scholarly journals Challenges being Faced by the Elderly People in Accessing Health Services in Beni-Suef University Hospital

2021 ◽  
Vol 4 (2) ◽  
pp. 346-364
Author(s):  
Ahmed Aly ◽  
Hani Dessoki ◽  
Abeer Eldeeb ◽  
Asmaa Mohamed
Keyword(s):  
Health Services ◽  
Elderly People ◽  
The Elderly ◽  
University Hospital

scholarly journals A novel telerehabilitation with educational program for caregivers using telelecture is a feasible procedure for fall prevention in elderly people – A pilot study

2020 ◽  
Author(s):  
Kentaro Moriichi ◽  
Mikihiro Fujiya ◽  
Takanori Ro ◽  
Tetsuo Ota ◽  
Hitomi Nishimiya ◽  
...  
Keyword(s):  
Elderly People ◽  
Fall Prevention ◽  
Educational Program ◽  
Medical Information ◽  
The Elderly ◽  
Berg Balance Scale ◽  
University Hospital ◽  
Telemedicine System ◽  
Before And After ◽  
Clinical Trials Registry

Abstract Background: The importance of fall prevention rehabilitations has been well recognized. Recently, telerehabilitation was developed, however, there have been no reports on the use of telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by carers educated by our novel educational program.Methods: Nine elderly people in two nursing homes were enrolled using our original criteria. Carers are educated with our educational program using telelecture system. Telerehabilitation was performed by carers following the instruction from rehabilitation specialists in Asahikawa Medical University using the telemedicine system every 2-4 weeks for three months. Carers were assessed with our original questionnaire before and after the telelecture. Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) were assessed before and after telerehabilitation.Results: The average number of times to perform telerehabilitation in all institutes was 4.7. Levels of understanding of carers were significantly increased after the telelecture. No adverse event occurred during the study period. Median BBSs before and three months after telerehabilitation were 43 and 49, respectively. Those of TUG test, right and left HHD and MMSE were 17.89 and 18.53, 7.95 and 11.55, 9.85 and 13.20, and 16 and 19, respectively. All results were improved after telerehabilitation.Conclusions: Our telerehabilitation program exhibited significant effects in elderly people as well as levels of understanding rehabilitation of caregivers in the facilities for the elderly people safely.Trial registration: University Hospital Medical Information Network Clinical Trials Registry（UMIN-CTR）UMIN000041439, August 17th, 2020

Psychological and Physical Problems in Elderly People with Problems of Falls

2017 ◽  
Vol 41 (S1) ◽  
pp. S659-S660
Author(s):  
M. Mentis ◽  
M. Gouva ◽  
E. Antoniadou ◽  
K. Mpourdoulis ◽  
I. Kesoudidou ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Elderly People ◽  
The Elderly ◽  
Poor Mental Health ◽  
University Hospital ◽  
Psychological State ◽  
Physical Damage ◽  
The Difference ◽  
Competing Interest

IntroductionFalls of the elderly to a degree been associated with poor mental health, poor social support and poor physical health.ObjectivesTo investigate the falls of elderly people in relation to their mental and physical healthy.AimsTo compare the effects of falls in the elderly in the areas of mental and physical health.MethodsThe current study used purposive sampling compromised from 48 people that visited the emergency department at the Patras University Hospital in 2016. The inclusion criterion for participation was age (> 65 years). Data was collected using WHO's questionnaire, the WHOQUOL-BREF. Finally, data was analyzed using the test t test for independent samples.ResultsThe sample constituted by 39.6% of male and 61.4% of female. The average age of the sample was M = 75.89 years. In relation to mental health, the average of the elderly with a history of falls found M = 57.26 (SD = ± 22.87), while the other was found M = 74.45 (SD = ± 15.81). The difference between the two groups was statistically significant (P < 0.05), while physical health although again the first group found to have a smaller average (M = 56.65, SD = ± 22.13) relative to the second group (M = 63.78, SD = ± 12.59) no statistical difference was observed.DiscussionsThese results demonstrates that falls beyond the physical damage that are immediately visible can as well create significant issues in the psychological state of the elderly exacerbating anxiety, fear and social isolation, which has been associated with depression event.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Cognitive assessment of elderly people in outpatient care

Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Bruna Zortea ◽  
Daiane Porto Gautério-Abreu ◽  
Silvana Sidney Costa Santos ◽  
Bárbara Tarouco da Silva ◽  
Silomar Ilha ◽  
...  
Keyword(s):  
Marital Status ◽  
Elderly People ◽  
Outpatient Care ◽  
Cognitive Deficit ◽  
The Elderly ◽  
Cognitive Status ◽  
University Hospital ◽  
Noncommunicable Diseases ◽  
Cognitive State ◽  
Cross Sectional

Objective: to evaluate the cognitive state of elderly people under outpatient care; investigate the association betweenthe cognitive state and the socio-demographic variables, health conditions, number of medications and adhesion to thetreatment. Methods: this is a cross-sectional, exploratory, and descriptive study, with a quantitative approach, conductedwith 107 elderly people undergoing outpatient care in a university hospital in the south of Brazil. The following variableswere used: gender, age, marital status, income, schooling, occupation, preexisting noncommunicable diseases, number andtype of prescribed medications, adhesion, mini mental state examination and cognitive status. Data were analyzed throughinferential and descriptive statistics. Results: The prevalence of cognitive deficit was of 42.1% and had a statisticallysignificant connection with schooling, income, marital status, hypertension and cardiopathy. Conclusion: nurses canintervene to avoid the increase of cognitive deficit through an assessment of the elderly people, directed to facilitativestrategies to soften this deficit.

scholarly journals Investigating the Causes of Elderly People Leaving Home during Coronavirus Disease-19 Epidemic

2020 ◽  
Vol 8 (T1) ◽  
pp. 548-552
Author(s):  
Morad Ali Zareipour ◽  
Ali Sadaghianifar ◽  
Najaf Ahmadi Aghziyarat ◽  
Mina Tasouji Azari ◽  
Monireh Rezaee Moradali
Keyword(s):  
Health Services ◽  
Elderly People ◽  
Age Groups ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Chi Square ◽  
Leaving Home ◽  
Effective Interventions ◽  
Underlying Diseases ◽  
To Receive

BACKGROUND: Coronavirus disease-19 (COVID-19) disease affects all age groups, especially the elderly, and regarding the high mortality rate among the elderly, preventive measures are needed to reduce mortality in the elderly. AIM: This study was conducted to investigate the causes of in elderly people leaving home in time of COVID-19 epidemic. METHODS: The present study is a descriptive-analytical study performed on 1656 elderly people in Urmia, Iran, by simple random sampling method. The data collection tool in this study was a researcher-made questionnaire that included demographic characteristics, a questionnaire on the causes of the elderly leaving home during the COVID-19 epidemic. Data were analyzed using Chi-square and Fisher tests using SPSS 23 software. RESULTS: The results revealed that the highest concern of the elderly to leave home was to receive health services (45.89%) such as visiting the doctor or the caregiver, receiving medication, and so on. As the second priority, buying daily necessities such as bread, food, clothes … (42.75%) was one of the reasons for the elderly to leave home. Furthermore, education, gender, age, underlying diseases, occupation, and living conditions of the elderly were related to the needs of health services and living necessities and this relationship was statistically significant (p < 0.05). CONCLUSION: Effective interventions should be designed based on the causes of the elderly leaving home, including the use of home distance care and health ambassadors to estimate the needs and causes of leaving home. Therefore, the elderly would be protected from this disease and its mortality.

scholarly journals Health Literacy Levels and Affecting Factors of Patients Who Applied to A University Hospital Polyclinic

2019 ◽  
Vol 8 (1) ◽  
pp. 27-35
Author(s):  
Burkay Yakar ◽  
Mehtap Gömleksiz ◽  
Edibe Pirinççi
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Costs ◽  
The Elderly ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Affecting Factors ◽  
Cross Sectional ◽  
Care Costs

Aim: It is known that increasing health literacy can increase people's quality of life, enable them to benefit from health services more effectively and contribute to reducing health care costs. Inadequate health literacy has been reported to lead to insufficient health information, high risk of ill health, low level of understanding of treatment methods and increase in health care costs. Today, increasing number of chronic diseases, increasing the elderly population and increasing the budget allocated to health services have also increased the importance of health literacy levels. In this context, it is aimed to investigate health literacy levels and factors affecting our country. Methods: Our cross-sectional study was conducted in voluntary patients who applied to the family medicine outpatient clinic of a university. In our study, sociodemographic questionnaire form and Turkish Health Literacy Scale were used for data collection. Chi-square test was used for statistical analysis and p Results: 225 volunteers were included in our study. 62,1% of them were women. The mean score of the health literacy scale was 25.5±10.2. 50.6% of the participants were inadequate, and 25.1% of them had problematic health literacy level. The level of health literacy was found to be significantly lower in women, who had low education level, who were married and had children and who had vision problems. Conclusion: The data obtained from our study showed that our health literacy levels are low. We need to develop policies that increase our levels

Use of Social and Health Services by Elderly People during the Terminal 18 Months of Life

1987 ◽  
Vol 15 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Carsten Hendriksen ◽  
Ellinor Lund ◽  
Edith Strømgård
Keyword(s):  
Health Services ◽  
Elderly People ◽  
Public Support ◽  
The Elderly ◽  
Terminal Phase ◽  
Control Group ◽  
Individual Member ◽  
Study Group ◽  
Home Help ◽  
Home Nursing Care

In a randomised and controlled intervention study elderly people aged 75 or more were visited regularly in their own homes over a period of three years. An age and sex matched control group was not contacted until the conclusion of the study period. In the present study, the use of social and health services during the terminal 18 months of life was computed for each individual member of the study group. The categories of services included the bed usage in hospitals, the stays in nursing homes, the provisions of home help and home nursing care as well as contacts with general practitioners. No differences in the use of social and health services were found between the visited elderly ( n=25) and the control group ( n=46). About 50% of the elderly had a considerable use of public services during the months prior to death, and only 14% received no public support, disregarding the terminal phase. Among those elderly people belonging to the study group, and who died within the study period, an increased use of the above mentioned services was seen during all 18 months. However, an increased use of hospital beds was only computed during the terminal 6 months of life. 58% of the bed days were used for patients who died during the next few months.

scholarly journals The attitude of nurses towards the care of elderly people

Curationis ◽  
1995 ◽  
Vol 18 (1) ◽  
Author(s):  
J. N. Gwala ◽  
B. M. Zungu ◽  
B. B. Ntombela
Keyword(s):  
Health Services ◽  
Elderly People ◽  
The Elderly ◽  
Nursing Profession ◽  
Care Of Elderly

The number of nurses entering the nursing profession is decreasing, but demands placed upon the Health Services are increasing primarily due to the increasing number of people in our society. People are living longer and it is apparent that some extra provision must be made to care effectively for the elderly members of our society. Various studies have shown that care of the elderly is an unpopular clinical field for nurses. (Shape, 1986. Notter, 1992. Vickels 1982).

scholarly journals Review of accessibility and usability guidelines for website design for the elderly people

2017 ◽  
Vol 15 (42) ◽  
pp. 9-29
Author(s):  
Diego Fernando Aguirre ◽  
Iván Abadía
Keyword(s):  
Health Services ◽  
Elderly People ◽  
Elderly Population ◽  
Digital Health ◽  
The Elderly ◽  
Digital Content ◽  
Website Design ◽  
Visual Disabilities ◽  
Special Services ◽  
Source Of Information

By 2050, the growth of the elderly population in Colombia is estimated at 10% and thus a greater demand for special services (such as health services) for the elderly. This justifies the exploration of digital health content as an important source of information for this population. The accessibility and usability guidelines for website design –e.g., TAW and WACG– do not have specific guidelines to mitigate the motor, cognitive or visual disabilities characteristic of aging, which become a barrier for this group to consult necessary information for administrative processes that involve health. This review of accessibility and usability guidelines is presented, facilitating the consumption of specific contents and generating better interactions with such systems, which will lead to the construction of guidelines based on existing recommendations that allow the development of aspects related to interaction, legibility and usability in digital content for the elderly.

scholarly journals Challenges and technologies of care developed by caregivers of patients with Alzheimer's disease

2018 ◽  
Vol 21 (5) ◽  
pp. 579-587
Author(s):  
Melanie Scheneider Schmidt ◽  
Melissa Orlandi Honório Locks ◽  
Karina Silveira de Almeida Hammerschmidt ◽  
Darla Lusia Ropelato Fernandez ◽  
Francisco Reis Tristão ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Elderly People ◽  
Quality Care ◽  
The Elderly ◽  
Structured Interview ◽  
University Hospital ◽  
Mutual Help ◽  
Care For The Elderly ◽  
South Of Brazil

Abstract Objective: to identify the challenges and technologies of care developed by caregivers of patients with Alzheimer's disease. Method: an exploratory study with a qualitative approach was carried out with nine caregivers of elderly people with Alzheimer's disease from the mutual help group of a university hospital in the south of Brazil. Data collection took place between May and August 2017 through a semi-structured interview. Content analysis was used to analyze the data. Results: two categories emerged from the analysis of the data: the challenges faced by caregivers of elderly people with Alzheimer's Disease and the care technologies developed by caregivers of elderly people with Alzheimer's disease. Conclusion: the study showed that the care strategies elaborated by the caregiver can enhance understanding, reflection and discussion among health professionals, caregivers and family members about quality care for the elderly and minimize the difficulties of care in order to provide greater quality of care for the elderly.

scholarly journals Oral health of elderly people living in a rural community of slave descendants in Brazil

2018 ◽  
Vol 26 (4) ◽  
pp. 425-431
Author(s):  
Luiza Fernandes Fonseca Sandes ◽  
Daniel Antunes Freitas ◽  
Maria Fernanda Neves Silveira de Souza
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Elderly People ◽  
Rural Areas ◽  
The Elderly ◽  
Minas Gerais ◽  
Health Conditions ◽  
Public Health Services ◽  
The North ◽  
The Impact

Abstract Background Oral health has an important impact on quality of life and should be an integral part of the overall health of the individual. Quilombolas, afro-descendants communities, live in difficult-access rural areas and with several obstacles on the use of health services. Objective This study is aimed to analyse the oral health conditions of the older Quilombola population in the North of Minas Gerais, Brazil, and the main limitations faced by these communities regarding public health services' access. Method This study evaluated the oral health of elderly Quilombola population in the North of Minas Gerais, Brazil. The study's population consisted in 669 Quilombolas, aged 65 to 74 years old, residing in 33 Quilombola rural communities that are located in 20 different counties of Brazil. Examinations and interviews were conducted in the houses of the elderly people surveyed for the assessment of oral health condition, analysing the use of dental health services, objective conditions (clinical) and subjective conditions (reported). Results Most of the interviewees were self-declared black, female, illiterate and living below the minimum wage. More than 50% of the elderly Quilombola- population interviewed were edentulous and only 17% used total prosthesis. The smiling was the main impact of oral condition reported by them in everyday life. Conclusion The analysis provided by this study exposes the impact of overlooked oral health conditions in minority populations as Quilombolas and reinforces the need of public investments in those vulnerable communities.

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