scholarly journals PRACTICES OF CHRONIC WOUNDS HOME CARE PERFORMED BY THE ELDERLY AND THEIR CAREGIVERS

2019 ◽  
pp. 162-175
Author(s):  
Carolina Leite Ossege ◽  
Andréa Mathes Faustino
Keyword(s):  
Home Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Chronic Wounds ◽  
The Elderly ◽  
Lower Limbs ◽  
Support Network ◽  
Network Profile ◽  
Discharge From Hospital

Regarding the indispensable care for the treatment of chronic wounds, the dependence and the reduction of functional ability can lead to the reduction of care attitudes, just as autonomy can be a contributing factor for the quality of life of the elderly. Thus, the present study aimed to identify the practices of home care of chronic wounds performed by the elderly and their caregivers. The age of the elderly ranged from 60 to 81 years; the majority were male (60%), married (60%), with family caregiver (80%), hospitalized for oncology (40%), independent for activities of daily living (90%) and partially dependent for instrumental activities of daily living (50%). The most common chronic lesions found in the elderly were those located in the lower limbs, related to diabetes and tumors. It was concluded that the elderly presented functional capacity and family support network profile compatible with the practice of home care; however, regarding the care of chronic injuries, not all steps of care were appropriately performed, suggesting unpreparedness to deal with the adverse situation, which reinforces the need of preparation for discharge from hospital.

scholarly journals FUNCTIONAL ASSESSMENT OF OLDER OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY

2014 ◽  
Vol 51 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Denis PAJECKI ◽  
Marco Aurélio SANTO ◽  
Ana Lumi KANAGI ◽  
Daniel RICCIOPPO ◽  
Roberto de CLEVA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Activities Of Daily Living ◽  
Functional Assessment ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Obese Patients ◽  
Instrumental Activities

Context Obesity in the elderly is associated with exacerbation of functional decline (dependency), that occurs with aging, because of decreased muscle mass and strength, and increased joint dysfunction. Consequently, there is progressive loss of independence, autonomy, chronic pain and impaired quality of life. The weight loss can bring benefits in all these aspects, especially when accompanied by exercises. Elderly patients with morbid obesity may be submitted to surgical treatment, taking into account that the massive weight loss, eventually caused by bariatric surgery, may exacerbate the loss of muscle mass and nutritional complications that may bring harm to the overall health and quality of life of these patients. The functional assessment of elderly patients, candidates for bariatric surgery and the extent to which surgery can bring benefits to the patients, in the field of functionality, has still to be determined. Objective To describe profile functionality in obese elderly referred to a bariatric surgery program. Methods Patients with age ≥60 and BMI ≥35 underwent comprehensive geriatric assessment that evaluates co morbidities, medication use, ability to perform basic activities of daily living and instrumental activities of daily living, and the “Timedupandgo” test to evaluate mobility, whose cut-off point was ≤10 seconds. Statistical analysis was performed in order to see if there is a positive correlation of dependency with BMI and age (over or under 65 years). Results Forty subjects have completed evaluation. The mean age was 64.1 years (60-72) and 75% were women. They had an average weight of 121.1 kg (72.7-204) and a mean BMI of 47.2 kg/m2 (35.8-68.9). 16 patients (40%) have shown dependency for activities of daily living, 19 (47,5%) for instrumental activities of daily living and 20 patients (50%) had a “Timedupandgo” test over 10 seconds. Statistical analysis (t-Student, Mann-Whitney, Binary Logistic Regression) has shown positive correlation of dependency in activities of daily living for BMI >49 kg/m2, dependency in instrumental activities of daily living for BMI >46,5 kg/m2, and “Timedupandgo” test greater than 10 seconds for BMI >51 kg/m2 (P<0,05). No dependency difference was observed for patients over or under 65 years age. Conclusions Functional decline is observed in almost half of the morbid obese patients over 60 years old. It is related to increasing BMI (BMI >46,5 kg/m2) but not related to age (60 to 65 years or over 65 years). Functional decline should be considered a co-morbidity in the elderly obese patients and should be assessed before bariatric surgery in this population.

scholarly journals Impact of the Severity of Alzheimer’s Disease on the Quality of Life, Activities of Daily Living, and Caregiving Costs for Institutionalized Patients on Anti-Alzheimer Medications in Japan

2021 ◽  
pp. 1-8
Author(s):  
Takumi Ashizawa ◽  
Ataru Igarashi ◽  
Yukinori Sakata ◽  
Mie Azuma ◽  
Kenichi Fujimoto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
The Mean ◽  
Institutionalized Patients ◽  
The Impact

Background: Alzheimer’s disease (AD) increases societal costs and decreases the activities of daily living (ADL) and quality of life (QoL) of the affected individuals. Objective: We assess the impact of AD severity on ADL, QoL, and caregiving costs in Japanese facilities for the elderly. Methods: Patients with AD in facilities for the elderly were included (47 facilities, N = 3,461). The QoL, ADL, and disease severity of patients were assessed using Barthel Index (BI), EuroQoL-5D-5L (EQ-5D-5L), and Mini-Mental State Examination (MMSE), respectively. Annual caregiving costs were estimated using patients’ claims data. The patients were subcategorized into the following three groups according to the MMSE score: mild (21≤MMSE≤30), moderate (11≤MMSE≤20), and severe (0≤MMSE≤10). Changes among the three groups were evaluated using the Jonckheere-Terpstra test. Results: Four hundred and one participants were on anti-AD medicines, of whom 287 (age: 86.1±6.4 years, 76.7% women) in the mild (n = 53, 84.0±6.9 years, 71.7%), moderate (n = 118, 86.6±5.9 years, 76.3%), and severe (n = 116, 86.6±6.5 years, 79.3%) groups completed the study questionnaires. The mean BI and EQ-5D-5L scores for each group were 83.6, 65.1, and 32.8 and 0.801, 0.662, and 0.436, respectively. The mean annual caregiving costs were 2.111, 2.470, and 2.809 million JPY, respectively. As AD worsened, the BI and EQ-5D-5L scores decreased and annual caregiving costs increased significantly. Conclusion: AD severity has an impact on QoL, ADL, and caregiving costs.

scholarly journals THE EFFECT OF ACTIVITIES OF DAILY LIVING AND DEPRESSION SYMPTOM LEVEL ON SLEEP QUALITY IN THE ELDERLY WITH HEART FAILURE

2021 ◽  
Vol 54 (1) ◽  
pp. 64-72
Author(s):  
Abdullah Avcı ◽  
Meral GÜN
Keyword(s):  
Heart Failure ◽  
Sleep Quality ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Short Form ◽  
The Elderly ◽  
Depression Symptoms ◽  
Depression Symptom ◽  
Symptom Level

Objective: To determine the effect of activities of daily living and depression symptom level on sleep quality in the elderly with heart failure. Methodology: In this descriptive study the sample consisted of 95 patients presented to the cardiology outpatient clinic of a university hospital due to heart failure and who met the inclusion criteria of the study. The research data wss collected using the Personal Information Form, the Pittsburgh Sleep Quality Index, the Katz Index-Activities of Daily Living and the Geriatric Depression Scale-Short Form. Results: It was found that the sleep quality of all patients who participated in the study was low (9.98 ± 2.74). The mean depression symptom level score of the patients was high (7.58 ± 3.58), and that sleep quality decreased as the depression symptom level score increased (p<0.05). There was no relationship between the total activities of daily living score and the total sleep quality score, and that the sleep quality of the dependent patients in the washing and transfer dimensions, which are the sub-dimensions of activities of daily living, were lower than that of the independent ones. Also, it was found that as the level of dependence increased in the daily living activities increased, the level of depression symptoms increased too. Conclusions: The study revealed that elderly patients with heart failure experienced significant sleep problems and that their sleep quality decreased as the depression symptom levels increased.

scholarly journals Current Advances in Spinal Diseases of the Elderly: Introduction to the Special Issue

2021 ◽  
Vol 10 (15) ◽  
pp. 3298
Author(s):  
Takashi Hirai ◽  
Masashi Uehara ◽  
Masayuki Miyagi ◽  
Shinji Takahashi ◽  
Hiroaki Nakashima
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Spinal Diseases ◽  
Special Issue ◽  
Aging Societies

Spine-related disorders often impair quality of life (QOL) and the ability to perform activities of daily living and are a problem in rapidly aging societies [...]

scholarly journals Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

10.3823/2316 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Jéssica Maria Arouca de Miranda ◽  
Neidjany Patrícia Lima Torres ◽  
Gislani Acásia Da Silva Toscano ◽  
Anna Carolyna Vieira Cavalcante ◽  
Rafaela Araújo Oliveira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Geriatric Depression ◽  
Health Demands

Background: To characterize the demands of health and quality of elderly peoplemonitored in the primary care of Rio Grande do Norte/Brazil. Methods and Findings: This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, Short-Form-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used.The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score. Conclusion: Based on the characterization of the health demands found, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people. Keywords: Elderly; Quality of Life; Aging; Elderly Health; Nursing.

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