scholarly journals Use it or Lose it!

2021 ◽  
Author(s):  
◽  
Qiannan Li
Keyword(s):  
Life Experience ◽  
Healthy Lifestyle ◽  
Significant Proportion ◽  
The Elderly ◽  
Outdoor Environment ◽  
Physical And Mental Health ◽  
Mobility Impairments ◽  
Disabled Elderly ◽  
The Disabled

<p>In the foreseeable future, the elderly will make up a significant proportion of New Zealand’s population. The relationship between ageing and disability means the disabled population is expected to increase as the population ages. Physical disabilities especially mobility impairments have adverse impacts on the life experience of elderly people. The outdoor environment contributes to the physical and mental health of ageing people and can provide the opportunities to enhance their quality of life. This thesis explores the concept of a rehabilitative landscape design at Kenepuru Community Hospital. The design aims to improve and maintain mobility during the ageing process, and potentially provide feedback which will motivate the ageing to continue a healthy lifestyle. The thesis concludes that the “disabled” elderly and their community gain a better life experience while reconnecting with a strategically designed outdoor environment.</p>

scholarly journals POSTURAL DISORDERS IN THE ELDERLY IN STATIC ASSESSMENT

2019 ◽  
Vol 72 (9) ◽  
pp. 1703-1707
Author(s):  
Magdalena Sobiech ◽  
Magdalena Zawadka ◽  
Maciej Kochman ◽  
Jaromir Jarecki ◽  
Tomasz Blicharski ◽  
...  
Keyword(s):  
Physical Activity ◽  
Healthy Lifestyle ◽  
Premature Death ◽  
The Elderly ◽  
The Body ◽  
Physical And Mental Health ◽  
Static Assessment ◽  
Limited Physical Activity ◽  
Active Recreation

Physical activity is one of the most important element of a healthy lifestyle and determinant of the physical and mental health. According to the WHO, limited physical activity is the fourth most common premature death risk factor in the world. Regular sport and active recreation is very important for our health. Physical exercise is the most effective method used by physiotherapists to prevent and slow down the aging process of the body, and consequently, diseases of elderly (e.g. osteoporosis, diabetes, hypertension and injuries). Physical activity has a positive effect on the quality of life and cognitive functions of elderly. The physiotherapeutic program should be based on functional training involving the entire human body. To plan and monitor the effectiveness of the training, different types of tests are used to assess the functional status of elderly people. These tests are based on the Comprehensive Geriatric Assessment considering the state of health, physical and mental fitness as well as social and environmental determinants.

scholarly journals Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
The Public ◽  
Disabled Elderly ◽  
The Disabled ◽  
Long Term Care Insurance ◽  
The Relationship

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.

Quality of Life in Glasgow: An Applied Geographical Analysis

1986 ◽  
Vol 18 (11) ◽  
pp. 1499-1520 ◽  
Author(s):  
M Pacione
Keyword(s):  
Quality Of Life ◽  
Urban Areas ◽  
Life Experience ◽  
Life Quality ◽  
The Elderly ◽  
Life Forms ◽  
Quality Of Life Indicators ◽  
The City ◽  
Detailed Work

The structure and distribution of quality of life forms a key area of research in human geography, with particular attention given to conditions at the disadvantaged end of the quality-of-life spectrum. To date, most work has focused on the national, regional, or interurban scale. However, whereas descriptive pattern identification and mapping is of value at the macroscale as a pointer to detailed work, policy-relevant quality-of-life indicators are more likely to be derived at the local scale and to be related to specific life concerns. In the present research, a multiscale multiindicator methodology is used to examine the structure and distribution of life quality in Glasgow. In a series of analyses in which objective and subjective indicators are employed at different geographic scales, the city-wide pattern of life quality is identified and a number of severely disadvantaged subareas isolated. Within one such subarea the quality-of-life experience of a particular social group, the elderly, is examined in detail. Application of the methodology in other cities could facilitate intercity and cross-cultural comparisons of quality-of-life variations within contemporary urban areas. Such investigations can also be of practical utility for decisionmakers seeking to define priorities for social policy.

scholarly journals OVERVIEW OF SELECTED TESTS USED TO ASSESS THE FUNCTIONAL STATUS OF ELDERLY

2019 ◽  
Vol 72 (9) ◽  
pp. 1697-1702 ◽  
Author(s):  
Magdalena Sobiech ◽  
Maciej Kochman ◽  
Małgorzata Drelich ◽  
Tomasz Blicharski ◽  
Mirosław Jabłoński
Keyword(s):  
Physical Activity ◽  
Functional Status ◽  
Elderly People ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
The Body ◽  
Basic Knowledge ◽  
Physical And Mental Health ◽  
Premature Deaths ◽  
The World

Physical activity is one of the most important element of a healthy lifestyle and determinant of the physical and mental health. According to the WHO, limited physical activity is the fourth most common premature deaths risk factor in the world. Regular sport and active recreation is very important for our health. Physical exercise is the most effective method used by physiotherapists to prevent and slow down the aging process of the body, and consequently, diseases of elderly, such as: osteoporosis, injuries caused by falls, diabetes or hypertension. Physical activity has a positive effect on the quality of life and cognitive functions of elderly. People over 65 years constitute about 40-50% of people who require specialist medical care in the world. Therefore, health and medical professionals dealing with preventive healthcare and treatment of elderly people should have basic knowledge in geriatric rehabilitation, as well as to be able to plan suitable physiotherapy program adequate to the needs of older people. To assess the functional status of the patient, as well as the effectiveness of the training, various types of functional tests are used, specially designed for the elderly. These tests are based on the Comprehensive Geriatric Assessment (COG) considering the state of health, physical and mental fitness as well as socio-environmental conditions. The physiotherapeutic program should be based on functional training involving the entire human body, i.e. nervous, muscular, skeletal, sensory and balance systems.

scholarly journals Predictors of Quality of Life in Patients With Myocardial Infarction Combined With Dyslipidemia

2021 ◽  
Vol 9 ◽  
Author(s):  
Mengran Zhang ◽  
Pingyu Chen ◽  
Yan Zhang ◽  
Xi Su ◽  
Jiyan Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
High Cholesterol Diet ◽  
Tobit Regression ◽  
Post Discharge ◽  
Related Quality ◽  
History Of

Background: Dyslipidemia is an important risk factor for myocardial infarction (MI). This study aimed to examine the health-related quality of life (HRQoL) and its predictors of patients with MI combined with dyslipidemia in China.Methods: Information on patients' sociological characteristics, lifestyle, clinical characteristics, and quality of life were collected by electronic medical records and questionnaires. Tobit regression model was used to investigate the predictors of quality of life.Results: There were 756 patients responded. The average EQ-5D score of all the patients was 0.95 (SD: 0.11). For all patients, factors such as age, high-fat and high-cholesterol diet, sports, family history of dyslipidemia, history of peripheral artery disease significantly affected HRQoL.Conclusions: Post-discharge care of the elderly group should be paid more attention to and suggestions on the healthy lifestyle (fat control) of the patients should be encouraged to improve the quality of life of these population.

The Impact of Variable Factors on the Health-Related Quality of Life in the Elderly in Japan and Russia

2020 ◽  
Vol 13 (2) ◽  
pp. 119-128
Author(s):  
Kirill Kosilov ◽  
Hiroki Amedzawa ◽  
Irina Kuzina ◽  
Vladimir Kuznetsov ◽  
Liliya Kosilova
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Factors Affecting ◽  
Living Together ◽  
Elderly Japanese ◽  
The Impact

Aim: The study of the impact of socio-economic, demographic factors and polymorbidity on the quality of life associated with health (HRQoL) in elderly people from Japan and Russia. Background: Factors affecting the quality of life of the elderly in both countries are poorly understood. Objective: Make a comparative analysis of factors affecting the quality of life of the elderly of both sexes in Japan and Russia. Methods: The age range in this study is 65-95 years old. For the study of HRQoL, a questionnaire Health Status Survey-Short Form 36v2 was used, including two main domains: physical and mental health. The level of polymorbidity was studied using CIRS-G. The linear regression model of the influence of variables upon HRQoL was calculated for SES, demographic characteristics, and morbidity. Results: Strong associations with HRQoL in the combined sample had a living together with relatives (r=6.94 (5.17-8.72) p<0,05), the incidence rate (r=8.50 (5.51-11.49), p<0.01) and the older age (r=5.39 (2.63-8.16), p<0,01.). The elderly inhabitants of Japan had a higher self-assessment for physical health in the age ranges 65-74 and over 85 years old (p<0.05), and a higher selfassessment of mental health at the age of 75-84 years old. Sixty-eight elderly Japanese and 48% Russians estimated their physical health as normal. Conclusion: The effect of living together, morbidity and age upon HRQoL is manifested equally strongly both among the inhabitants of Japan and among the Russians. The elderly Japanese estimate the state of physical and mental health as a whole higher than their Russian peers.

Nutritional status and determinants of malnutrition in institutionalized elderly people, provisional data

2021 ◽  
pp. 21-25
Author(s):  
Gabriela Soric ◽  
◽  
Felicia Lupascu-Volentir ◽  
Ana Popescu ◽  
Elena Cosciug ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Institutionalized Elderly ◽  
The Disabled ◽  
Geriatric Evaluation ◽  
Vulnerable Elderly

Nutrition is an important factor for health, physical and cognitive function, vitality, quality of life and longevity. Elderly people oft en have low food intake, induced by multifactorial causes, as a result, malnutrition is an independent risk factor for increased morbidity and mortality, regardless of the underlying pathologies (chronic organ failure, cognitive impairment, cancer, cardiovascular disease, type 2 diabetes etc.) including overweight or obese subjects.The prevalence of malnutrition varies from 4% to 10% in the elderly population from the community, from 15% to 38% for institutionalized elderly people and from 30% to 70% for hospitalized ones. The purpose of this study was to assess the nutritional status of institutionalized elderly people and establish correlations between the determinants of malnutrition and fragility syndrome.Th e epidemiological study is part of the project 20.80009.8007.25 “Fragility: diagnosis and prophylaxis in relation to medicopsychosocial problems of the vulnerable elderly”, included 50 patients institutionalized in the Republican Asylum for the Disabled and Retired in Chisinau.All persons were examined by the complex geriatric evaluation, approved by the order of the Ministry of Health no. 619 of 07.09.2010. According to the results, both malnutrition and the risk of malnutrition were high in institutionalized elderly people.Among the determinants of malnutrition, the highest association had the number of concomitant diseases, decreased functionality of the elderly, the presence of depression syndrome and cognitive disorders. At the same time, the malnutrition syndrome correlated with the fragility criteria but also with the degree of severity of frailty of the institutionalized elderly people.

scholarly journals Social determinants of death among the elderly: a systematic literature review

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 178-193 ◽  
Author(s):  
Vanessa de Lima Silva ◽  
Eduarda Ângela Pessoa Cesse ◽  
Maria de Fátima Pessoa Militão de Albuquerque
Keyword(s):  
Social Determinants ◽  
Daily Living ◽  
Healthy Lifestyle ◽  
Health Sector ◽  
The Elderly ◽  
Asian Countries ◽  
European North ◽  
Urban Rural ◽  
Extended Longevity

OBJECTIVE: This study aims at working on a systematic review of articles published on social determinants associated with the elderly mortality. METHODS: We searched articles published in Portuguese, English and Spanish language periodicals from January 1st 2007 to December 31st 2009, by means of Lilacs and Pubmed databases. Twenty cohort studies were identified, having most of them been developed in European, North-American and Asian countries. RESULTS: The articles analysed provided determinant social factors significantly associated with the elderly mortality: urban/rural and intercontinental variation, be part of ethnic minorities, financial stress, living conditions, schooling, social participation, gender and race discrimination, smoking, alcoholism, physical activities, instrumental activities of daily living, leisure, marital status, equality and healthy lifestyle. CONCLUSION: Mortality amongst the elderly is influenced by social determinants in many levels of reach, from determinants linked to lifestyle to socioeconomic macro-determinants. The actions on these determinants must be guided by the intersectorial perspective and regarded as a priority in the health sector, seeking to provide extended longevity with good quality of life for the population.

scholarly journals Bioética y calidad de atención en adolescentes atendidas en ginecología de hospitales públicos

2017 ◽  
Vol 1 (6) ◽  
Author(s):  
Mabel Sánchez Rodríguez ◽  
Milton Espinoza Lucas ◽  
Miladis Placencia López
Keyword(s):  
Health Personnel ◽  
The Elderly ◽  
Public Hospitals ◽  
Vulnerable Groups ◽  
Level Of Service ◽  
Calidad De Vida ◽  
Palabras Clave ◽  
The Disabled ◽  
Los Grupos

Los grupos vulnerables del país son: adultos mayores, embarazadas, discapacitados y otros no adolescentes,  razonable por su grado de riesgo , una de las etapas biológicas trascendental es la adolescencia, la fisiología cambia y las definiciones de personalidad se encuentran en proceso .Entonces constituye una etapa vulnerable si no existen condiciones adecuadas de orientación sexual y provisión de condiciones que permitan reconocer riesgos y aplicar estrategias destinadas a disminuir   detrimentos en su calidad de vida. Los niveles de atención del sistema de salud ecuatoriano ameritan un personal de salud laborando en   instituciones aplicando   principios bioéticos en la atención a usuarios, el  estudio plantea como objetivo determinar si el personal de enfermería   aplica principios bioéticos   en la   atención   a   adolescentes atendidas del área ginecológica del hospital básico  Jipijapa , se realizó una encuesta a adolescentes y entrevista al personal de salud , se evaluó el nivel de satisfacción de servicios , se identificó los principales dilemas bioéticos que las enfermeras  enfrentan en sus actividades y se estableció la no existencia protocolos en caso de suscitarse dilemas  bioéticos. Los resultados mostraron que el personal de enfermería conoce misión ,visión de los servicios que presta, existen buenas relaciones interpersonales, sin embargo no manejan protocolos al presentarse problemas bioéticos , existe respeto al paciente y familiares .Las adolescentes consideran que las enfermeras no brindan trato individualizado, ni humanístico en algunos casos a pesar satisfacer sus necesidades inmediatas en gran medida y consideran que deben tener capacitaciones para mejorar el trato a pacientes. Palabras clave: cuidados a adolescentes, principios bioéticos, protocolos de atención    Bioethics and quality of care in gynecology adolescents treated in public hospitals Abstract  Vulnerable groups in the country are: the elderly, pregnant women, the disabled and others not teenagers, reasonable by their degree of risk, one of the crucial biological stages of adolescence, physiology changes and the definitions of personality are in .then process is a vulnerable stage if there  are  no  adequate  conditions of  sexual  orientation  and  providing conditions that  allow recognize risks and implement strategies to reduce detriment to their quality of life. The levels of health care system merit Ecuadorian health personnel working in institutions applying bioethical principles in the customer first, the study therefore seeks to determine whether nurses bioethical principles applied in the care of adolescents met the gynecological area Jipijapa basic hospital, a survey was conducted to teenagers and interview health personnel, the level of service satisfaction was evaluated, the principal bioethical dilemmas identified that nurses face in their activities and nonexistence was established protocols should arise bioethical dilemmas. The results showed that the nurses called mission, vision of the services provided, there are good relationships, but no protocols to handle bioethical problems occur, there is respect for patients and relatives .The teens believe that nurses do not provide individualized treatment nor humanistic in some cases even their immediate needs greatly and they believe they should have training to improve the treatment of patients.  Key words: Adolescent care, bioethical principles , care protocols

scholarly journals Methods of assessing the health and social status of elderly disabled persons

2016 ◽  
Vol 19 (3) ◽  
pp. 164-167
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Social Status ◽  
Social Protection ◽  
Elderly Person ◽  
The Elderly ◽  
Disabled Persons ◽  
Disabled Elderly ◽  
Vocational Competence ◽  
The Disabled ◽  
Speed Up ◽  
Health Institutions

Execution of documentation is an essential component of the vocational work of experts engaged in the provision of medical and social assistance to the disabled, from the clinical diagnostic to rehabilitation. In the article there is presented the questionnaire of the assessment of health and social status of the elderly disabled person, which allows to reflect the existence of violations of the functions and limitations of life activity, the degree of their severity, needs in certain types of rehabilitation, including with the use of technical means of compensation of disturbedfunctions. This type of documentation allows to reduce (speed up) the time on the execution and to increase the level of the vocational competence of the professionals engaged in medical and social activities as well in health institutions as social protection institutions. With properfilling ofpreprinted forms (layout, template) it will be received medical and social portrait ofa disabled elderly person. Questionnaire can also be used in execution ofscientific research.

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