First exploration of living space for old people with chronic disease, taking Diabetes Mellitus (DM) in the elderly as an example

Under such context of people-oriented concept and an increase in the proportion of the elderly in the population, our country has seen a mature development in the interior design industry, thus more attention has been paid to the living space of the elder group. However, the present situation of this industry shows that the design standard for old people wasn't promoted effectively. Concerning their psychological characteristics and the psychological needs of the elderly primarily, the point of this article lies in figuring out the proper design to resolve the old people’ knots, thus achieving their sense of belonging, improving the quality of life in their later years, even extending their life, to create a real home for old people.

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PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOK

Jurnal Riset Kesehatan Nasional ◽

10.37294/jrkn.v2i2.107 ◽

2018 ◽

Vol 2 (2) ◽

pp. 124

Author(s):

Fathiya Hanisya ◽

Dikha Ayu Kurnia

Keyword(s):

Diabetes Mellitus ◽

Chronic Disease ◽

Digit Span ◽

Memory Function ◽

Early Assessment ◽

Depression Anxiety Stress Scale ◽

Cross Sectional ◽

Spearman Rank ◽

Stress Scale ◽

Diabetes Melitus

Diabetes melitus merupakan penyakit kronis yang dapat mempengaruhi sisi psikologi penderitanya. Stres merupakan salah satu akibat dari penyakit kronis. Stres memiliki dampak negatif pada penderita diabetes melitus karena menyebabkan keadaan hiperglikemia. Hiperglikemia merupakan awal mula dari kerusakan fungsi kognitif, salah satunya kerusakan pada fungsi memori. Penelitian ini bertujuan mengetahui hubungan antara stres dengan fungsi memori. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross sectional, menggunakan 85 responden penderita diabetes melitus di Kecamatan Sawangan Depok. Stres dinilai menggunakan Depression, Anxiety, Stress scale 42 khususnya pada subscale stres sebanyak 14 pernyataan. Sedangkan fungsi memori dinilai menggunakan digit span forward and backward. Uji analisis bivariat menggunakan uji Spearman Rank menyatakan bahwa terdapat hubungan yang bermakna antara stres dan fungsi memori pada penderita diabetes melitus di Kota Depok (p<0,05). Penelitian ini merekomendasikan kepada praktisi kesehatan untuk menekankan manajemen stres dalam tatalaksana diabetes melitus dan penilaian awal tingkat stres sebelum dilakukan pendidikan kesehatan pada penderita diabetes melitus. Kata kunci: stres, fungsi memori, diabetes melitus, depok AbstractDiabetes mellitus is a chronic disease that affect psychological side of individual with diabetes. Stress is one of the result of chronic disease. Stress has a negative impact on people with diabetes melitus because it causes a state of hyperglycemia. Hyperglycaemia is the beginning of cognitive function impairment, one of which is damage to memory function. This study aims was to determine the relationship between stress and memory function. The design of this study was correlative analytic with cross sectional approach, using 85 respondents with diabetes mellitus in Kecamatan Sawangan Depok. Stress was assessed using Depression, Anxiety, Stress scale 42 (DASS 42), especially on stress subscales consists of 14 statements. While the memory function was assessed using the forward and backward digit span. Bivariate analysis test using Spearman Rank test stated that there was a significant relationship between stress and memory function in people with diabetes mellitus in Depok City (p <0,05). This study recommends to health practitioners to emphasize stress management in the management of diabetes mellitus and early assessment of stress levels prior to health education in people with diabetes mellitus. Keywords: stress, memory function, diabetes mellitus, depok

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What Can We Learn from Sarcopenia with Curarisation in the Context of Cancer Surgery? A Review of the Literature

Current Pharmaceutical Design ◽

10.2174/1381612825666190705185033 ◽

2019 ◽

Vol 25 (28) ◽

pp. 3005-3010

Author(s):

Georges Samouri ◽

Alexandre Stouffs ◽

Lionel V. Essen ◽

Olivier Simonet ◽

Marc De Kock ◽

...

Keyword(s):

Frail Elderly ◽

Muscle Fibers ◽

Motor Units ◽

The Elderly ◽

Hepatic Function ◽

Volume Of Distribution ◽

Neuromuscular Blocking ◽

Cancer Surgery ◽

Old People ◽

Age Related

Introduction: The monitoring of the curarisation is a unique opportunity to investigate the function of the neuromuscular junction (NMJ) during cancer surgery, especially in frailty-induced and age-related sarcopenia. Method: We conducted a comprehensive literature review in PubMed, without any limit of time related to frailty, sarcopenia, age and response to neuromuscular blockers in the context of cancer surgery. Results: Several modifications appear with age: changes in cardiac output, a decrease in muscle mass and increase in body fat, the deterioration in renal and hepatic function, the plasma clearance and the volume of distribution in elderly are smaller. These changes can be exacerbated in cancer patients. We also find modifications of the NMJ: dysfunctional mitochondria, modifications in the innervation of muscle fibers and motor units, uncoupling of the excitation-contraction of muscle fibers, inflammation. : Neuromuscular blocking agents (NMBAs) compete with acetylcholine and prevent it from fixing itself on its receptor. Many publications reported guidelines for using NMBAs in the elderly, based on studies comparing old people with young people. : No one screened frailty before, and thus, no studies compared frail elderly and non-frail elderly undergoing cancer surgery. Conclusion: Despite many studies about curarisation in the specific populations, and many arguments for a potential interest for investigation, no studies investigated specifically the response to NMBAs in regard of the frailty-induced and age-related sarcopenia.

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The effects of teaching methods of palliative care on life pattern of old women with chronic pain

European Journal of Translational Myology ◽

10.4081/ejtm.2019.8472 ◽

2019 ◽

Vol 29 (4) ◽

Author(s):

Elham Hesari ◽

Zahra Sabzi ◽

Shohreh Kolagari

Keyword(s):

Chronic Pain ◽

Palliative Care ◽

Teaching Methods ◽

Social Life ◽

Educational Program ◽

Elderly Women ◽

Intervention Group ◽

The Elderly ◽

Old People ◽

Life Pattern

Chronic pain is among problems of old people and causes changes in their life pattern and processes. Teaching palliative care can help old people suffering from chronic pain to live an active life. The aim of this research was to determine effects of educating of palliative care on life pattern of elderly women with chronic pain. The present study was a Quasi-experimental design with pre-test and post test was conducted on 30 elderly women suffering from chronic pain in 2018 in Iran. The Questionnaire for evaluating the Pattern of Life with Pain in the elderly was filled before the intervention, group educating of palliative care was carried out using an educational package, and the questionnaire was completed again immediately and one and three months after. The data was analyzed using mean, standard deviations, Fisher’s F test, and Greenhouse-Geisser and Bonferroni post-hoc test by employing SPSS- 16. Mean changes before teaching palliative care significantly differed from those of immediately and one and three months after the educational program (p = 0.0), (p = 0.004). There were significant differences between the stages of immediately and one month after the educational program and that of three months after it (p = 0.001), (p = 0.002). Concerning the personal life patterns, there were statistically significant differences between the stage immediately after the educational program and those before the intervention and three months after it (p = 0.005), (p = 0.000). Regarding the social life pattern, only the stage of one month after the educational program significantly differed from that of three months (p = 0.005). Mean growth in life pattern of the old women suffering from chronic pain in the stages after the intervention indicated the importance of and the necessity for palliative care during old age. Moreover, the success of this education three months after the educational program as compared to immediately and one month after it indicates that allocation of sufficient time plays a very important role in transferring information and in teaching methods of palliative care to old people.

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A Narrative Review on Sarcopenia in Type 2 Diabetes Mellitus: Prevalence and Associated Factors

Nutrients ◽

10.3390/nu13010183 ◽

2021 ◽

Vol 13 (1) ◽

pp. 183

Author(s):

Anna Izzo ◽

Elena Massimino ◽

Gabriele Riccardi ◽

Giuseppe Della Pepa

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Elderly Population ◽

The Elderly ◽

Narrative Review ◽

Macrovascular Complications ◽

Diabetic Patients ◽

Age Related

Type 2 diabetes mellitus (T2DM) represents a major health burden for the elderly population, affecting approximately 25% of people over the age of 65 years. This percentage is expected to increase dramatically in the next decades in relation to the increased longevity of the population observed in recent years. Beyond microvascular and macrovascular complications, sarcopenia has been described as a new diabetes complication in the elderly population. Increasing attention has been paid by researchers and clinicians to this age-related condition—characterized by loss of skeletal muscle mass together with the loss of muscle power and function—in individuals with T2DM; this is due to the heavy impact that sarcopenia may have on physical and psychosocial health of diabetic patients, thus affecting their quality of life. The aim of this narrative review is to provide an update on: (1) the risk of sarcopenia in individuals with T2DM, and (2) its association with relevant features of patients with T2DM such as age, gender, body mass index, disease duration, glycemic control, presence of microvascular or macrovascular complications, nutritional status, and glucose-lowering drugs. From a clinical point of view, it is necessary to improve the ability of physicians and dietitians to recognize early sarcopenia and its risk factors in patients with T2DM in order to make appropriate therapeutic approaches able to prevent and treat this condition.

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Long-term effectiveness of elderly health care voucher scheme strategies: a system dynamics simulation analysis

BMC Public Health ◽

10.1186/s12889-021-11280-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ka Chun Chong ◽

Hong Fung ◽

Carrie Ho Kwan Yam ◽

Patsy Yuen Kwan Chau ◽

Tsz Yu Chow ◽

...

Keyword(s):

Primary Care ◽

Chronic Disease ◽

Public Sector ◽

System Dynamics ◽

The Elderly ◽

Healthcare Services ◽

Dynamics Simulation ◽

Public And Private ◽

The Public ◽

The Impact

Abstract Background The elderly healthcare voucher (EHCV) scheme is expected to lead to an increase in the number of elderly people selecting private primary healthcare services and reduce reliance on the public sector in Hong Kong. However, studies thus far have reported that this scheme has not received satisfactory responses. In this study, we examined changes in the ratio of visits between public and private doctors in primary care (to measure reliance on the public sector) for different strategic scenarios in the EHCV scheme. Methods Based on comments from an expert panel, a system dynamics model was formulated to simulate the impact of various enhanced strategies in the scheme: increasing voucher amounts, lowering the age eligibility, and designating vouchers for chronic conditions follow-up. Data and statistics for the model calibration were collected from various sources. Results The simulation results show that the current EHCV scheme is unable to reduce the utilization of public healthcare services, as well as the ratio of visits between public and private primary care among the local aging population. When comparing three different tested scenarios, even if the increase in the annual voucher amount could be maintained at the current pace or the age eligibility can be lowered to include those aged 60 years, the impact on shifts from public-to-private utilization were insignificant. The public-to-private ratio could only be marginally reduced from 0.74 to 0.64 in the first several years. Nevertheless, introducing a chronic disease-oriented voucher could result in a significant drop of 0.50 in the public-to-private ratio during the early implementation phase. However, the effect could not be maintained for an extended period. Conclusions Our findings will assist officials in improving the design of the EHCV scheme, within the wider context of promoting primary care among the elderly. We suggest that an additional chronic disease-oriented voucher can serve as an alternative strategy. The scheme must be redesigned to address more specific objectives or provide a separate voucher that promotes under-utilized healthcare services (e.g., preventive care), instead of services designed for unspecified reasons, which may lead to concerns regarding exploitation.

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Importance of Geospatial Heterogeneity in Chronic Disease Burden for Policy Planning in an Urban Setting Using a Case Study of Singapore

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094406 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4406

Author(s):

Ken Wei Tan ◽

Joel R. Koo ◽

Jue Tao Lim ◽

Alex R. Cook ◽

Borame L. Dickens

Keyword(s):

Diabetes Mellitus ◽

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Chronic Disease ◽

Type Ii Diabetes ◽

Census Data ◽

Type Ii Diabetes Mellitus ◽

Urban Setting ◽

Type Ii

Chronic disease burdens continue to rise in highly dense urban environments where clustering of type II diabetes mellitus, acute myocardial infarction, stroke, or any combination of these three conditions is occurring. Many individuals suffering from these conditions will require longer-term care and access to clinics which specialize in managing their illness. With Singapore as a case study, we utilized census data in an agent-modeling approach at an individual level to estimate prevalence in 2020 and found high-risk clusters with >14,000 type II diabetes mellitus cases and 2000–2500 estimated stroke cases. For comorbidities, 10% of those with type II diabetes mellitus had a past acute myocardial infarction episode, while 6% had a past stroke. The western region of Singapore had the highest number of high-risk individuals at 173,000 with at least one chronic condition, followed by the east at 169,000 and the north with the least at 137,000. Such estimates can assist in healthcare resource planning, which requires these spatial distributions for evidence-based policymaking and to investigate why such heterogeneities exist. The methodologies presented can be utilized within any urban setting where census data exists.

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The impact of chronic disease and disability on the elderly

South African Journal of Physiotherapy ◽

10.4102/sajp.v55i3.567 ◽

1999 ◽

Vol 55 (3) ◽

pp. 9-14

Author(s):

C. J. Eales

Keyword(s):

Health Care ◽

Chronic Disease ◽

Chronic Diseases ◽

Health Care Systems ◽

The Elderly ◽

Therapeutic Interventions ◽

Elderly Persons ◽

Care Systems ◽

And Function ◽

The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

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