scholarly journals The Effect of a Tailored Health Education Programme on Medication Management in the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Salma Mohamed Samir El Said ◽  
Ghada Essam El-Din Amin ◽  
Essam Mohamed Baumy Helal ◽  
Reham Salah Amin Radwan ◽  
Hoda MF Wahba

Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.

2021 ◽  
Author(s):  
João Victor de Araújo Souza ◽  
Monalisa Silva de França ◽  
Nayara Karina Ferreira Pereira ◽  
Denise Soares de Araújo ◽  
Roberta de Oliveira Cacho ◽  
...  

Introduction: Stroke is a major cause of death and mortality worldwide. The sedentary lifestyle is a modifiable risk factor and the regular practice of physical activity can reduce the recurrence of stroke and its symptoms. Objective: To characterize the level of physical activity of post-stroke patients before and after the event. Methodology: This is a cross-sectional, analytical study. The population of the study consisted of patients diagnosed with stroke, in the chronic phase under treatment or that have already been discharged from the Physiotherapy School Clinic of FACISA in Santa Cruz-RN. The individuals were evaluated by the Modified Baecker Questionnaire for the Elderly (QBMI) that classifies the level of physical activity in: sedentary (-9), active (9 to 16), and athletes (+16). The normality of the variables was verified by the Shapiro-Wilk test. Wilcoxon’s test was used for comparative analysis of QBMI before and after stroke. Results: Nineteen patients participated (8 male and 11 female) with a mean age of 63 years, of these, 11 had systemic hypertension. Before, 3 were classified as sedentary (score mean: 5.34), 5 active (score mean: 12.254) and 1 athlete ( score mean: 27.04). After the stroke, 18 were classified as sedentary (score mean: 1.46) (p=0.001). Conclusion: There was a reduction in the participants’ level of physical activity, showing greater sedentariness after stroke, although physical activity is essential for secondary prevention of stroke.


Author(s):  
Krishna Kar ◽  
Sasmita Pradhan ◽  
Barada P. Samal

Background: School is acknowledged as the place where children gain knowledge from health education sessions on various aspects of personal hygiene, sanitation and social customs. Health is one of the key factors determining the enrollment, performance and continuation in school. Objective was to study the morbidity pattern of school children.Methods: The present cross sectional study was conducted in selected schools (both govt. and Private) of urban field practice area of SCB Medical College, Cuttack, Odisha during January 2016 to December 2016. A total of 660 school going children were taken for the study. After taking informed consent of the head of the school data was collected by using a Pre-designed, pre-tested questionnaire. Clinical examination was conducted to detect any morbidity pattern.Results: In the present study most common morbidity detected was pallor (47.6%) followed by skin disease (34.5%) and dental caries (23.2%). Other morbidities found were acute respiratory infections 21.9%, eye problems 21.4%, fever 6.8%, pain abdomen 3%, diarrhoea 3.2%, ear discharge 3.9%, headache 5% and rhinitis 3.9%.Conclusions: More emphasis should be given on primordial and primary preventive measures for prevention of childhood morbidities. School based health education programme may be a useful effort in this regard.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-761
Author(s):  
Amal Badawoud ◽  
Pamela Parsons ◽  
Juan Lu ◽  
Emily Peron ◽  
Teresa Salgado ◽  
...  

Abstract MMC is an essential component of safe and independent living. This cross-sectional study was designed to assess MMC among low-income older persons residing in HUD-subsidized housing, located at one of five apartment buildings in urban Richmond, VA. Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) was used to measure MMC during individual, face-to-face interviews. Of the 107 participants, 89% were African-American with an average age of 68.5 years (±7.2), an average of 4.9 (±2.9) comorbidities and using approximately 8 (±4.1) medications on a regular basis. The mean deficit in MMC was 3 (±2.0). The most difficult skill was naming all of the medications (69.2%) followed by stating the indication (46.7%) and knowing how or when all of the medications should be taken or identifying existing refills (38.3%). Many older residents of low-income housing experience challenges in managing medications.


Author(s):  
Nicholas J. Kavana

The knowledge,attitudes, and practice among inhabitants of Babati district in Tanzania on sparganosis were evaluated. A cross-sectional study was carried out among 160 participants from the district. Demographic and socioeconomic information of the participants and their KAP on sparganosis was collected by using a pre-tested questionnaire. All 160(100%) participants had no knowledge about sparganosis. Regarding attitude of participants to keeping dogs and cats; all 160 (100%) participants were not aware of dangers associated with dogs and cats to transmission of sparganosis. 39 (30.0%) of the participants had knowledge of drinking boiled water. There is a need to organise health education programme about sparganosis to increase community knowledge.


Author(s):  
Maria Isabel Dias Costa Malheiro

Current health guidelines aim to increase the responsibility of people with chronic conditions to self-care. Literature studies highlight educational programmes for self-management of chronic conditions as a holistic approach, involving special health needs and emotional, psychological and social needs. Lorig and Holman (with adults and the elderly population) and Malheiro (with adolescent’s with spina bifida) have proposed self-management educational programmes, using ‘Lay-leds’, as mentors on programmes. These programmes have proven effective, with positive health outcomes, such as improvement on adherence to therapy, functionality and decrease of use of emergency services and hospitalisations and reducing health costs. Thus, we propose to adapt and implement this education programme for self-management of adolescents with diabetes type 1, using Lay-leds as educators, and evaluate their effectiveness on self-management competences, quality of life, self-efficacy, physical activity motivation, self-concept, HbA1c, variability in heart rate, blood pressure, body mass index and anthropometric profile. Keywords: Self-management programme, adolescents, chronic conditions, Lay-leds.


2021 ◽  
Vol 2 (2) ◽  
pp. 73-76
Author(s):  
Rajesh Kumar Mandal ◽  
Nirmal Shakya ◽  
Sanket Kumar Risal

BACKGROUND: Organophosphorus (OP) are frequently used as pesticides and the most common agents of poisoning in developing countries including Nepal. There is paucity of data about characteristics of organophosphorus poisoning in our localities. Therefore, we aimed to evaluate its clinical pattern and factors affecting outcome. METHODS: It was a cross-sectional study conducted in Bheri Hospital Nepalgunj between 15th July 2019 to 14th July 2020. The hospital records of patients of acute organophosphorus poisonings were collected. Data regarding age, gender, predisposing factors, duration of hospitalization and outcome of the patients were recorded. Data was analyzed using SPSS 20. RESULTS: A total of 53 patients out of which 22(41.5%) were male and 31(58.49%) were female with F:M ratio of 1.40: 1. The maximum number of the patients 25(47.16%) were in the age group of 20 to 40 years. Incidence of poisoning was more common in married patients 36(67.92%) The suicidal motive for poisoning was found in 49 cases (92.45%). The most commonly used organophosphorus poison was Dichlorvos 32(60.34%) followed by methyl parathion 14(26.41%). Domestic quarrel was the most common predisposing factor 32(60.37%). 45(84.90%) of the patients were discharged after successful treatment while there was mortality of 3 patients (5.66%). CONCLUSIONS: Organophosphorus poisoning is a common mode of suicidal attempts leading to morbidity and mortality every year. Strict policies against the free availability and sale of insecticides is required to control organophosphorus poisoning. Mental health education programme should be conducted for the prevention of suicide and poisoning.


BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034079 ◽  
Author(s):  
Zeinab A Kasemy ◽  
Wael A Bahbah ◽  
Sally M El Hefnawy ◽  
Safa H Alkalash

BackgroundNeonatal jaundice (NNJ) is a frequent complication of glucose-6-phosphate dehydrogenase (G6PD) deficiency.ObjectivesTo estimate the prevalence of G6PD deficiency among neonates with jaundice and to assess mothers’ perception towards G6PD and NNJ.MethodsA cross-sectional study was carried out on 487 ethnic Egyptian neonates with indirect hyperbilirubinaemia from June 2018 to July 2019. The collected data included maternal and neonatal characteristics. Laboratory investigations included serum bilirubin, reticulocyte count, ABO grouping, Rh typing and neonatal serum G6PD test. Mothers were interviewed individually using a structured, researcher-administered questionnaire to assess their perceptions of G6PD deficiency and NNJ.ResultsThe prevalence of G6PD deficiency was 10.10%. Neonates with G6PD deficiency showed higher levels of serum bilirubin (p<0.001). Male gender, family history of G6PD deficiency and consanguinity were risk factors for G6PD deficiency (OR=4.27, 95% CI 1.66 - 10.99; OR=9.54, 95% CI 4.80- 18.95; OR=10.219, 95% CI 5.39 - 19.33, respectively). Mothers’ perceptions of NNJ and G6PD were low, with only 30% having good knowledge on NNJ and 17.10% on G6PD deficiency, 46.8% with positive attitude towards NNJ and 45.0% towards G6PD deficiency, and 29.9% with good practice towards NNJ and 19.9% towards G6PD deficiency.ConclusionG6PD deficiency seems to be an important cause of NNJ. Mothers’ perceptions of both NNJ and G6PD deficiency were low. A mass health education programme on both of these diseases is needed to ensure better and early detection, good timing of treatment, and better prevention of the triggering factors to ensure better health for children.


Author(s):  
Pramila J. Paul ◽  
Rebecca Samson ◽  
Annie William ◽  
Bridgitte Akila ◽  
Anil J. Purty ◽  
...  

Background: The prevalence of hypertension and other non-communicable diseases in India are on the increasing trend. Hypertension is a major public health problem in India. This study aimed to estimate the prevalence and associated factors of hypertension in an urban area of Puducherry, South India.Methods: A community-based cross-sectional study was carried out among adults in an urban area of Puducherry, South India, between Oct 2013 to Nov 2013. A total of 236 adults aged ≥ 35years were selected and data was collected using piloted questionnaire. Blood pressure was measured following standard technique.Results: Out of 236 participants 123(52.1%) were found to be hypertensives. Among the hypertensives, nearly one fourth 32(24%) of them were undiagnosed hypertensives. Advanced age, male gender, housewives compared to their counterparts, family history of hypertension, alcohol intake, sedentary lifestyle, and abdominal obesity (among females) were significantly associated with hypertension. Conclusions: The prevalence of hypertension is found to be high. Regular health education programme to raise awareness and community-based screening programme should be given priority for early detection of hypertension and prevention of complications. 


2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly


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