scholarly journals Nursing process applied to an older adult with periprosthetic fracture on the right hip

2019 ◽  
Vol 8 (16) ◽  
Author(s):  
Isaí Arturo Medina Fernández ◽  
Perla Noemi Polanco Tinal ◽  
Reyna Torres Obregón ◽  
Sandra Cecilia Esparza González
Keyword(s):  
Older Adult ◽  
Periprosthetic Fracture ◽  
Nursing Process ◽  
The Right

<p class="p1"><strong>Introducción: </strong>La fractura periprotésica es una complicación poco frecuente en adultos mayores de las artroplastias totales y revisión de cadera. Objetivo: Brindar cuidado integral mediante el proceso de atención de enfermería a un adulto mayor con fractura periprotésica de cadera derecha. <strong>Metodología: </strong>Proceso de atención de enfermería realizado en el área de reconstrucción articular de un hospital de tercer nivel de la Ciudad de México, México; se aplicó una valoración con base a los patrones funcionales de Marjory Gordon y valoración geriátrica integral, se extrajeron datos del expediente clínico electrónico. Se aplicó el proceso de enfermería a los tres diagnósticos prioritarios según las taxonomías NANDA, NIC y NOC. <strong>Resultados:</strong> Durante la hospitalización, los principales diagnósticos enfermeros identificados fue dolor agudo, deterioro de la movilidad física y riesgo de disfunción neurovascular periférica, las intervenciones de enfermería fueron dirigidas al control de inmovilidad, actividad y ejercicio, así como manejo del dolor, precauciones en el embolismo y monitorización de extremidades inferiores. <strong>Conclusión: </strong>durante el periodo de intervención el adulto mayor tuvo una mejoría lenta, sin embargo, no se observaron cambios en la priorización de diagnósticos de enfermería.</p>

Tap and Swipe Activity Zones on Smartphones for Novice Older Adults

2018 ◽  
Vol 9 (2) ◽  
pp. 18-39
Author(s):  
Paula Alexandra Silva ◽  
Roxanne Leitão ◽  
Maureen K Kerwin
Keyword(s):  
Older Adults ◽  
Empirical Evidence ◽  
Older Adult ◽  
User Interfaces ◽  
Mobile Applications ◽  
The Body ◽  
Adult Performance ◽  
Tactile Interaction ◽  
Practical Information ◽  
The Right

This article investigates tactile interaction on smartphones with adults aged 65 or older who were considered to have a novice level of skill with technology. Two experiments with two different groups of 40 Portuguese adults adds empirical evidence to the field and shows that older adult performance for tapping is best toward the center, right edge, and bottom right corner of the smartphone display. Results also show that a participant's performance of horizontal swipes is better with targets toward the bottom half of the display, while participant's performance of vertical swipes is better with targets toward the right half of the display. This article contributes to the body of research on the design of user interfaces for smartphones and mobile applications targeted at older adults, as well as providing practical information for designers and practitioners developing products that are more universally accessible.

scholarly journals Bisphosphonate-Induced Periprosthetic Fracture: A Cause of Painful Total Hip Arthroplasty

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Rahul Bhattacharyya ◽  
Stephanie Spence ◽  
Gavin O’Neill ◽  
Kumar Periasamy
Keyword(s):  
Periprosthetic Fracture ◽  
Weight Bearing ◽  
Femoral Shaft ◽  
Interesting Case ◽  
X Rays ◽  
Mri Scan ◽  
Total Hip ◽  
Important Addition ◽  
The Right

Background. Cases have been reported in the literature of periprosthetic fractures associated with the use of bisphosphonates occurring in the long term following a Total Hip Replacement (THR). We report an interesting case of periprosthetic fracture secondary to bisphosphonate use only a few months after a THR.Case Report. A 72-year-old lady (on bisphosphonates for 10 years) underwent a THR for osteoarthritis. She was pain-free in the first four months postoperatively. Thereafter, she developed spontaneous onset of pain in the lateral aspect of her thigh and groin and found it difficult to weight-bear. X-rays and blood tests were unremarkable. An ultrasound and MRI scan showed no evidence of effusion/collection or periprosthetic fracture. A radionuclide bone scan showed an abnormal appearance of the right femoral shaft. A subsequent CT scan showed an oblique vertical split on the anterior surface of the upper right femoral shaft. This stress fracture was managed nonoperatively with protected weight bearing. She has progressed well with good clinical and radiological signs of fracture healing.Conclusion. This case is an important addition to our knowledge that bisphosphonate-induced periprosthetic stress fractures can be a cause of hip pain only a few months following a THR.

The time course of denervation-induced changes is similar in soleus muscles of adult and old rats

2008 ◽  
Vol 33 (2) ◽  
pp. 299-308 ◽  
Author(s):  
Hans Degens ◽  
Şükran Nazan Koşar ◽  
Maria T.E. Hopman ◽  
Arnold de Haan
Keyword(s):  
Muscle Mass ◽  
Older Adult ◽  
Soleus Muscle ◽  
Internal Control ◽  
Time Course ◽  
Capillary Density ◽  
Oxidative Capacity ◽  
Old Rats ◽  
The Right ◽  
Denervated Muscles

Muscle denervation is accompanied by atrophy and a decline in oxidative capacity. We investigated whether the time course of adaptations following denervation of the soleus muscle differs in adult (5 months old) and older adult (25 months old) rats. We denervated the soleus muscle of the left leg, while the right leg served as an internal control. Two weeks after denervation, muscle mass was decreased both in adult and old animals to, respectively, 57% and 54% (p < 0.001) and capillary to fibre ratio (C:F) decreased to 51% and 50% (p < 0.01) of the control values. Yet, the capillary density was increased in older adult but not in adult muscles, indicating that the regression of the capillary bed during denervation lags behind the decrease in fibre size in the soleus muscle of the older rats. One week after denervation the optical density of sections stained for succinate dehydrogenase was 83% and 79% (p < 0.05) of control adult and older adult muscles, respectively, and then remained stable. This indicates that during the first week of denervation loss of oxidative capacity occurred at a relatively higher rate than that of muscle mass. No major changes occurred between 2 and 4 weeks of denervation, except for an increase in the proportion of hybrid (I/IIa) fibres in 4 week denervated muscles (adult 10% vs. 23%; old 1% vs. 13%; p < 0.05). Except for changes in capillarisation, the time course of atrophy and decrease in oxidative capacity following denervation was similar in soleus muscles from adult and old rats.

Generalization of implicit and explicit adjustments to visuomotor rotations across the workspace in younger and older adults

2011 ◽  
Vol 106 (4) ◽  
pp. 2078-2085 ◽  
Author(s):  
Herbert Heuer ◽  
Mathias Hegele
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Visuomotor Rotation ◽  
Adult Age ◽  
Target Direction ◽  
Visuomotor Transformations ◽  
Functional Differences ◽  
Single Target ◽  
The Right ◽  
Implicit And Explicit

We examined the generalization of adjustment to a visuomotor rotation across the workspace in younger and older adults. Participants practiced in the right workspace with a single target direction and were tested in both the right and left workspace with eight different target directions. A set of tests served to identify implicit and explicit components of adjustment. Explicit, but not implicit, components were stronger at younger than at older adult age. Explicit components generalized across all target directions, whereas implicit components were restricted to the target direction during practice and clockwise adjacent ones. Generalization to the contralateral workspace was found only for explicit components of adjustment. These findings expand the list of functional differences between implicit and explicit components of adjustment to visuomotor transformations.

scholarly journals An analysis of the negative asymmetry in the coronal body shape of the old people in South Korea

2020 ◽  
Author(s):  
Lin Chen ◽  
Soo-Min Lee ◽  
Yunja Nam ◽  
Jinhee Park
Keyword(s):  
Correlation Analysis ◽  
South Korea ◽  
Older Adult ◽  
The Elderly ◽  
T Test ◽  
The Body ◽  
Anterior Neck ◽  
Adult Body ◽  
The Right ◽  
Size Data

Abstract Background Existing positive shape models are based on values for the right side of the body. To the best of our knowledge, this is the first comparative study to analyze both left- and right-side data to explore asymmetrical body characteristics, considering that most older people are not able to maintain a healthy spinal vertical tilt presentation. In this study, 3D scanning and 3D measurement were used to analyze and study the asymmetry of the elderly in South Korea to provide more complete basic size data for the development of clothing patterns for the elderly.Methods The calculated values were analyzed by ANOVA and correlation analysis, and the paired sample t-test was performed to find asymmetrical characteristics of the older adult body. Finally, we used the independent t-test to analyze sex differences. Geomagic Design X software was used to record the coordinates of the measured points to reconstruct 3D models of the older adult body. We present a new method based on analysis of the vertex-anterior neck plane, the anterior neck-omphalion plane, and the omphalion-crotch point plane as benchmarks for the center of the head, the upper torso and the lower torso, respectively, to determine lateral asymmetry.Results The Kolmogorov-Smirnov normality test indicated the tendency of the torso to tilt to the right in older men and women. Compared with the inclination of the head, the inclination of the lower torso is more obvious. The correlation analysis results show that the tilt of the head does not affect the asymmetrical characteristics of the trunk.Conclusions This study did not use the traditional median sagittal plane as a central datum plane, instead separating the model according to the structure of the human body into the head, upper body, and lower body, with three independent central datum planes. Therefore, this study contributes an analysis of human asymmetry, thus providing more complete basic size data for the development of clothing patterns for the elderly in South Korea.

Participation of Chronically Ill Older Adults in Their Life-Prolonging Treatment Decisions: Rights and Opportunity

1998 ◽  
Vol 17 (1) ◽  
pp. 1-23 ◽  
Author(s):  
Sarah Shidler
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Older Adult ◽  
Chronically Ill ◽  
Treatment Decisions ◽  
The Individual ◽  
The Right ◽  
Legal Guidelines

ABSTRACTThe right of the individual to participate in her life-prolonging treatment decisions, either as a decision maker or by having her treatment wishes used as a decision-making criterion, is the result of an evolution in legal guidelines over the last two decades. Although necessary, these legal guidelines are however not sufficient to assure the individual's opportunity to participate. For the chronically ill older adult residing in a health care institution, the opportunity to participate in decisions concerning life-prolonging treatments implicitly depends on the effective communication among three key actors (the individual, her physician, and her proxy). The necessity of this communication has important implications for clinical practice and future empirical research.

scholarly journals Is Face Age Mapped Asymmetrically onto Space? Insights from a SNARC-like Task

Symmetry ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1617
Author(s):  
Mario Dalmaso ◽  
Michele Vicovaro
Keyword(s):  
Older Adult ◽  
Spatial Representation ◽  
Target Stimulus ◽  
Binary Classification ◽  
Distance Effect ◽  
Absolute Difference ◽  
Face Stimulus ◽  
Response Latencies ◽  
Manual Responses ◽  
The Right

The magnitude associated with a stimulus can be spatially connoted, with relatively smaller and larger magnitudes that would be represented on the left and on the right side of space, respectively. According to recent evidence, this space–magnitude association could reflect specific brain asymmetries. In this study, we explored whether such an association can also emerge for face age, assuming that responders should represent relatively younger and older adult faces on the left and on the right, respectively. A sample of young adults performed a speeded binary classification task aimed at categorising the age of a centrally placed adult face stimulus as either younger or older than the age of a reference face. A left-side and a right-side response key were used to collect manual responses. Overall, older faces were categorised faster than younger faces, and response latencies decreased with the absolute difference between the age of the target stimulus and the age of the reference, in line with a distance effect. However, no evidence of a left-to-right spatial representation of face age emerged. Taken together, these results suggest that face age is mapped onto space differently from other magnitudes.

scholarly journals The Association between Health and Culture: The Perspective of Older Adult Hospital In-Patients in Israel

2021 ◽  
Vol 18 (12) ◽  
pp. 6496
Author(s):  
Ahuva Even-Zohar ◽  
Varda Shtanger ◽  
Anat Israeli ◽  
Emma Averbuch ◽  
Gad Segal ◽  
...  
Keyword(s):  
Older Adult ◽  
Qualitative Methodology ◽  
Professional Staff ◽  
Interpretive Interactionism ◽  
The Right To Privacy ◽  
Stage Of Diagnosis ◽  
Culture And Health ◽  
The Right ◽  
Different Cultures ◽  
Adult Hospital

People from different cultures are often hospitalized while the staff treating them do not have sufficient knowledge about the attitudes and feelings of the patients regarding culture and health. To fill this gap, the aim of this study was to examine the perspective of Israeli older adult hospital in-patients regarding the association between health and culture and to understand the meaning of the participants’ experiences with regards to the medical staff’s attitude towards them. This study was carried out using qualitative methodology that followed the interpretive interactionism approach. The research participants were 493 (mean age 70.81, S.D.: 15.88) in-patients at internal care departments at a hospital in Israel who answered an open-ended question included in the questionnaire as part of a wide study held during 2017 to 2018. Two main themes were found: (1) a humane attitude of respect and the right to privacy and (2) beliefs, values, and traditional medicine that are passed down through generations. The findings highlighted the issue of the patients’ cultural heritage and ageist attitudes they ascribed to the professional staff. This study provided recommendations for training the in-patient hospital workforce on the topic of cultural competence, beginning from the stage of diagnosis through treatment and to discharge from the hospital, in order to improve the service.

Investor-State Dispute Settlement under NAFTA Chapter 11: The Shape of Things to Come?

1998 ◽  
Vol 35 ◽  
pp. 263-290
Author(s):  
J. Anthony VanDuzer
Keyword(s):  
Free Trade Agreement ◽  
Dispute Settlement ◽  
Trade Agreement ◽  
Minimum Standards ◽  
The North ◽  
State Behaviour ◽  
Nafta Chapter 11 ◽  
To Come ◽  
The Right

SummaryRecently, there has been a proliferation of international agreements imposing minimum standards on states in respect of their treatment of foreign investors and allowing investors to initiate dispute settlement proceedings where a state violates these standards. Of greatest significance to Canada is Chapter 11 of the North American Free Trade Agreement, which provides both standards for state behaviour and the right to initiate binding arbitration. Since 1996, four cases have been brought under Chapter 11. This note describes the Chapter 11 process and suggests some of the issues that may arise as it is increasingly resorted to by investors.

What face familiarity feelings say about the lateralization of specific entities within the core system

2019 ◽  
Vol 42 ◽  
Author(s):  
Guido Gainotti
Keyword(s):  
Temporal Lobe ◽  
Memory System ◽  
Core System ◽  
The Core ◽  
Memory Traces ◽  
Specific Memory ◽  
Target Article ◽  
Temporal Structures ◽  
The Right

Abstract The target article carefully describes the memory system, centered on the temporal lobe that builds specific memory traces. It does not, however, mention the laterality effects that exist within this system. This commentary briefly surveys evidence showing that clear asymmetries exist within the temporal lobe structures subserving the core system and that the right temporal structures mainly underpin face familiarity feelings.

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