scholarly journals Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Sanni Moraes de Oliveira ◽  
Kátia Neyla de Freitas Macêdo Costa ◽  
Kamyla Félix Oliveira dos Santos ◽  
Jacira dos Santos Oliveira ◽  
Maria Auxiliadora Pereira ◽  
...  

ABSTRACT Objective: To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba’s theory. Methods: Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort. Results: Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders’ home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one’s family and isolation, in the Psychospiritual context, spirituality and religiosity stood out. Final considerations: The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.

2021 ◽  
Vol 57 (9) ◽  
pp. 6547-6560
Author(s):  
Tianyang Huang, Chiwu Huang

This article attempted to understand the attitude of the elderly to the use of robots to assist in activities of daily living (ADLs). The study first learned about major items of ADLs of elderly people living independently through one-on-one interviews, and then let the seniors fill in the attitude questionnaire and the acceptance questionnaire after watching the robot video. The results showed that the mean scores of seniors in the attitude questionnaire were greater than 3 (3 stands for neutral), and they highly accept the use of robots to assist ADLs such as reminding people to carry items, reminding to take medicine, reminding important things, reminding the location of items, cleaning and looking for things. The results suggested that seniors hold an open attitude towards the use of robot assistance. The research results can provide an understanding on the user's assistance needs and attitudes, as well as reference for the design of the robot, especially the functional design, ultimately improving the ability of the elderly to live independently and improve their quality of life.


Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel Lopez Lopez ◽  
Eduardo Perez-Boal ◽  
Pilar Marques-Sanchez ◽  
Cristina Liébana-Presa ◽  
...  

Objective: The objective of the present study was to evaluate the activities of daily living using the Barthel Index, before and after the infection by SARS-COV-2 and to see if the results vary according to sex. Methods: The activities of daily living of 68 cohabiting geriatric patients, 34 men and 34 women, in 2 nursing homes were measured before and after SARS-COV-2 infection using the Barthel index. Results: The Covid 19 infection affects the performance of daily life activities in institutionalized elderly in nursing homes, and it does so especially the older the subject, regardless of sex. Conclusions: The Covid 19 pandemic, in addition to having claimed some victims, especially in the elderly population, has reduced the ability of these people to carry out their activities of daily life, considerably worsening their quality of life despite have been able to overcome the disease.


Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1889
Author(s):  
Francisco Luna-Perejón ◽  
Luis Muñoz-Saavedra ◽  
Javier Civit-Masot ◽  
Anton Civit ◽  
Manuel Domínguez-Morales

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility.


2017 ◽  
Vol 54 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Émerson Soares PONTES ◽  
Ana Karênina de Freitas Jordão do AMARAL ◽  
Flávia Luiza Costa do RÊGO ◽  
Elma Heitmann Mares AZEVEDO ◽  
Priscila Oliveira Costa SILVA

ABSTRACT BACKGROUND The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. OBJECTIVE Characterize the life quality of the elderly swallowing affected by stroke. METHODS Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. RESULTS The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). CONCLUSION Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing.


2019 ◽  
Vol 8 (6) ◽  
pp. 195 ◽  
Author(s):  
Lidia Domínguez-Párraga

The aim of this study is to understand the perspective of elderly residents on their neighborhood and how the composition of the neighborhood influences their daily life. The study took place in the city of Cáceres (Spain) that aspires to become an age-friendly city. This study focused on the intangible elements of the neighborhood related to feelings of safety, well-being, loneliness, belonging to the community and development of trusting relationships. The research was based on the sociology of aging, specifically referencing the theory of the activity of aging, and also urban sociology, which assumes the environment as a conditioning agent of daily life. Using a qualitative approach, 32 in-depth interviews were conducted with individuals over 65. The interviews were analyzed according to grounded theory. The results show how social aspects are key factors for the elderly in their perception of the neighborhood. Therefore, psychological, social and emotional dimensions of the neighborhood influence elderly residents and could have a positive or negative effect on successful aging. These findings also suggest that a crucial aspect of the positive perceptions of the environment lies in the quality of social interactions that take place inside the neighborhood.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Stoilova ◽  
S Georgieva ◽  
M Kamburova ◽  
P Kostadinova

Abstract Background The clothing industry is traditionally well developed branch of industry in Bulgaria Harmful factors of manufacture are forced posture, monotonous work, noise, vibration, poisons etc. At the beginning of 2016, the persons directly employed in the sector add up to 92 000, representing 6% of the employees in Bulgaria. An impairment of musculoskeletal and peripheral nervous system is frequent among these people in relation with the exposure of their professional experience. The aim of the study is to observe the influence of occupational diseases in clothing industry on social and emotional wellbeing of the employees. Methods For the purposes of the study, 103 persons employed in clothing industry, with impairments of the musculoskeletal system and the peripheral nervous system, were investigated. They were admitted to the Department of Occupational Diseases, of the University Hospital in Pleven during the period 2014-2017. Data were collected by interview, documents review and clinical examination. Results Analysis of the results revealed a statistically significant inverse association between performance of daily life activities and length of exposure of patients (p < 0.05). This means that increasing length of exposure restrict the abilities of the investigated persons to perform daily life activities. About 62% of the respondents are often and long standing patients, with more than 4 cases of hospitalization and over 30 days of disability per year. In 68% of the subjects the average duration of one illness exceeds 10 days. Long period of disability affect their income, working position and family relationships. More than a half of people surveyed (56%) cannot afford the recommended rehabilitation which retards the process of recovering. All these facts affect their mood and health self-esteem. Concussion Occupational diseases in clothing industry affect quality of life, social and professional performance of the employees. Key messages In clothing industry many risk factors affect workers’ health. There is a significant association between length of occupational experience in this branch and social aspects of occupational diseases. Occupational diseases in clothing industry affect capability of work and daily routines of employees. They have been associated with long and expensive period treatment and rehabilitation.


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Ratana Somrongthong ◽  
Sunanta Wongchalee ◽  
Chandrika Ramakrishnan ◽  
Donnapa Hongthong ◽  
Korravarn Yodmai ◽  
...  

<em>Background</em>: The increasing number of older people is a significant issue in Thailand, resulted in growing demands of health and social welfare services. The study aim was to explore the influence of socioeconomic factors on activities of daily living and quality of life of Thai seniors. <br /><em>Design and methods:</em> Using randomised cluster sampling, one province was sampled from each of the Central, North, Northeast and South regions, then one subdistrict sampled in each province, and a household survey used to identify the sample of 1678 seniors aged 60 years and over. The Mann-Whitney U-test and binary logistic regression were used to compare and determine the association of socioeconomic variables on quality of life and activities of daily living. <br /><em>Results</em>: The findings showed that sociodemographic and socioeconomic factors were significantly related to functional capacity of daily living. Education levels were strongly associated with daily life activities, with 3.55 adjusted ORs for respondents with secondary school education. Gender was important, with females comprising 61% of dependent respondents but only 47% of independent respondents. Seniors with low incomes were more likely to be anxious in the past, present and future and less likely to accept death in the late stage, with 1.40 Adjusted ORs (95%CI: 1.02-1.92), and 0.72 (95%CI: 0.53-0.98), respectively. However, they were more likely to engage in social activities. <br /><em>Conclusions</em>: While socioeconomic factors strongly indicated the functional capacity to live independently, a good quality of life also required other factors leading to happiness and life satisfaction.


1993 ◽  
Vol 5 (2) ◽  
pp. 117-134 ◽  
Author(s):  
Tsuyoshi Nishimura ◽  
Toshiko Kobayashi ◽  
Shiro Hariguchi ◽  
Masatoshi Takeda ◽  
Tomoko Fukunaga ◽  
...  

In the diagnosis, treatment, and care of dementia patients in the senile stage, comprehensive evaluation of ability in daily life and mental function is needed. Using a simple behavioral rating scale for the mental states (NM scale) and activities of daily living (N-ADL) of the elderly, we evaluated 250 elderly subjects. According to the NM scale, the scores for subjects in whom the severity was clinically diagnosed were as follows: normal, 50–48; borderline, 47–43; mild dementia, 42–31; moderate dementia, 30–17; and severe dementia, 16–0. Screening for dementia and determining its severity were readily accomplished using the NM scale, and basic activities in the daily life of the elderly could be evaluated effectively using the N-ADL. There was a significant correlation (r=0.863) between the Hasegawa dementia scale and the NM scale (p<0.001), a significant correlation (r=−0.947) between intellectual function scores of the GBS scale and the NM scale, and a significant correlation (r=0.944) between motor function score of the GBS scale and the N-ADL score. Evaluations of daily life activities can be made not only by psychiatrists and clinical psychologists, but by nonspecialists as well, because they are based on data obtained by observation of daily life behaviors; thus, assessment is appropriate both in clinical settings and in places of living.


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