Perception and cognition of time in elderly patients (review of foreign studies)

The process of cognition and perception of time in the elderly (55-75 years) and old (75-90 years) people was always a matter of interest for gerontologists and psychologists looking for the answer to the question why in old age time flows very quickly on one hand and very slowly on the other hand. Studies show that the ability to adequately perceive and prioritize its activities in time in elderly patients depends on the physical, intellectual and social activity, and other factors that determine the quality of life and promote productive aging. The purpose of this article is to familiarize professionals with notions of perception and cognition of time, as well as paradigms of time perception studies in psychology. The article also familiarizes the readers with foreign research aspects of time cognition, i.e, orientation in time, perception of time intervals, time perspective, and mental journey of elderly patients through time

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Effects of Special Oral Care with EM(Effective Micro-organisms) Solution by Care Provider on Dental Plague Index, Degree of Halitosis and Quality of Life for the Elderly Patients in Hospital

The Journal of Humanities and Social sciences 21 ◽

10.22143/hss21.9.4.76 ◽

2018 ◽

Vol 9 (4) ◽

pp. 1083-1098

Author(s):

Mikyung Kwon ◽

Kyungsook Kang ◽

Giil Park

Keyword(s):

Quality Of Life ◽

Elderly Patients ◽

Care Provider ◽

Oral Care ◽

The Elderly ◽

Micro Organisms

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TIME PERSPECTIVE PERCEPTION SPECIFIC AND MALADAPTATION IN ELDERLY UNDER UNCERTAINTY CONDITIONS DURING PANDEMIC EMERGENCY

Успехи геронтологии ◽

10.34922/ae.2021.34.5.002 ◽

2021 ◽

pp. 672-678

Author(s):

А.В. Васильева ◽

Р.И. Антохина ◽

Е.Ю. Антохин

Keyword(s):

Older People ◽

Psychological Stress ◽

Time Perspective ◽

Comparison Group ◽

Adult Population ◽

The Elderly ◽

Adaptive Capabilities ◽

Age Factor ◽

Perception Of Time ◽

Adaptive Resource

Цель исследования - определение специфики переживания психологического стресса, временной перспективы и симптоматики адаптационных нарушений у пожилых людей в чрезвычайной ситуации пандемии по сравнению с активным взрослым населением. На первом этапе были обследованы 587 человек с помощью шкалы PSM-25, затем были отобраны 100 респондентов с дезадаптационным уровнем стресса (сумма ≥155 баллов). Основную группу составили 50 человек 60-74 лет (средний возраст - 65±2,7 года), 50 человек 18-44 лет (средний возраст - 32±3,8 года) вошли в группу сравнения, которые были обследованы с помощью опросника SCL-90-R для оценки психопатологической симптоматики и опросника ZTPI для оценки восприятия временной перспективы. Выявлено наличие адаптационных расстройств в обеих группах. В группе пожилых установлена активация восприятия позитивного прошлого, что может быть адаптационным ресурсом, и большая выраженность фаталистического восприятия настоящего, что обусловливает пассивное преодоление стресса и сужает адаптационные возможности пожилых людей. Результаты исследования позволяют обозначить потенциальные «мишени» психотерапевтической работы с населением в условиях пандемического стресса с учетом возрастного фактора. The purpose of the study - to determine the specifics of experiencing psychological stress, the time perspective and symptoms of adaptation disorders in older people in a pandemic emergency compared to the active adult population. At the first stage, 587 people were examined using the PSM-25 scale, then 100 respondents with maladaptive stress levels (sum ≥155 points) were selected. The main group consisted of 50 people aged 60 to 74 years (aver age age 65±2,7 years), 50 people aged 18 to 44 years (average age 32±3,8 years) were included in comparison group, who were examined with using the SCL-90-R questionnaire for assessing psychopathological symptoms and the ZTPI questionnaire for assessing the perception of time perspective. The presence of adaptation disorders in both groups was revealed. In the elderly group, the activation of the perception of the positive past was established, which can be an adaptive resource, and the greater severity of the fatalistic perception of the present, which causes passive overcoming with stress and narrows the adaptive capabilities of the elderly. The results of the study make it possible to identify potential «targets» of psychotherapeutic work with the population in conditions of pandemic stress, taking into account the age factor.

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A study on oral health perception and oral health-related quality of life of the elderly patients in a geriatric hospital

Journal of Korean society of Dental Hygiene ◽

10.13065/jksdh.2016.16.03.363 ◽

2016 ◽

Vol 16 (3) ◽

pp. 363-371

Author(s):

Ga-Hyun Kim ◽

Yong-Sun Kwon

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Elderly Patients ◽

The Elderly ◽

Health Perception ◽

Health Related Quality ◽

Geriatric Hospital ◽

Related Quality ◽

Health Related

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Multicenter phase III randomized trial comparing laparoscopy and laparotomy for colon cancer surgery in patients older than 75 years: the CELL study, a Fédération de Recherche en Chirurgie (FRENCH) trial

BMC Cancer ◽

10.1186/s12885-019-6376-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Gilles Manceau ◽

Antoine Brouquet ◽

Pascal Chaibi ◽

Guillaume Passot ◽

Olivier Bouché ◽

...

Keyword(s):

Colon Cancer ◽

Elderly Patients ◽

Randomized Trial ◽

Postoperative Morbidity ◽

The Elderly ◽

Cancer Surgery ◽

Phase Iii ◽

Randomized Controlled ◽

Colon Cancer Surgery

Abstract Background Several multicenter randomized controlled trials comparing laparoscopy and conventional open surgery for colon cancer have demonstrated that laparoscopic approach achieved the same oncological results while improving significantly early postoperative outcomes. These trials included few elderly patients, with a median age not exceeding 71 years. However, colon cancer is a disease of the elderly. More than 65% of patients operated on for colon cancer belong to this age group, and this proportion may become more pronounced in the coming years. In current practice, laparoscopy is underused in this population. Methods The CELL (Colectomy for cancer in the Elderly by Laparoscopy or Laparotomy) trial is a multicenter, open-label randomized, 2-arm phase III superiority trial. Patients aged 75 years or older with uncomplicated colonic adenocarcinoma or endoscopically unresectable colonic polyp will be randomized to either colectomy by laparoscopy or laparotomy. The primary endpoint of the study is overall postoperative morbidity, defined as any complication classification occurring up to 30 days after surgery. The secondary endpoints are: 30-day and 90-day postoperative mortality, 30-day readmission rate, quality of surgical resection, health-related quality of life and evolution of geriatric assessment. A 35 to 20% overall postoperative morbidity rate reduction is expected for patients operated on by laparoscopy compared with those who underwent surgery by laparotomy. With a two-sided α risk of 5% and a power of 80% (β = 0.20), 276 patients will be required in total. Discussion To date, no dedicated randomized controlled trial has been conducted to evaluate morbidity after colon cancer surgery by laparoscopy or laparotomy in the elderly and the benefits of laparoscopy is still debated in this context. Thus, a prospective multicenter randomized trial evaluating postoperative outcomes specifically in elderly patients operated on for colon cancer by laparoscopy or laparotomy with curative intent is warranted. If significant, such a study might change the current surgical practices and allow a significant improvement in the surgical management of this population, which will be the vast majority of patients treated for colon cancer in the coming years. Trial registration ClinicalTrials.gov NCT03033719 (January 27, 2017).

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Tapentadol Prolonged Release for Severe Chronic Osteoarthritis Pain in the Elderly—A Subgroup Analysis of Routine Clinical Practice Data

Pain Research and Management ◽

10.1155/2020/5759265 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Andreas Schwittay ◽

Melanie Sohns ◽

Birgit Heckes ◽

Christian Elling

Keyword(s):

Quality Of Life ◽

Clinical Practice ◽

Elderly Patients ◽

Subgroup Analysis ◽

The Elderly ◽

Routine Clinical Practice ◽

Prolonged Release ◽

Younger Patients ◽

Quality Of Life Measures

Background. Tapentadol prolonged release (PR) has been shown effective and generally well tolerated in a broad range of chronic pain conditions. This subgroup analysis investigated its benefits for elderly patients with severe chronic osteoarthritis (OA) pain in routine clinical practice. Patients and Methods. Data of all patients with chronic OA pain were extracted from the database of a prospective, 3-month noninterventional tapentadol PR trial. The data of elderly OA patients (>65 years of age; n = 752) were compared with the data of younger OA patients (≤65 years; n = 282). Results. Almost all patients (elderly 98.7% and younger patients 99.3%) had received long-term analgesic medication prior to the start of tapentadol PR treatment but presented with severe pain accompanied by considerable impairments in sleep quality and quality of life measures. Tapentadol PR provided effective pain relief in both patient groups, with slightly better outcomes in younger patients. However, the mean baseline pain intensity of 7.1 (SD 1.5) was reduced by 3.8 points (p≤0.001), and sleep and quality of life measures had also markedly improved in the elderly: quality of sleep by 3 points, quality of life by 3.4 points, social activities by 3 points, and independence by 2.7 points (p≤0.001 for all measures; 11-point scale). At the end of observation, 68% of the elderly had clinically relevant pain reductions of at least 50% (vs baseline), and 87.9% attained either their intended pain reduction target and/or an additional individual treatment target (both predefined during baseline examination). Only 8.4% of the elderly experienced adverse drug reactions, most frequently nausea (2.7% of patients) and dizziness (1.5%). Conclusion. Tapentadol PR provided effective and well-tolerated treatment of severe chronic OA pain for elderly patients in routine clinical practice. The favorable tolerability profile in particular suggests tapentadol PR as a treatment option before classical strong opioids are considered.

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Risperidone in the treatment of psychoses in the elderly: a case report series

European Psychiatry ◽

10.1016/s0924-9338(02)00634-x ◽

2002 ◽

Vol 17 (2) ◽

pp. 96-103 ◽

Cited By ~ 6

Author(s):

R. Bullock ◽

S. Libretto

Keyword(s):

Side Effects ◽

Elderly Patients ◽

Negative Symptoms ◽

Case Reports ◽

Antipsychotic Agents ◽

The Elderly ◽

The Body ◽

Continuous Treatment ◽

Atypical Antipsychotic Agents

SummaryRisperidone is one of the newer atypical antipsychotic agents, which combines potent serotonin and dopamine receptor antagonism. It shows efficacy against the positive and negative symptoms of schizophrenic psychoses and other psychotic conditions, and has a low propensity to cause extrapyramidal side effects. The aim of these case reports in elderly patients is to provide the benefit of personal experience with risperidone to the body of published literature and to demonstrate the types of patients that may benefit from treatment. These cases were compiled retrospectively from data collected on referral and during routine hospital appointments. This series covers four main areas of concern when treating the elderly: low-maintenance dosing minimising the likelihood of adverse events; successful treatment of patients previously uncontrolled and experiencing side effects with other antipsychotics; the possibility of intermittent rather than continuous treatment; and the benefits to patients, carers and the health services. At low doses, risperidone is an effective and well-tolerated treatment for psychoses in elderly patients that improves the quality of life for both patients and their caregivers.

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Impact of clinical pharmacist’s interventions on pharmacotherapy management in elderly patients on polypharmacy with mental health problems including quality of life: A prospective non-randomized study

Scientific Reports ◽

10.1038/s41598-019-53057-w ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 4

Author(s):

Matej Stuhec ◽

Nika Bratović ◽

Aleš Mrhar

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Elderly Patients ◽

Mental Health Problems ◽

Randomized Study ◽

The Elderly ◽

Health Problems ◽

Potentially Inappropriate Medications ◽

The Impact

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.

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Emergency care units and dimensions of accessibility to health care for the elderly

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0440 ◽

2018 ◽

Vol 71 (suppl 2) ◽

pp. 811-817 ◽

Cited By ~ 2

Author(s):

Giovana Aparecida de Souza Scolari ◽

Leidyani Karina Rissardo ◽

Vanessa Denardi Antoniassi Baldissera ◽

Lígia Carreira

Keyword(s):

Primary Care ◽

Health Care ◽

Quality Of Care ◽

Elderly Patients ◽

Emergency Care ◽

Elderly Population ◽

The Elderly ◽

Care For The Elderly ◽

Emergency Care Units

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

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Physician Advice to the Elderly about Physical Activity

Journal of Aging and Physical Activity ◽

10.1123/japa.11.1.90 ◽

2003 ◽

Vol 11 (1) ◽

pp. 90-97 ◽

Cited By ~ 27

Author(s):

Alseny Balde ◽

Jaime Figueras ◽

Dawn A. Hawking ◽

John R. Miller

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Elderly Patients ◽

Public Health Problem ◽

The Elderly ◽

Physician Counseling ◽

Overweight Status ◽

Physician Advice ◽

Counseling Practices

Lack of physical activity is an increasing public-health problem. Physicians should counsel elderly patients to maintain regular physical activity in order to retain functionality and quality of life. This study examined the patterns of physician advice about physical activity in an elderly population. A homogeneous group of older adults living in public housing (N= 146) was surveyed to determine the extent to which they received such advice. Their mean age was 77.9 ± 7 years, 74% were women, 70.5% were White, and 53.4% had high school education or less. We assessed the association between physician counseling practices and the participants’ demographic characteristics, overweight status, and type of physical activity performed. The prevalence rate of physician counseling was 61.6%. Elderly men who were married and those who were overweight were most likely to receive advice. Routine physician counseling of elderly patients regardless of overweight status could contribute to improving their quality of life.

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