary care have emerged as a major theme in health reform to address such challenges for care of the elderly. Although primary care practitioners are important stakeholders necessary for successful uptake and sustainability of such integrated models, this perspective has been largely unexplored. Methods and Findings: We used a qualitative thematic approach to bring forward front-line perspectives of nurses and physicians who referred their patients to a newly developed integrated, multidisciplinary program for seniors that was introduced into their primary care clinic. Referrers experienced improved care processes, improved quality of care, as well as an enhanced experience when managing their elderly patients. Unclear assignment of roles and responsibilities created confusion for referring practitioners and their patients.Conclusions: Understanding benefits, limitations, and changes to front-line practitioner experience provides insight into important factors contributing to buy-in and sustainability of integrated programming for the elderly in this setting.

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