scholarly journals Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly people

2021 ◽  
Vol 55 ◽  
Author(s):  
Luís Filipe Correia da Cunha ◽  
Cristina Lavareda Baixinho ◽  
Maria Adriana Henriques ◽  
Luís Manuel Mota Sousa ◽  
Maria dos Anjos Dixe
Keyword(s):  
Elderly People ◽  
Intervention Program ◽  
Preventive Measures ◽  
Elderly Person ◽  
Mutual Support ◽  
Health Team ◽  
Hospitalized Elderly ◽  
And Behaviors ◽  
Nursing Aides ◽  
Hospital Center

ABSTRACT Objective: To evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people. Method: This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS®, and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention. Results: There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented. Conclusion: This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.

scholarly journals Incidentes relacionados à assistência à saúde em idosos hospitalizados

2020 ◽  
Vol 14 ◽  
Author(s):  
Ada Cristina Queiroz Araújo ◽  
Valdenir Almeida Da Silva ◽  
Rosana Santos Mota ◽  
Andreia Santos Mendes ◽  
Angela De Souza Barros ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Adverse Events ◽  
Elderly People ◽  
Exploratory Study ◽  
Elderly Person ◽  
The Elderly ◽  
Skin Lesions ◽  
Hospitalized Elderly ◽  
Quantitative Descriptive

Objetivo: analisar notificações de incidentes relacionados à assistência à saúde em idosos hospitalizados. Método: trata-se de um estudo quantitativo, descritivo e exploratório, em um hospital público de ensino, com dados de incidentes relacionados à assistência à saúde em idosos hospitalizados, coletados por meio de formulários. Realizou-se análise exploratória e descritiva dos dados. Resultados: registraram-se 296 notificações, predominando: flebite, 28,21% (n=79); problemas relacionados a cirurgias, 19,93% (n=59); lesões de pele, 17,23% (n=5) e quedas, 13,51% (n=40). Classificou-se a maioria dos incidentes como de grau leve, 57,77% (n=171). Conclusão: encontraram-se taxas de notificações menores do que a descrita na literatura.  Destaca-se, no entanto, a importância do estímulo à notificação, planejamento e execução de ações voltadas para idosos, a partir do cenário identificado. Descritores: Eventos Adversos; Segurança do Paciente; Idoso; Notificação; Serviços de Atenção ao Paciente; Enfermagem. AbstractObjective: to analyze reports of healthcare-related incidents in hospitalized elderly people. Method: this is a quantitative, descriptive and exploratory study in a public teaching hospital, with data on healthcare-related incidents in hospitalized elderly people, collected through forms. Exploratory and descriptive analyses of the data were performed. Results: there were 296 recorded notifications, predominantly: phlebitis, 28.21% (n=79); problems related to surgeries, 19.93% (n=59); skin lesions, 17.23% (n=5) and falls, 13.51% (n=40). Most incidents were classified as mild, 57.77% (n=171). Conclusion: there were lower rates of notifications than those described in the literature. However, the importance of encouraging notification, planning and execution of actions focused on the elderly person is highlighted from the identified scenario. Descriptors: Drug-Related Adverse Events; Patient Safety; Aged; Notification; Health Service; Nursing.                                                                                                             Resumen Objetivo: analizar informes de incidentes relacionadas a la atención en salud en ancianos hospitalizados. Método: se trata de un estudio cuantitativo, descriptivo y exploratorio en un hospital público de enseñanza, con datos sobre incidentes relacionados a la atención em salud en ancianos hospitalizados, recogidos a través de formularios. Se realizó un análisis exploratorio y descriptivo de los datos. Resultados: se registraron 296 notificaciones, principalmente: flebitis, 28,21% (n-79); problemas relacionados con las cirugías, 19,93% (n-59); lesiones cutáneas, 17,23% (n-5) y caídas, 13,51% (n-40). La mayoría de los incidentes fue clasificada como leve, 57,77% (n-171). Conclusión: se encontraron tasas de notificaciones más bajas que las descritas en la literatura. Sin embargo, se destaca la importancia de fomentar la notificación, planificación y ejecución de las acciones dirigidas a los ancianos, desde el escenario identificado. Descriptores: Eventos Adversos; Seguridad del Paciente; Anciano; Notificación; Servicios de Atención al Paciente; Enfermería. 

scholarly journals The principles of physical restraint use for hospitalized elderly people: an integrated literature review

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Azam Sharifi ◽  
Narges Arsalani ◽  
Masoud Fallahi-Khoshknab ◽  
Farahnaz Mohammadi-Shahbolaghi
Keyword(s):  
Elderly People ◽  
Scientific Information ◽  
Physical Restraint ◽  
Healthcare Providers ◽  
Routine Care ◽  
Ethical Challenges ◽  
Eligibility Criteria ◽  
Her Family ◽  
Hospitalized Elderly ◽  
Ensure Patient Safety

Abstract Background Physical restraint (PR) is a routine care measure in many hospital wards to ensure patient safety. However, it is associated with many different professional, legal, and ethical challenges. Some guidelines and principles have been developed in some countries for appropriate PR use. The present study aimed to explore the principles of PR use for hospitalized elderly people. Methods This was an integrative review. For data collection, a literature search was conducted in Persian and English databases, namely Magiran, Scientific Information Database (SID), Scopus, Google Scholar, Web of Science, and PubMed as well as the websites of healthcare organizations and associations. Eligibility criteria were publication in English or Persian between January 1, 2010, and January 1, 2021, and description of the principles of PR use for hospitalized elderly people. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening and selection, while the critical appraisal tools of the Joanna Briggs Institute (JBI) and the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument were used for quality appraisal. The data were analyzed through constant comparison. Results Primarily, 772 records were retrieved, while only twenty were eligible for the study. The principles of PR use for hospitalized elderly people were categorized into six main categories, namely principles of education for PR use, principles of decision making for PR use, principles of implementing the PR procedure, principles of monitoring patients with PR, principles of PR use documentation, and principles of PR management. Conclusion PR should be used only by trained healthcare providers, with the consent of patient or his/her family members, with standard devices and safe techniques, based on clear guidelines, and under close managerial supervision. Moreover, elderly people with PR should continuously be monitored for any PR-related complications. The findings of the present study can be used for developing clear PR-related guidelines.

scholarly journals A Context-Aware Accurate Wellness Determination (CAAWD) Model for Elderly People Using Lazy Associative Classification

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1613 ◽  
Author(s):  
Farhan Sabir Ujager ◽  
Azhar Mahmood
Keyword(s):  
Elderly People ◽  
Data Extraction ◽  
Contextual Information ◽  
Elderly Person ◽  
The Elderly ◽  
Sensor Nodes ◽  
Behavior Patterns ◽  
Context Aware ◽  
Classification Rules ◽  
Training Time

Wireless Sensor Network (WSN) based smart homes are proving to be an ideal candidate to provide better healthcare facilities to elderly people in their living areas. Several currently proposed techniques have implementation and usage complexities (such as wearable devices and the charging of these devices) which make these proposed techniques less acceptable for elderly people, while the behavioral analysis based on visual techniques lacks privacy. In this paper, a context-aware accurate wellness determination (CAAWD) model for elderly people is presented, where behavior monitoring information is extracted by using simple sensor nodes attached to household objects and appliances for the analysis of daily, frequent behavior patterns of elderly people in a simple and non-obtrusive manner. A contextual data extraction algorithm (CDEA) is proposed for the generation of contextually comprehensive behavior-training instances for accurate wellness classification. The CDEA presents an activity’s spatial–temporal information along with behavioral contextual correlation aspects (such as the object/appliance of usage and sub-activities of an activity) which are vital for accurate wellness analysis and determination. As a result, the classifier is trained in a more logical manner in the context of behavior parameters which are more relevant for wellness determination. The frequent behavioral patterns are classified using the lazy associative classifier (LAC) for wellness determination. The associative nature of LAC helps to integrate spatial–temporal and related contextual attributes (provided by CDEA) of elderly behavior to generate behavior-focused classification rules. Similarly, LAC provides high accuracy with less training time of the classifier, includes minimum-support behavior patterns, and selects highly accurate classification rules for the classification of a test instance. CAAWD further introduces the ability to contextually validate the authenticity of the already classified instance by taking behavioral contextual information (of the elderly person) from the caregiver. Due to the consideration of spatial–temporal behavior contextual attributes, the use of an efficient classifier, and the ability to contextually validate the classified instances, it has been observed that the CAAWD model out-performs currently proposed techniques in terms of accuracy, precision, and f-measure.

scholarly journals Relationship of Depression, Aging and Immune System During Covid-19 Pandemic: A Review

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Farah Iylia Binti Fauzi ◽  
Siti Fatimah Binti Salleh ◽  
Mohammad Shahadat Hossen
Keyword(s):  
Mental Health ◽  
Immune System ◽  
Elderly People ◽  
Social Isolation ◽  
Mental Health Problems ◽  
Preventive Measures ◽  
Coping Mechanisms ◽  
Depression And Anxiety ◽  
Relationship Of ◽  
The Relationship

COVID-19 is a highly contagious virus that first appeared in China in December 2019. It has affected over 157 million people and killed over 3.2 million. The paper reviews the function of the immune system for COVID-19 prevention, depression, and anxiety due to COVID-19 and their effects on the immune system and the relationship of aging with the immune system and depression and anxiety. It has been found that several elderly people lack the coping mechanisms required to deal with the stress caused by COVID-19. Hence, identifying the factors and mechanisms that lead to this resilience will aid in the development of preventive measures for certain elderly people and groups with more severe mental health problems. Additionally, it would be beneficial to understand how technology could be leveraged to accomplish this goal. During the pandemic, various steps such as social isolation, quarantine, and self-isolation are needed to be implemented properly to slow the spread of the virus. Meanwhile, to help halt the pandemic, everybody must be vaccinated as soon as possible until any bans on social gatherings and social isolation can be removed, allowing other sectors such as schooling, social activities, and life to resume normalcy.

scholarly journals Nursing care related to fall prevention among hospitalized elderly people: an integrative review

2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Adnairdes Cabral de Sena ◽  
Angela Maria Alvarez ◽  
Simony Fabíola Lopes Nunes ◽  
Nadia Pinheiro da Costa
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Nursing Care ◽  
Fall Prevention ◽  
Fall Risk ◽  
Risk Prevention ◽  
Hospitalized Elderly ◽  
Clinical Nursing ◽  
Fall Risk Factors ◽  
Care Behavior

ABSTRACT Objective: to identify scientific productions on nursing care related to fall risk prevention among hospitalized elderly people. Methods: an integrative literature review from 2015 to 2019 in the PubMed/MEDLINE, Scopus, Web of Science, LILACS, BDENF, SciELO and CINAHL databases, in Portuguese, English and Spanish. The keywords were elderly, hospitalization, accidents due to falls, nursing care. Results: thirty-three publications were analyzed. The synthesis of the studies resulted in the categories: Clinical nursing assessments to prevent falls among hospitalized elderly people; Fall risk factors for elderly people; Fall risk prevention strategies for elderly people. Final considerations: it was found that the scientific knowledge produced on nursing care related to fall risk prevention for hospitalized elderly people evidences the clinical assessment, risk factors and strategies such as nursing care, contributing to foster self-care behavior and promotion security for elderly people.

scholarly journals МENTAL STATES AND THE PROBLEM OF SELF-REGULATION OF ELDERLY PEOPLE

2020 ◽  
Vol 64 (3) ◽  
pp. 127-131
Author(s):  
N. Auyelbekova ◽  
◽  
N. Akhtaeva ◽  
Keyword(s):  
Elderly People ◽  
Emotional State ◽  
Self Regulation ◽  
Elderly Person ◽  
The Elderly ◽  
Mental States ◽  
Inner Experiences ◽  
Initial Results ◽  
Research Analysis

The article touches upon the problem of self-regulation of mental states of the elderly. The features of the emotional state of elderly people are described. Variants of effective self-regulation are proposed, the causes of negative states and ways to overcome them are analyzed. Purpose of the research: analysis of the emotional state of people over 60 and a way to successfully overcome the internal crisis through self-regulation. The article describes the initial results of a study of 20 respondents. The total number is planned in the amount of 80 people, the methods used in the study are listed. The article identifies the fulcrum, thanks to which an elderly person can cope with his inner experiences and find peace and harmony

scholarly journals ASSOCIATION OF DELIRIUM AND FRAGILITY IN HOSPITALIZED ELDERLY: SYSTEMATIC REVIEW

2021 ◽  
Author(s):  
Clovis Cechinel ◽  
◽  
Joao Alberto Martins Rodrigues
Keyword(s):  
Elderly People ◽  
Search Strategy ◽  
Information Sources ◽  
Web Of Science ◽  
Medical Subject Headings ◽  
Hospitalized Elderly ◽  
Subject Headings ◽  
Review Question ◽  
The Relationship ◽  
Specific Search

Review question / Objective: What is the relationship between delirium and frailty in hospitalized elderly people? The objective of this research is to analyze the association between frailty and delirium in hospitalized elderly people, through a systematic literature review. Condition being studied: Frailty and delirium in hospitalized aged. Information sources: A specific search strategy for the language of each database was developed using, initially, the Medical Subject Headings (MEsH) descriptor and later translated to specific descriptors (Descriptors in Health Sciences (DeCS) and Embase Subject Headings (Emtree)). The search strategy will be applied by the researchers in the MEDLINE databases through the Pubmed Portal; Scielo; VHL; EMBASE, CINAHL, Scopus and Web of Science through the CAPES Journal Portal; CENTRAL via Cochrane.

scholarly journals Study on depression among elderly people in an urban slum of Raichur

2019 ◽  
Vol 6 (5) ◽  
pp. 2116 ◽  
Author(s):  
Vandana Ganganapalli ◽  
Sujatha N. ◽  
Bhaskar Kurre
Keyword(s):  
Elderly People ◽  
Nuclear Family ◽  
Adult Population ◽  
Elderly Person ◽  
Depression Scale ◽  
The Elderly ◽  
Short Version ◽  
Ageing Population ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Globally, more than 300 million people of all ages suffer from depression. With an ageing population, depression among the elderly is likely to increase in the coming years, with higher prevalence among the elderly people than that in the general adult population. This study was intended to know the prevalence of depression and factors associated with depression among elderly people.Methods: A cross-sectional study was conducted in the urban field practice area of Navodaya Medical College, Raichur. A pre-designed and pre-tested questionnaire was used to interview the elderly person, after taking verbal consent. Depression was assessed using geriatric depression scale (short version). The study duration was from 1st September 2018 – 31st December, 2018 with 360 sample size.Results: Out of 360 elderly people, the prevalence of depression was found to be 31.4 %. The prevalence of depression was more in females 31.9% (63 out of 197). Significant association of depression was noted with age, socio-economic status, marital status, type of family, education and occupation with p<0.05.Conclusions: Around 1/3rd of the study participants were found to be suffering from depression. Depression was significantly associated with age, illiteracy, nuclear family, dependent on family members. Family support to the elderly population may prevent depression.

To Assess the Fall Risk among the Elderly in selected Urban Area Kachery, Thrissur

2021 ◽  
pp. 295-298
Author(s):  
Ann Mariya P.R ◽  
Delna Mary George ◽  
Elsamol Francis ◽  
Thasni R.A ◽  
Twinkle Joseph ◽  
...  
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Urban Area ◽  
Elderly People ◽  
Fall Prevention ◽  
Fall Risk ◽  
Elderly Person ◽  
The Elderly ◽  
Previous Knowledge ◽  
Fall Risk Assessment

To assess the fall of risk among the elderly in selected urban area of Thrissur. Objectives a) To assess the fall risk among the elderly people in selected urban area of Kachery, Thrissur. b) To associate fall risk score with selected demographic variables. c) To correlate fall risk assessment questionnaire score and modified fall prevention checklist for personal risk factors score among elderly individuals. d) To teach the elderly people about fall prevention exercise. Methodology: Non-experimental descriptive research design is adopted in this study. We selected 60 samples through random sampling technique. Standardized fall risk assessment questionnaire built by national aging research institute and modified fall prevention checklist for personal risk factors built by Hamilton county was used to collect the data. Tool was administered by interview method for assessing fall risk. Fall preventive intervention module developed, validated and administered following data collection. The data collected were analyzed by using descriptive and inferential statistics. Result: The demographic profile of elderly people shows that 46.66% belongs to age group between 60-70 years and most of them 58.33% were females. The majority 73.33% of elderly person are at low risk for fall and 26.66% are at high risk for fall in questionnaire and 81.67% of elderly are low risk for fall, 18.33% are risk and there is no elderly person high risk for fall in checklist. The overall fall risk is high among elderly individual alone in home and low in elderly in nuclear families. The risk for fall among elderly based on previous history of fall shows that elderly with visual impairment those who don’t have previous knowledge about fall prevention and elderly age between 91-100 is high risk for fall. The risk for fall based on ability to perform ADL in elderly shows those who living alone in the home high risk for fall. There is significant association between score with selected variables like age, previous knowledge about fall prevention, elderly residing in their home alone. We found that there is perfect positive correlation r=1 between fall risk assessment, questionnaires and checklist score. Discussion: At the end of the study the investigator found that the risk for fall based on the assessment of fall history among elderly people shows that, there is significant association between age (p=0.0273) that is, age group between 91-100 years are high risk for fall. Previous knowledge about fall prevention shows that, elderly without previous knowledge about fall prevention is at high risk for fall (p= 0.03074). In sensory impairment that is, elderly having visual impairment (p=0.998) having risk for fall. The risk for fall among elderly people based on their ability to perform activities of daily living shows that, elderly residing in their home alone shows more risk for fall.

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