Use of Social and Health Services by Elderly People during the Terminal 18 Months of Life

1987 ◽  
Vol 15 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Carsten Hendriksen ◽  
Ellinor Lund ◽  
Edith Strømgård
Keyword(s):  
Health Services ◽  
Elderly People ◽  
Public Support ◽  
The Elderly ◽  
Terminal Phase ◽  
Control Group ◽  
Individual Member ◽  
Study Group ◽  
Home Help ◽  
Home Nursing Care

In a randomised and controlled intervention study elderly people aged 75 or more were visited regularly in their own homes over a period of three years. An age and sex matched control group was not contacted until the conclusion of the study period. In the present study, the use of social and health services during the terminal 18 months of life was computed for each individual member of the study group. The categories of services included the bed usage in hospitals, the stays in nursing homes, the provisions of home help and home nursing care as well as contacts with general practitioners. No differences in the use of social and health services were found between the visited elderly ( n=25) and the control group ( n=46). About 50% of the elderly had a considerable use of public services during the months prior to death, and only 14% received no public support, disregarding the terminal phase. Among those elderly people belonging to the study group, and who died within the study period, an increased use of the above mentioned services was seen during all 18 months. However, an increased use of hospital beds was only computed during the terminal 6 months of life. 58% of the bed days were used for patients who died during the next few months.

Effectiveness of neurobic exercise program on memory and depression among elderly residing at old age home

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Divya Raj ◽  
Subramaniam Santhi ◽  
G. J. Sara Sapharina
Keyword(s):  
Old Age ◽  
Depression Scale ◽  
Exercise Program ◽  
The Elderly ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
The Mean ◽  
Interventional Group ◽  
Old Age Homes

AbstractObjectivesThis study finds out the effectiveness of neurobic exercise program on memory and depression among elderly residing in old age homes.MethodsThe non-probability purposive sampling technique was used for sample selection. Wechsler's memory scale (WMS-IV) and Geriatric depression scale (GDS) were the instruments used to assess the memory and depression among elderly during the pretest and posttest, respectively and the researcher had developed data sheet to collect information about the background variables using interview technique.ResultsThe neurobic exercise program was found to be effective in reducing depression among elderly residing in old age homes. There was a significant difference (p<0.001) in the level of depression had been found during the pretest and posttest in the interventional group. There was a statistically significant difference (p<0.001) found between the study group and in the control group. There was significant correlation (r=0.417, p<0.05) found between the memory and depression during the pretest in the study group among the elderly. A statistically significant association (p<0.05) found in the mean scores of depression and marital status of the elderly during the pretest in the study group and there was a significant association (p<0.01) found in the mean scores of depression and the gender of the elderly during the pretest and posttest in the non interventional group were found.ConclusionsThe findings suggested that neurobic exercise program is an effective intervention in improving memory and reducing depression.

scholarly journals Effectiveness of Spiritual Therapy on Loneliness Feeling in the Seniors Present at Nursing Homes

2020 ◽  
Author(s):  
Batol Ramazani ◽  
Foroogh Bakhtiari
Keyword(s):  
Nursing Home ◽  
Elderly People ◽  
The Elderly ◽  
Analysis Of Covariance ◽  
Therapeutic Interventions ◽  
Control Group ◽  
Spiritual Therapy ◽  
Quasi Experimental ◽  
Research Findings ◽  
And Control

Background: Moving away from family can cause psychological and emotional trauma for the elderly. Accordingly, the present study aimed to evaluate the effectiveness of spiritual therapy on loneliness feeling among the elderly in a nursing home in Isfahan. Methods: The method was quasi-experimental with a pretest-posttest design and a control group. The population of this study included all of the elderly in Sadeghieh nursing home in Isfahan in 2018. The sample of this study included 30 elderly people being selected by purposive sampling and then randomly included in the experimental and control groups (15 elderly people in each group). The experimental group received the therapeutic interventions related to spiritual therapy at eight sessions of 90 minutes every week for two months. Then, the subjects in both groups were re-tested. The used instruments included Russell’s loneliness questionnaire (1996). After collecting the questionnaires and extracting the raw data, the data analysis was conducted using descriptive statistics and analysis of covariance by SPSS23 statistical software at 0.05 error level. Results: spiritual therapy had a significant effect on loneliness among the elderly in the nursing home (p < 0.001). In this regard, this therapy could reduce loneliness among the elderly in the nursing home. The effect of spiritual therapy on loneliness among the elderly in the nursing home was 53%. Conclusion: Based on the research findings, spiritual therapy can reduce loneliness among the elderly by the techniques such as taking responsibility, assigning cases to God, strengthening the intention, and deleting negative thoughts.

scholarly journals Tolerance for uncertainty in elderly people

2020 ◽  
Vol 5 (1) ◽  
pp. 20-27
Author(s):  
Khrystyna Kachmaryk ◽  
Sophia Grabovska ◽  
Kateryna Ostrovska ◽  
Viktor Syniev
Keyword(s):  
Decision Making ◽  
Social Interaction ◽  
Older People ◽  
Elderly People ◽  
The Elderly ◽  
Control Group ◽  
Third Age ◽  
The Third ◽  
Tolerance Of Uncertainty ◽  
The University

The aim of the study. The aim of the paper is a comparison of tolerance to uncertainty in two groups of elderly: the students of the University of the Third Age (UTA) and older people who are not enrolled but help to educate grandchildren. A relation to uncertainty was shown to infl uence on decision making strategy of elderly that indicates on importance of the researches. Methods. To obtain the objectives of the paper the following methods were used: 1) Personal change readiness survey (PCRS) adapted by Nickolay Bazhanov and Galina Bardiyer; 2) Tolerance Ambiguity Scale (TAS) adapted by Galina Soldatova; 3) Freiburg personality inventory (FPI) and 4) The questionnaire of self-relation by Vladimir Stolin and Sergej Panteleev. 40 socially involved elderly people were investigated according the above methods, 20 from UTA and 20 who are not studied and served as control group. Results. It was shown that relations of tolerance to uncertainty in the study group of students of the University of the Third Age substantially differ from relations of tolerance to uncertainty in group of older people who do not learn. The majority of students of the University of the Third Age have an inherent low tolerance for uncertainty, which is associated with an increase in expression personality traits and characteristics in self-relation. The group of the elderly who are not enrolled increasingly shows tolerance of uncertainty, focusing on  the social and trusting relationship to meet the needs of communication, and the ability to manage their own emotions and desires than a group of Third Age university students. Conclusions. The results of experimental research of the third age university student’s peculiarities of the tolerance to uncertainty were outlined. It was found that decision making in the ambiguity situations concerning social interaction is well developed in elderly who do not study. The students of the University of Third Age have greater needs in conversation, social interaction than the control group and should learn to make decisionin ambiguity or uncertainty situations.

scholarly journals The Effect of Starfruit Juice to Reduce The Blood Pressure In Elderly Patients

2020 ◽  
Vol 2 (3) ◽  
pp. 111
Author(s):  
Endhar Arifathul Farida ◽  
Ilham Setyo Budi ◽  
Jamaludin Jamaludin
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Elderly People ◽  
Community Health Center ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Service Centre ◽  
Star Fruit ◽  
Integrated Service

Hypertension is classified as a disease that is often called the Silent Killer. Hypertension can attack various ages, including the elderly. Hypertension in the long term will cause various complications. In the Treatment of hypertension, many natural plants can be consumed, one of which is star fruit. Sweet starfruit juice is very useful for lowering blood pressure because of its fibre, potassium, phosphorus and vitamin C content.  This study was to determine the effect of starfruit juice on lowering blood pressure in elderly people with hypertension at the integrated service centre in the working area of Rejosari Dawe Kudus Public Health Center. This study used a Quasy experiment method with a pre-test-post-test research design with a control group. A sample of 20 people, divided into two groups, namely 10 people in the experimental group and 10 people in the control group.  The results of the independent t-test, the results of the posttest systolic blood pressure p-value = 0.004, while the diastolic blood pressure posttest p-value = 0.014, so it can be seen that the p-value <0.05, then H0 is rejected and Ha is accepted.  In this study, it can be concluded that there is an effect of giving star fruit juice on reducing blood pressure in elderly people with hypertension at the integrated service centre in the working area of the Rejosari Dawe Kudus Community Health Center. 

scholarly journals Orofacial Functions and Chewing Effiency in Elderly Patients with Parkinson’s Disease Rehabilitated with Removable Prostheses

2020 ◽  
Vol 14 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Corsalini Massimo ◽  
Rapone Biagio ◽  
Cagnetta Giovanni ◽  
Carossa Massimo ◽  
Sportelli Pasquale ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Age Of Onset ◽  
The Elderly ◽  
Control Group ◽  
Study Group ◽  
Dental Prostheses ◽  
Masticatory Efficiency ◽  
Masticatory Ability ◽  
Significant Difference

Background: Parkinson’s Disease (PD) is the second most common neurodegenerative disease after Alzheimer's disease. It is one of the movement disorders that can affect oro-facial conditions. It is more common in the elderly, having an average age of onset of around 60 years. Objective: The aim was to study orofacial functions in patients suffering from PD with partial or total edentulism, wearing removable prostheses. Methods: Forty-eight (48) elders, rehabilitated with removable dentures, were included: 24 patients suffering from Parkinson's disease constitute the Study Group (SG), and 24 subjects not suffering from Parkinson's disease or neurological degenerative diseases represent the Control Group (CG). In SG, the severity of Parkinson's disease was assessed according to the Unified Parkinson's Disease Rating objective motor scale III, and oro-facial dysfunctions were evaluated using Nordic Orofacial Test-Screening (NOT-S). The duration of the use of dental prostheses expressed in years has been reported. In both the groups, the subjective chewing index for the analysis of masticatory ability and the two-color chewing gum test for the analysis of masticatory efficiency were conducted . Results: There was a statistically significant difference between the SG and CG compared to the NOT-S (P = 0.001). Analyzing the study group, a statistically significant correlation was found between the masticatory efficiency and prosthetic years of use (rs = 0.436; P <0.05); instead, no statistically significant correlation was found between the masticatory efficiency and the severity of Parkinson's disease. Conclusion: In our study, we did not find differences between SG and CG in terms of the degree of masticatory efficiency; therefore, only a correlation between the duration of use of dental prostheses and the degree of masticatory efficiency was found.

Effects of Meditation and Mind–Body Exercises on Older Adults’ Cognitive Performance: A Meta-analysis

2019 ◽  
Vol 59 (6) ◽  
pp. e782-e790 ◽  
Author(s):  
John S Y Chan ◽  
Kanfeng Deng ◽  
Jiamin Wu ◽  
Jin H Yan
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Cognitive Performance ◽  
Tai Chi ◽  
Meta Analysis ◽  
The Elderly ◽  
Cochrane Library ◽  
Exercise Session ◽  
Control Group ◽  
Exercise Frequency

Abstract Background and Objectives Meditation and mind–body exercises are suggested to delay decline or enhance cognitive capabilities in older adults. However, their effectiveness remains uncertain. This study assessed the effectiveness of meditation and mind–body exercises to improve cognition in elderly people aged 60 years or above. Moderator variables were also explored. Research Design and Methods A databases search (MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Library, Web of Science, CNKI, and Wangfang) was conducted from the first available date to January 10, 2018. Inclusion criteria include (a) human older adults aged 60 years or above, (b) meditation, Tai Chi, Qigong, or yoga intervention, (c) intervention should be structured, (d) inclusion of a control group, (e) at least one outcome measure of cognition was measured at baseline and post-training, and (f) peer-reviewed journal articles in English or Chinese. Results Forty-one studies (N = 3,551) were included in the meta-analysis. In general, meditation and mind–body exercises improve cognition in the elderly people (SMD = 0.34, 95% CI: 0.19 to 0.48), but the cognition-enhancing effects depend on the type of exercise. In addition, cognitive performance is only improved when the length of intervention is longer than 12 weeks, exercise frequency is 3–7 times/week, or duration of an exercise session is 45–60 min/session. Discussion and Implications This study suggests that meditation and mind–body exercises are effective to improve cognition of older adults aged 60 years or above, and exercise parameters should be considered for intervention planning.

scholarly journals An Empirical Study of Social Support among Depressive and Non-Depressive Elderly People

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Satvinder Singh Saini
Keyword(s):  
Social Support ◽  
Elderly People ◽  
Protective Factor ◽  
Sampling Technique ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Cross Sectional ◽  
Depressive Group

It has been documented that elderly are more prone to psychological problems and depression is the commonest geriatric psychiatric disorders. In fact the elderly in India face a multitude of psychological, social and physical health problems. In a cross-sectional study, it was found that in persons 65 years and older, the perceived adequacy of emotional and tangible support was clearly associated with depressive symptoms.  Aim and Objective: This study intends to see the relationship between depression and social support among depressive and non-depressive elderly. Samples and Methods: This study comprised of 60 (30 with depression and 30 without depression) participants of age 60 or above. The sample was selected with purposive incidental sampling technique. Material used: GDS-30 and PGI- SSQ were administered after taking consent. Results and conclusion: Result shows the comparison of means between depressive (case-group) and non-depressive (control-group) as per the scores on Social Support Questionnaire (SSQ). The mean score (40.53) of depressive group was lesser than that of non-depressive group (50.30). The t-value (20.373) was found to be statistically significant at 0.01. (p-value 0.000). Conclusion: In brief, the findings of the study show that depressed people perceive lack of social support than non-depressed elderly people. It has been observed that social support is a protective factor from depression in elderly people.

scholarly journals Hipnosis Lima Jari dengan Pendekatan Spiritual Menurunkan Insomnia pada Lansia

2019 ◽  
Vol 10 (2) ◽  
pp. 187
Author(s):  
Dudi Hartono ◽  
Iwan Somantri ◽  
Sofia Februanti
Keyword(s):  
Data Analysis ◽  
Elderly People ◽  
Study Design ◽  
Sampling Technique ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Human Needs ◽  
Basic Human Needs

<p>Sleep needs are basic human needs, including the elderly. However, many elderly people have difficulty sleeping (insomnia). This study aimed to determine the effect of a five-finger spiritual hypnosis approach to insomnia experienced by the elderly. The study design used a quasi-experiment, with one group pretest-posttest design approach without a control group. Sampling using purposive sampling technique, with a total of 34 people. Elderly is assigned to do a 5-finger hypnosis technique with a spiritual approach independently every night before going to bed for up to three nights. Data analysis using univariate and bivariate. The results showed that after the elderly were intervened in the form of five-finger hypnosis with a spiritual approach for 3 days, there was an influence on the incidence of insomnia in the elderly p-value=0,000 (p&lt;0.05). Five-finger hypnosis with a spiritual approach can reduce the incidence of insomnia in the elderly. </p>

scholarly journals The Effect of Educational Intervention on the Physical Activity of the Elderly

2019 ◽  
Author(s):  
Fatemeh Masroor ◽  
Ehteramsadat Ilali ◽  
Nouroeddin Mousavinasab ◽  
Zohreh Taraghi
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Educational Intervention ◽  
Rapid Assessment ◽  
Intervention Group ◽  
The Elderly ◽  
Educational Interventions ◽  
T Test ◽  
Control Group ◽  
The Mean

Background and Purpose: Changing the physical activity pattern is an important factor in reducing mortality and increasing longevity. The aim of the current study was to determine the effect of educational intervention on physical activity of elderly people. Materials and Methods: In this quasi-experimental study, 80 elderly people from two rural health centers in Ghaemshahr city were selected and assigned to intervention (n=40) and control (n=40) groups. The elderly in the intervention group received 4 training sessions of 30 to 45 minutes in a month, while the control group did not receive such training. Before and one month after the intervention, Rapid Assessment of Physical Activity (RAPA) questionnaire was completed by both groups. The collected data were analyzed using chi square, paired sample t-test, independent sample t-test and ANCOVA. Results: The mean total score of RAPA, before intervention, in the control group was significantly higher than the intervention group (P = 0.017). However, after the intervention, the mean total score in the intervention group was significantly higher than the control group (P <0.001).  One month after the intervention, the mean of the RAPA score in the intervention group significantly changed from 2.1 to 4.95 (P <0.001), however, the mean change in the RAPA score in the control group (from 2.4 to 2.5) was not significant (P = 0.352). Conclusion: Given the effect of educational intervention on the physical activity of the elderly, the design of such educational interventions is recommended.

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