scholarly journals Quality of Life of Patients with early Onset Dementia in Nigeria

Author(s):  
Elias Olukorede Wahab ◽  
Chioma Joan Ikebudu

Dementia is a major cause of disability and mortality among the elderly, it becomes early onset of dementia, when it occurs before the age of 60 years. It is the loss of cognitive abilities, particularly the loss of memory; it appears to be one of the most dreaded conditions of old age. Around 5% of the population aged 65 and above is affected by dementia, and its prevalence rises with the rate nearly doubling every 5 years. The study used the key informant interview research tool to achieve its aim and objectives, thereby collecting data to answer its research questions. Purposive sampling was used, while ethnographic summary was used to analyse the data. The results of the study showed that the quality of patients with early onset of dementia is generally poor, in that the illness brings about the crippling of finance, loss of memory and independence, loss of position in the society. The study recommends detecting factors that can prevent or postpone the disease, and educating the public on early onset of dementia (OED). Interventions that could delay early onset of dementia would have a major positive public health impact and the prospect of dementia prevention may also reduce some of the common fears and anxieties of becoming older.

2004 ◽  
Vol 2 (3) ◽  
pp. 1-4 ◽  
Author(s):  
Lorraine Wallace

The public health impact of limited literacy has begun to be explored. The elderly and those with limited formal education are often the most vulnerable populations at risk of having low health literacy. Health promotion specialists must be cognizant of the literacy demands of health education materials (e.g., pamphlets, questionnaires) distributed to the elderly. Care must be taken to ensure that health education materials are both linguistically and culturally appropriate for whom they are intended.


2017 ◽  
Vol 22 (3) ◽  
pp. 164-171
Author(s):  
Claire Stuart

Purpose The purpose of this paper is to estimate the size of the population of people with Down’s syndrome in Scotland in order to provide a basis for estimating likely numbers of people with dementia in Down’s syndrome at a range of ages. Design/methodology/approach Recorded data were requested from all general practitioner (GP) services in Scotland on people with an identified READ code denoting Down’s syndrome. A statistical weighting model was then applied to account for non-response bias. Findings There were 3,261 people with Down’s syndrome estimated by the application of a statistical weighting model. Of these, 1,118 people (34 percent) were aged between 40 and 59. This age banding includes the age groups reported as having the highest incidence of early onset dementia in Down’s syndrome. Research limitations/implications It is not possible to apply a benchmark to the percentage of observed data which gives an indication of how accurate the estimates produced are. Rather, the quality of the estimates depends on the response rate itself and the extent to which response is correlated with the outcome variable. In short, the quality of the final weighted estimates depends on the extent to which the biasing effect is mitigated by the weighting. As a result, a different response rate to this survey would have resulted in variations in the weighting model and therefore provided a different set of estimates. Social implications Adults with Down’s syndrome have an elevated risk of developing dementia significantly earlier than the general population and require specific age appropriate supports and services to meet their needs both pre and post-diagnosis. The reality of this is currently not fully realized in either standard practice or national policy concerning the issue. Originality/value This is the first set of data collected from GP services in Scotland to examine this issue and attempt to identify the population of people with Down’s syndrome in Scotland as a whole.


2020 ◽  
Vol 9 (11) ◽  
pp. 3665
Author(s):  
Dongmin Kim ◽  
Pil-Sung Yang ◽  
Gregory Y.H. Lip ◽  
Boyoung Joung

Atrial fibrillation (AF) is considered a risk factor for dementia, especially in the elderly. However, the association between the two diseases is not well identified in different age subgroups. The association of incident AF with the development of dementia was assessed from 1 January 2005, to 31 December 2013, in 428,262 participants from a longitudinal cohort (the Korea National Health Insurance Service-Health Screening cohort). In total, 10,983 participants were diagnosed with incident AF during the follow-up period. The incidence of dementia was 11.3 and 3.0 per 1000 person-years in the incident-AF and without-AF groups, respectively. After adjustment for clinical variables, the risk of dementia was significantly elevated by incident AF, with a hazard ratio (HR) of 1.98 (95% confidence interval [CI]: 1.80–2.17, p < 0.001), even after censoring for stroke (HR: 1.74, 95% CI: 1.55–1.94, p < 0.001). The HRs of incident AF for dementia onset before the age of 65 (early-onset dementia) and for onset after the age of 65 (late-onset dementia) were 2.91 (95% CI: 1.93–4.41) and 1.67 (95% CI: 1.49–1.87), respectively. Younger participants with AF were more prone to dementia development than older participants with AF (p for trend < 0.001). AF was associated with an increased risk of both early- and late-onset dementia, independent of clinical stroke.


2011 ◽  
Vol 15 (3) ◽  
pp. 299-306 ◽  
Author(s):  
Tor Atle Rosness ◽  
Marit Mjørud ◽  
Knut Engedal

Author(s):  
Věra Kameníková

For optimal use and function in the public interior evaluation of seating furniture is important in terms of typology, ergonomics, safety, quality of design, used materials, ecology and other properties. The aim is to adjust the dimensional requirements of the seating furniture for public interior to meet the needs of the current population and reflect the proportional changes in the human body over the last decades.Due to the ageing of population and growing number of people with movement and physiological limitations (which also include the elderly), it will become, in near future, more topical need to modify the rules related to seating furniture that is used in public space. Particularly, in the term of simple and non-discriminatory sitting down and standing up.Proposal to change standards is based on the analysis of used values, the results of the current anthropometrical survey and addition of parameters that were processed by using ergonomic software.In most of the activities related to the seating there is an interaction with the surrounding furniture. Based on this assumption arise the importance of connection between seating furniture and reaching distance of the person sitting on it. Ranges are in the computer simulation divided according to intensity - static, dynamic and comfortable (with the preservation of the natural physiological limitations of joints). The resulting values of simulations can be defined distances suitable for placing objects near seating furniture to ensure the possibility of full utilization.If the principles are kept and they come from the needs of people with limitations, it is certain that the environment will suit all healthy individuals and at the same time it will be non-discriminatory for a greater proportion of people with physical limitations.


2017 ◽  
Vol 9 (3-2) ◽  
Author(s):  
Stella Wong Jing Yong ◽  
Low Sew Kim ◽  
Pheh Kai Shuen

The Malaysian government estimated that in 2013, 5.5% of the Malaysian population comprises of senior citizens aged 60 years old and above. Recent research had revealed that 14.3% of the older Malaysians are at risk of Major Neurocognitive Disorder (MND; also known as dementia). As the elderly population increases gradually in the country, the chances of them suffering from MND are also expected to increase. MND is often associated with a decline in memory or thinking skills which are severe enough to affect the ability to perform everyday activities among those who are diagnosed with these symptoms. Cognitive Stimulation Therapy (CST) is a brief treatment for those suffering from mild to moderate MND. However, the efficacy of this treatment has not been evident in Malaysia.The aim of the present study is to identify the effectiveness of CST in stabilizing the declination of cognitive functions, as well as improving the quality of life among elderly suffering from mild to moderate MND. Thirty elderly diagnosed with mild and moderate MND will be invited to participate in a single group pre-post trial, involving a 45 minute CST treatment to be administered for 14 weeks on a regular weekly basis. The participants will be selected from residents of care centers elderly at Klang Valley area. The outcomes and effectiveness of the CST will be determined by the Montreal Cognitive Assessment (MoCA), and Quality of Life-Alzheimer’s Disease (QOL-AD). The former instrument will be used to examine the cognitive abilities of the elderly, while the latter will be used to determine issues related to the quality of life based on the participant and caregivers rating report. As the CST efficacies has been proven in several countries such as the United Kingdom, Hong Kong and Japan, the present study anticipates that it will also be effective in the Malaysia context and helps in treating MND.


2020 ◽  
Vol 4 (1) ◽  
pp. 258-264
Author(s):  
Dwi Ratna ◽  
Sandu Siyoto ◽  
Byba Melda Suhita

Background: Ngantang Public Health Center, being a public health center, always tries to apply minimum service standards. Services provided are a form of effort organized to meet community needs. Purpose: The research objective was to explore customer perceptions about the quality of buildings, equipment, human resources at Public Health Center Ngantang. Methodhs: The design used in this research is a qualitative descriptive study with a case study design, which describes customer perceptions about infrastructure; quality of buildings, equipment, human resources at the Public Health Center Ngantang. The sampling technique of this research is purposive sampling technique. The informants in this study consisted of 21 people, namely 5 BPJS PBI, 5 General, 5 Independent BPJS and 6 patient companions as triangulation informants. Data collection techniques using observation, interviews and documentation. Results: The results of the research on customer perceptions about the Public Health Center Ngantang building are the contours of lands prone to landslides, adequate parking facilities, unsafe security facilities, building components and materials are good enough, facilities for persons with disabilities and the elderly are incomplete, consumables are not yet available, furniture is less structured, human resources or labor lack of sympathy and empathy. Conclusion: By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure. consumables are not yet available, water furniture is less structured, human resources or labor lack sympathy and empathy. By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure.


Author(s):  
Thaís Mello de Souza ◽  
Luiz Faustino dos Santos Maia

Desde os anos sessenta do século passado, a expressão qualidade de vida tem sido referência de inúmeros discursos acadêmicos, políticos, ideológicos. A preocupação com a saúde do idoso vem promovendo a implantação de políticas públicas de saúde, visando cada vez mais melhoria da qualidade de vida. O envelhecimento populacional é um fenômeno que diz respeito a todos, não ficando circunscrito apenas aos cidadãos maiores de 60 anos. Portanto esta pesquisa através de uma revisão literária objetivou levar ao conhecimento dos profissionais de saúde a cerca da saúde do idoso e as políticas públicas de saúde para este segmento etário. Os resultados mostrou que os profissionais de saúde têm uma grande importância para a melhoria, implementação e execução das políticas públicas de saúde.Descritores: Qualidade de Vida, Saúde do Idoso, Envelhecimento. Health of the aged one, the aging and the public politics of healthAbstractSince the sixties of last century, the term quality of life has been a benchmark for many academic discourses, political, ideological. The concern with the health of the aged one comes promoting the implantation of public politics of health, aiming at each time more improvement of the quality of life. The population aging is a phenomenon that says respect to all, not being circumscribed only to the citizens biggest of 60 years. Therefore this research through a literature review aimed to inform health professionals about the health of the elderly and public health policies for this age group. The results showed that health professionals are of great importance for the improvement, implementation and enforcement of public health policies.OuvirDescriptors:Quality of Life, Health of the Aged one, Aging. Salud Del anciano, el envejecimiento y las politicas publica de saludResumenDesde los años sesenta del siglo pasado, el término calidad de vida ha sido un referente para muchos discursos académicos, políticos, ideológicos. La preocupación por la salud de las personas de edad ha estado promoviendo el despliegue de políticas de salud pública, en busca de mayor calidad y mejores de vida mejor. El envejecimiento poblacional es un fenómeno que concierne a todos, no limitándose sólo a los ciudadanos mayores de 60 años. Por tanto, esta investigación a través de una revisión de la literatura destinada a informar a los profesionales de salud acerca de la salud de las personas mayores y las politicas publicas de salud para este grupo de edad. Los resultados mostraron que los profesionales de la salud son de gran importancia para el mejoramiento, aplicación y ejecución de políticas de salud pública.Descriptores: Calidad de Vida, Salud del Adulto Mayor, Envejecimiento.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.


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