scholarly journals HoNOS in long-stay patients with learning disabilities

1998 ◽  
Vol 22 (5) ◽  
pp. 306-308 ◽  
Author(s):  
Olakunle Ashaye ◽  
George Mathew ◽  
Elizabeth Rigby
Keyword(s):  
Learning Disabilities ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Learning Disabled ◽  
Health Problems ◽  
Sufficient Detail ◽  
Disabled Patients

This study, assessed 63 older, long-stay, learning disabled patients, the Health of the Nation Outcome Scales (HoNOS) highlighted the expected problems in areas of cognition, physical illnesses or disabilities, relationships and activities of daily living. No significant changes were observed in the problems assessed using the HoNOS over a six-month period in this group of patients with relatively stable health problems and needs. HoNOS proved to be useful in identifying some expected problems. However, further studies are needed to assess its sensitivity to changes secondary to improvement or worsening of problems along with wider use to see if its brevity allows it to give sufficient detail on the problems of persons with learning disabilities.

Factors influencing the quality of care learning disabled patients receive in hospital

2020 ◽  
Vol 25 (2) ◽  
pp. 83-92
Author(s):  
Alice Durrant
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Quality Of Care ◽  
General Hospital ◽  
Learning Disabled ◽  
Care Staff ◽  
Content Type ◽  
Increased Risk ◽  
Disabled Patients

Purpose In total, 40% of the deaths of patients with learning disabilities have been classed as avoidable, and there is a known increased risk of harm while inpatients in hospital. This paper aims to look at the current experiences and treatment of people with learning disabilities within a general hospital setting to examine factors that affect their care. Design/methodology/approach A comprehensive literature search was conducted of primary research between 2013 and 2019 to evaluate what is known about the quality of care and treatment that learning disabled patients experience within a general hospital. Findings The research suggests that people with learning disabilities receive haphazard care in hospital settings, with inconsistent implementation of reasonable adjustments, insufficient arrangements to support family and other carer input, and poor knowledge of learning disability amongst hospital staff. Originality/value Previously, reviews focussing on hospital care have mainly focussed on access to health care rather than its delivery. This review has found evidence of significant failings in delivering care to this patient group, identifying a gap of knowledge in this field regardless of policies and laws already in place. There should be stricter monitoring of the Equality Act’s enforcement, along with improved and mandatory training for all general health-care staff. It is crucial that health-care professionals learn from mistakes to improve the care and experiences of learning disabled inpatients.

scholarly journals Sociodemographic Determinants, Health Conditions, and Mental Status as Predictors of the Functional Status of Older Saudi People

2021 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Naif H. Al Anazi ◽  
Rene P. Carsula ◽  
Regie B. Tumala
Keyword(s):  
Activities Of Daily Living ◽  
Functional Status ◽  
Mental Status ◽  
Daily Living ◽  
Health Problems ◽  
Functional Health ◽  
Sociodemographic Characteristics ◽  
Sociodemographic Determinants ◽  
Quantitative Descriptive ◽  
Basic Adls

The increasing population of Saudi elderly demands adequate assessment of their functional health status and mental status to improve their health and quality of life. This study aimed to determine the functional status of older Saudi people in performing basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and its influencing factors. This quantitative, descriptive-correlational study surveyed a total of 203 participants using the Mini-Mental State Examination, Katz Index of ADL, and Lawton IADL. Overall, the participants had moderate cognitive impairment and were able to perform basic ADLs and IADLs independently, but they needed assistance in doing housework. Functional status was sensitive to their sociodemographic characteristics, presence of health problems, and mental status. Mental status, education, employment, marital status, and source of support were significantly associated with their ability to perform basic ADLs and IADLs. This study suggests that more efforts are needed to understand the sociodemographic characteristics, presence of health problems, and mental status that support the development of evidence-based public health policy on the functional status among older Saudi people. The findings can be utilized by hospital and nursing administrators to initiate educational and training programs for healthcare professionals including nurses and to create healthcare policies so that the health concerns and functional difficulties of older patients are adequately addressed.

Health problems among Elderly - A Community based survey in a rural area of Ernakulam district

2021 ◽  
pp. 325-327
Author(s):  
Anu Jacob Kachappillil
Keyword(s):  
Activities Of Daily Living ◽  
Rural Community ◽  
Daily Living ◽  
Sleep Disturbances ◽  
Sampling Technique ◽  
Health Problems ◽  
Older Age ◽  
Chronic Obstructive ◽  
Health States ◽  
Obstructive Pulmonary Disease

Aim: A survey was conducted to identify the health problems of elderly residing in a selected rural community of Ernakulam district. Background: People worldwide are living longer. Today, 125 million people are aged 80 years or older in the world. Older age is also characterized by the emergence of several complex health states that tend to occur only later in life. Common conditions in older age include hearing loss, cataracts, refractive errors, back and neck pain, osteoarthritis, chronic obstructive pulmonary disease, diabetes, hypertension, depression and dementia. Furthermore, as people age, they are more likely to experience several conditions at the same time1. Methods: A survey was conducted to identify the health problems of elderly population residing in a selected rural community of Ernakulam district. 340 elderly aged 60 years and above were included in the study. Convenient sampling technique was used and data regarding health problems of elderly was collected by interview method. Results: The present study concluded that among the 340 subjects, 62.1% had health problems. The major health problems among elderly were sleep disturbances (40.6%), problems of vision (33.5%), musculoskeletal problems (24.4%), hypertension (23.8%), diabetes mellitus (21.8%) and hearing problems (20.3%). 4.1% of elderly were having difficulty to perform their activities of daily living as measured by Katz Index of activities of daily living Scale. Conclusion: The study shows that elderly suffers from various health problems, which shows the need of comprehensive health service to address these problems.

Communication barriers that affect medication adherence in patients with learning disabilities

2021 ◽  
Vol 3 (11) ◽  
pp. 447-452
Author(s):  
Jamara Hignett
Keyword(s):  
Learning Disabilities ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Staff Training ◽  
Learning Disabled ◽  
Communication Techniques ◽  
Communication Difficulties ◽  
Wrong Diagnosis ◽  
Disabled Patients ◽  
Communication Needs

Having a disability that affects communication can cause particular problems in primary care as inadequate communication can lead to the wrong diagnosis, poor assessments and inadequate health care ( Murphy, 2006 ). All patients are entitled to accessible and appropriate information on prescribed medication to facilitate a deeper understanding of the benefits and harms of treatment ( Grime et al, 2007 ). Reasonable adjustments should be made for learning difficultly patients and this can be in the form of easy reads guides that incorporate larger text, simple information and pictural explanations. Communication passports are a tool used by learning disabled patients, these provide both a practical and person-centred approach to passing on key information about people with complex communication difficulties ( Nursing Times, 2018 ). They provide information about the communication needs and health needs of a patient which is useful to assist in bridging the communication gap between nurse practitioner and patient. In a time of technological advancements, a move towards digital passports would be more beneficial with regular updates from the multidisciplinary team. This in turn can be shared across numerous health platforms the patient might come into contact with, allowing the nurse practitioner to better prepare for the patient prior to their consultation. Education on learning disabilities is an area of training that is lacking in general practice, there have been no provisions made to make the training mandatory. Incorporating mandatory yearly staff training will ensure nurse practitioners have the tools and knowledge to adapt communication techniques during a consultation.

scholarly journals Health Status and Health Patterns in Urban-rural Dwelling Elderly in Nakhonratchasima Province, Thailand

2019 ◽  
Author(s):  
Nutthita Petchprapai
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Activities Of Daily Living ◽  
Rural Areas ◽  
Daily Living ◽  
Tap Water ◽  
The Elderly ◽  
Health Problems ◽  
Religious Activities ◽  
Urban Rural

Introduction: As rapid urbanizing spreads throughout Thailand, the combination of urban-rural lifestyle has been gradually found. These changes may effect on health pattern of the older adults. This study was aimed to explore the incidence of health problems and life styles of the elderly in urban-rural areas. Methods: A random interview survey with qualitative approach was used. Data were randomly collected from 14 areas in central sub-districts of Nakhonratchasima province, Thailand. Twenty-five older adults in each area were interviewed. The recording forms consisted of demographic data, perceived health status and health problems, medication use, activities of daily living, instrumental activities of daily living, mental health, social and religious activities, and accommodation and environment. Non-invasive physical examinations of the elderly were performed by weighing, measuring height and testing muscle strength with one leg standing. Results: Most of the elderly reported having at least one chronic disease and/or degenerative problems that had impact on their daily lives. Forty percent rated their health status as moderate to poor, 18% encountered falls while 18% were hospitalized in the past six months. Only one-third underwent an annual health check–up while 30% of the female had cancer cervix screening. Most of the elderly could perform daily tasks on their own with assistive instruments and were healthy in mind. However, many of them drank tap water without boiling or filtering. Conclusion: The older adults in the urban-rural areas had access to health care services and had a good health status. However, their health promotion and prevention behaviors are questionable

Chewing activity and activities of daily living in the elderly

1997 ◽  
Vol 24 (6) ◽  
pp. 457-460 ◽  
Author(s):  
H. MIURA ◽  
Y. ARAKI ◽  
T. UMENAI
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Chewing Activity

Index of Independence in Activities of Daily Living

1963 ◽  
Author(s):  
Sidney Katz ◽  
Amasa B. Ford ◽  
Roland W. Moskowitz ◽  
Beverly A. Jackson ◽  
Marjorie W. Jaffe
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living
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