scholarly journals DIFFICULTIES ENCOUNTERED BY NURSE STUDENTS WHEN WORKING WITH ELDERLY PEOPLE

2021 ◽  
Vol 2 ◽  
pp. 1-4
Author(s):  
Albena Andonova ◽  
Mima Nikolova ◽  
Silviya Kyuchukova ◽  
Koni Ivanova
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Training Process ◽  
Mental Strain ◽  
Individual Health ◽  
Leading Role ◽  
Care For The Elderly ◽  
Nurse Students

During the training process, nurse students acquire knowledge, skills and competencies to work with different groups of patients. Working with elderly people has its difficulties and specificities. The acquisition of practical skills by students for planning and documenting individual health care for the elderly people is a process in which teachers and mentors have a leading role. Objectives: To identify the factors which make it difficult for nurse students to work with elderly people. Methods: The study involved 52 3rd year nurse students – from the Faculty of Medicine of Trakia University in Bulgaria. A questionnaire was used, including open-ended and closed-ended questions, allowing more than one answer. The data was processed mathematically and graphically. Results: The main difficulties for students in working with the elderly people are as follows: the process of communication (92.16%), difficult perception of new information (80.64%) and memory impairment in the elderly patient (61.44%); The main difficulties related to the organization of activity - insufficient experience in working with geriatric patients (92.16%); insufficient time for communication with patients (94.08%); lack of comfort in the patient's home (57.60%); a "Diary for tracking and self-monitoring of the condition" of an elderly person - it is very useful for 90.24% of students so that they can monitor the condition of the elderly person; It was found that 65.28% of students do not want to work with elderly people, as 46.09% of them indicate the motive for this as mental strain. Conclusion: The teacher and the mentor are leading figures in preparing students to work with elderly people. The practical preparation for planning and documenting individual health care for elderly people is very important in the training process of nurse students.

scholarly journals Beyond the Standards of Health Care for the Elderly

2016 ◽  
Vol 15 (4) ◽  
pp. 60-65
Author(s):  
Małgorzata Pabiś ◽  
Dorota Kuncewicz
Keyword(s):  
Health Care ◽  
Elderly Person ◽  
Institutional Care ◽  
The Elderly ◽  
Geriatric Care ◽  
World Health ◽  
Standards Of Care ◽  
Specific Expression ◽  
Care For The Elderly ◽  
Relational Aspect

Abstract Aim. The objective of the study was discussion of the important aspects of care for the elderly, to whom the standards of geriatric care do not apply.Material and methods. In accordance with the designed goal, the analysis included selected literature concerning: the quality of health care standards for the elderly, complex model of geriatric care from the qualitative aspect, institutional care and psychological aspect of the seniors’ stage of life.Results. Standards of care for the elderly differ from each other by the area they refer to and way and level of specificity of reports. The recommendations by the World Health Organization are very general, while the standards by the Polish team of geriatricians and gerontologists present very detailed recommendations. In turn, in the Charter for the Elderly, the authors draw attention to the fact that not only medical services influence the process of treatment of an elderly person, but also: economic, social, and family conditions in which he/she lives. Taking care for an elderly person by the family is an ideal solution. However, when this is not possible, this function is taken over by care institutions. The institutional care, as perceived by the elderly, should be a substitute of family life - this is a specific expression of the desire that the care for an elderly person should not be brought down to service, but should also consider the relational aspect of caring. Unfortunately, this aspect is relatively consequently omitted in standards. In relation to this absence, the relational aspect of care is handled more comprehensively in the presented article.

scholarly journals Qualidade da atenção à saúde do idoso atenção primária: uma revisão integrativa

2022 ◽  
Vol 21 (1) ◽  
pp. 545-589
Author(s):  
Ricardo Saraiva Aguiar ◽  
Henrique Salmazo da Silva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Literature Review ◽  
Quality Of Health Care ◽  
Elderly Person ◽  
The Elderly ◽  
Support Network ◽  
Care For The Elderly ◽  
Recursos Humanos

Objective: To investigate, through an integrative literature review, the quality of health care for the elderly in primary care. Material and Methods: Integrative literature review conducted in MEDLINE/PubMed, SciELO, LILACS and BDENF databases between April and May 2020, which generated 780 references. After removal of the duplicates and use of inclusion and exclusion criteria, the final sample consisted of 15 articles. Results: The quality of health care for the elderly in primary care was associated with potential and weaknesses that involved the availability and training of human resources, adoption of evaluation protocols, monitoring and follow-up, supply of inputs and structural variables linked to infrastructure and intersectoral support network. The effectiveness of actions to the elderly in primary care was related to the implementation of the Family Health Strategy, combined with the active action of the community health agent in the territory and the participation of the elderly in the decisions. Conclusion: Strengthening the health care of the elderly in primary care involves short, medium and long-term efforts related to education, human and material resources management, networking, and the formation of ties with the territory and the elderly person. Objetivo: Investigar, a través de una revisión integradora de la literatura, la calidad de la atención en salud del adulto mayor en atención primaria.Materiales y Métodos: Revisión bibliográfica integradora realizada en las bases de datos MEDLINE / PubMed, SciELO, LILACS y BDENF entre abril y mayo de 2020, que generó 780 referencias. Después de eliminar los duplicados y utilizar los criterios de inclusión y exclusión, la muestra final fue de 15 artículos.Resultados: La calidad de la atención en salud del adulto mayor en atención primaria se asoció con fortalezas y debilidades que involucraron la disponibilidad y formación de recursos humanos, adopción de protocolos de evaluación, seguimiento y seguimiento, suministro de insumos y variables estructurales vinculadas a la infraestructura y red de apoyo intersectorial. La efectividad de las acciones para el adulto mayor en atención primaria estuvo relacionada con la implementación de la Estrategia Salud de la Familia, combinada con el desempeño activo del agente comunitario de salud en el territorio y la participación del adulto mayor en las decisiones.Conclusión: El fortalecimiento de la atención a la salud del anciano en la atención primaria implica esfuerzos a corto, mediano y largo plazo relacionados con la educación, la gestión de los recursos humanos y materiales, el trabajo en red y la formación de vínculos con el territorio y el anciano. Objetivo: Investigar, por meio de uma revisão integrativa da literatura, a qualidade da atenção à saúde do idoso na atenção primária. Materiais e Métodos: Revisão integrativa da literatura realizada nas bases de dados MEDLINE/PubMed, SciELO, LILACS e BDENF entre os meses de abril e maio de 2020, as quais geraram 780 referências. Após remoção das duplicatas e emprego dos critérios de inclusão e exclusão a amostra final foi composta por 15 artigos. Resultados: A qualidade da atenção à saúde do idoso na atenção primária esteve associada a potencialidades e fragilidades que envolveram a disponibilidade e treinamento dos recursos humanos, adoção de protocolos de avaliação, acompanhamento e monitoramento, oferta de insumos e variáveis estruturais ligadas à infraestrutura e à rede de apoio intersetorial. A efetividade das ações à pessoa idosa na atenção primária esteve relacionada à implantação da Estratégia Saúde da Família, conjugada com a atuação ativa do agente comunitário de saúde no território e a participação do idoso nas decisões. Conclusão: Fortalecer a atenção à saúde do idoso na atenção primária envolve esforços a curto, médio e longo prazo relacionados à educação, gestão de recursos humanos e materiais, atuação em rede e a formação de vínculo com o território e a pessoa idosa.

scholarly journals Elderly health: professional training and performance in primary health care

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Maria Nauside Pessoa Da Silva ◽  
Eliana Campelo Lago ◽  
Inez Sampaio Nery ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Fabrício Ibiapina Tapety ◽  
...  
Keyword(s):  
Health Care ◽  
Professional Training ◽  
Family Health ◽  
The Elderly ◽  
Training Process ◽  
Care For The Elderly ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Elderly Health

To identify the influences of the professional training process for action in the Family Health Strategy (FHS) related to the health of the elderly man. Exploratory descriptive research, carried out with 20 professionals, from a Brazilian Northeast municipality from October to December 2014. The data collection was performed through a questionnaire, following the statements were processed in the software IRaMuTeQ, analyzed by the Descending Hierarchical Classification. Three classes emerged: Influences of the professional training process on elderly health care; Health care for the elderly; Actions developed in the family health strategy in the implementation of the national policy of comprehensive health care for the elderly. The findings suggest improved knowledge, lack of resources and medical specialties, evidenced the complexity of the actions developed by health professionals.  

Social interactions in long-term care

2022 ◽  
pp. 919-927
Author(s):  
И.А. Григорьева ◽  
Г.В. Колосова
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Long Term Care ◽  
Elderly Person ◽  
Modern Society ◽  
The Elderly ◽  
The State ◽  
Term Care ◽  
Care For The Elderly

Современное общество становится все более сложным, меняются не только технологии, но и его социально-возрастная структура. Человечество впервые столкнулось с ситуацией, когда пожилых больше, чем молодежи, и оказалось к этому не готово. Возникает новая задача - согласование взаимодействий и интересов множества субъектов социального взаимодействия в интересах пожилых. Традиционных управленческих воздействий государства становится недостаточно, постепенно складываются механизмы самоорганизации общества и автономности граждан. Новой проблемой стало не только быстрое старение общества, но и увеличение числа пожилых, требующих постоянного ухода в последние годы жизни. Уже сложившиеся «закрытые институты» - дома престарелых - сегодня все менее популярны у населения. В статье предложен обзор российского законодательства о долговременном уходе за пожилыми, а также анализ успехов и барьеров взаимодействия в организации ухода государства, коммерческих и некоммерческих учреждений в Санкт-Петербурге - городе пожилого населения и развитого социального обслуживания пожилых. Поэтому мы вправе сделать вывод, что социальное обслуживание в Петербурге может рассматриваться как перспективная модель развития долговременного ухода за пожилыми. Цель статьи - анализ особенности взаимодействий различных субъектов складывающейся в Петербурге системы долговременного ухода за пожилыми. Нас интересуют ситуации, когда имеющихся правовых норм/регулирования/вмешательства во взаимодействия достаточно, чтобы задачи ухода решались, а участники не страдали, и наоборот - когда имеющихся регулятивов недостаточно и либо задачи не решаются, либо потерпевшей стороной оказывается пожилой человек или его семья. Modern society is becoming more and more complex, not only technologies are changing, but also its socio-age structure. For the first time, mankind found itself in a situation where there are more elderly people than young people, and it turned out to be not ready for this. A new task arises - the coordination of interactions and interests of many subjects of social interaction in the interests of the elderly. The traditional administrative influences of the state are becoming insufficient; mechanisms of self-organization of society and the autonomy of citizens are gradually taking shape. A new problem has become not only the rapid aging of society, but also an increase in the number of elderly people requiring constant care in the last years of their lives, since the already existing «closed institutions». Nursing homes are less popular today. The article provides an overview of Russian legislation on long-term care for the elderly, as well as an analysis of the successes and barriers to interaction in organizing care for the state, commercial and non-profit institutions in St. Petersburg. Petersburg is a city of the elderly population and developed social services for the elderly. Therefore, we have the right to conclude that social services in St. Petersburg can be viewed as a promising model for the development of long-term care for the elderly. The purpose of the article is to analyze the peculiarities of interactions between various subjects of the system of long-term care for the elderly that is emerging in St. Petersburg. We are interested in situations when the existing legal norms/regulation/interference in interactions are sufficient for the tasks of care to be solved, and the participants did not suffer. And vice versa, when the existing regulations are insufficient, and either the tasks are not being solved, or the injured party is an elderly person or his family.

An Active Grid infrastructure for elderly care

2008 ◽  
Vol 14 (7) ◽  
pp. 363-367 ◽  
Author(s):  
Doan Hoang ◽  
Elaine Lawrence
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Service Providers ◽  
Elderly Care ◽  
Elderly Person ◽  
Preventive Health Care ◽  
The Elderly ◽  
Grid Middleware ◽  
Main Components ◽  
Monitoring Technologies

We propose a technique in which elderly people can be monitored non-intrusively. The information is kept in an ‘active’ health record which becomes alive when attention or action is necessary concerning the condition of the elderly person. The proposed system consists of three main components: a sensor/actor loop, sensor records and associated active services, and a Grid middleware platform. Information is captured in realtime within a collaborative health-care Grid. The Grid connects elderly people, caregivers and medical service providers in ways that reduce unnecessary calls on expensive medical services through an intermediate local service centre (which can be virtual) assisted with Internet communications and monitoring technologies. The proposal should support preventive health-care programmes for reducing the cost of caring for the elderly.

scholarly journals PROBLEM DAN IMPLEMENTASI PELEDAKAN PENDUDUK LANSIA MENJELANG TAHUN 2020

Populasi ◽  
2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Romziah S. B.
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
Social Services ◽  
Elderly Person ◽  
The Elderly ◽  
Political Commitment ◽  
Care For The Elderly ◽  
Inadequate Information ◽  
Rate Of Increase ◽  
Epidemiological Pattern

Indonesia's fertility rate has continued to decline, it dropped to 2.87 at the end of the long term development plan period. Thisfertility rate is projected to go down by 40 percent in the period 1990-2020. However, the life expectancy will increase to 17 percent. This therefore, means that the decline of the totalfertility rate in Indonesia is faster than the rate of increase of the life expectancy rate.A vital transition in Indonesia will have an affect the number of the elderly people at least upto the year 2020. There will be 28.8 million elderly people or 11.3 percent of the nation's population. Hence, the structure and composition of Indonesia's population will be significantly changed.With the higher level of migration and increasing participation of females in the workforce, chances that an elderly person will have a child living close - by is being reduced, also and the availability of caregivers in thefamily house is also declining. There are few problems facing care for the aged in Indonesia such as: low priority, inadequate information on the elderly, poor facilities and infrastructure, lack of essential personnel, spiraling medical cost, changing epidemiological pattern of disease, lack of resources, inadequate family support, insufficient operations research.To improve on care for the elderly, the following need to be implemented: improved political commitment and the coverageof health service and or social services for the elderly, developing the relevant manpower to work with the elderly, identifying and mobilizingadequate resources to cover care for the aged.

PROFIT LEVELS STAGNATING AT HOSPITALS

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 597-597
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Medical Care ◽  
The Elderly ◽  
Health Care Executives ◽  
Profit Margins ◽  
Care For The Elderly ◽  
The Poor

Profit margins at most hospitals across the country declined or stagnated last year, reflecting growing pressure on them to reduce costs. And health care executives said many hospitals would be under even greater pressure in 1995 if Congress enacted proposals that would slash spending for medical care for the elderly and the poor. At investor-owned hospitals, the outlook is brighter, because many of them have moved aggressively to merge and cut costs. Profit at these hospitals has risen in the 1990s.

Prevention and Control of Trichotomy Infection in the Elderly Surgical Patient: An Umbrella Review

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Teresa Ferreira ◽  
Filipe Orfao ◽  
Cesar Fonseca ◽  
Lara Guedes de Pinho
Keyword(s):  
Health Care ◽  
Narrative Analysis ◽  
Data Extraction ◽  
Elderly Person ◽  
The Elderly ◽  
World Health ◽  
Surgical Patient ◽  
Risk Of Infection ◽  
Umbrella Review ◽  
And Control

Introduction: The World Health Organization creates norms and guidelines for the adoption of good practices in health care that are provided to the surgical patient. In order to prevent and control infections associated with health care, the nurse must follow the guidelines for preparing the surgical patient for success. These infections can be particularly harmful to the elderly person given their vulnerability. The preoperative preparation, includes the trichotomy as one of the interventions to be performed, however, is one of the most controversial interventions that has caused in clinical practice, by the potential risk of infection in the surgical patient. Aim: To investigate the need for trichotomy, or removal of hair, in the preparation of the skin of the surgical patient, clarifying which is the most appropriate technique in the prevention of infection. Methodology: we conducted an umbrella review. The documentary research followed the consultation of bibliographic sources in the Cumulative Index to Nursing & Allied Health (CINAHL) and Public/Publisher Medline (PubMed) databases. The researched articles were grouped in a time horizon between 2011 and 2020. Afer data extraction, a narrative analysis was performed. Results: We found 40 articles from which 8 were selected. Conclusion: Trichotomy should be avoided by increasing the risk of infection of the surgical site. Innovative haircut and vacuum technologies can help in hair removal, mitigating the risk of contaminating the surgical incision. The timing of the trichotomy is not consensual among researchers.

Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Age Distribution ◽  
Self Care ◽  
The Elderly ◽  
The Self ◽  
Content Type ◽  
Care Assessment ◽  
Significant Difference ◽  
The Impact

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.

scholarly journals Home-based oral healthcare strategies of elderly people with Alzheimer's disease

2016 ◽  
Vol 19 (5) ◽  
pp. 851-860 ◽  
Author(s):  
Alessandra Martins Ferreira Warmling ◽  
Silvia Maria Azevedo dos Santos ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Oral Health ◽  
Elderly Person ◽  
The Elderly ◽  
Oral Health Care ◽  
University Graduates ◽  
Elderly Persons ◽  
Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

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