MISSING OLDER PERSONS WITH DEMENTIA — A HONG KONG VIEW

2003 ◽  
Vol 37 (02) ◽  
pp. 239-245 ◽  
Author(s):  
CLAUDIA K.Y. LAI ◽  
JENNY C.C. CHUNG ◽  
THOMAS K.S. WONG ◽  
LAWRENCE W. FAULKNER ◽  
LOUISE NG ◽  
...  

This paper reviews missing person incidents that occurred in older persons with dementia reported in local newspapers from 1 January 1999 to 1 May 2002. Ten relevant incidents, two of which happened to the same person, were found in WiseNews, an electronic database of 21 local newspapers. There were four (44%) males and five (56%) females with a mean age of 77 (standard deviation=5). In six (60%) cases, the missing persons eloped from home and four (40%) outside of home. Nine (90%) of the cases required less than a day to three days to locate the missing person. Six (60%) cases resulted in injuries or death due to falls or traffic accidents. It is not uncommon for dementia patients to get lost. Public awareness and understanding of the phenomenon is very important because the survival of missing persons depends on the implementation of timely and effective search and rescue. This analysis confirms the need for a prospective study to further examine the characteristics of missing older adults and missing incidents, as well as the search strategies adopted by caregivers. 这篇文章旨在回顾由一九九九年一月一日至二零零二年五月一日以来在本地报章上报导过的有关老年痴呆症患者走失的个案。WiseNews是一个包含二十一份本地报章的电子资料库。我们通过WiseNews搜索到十宗有关的报导,其中两宗个案发生在同一个患者身上。走失患者当中有四名男性,五名女性,年龄由七十到八十六岁[平均数:七十七]。在六宗[六成]走失个案当中,患者是从居所走失的,而另外四宗[四成]则发生在居所以外的地方。九宗[九成]个案需要少於一天至三天的时间去寻回走失患者。六宗[六成]个案涉及受伤或死亡。走失现象在老年痴呆症患者当中颇为普遍,走失患者的安危取决於及时和有效率的搜索及拯救策略。因此,大众需要对这现象有更多的了解。本文的分析显示本地需要对此问题作前瞻性的调查,使本地社会及健康服务从业员能掌握走失痴呆症患者的特徵,一般走失的情况及照顾者面对这问题的策略,从而提供合宜的协助。

2018 ◽  
Vol 53 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Joshua Caballero ◽  
Raymond L. Ownby ◽  
Robin J. Jacobs ◽  
Jennifer E. Thomas ◽  
Mark S. Schweizer

Background: One of the fastest growing populations living with HIV is older adults especially those 65 years of age or older. Current antiretroviral therapy (ART) has prolonged life expectancy of persons with HIV. However, for therapy to be effective, patients need to be adherent. Over time, older persons with HIV may experience HIV-associated neurocognitive disorders or other factors that could affect ART adherence. The use of expedient cognitive tests that help measure medication adherence may be useful for the optimal care of these patients. Objective: To investigate the association between cognitive tests and ART adherence. Methods: This was a prospective study evaluating patients 65 years of age or older with HIV. Cognitive tests used included the Executive Clock-Drawing Task (CLOX) 1 and 2, Trail Making Test parts A and B, and Grooved Pegboard Test (GPB). The medication event monitoring system cap over 1 month was used as the primary measure for adherence. Results: CLOX 1 and GPB were significantly related to adherence ( P < 0.05). Comparison of the magnitude of each measure’s relation to adherence suggests that the GPB is a better indicator of ability to adhere ( R = 0.514 vs R = 0.381). Conclusion and Relevance: CLOX 1 and GPB demonstrated an association with adherence in patients 65 years of age or older with HIV. Although the use of these tests to measure adherence in older persons with HIV seems promising, more research is needed to ascertain their ultimate utility.


Author(s):  
Benoît Verdon

Since the 1950s, the growing interest of clinicians in using projective tests to study normal or pathological aging processes has led to the creation of several thematic tests for older adults. This development reflects their authors’ belief that the TAT is not suitable to the concerns and anxieties of elderly persons. The new material thus refers explicitly to situations related to age; it aims to enable older persons to express needs they cannot verbalize during consultations. The psychodynamic approach to thematic testing is based on the differentiation between the pictures’ manifest and latent content, eliciting responses linked to mental processes and issues the respondent is unaware of. The cards do not necessarily have to show aging characters to elicit identification: The situations shown in the pictures are linked to loss, rivalry, helplessness, and renunciation, all issues elderly respondents can identify with and that lead them to express their mental fragilities and resources. The article first explains the principles underlying four of these thematic tests, then develops several examples of stories told for card 3BM of the TAT, thus showing the effectiveness of this tool for the understanding and differentiation of loss-related issues facing older men and women.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 234-235
Author(s):  
Esha Chakravarty ◽  
Indrani Chakravarty ◽  
Ipsito Chakravarty ◽  
Prasenjit Bhattacharjee

Abstract Loss of balance and risk of falls is a major problem in older persons. Literature shows increasing use of yoga practices and dance therapy across Indian oldage homes and day care centres to improve balance and reduce risk of falls in older persons. Aim of this study is to evaluate the effects of dance therapy with focus on therapeutic movements derived from Indian classical dances on balance and risk of falls in older adults of Day Care Centres in Calcutta Metropolitan Institute of Gerontology, under Ministry of Social Justice and Empowerment, Govt. of India. Total of 24 older adults across 2 day care centres participated in the study attending dance therapy sessions for 3 months. All of them self reported problems of balance and repeated falls alongwith difficulties in performing Activities of Daily Living. Twenty one of them were females and 3 males. The mean age of the participants was 75.5 years. Limits of Stabililty (LOS) was used to measure balance and pre tests and post tests were performed. Results showed that the Limits of Stability were significantly higher (17.5%) in older persons after participating in the dance therapy sessions. This study supports that dance therapy using movements derived from Indian classical dance forms can support older persons to function with reduced risk of falls, improved balance, safely carry out mobility tasks and perform better Activities of Daily Living . Further studies can show how dance therapy can facilitate healthy ageing and influence State policies on healthy ageing.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Lise Dassieu ◽  
Nadia Sourial

Abstract Background Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. Main text This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vulnerable population. Building interventions that take account of structural inequities among older persons, as well as their subjective experiences, expectations and perspectives, appears fundamental to improve their health and quality of life in pandemic and post-pandemic contexts. Conclusions We argue that equity-based and person-centered approaches are critical to counter the negative outcomes of social isolation in the vulnerable older population.


2011 ◽  
Vol 26 (7) ◽  
pp. 887-897 ◽  
Author(s):  
Yannick Stephan ◽  
Julie Boiche ◽  
David Trouilloud ◽  
Thomas Deroche ◽  
Philippe Sarrazin

1996 ◽  
Vol 4 (4) ◽  
pp. 338-348 ◽  
Author(s):  
Takashi Kinugasa ◽  
Hiroshi Nagasaki ◽  
Taketo Furuna ◽  
Hajime Itoh

The goal of this study was to identify methods for characterizing high-functioning older adults living in the community. The subjects were 495 older adults from the Longitudinal Interdisciplinary Study on Aging conducted by the Tokyo Metropolitan Institute of Gerontology. Physical performance measures included grip strength, walking at preferred and maximum speeds, one-leg standing with eyes open, and finger tapping rate. Performance scores were created by summing each categorical score. Consistent differences were found among age groups and genders. Scores were lower in subjects who had stroke or diabetes than in those without these conditions. These results suggest that physical performance measures have both discriminant validity and construct validity, which make them useful methods for characterizing high-functioning older persons.


2019 ◽  
Vol 5 (s2) ◽  
Author(s):  
Daniel Müller-Feldmeth ◽  
Katharina Ahnefeld ◽  
Adriana Hanulíková

AbstractWe used self-paced reading to examine whether stereotypical associations of verbs with women or men as prototypical agents (e.g. the craftsman knits a sweater) are activated during sentence processing in dementia patients and healthy older adults. Effects of stereotypical knowledge on language processing have frequently been observed in young adults, but little is known about age-related changes in the activation and integration of stereotypical information. While syntactic processing may remain intact, semantic capacities are often affected in dementia. Since inferences based on gender stereotypes draw on social and world knowledge, access to stereotype information may also be affected in dementia patients. Results from dementia patients (n = 9, average age 86.6) and healthy older adults (n = 14, average age 79.5) showed slower reading times and less accuracy in comprehension scores for dementia patients compared to the control group. While activation of stereotypical associations of verbs was visible in both groups, they differed with respect to the time-course of processing. The effect of stereotypes on comprehension accuracy was visible for healthy adults only. The evidence from reading times suggests that older adults with and without dementia engage stereotypical inferences during reading, which is in line with research on young adults.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Angela Maria Segura Cardona ◽  
Doris Cardona Arango ◽  
Dedsy Yajaira Berbesí Fernández ◽  
Alejandra Agudelo Martínez

ABSTRACT OBJECTIVE To analyze the traffic accident mortality in the Colombian older adults during the 1998-2012 period and show the loss of productive years and mortality from this cause. METHODS Quantitative study of the trend analysis of deaths in Colombia in traffic accidents, from 1998 to 2012, according to death records and population projected by the Colombian National Administrative Department of Statistics. Frequency distribution profile of the deceased, death rates per hundred thousand inhabitants, potential years of life lost and calculation of excess mortality by age in the over 60 were made. RESULTS In the study period 100,758 deaths occurred in traffic accidents, 6,717 annual average, of which 18.5% occurred in people aged 60 years and over. The predominated deaths were men; the risk of dying was 32.15 per hundred thousand people in this age range, with double risk of dying those under 60 years. CONCLUSIONS The young population has a higher proportion of deaths, but those over 60 years are at increased risk of death, leading to the need to turn our gaze to the improvement of road infrastructure and standards, to educate the population in self-care and compliance with safety measures and prepare society for an ever more adult population, more numerous and more prone to take risks.


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