scholarly journals Bioethics and Nutrition in the Older Adult

2022 ◽  
Vol 3 (6) ◽  
pp. 11-15
Author(s):  
Jessica Andrea Aguilera-Hernández ◽  
Lydia Lopéz Pontigo ◽  
María del Refugio Acuña Gurrola ◽  
Arianna Omaña Covarruvias
Keyword(s):  
Nutritional Status ◽  
Old Age ◽  
Older Adult ◽  
Professional Practice ◽  
The Elderly ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Ethical Considerations ◽  
Doctor Patient Relationship ◽  
High Standards

At the professional practice of nutrition, as in the rest of the health disciplines, it is necessary to follow high standards in order to establish the best doctor-patient relationship and the greatest benefit in the user's health. In a special way, the factors that are indexed in the nutrition of the elderly must be specified; since, during the stage of old age, individuals present physiological and psychosocial changes that affect their nutritional status, which lead to both overweight and malnutrition, implying malnutrition problems. Thus, recommendations are established for both the ethical aspects and the components that must be considered for the adequate feeding of the elderly, including the ethical considerations involved in the interventions.

scholarly journals Socioeconomic, Nutritional Profile Correlates with Morbidity Risks and Quality of Health Status among Elderly Residing at Old Age Home & Residence from Different Region of South Karnataka

2021 ◽  
Vol 11 (6) ◽  
pp. 349-355
Author(s):  
Pooja Anudhar G ◽  
Sushma B. V
Keyword(s):  
Nutritional Status ◽  
Old Age ◽  
Sampling Technique ◽  
The Elderly ◽  
The Body ◽  
Deficiency Anemia ◽  
Elderly Subjects ◽  
Randomized Sampling ◽  
Nutritional Profile

Ageing is the multidimensional process in humans with changes occurring in physical, psychological and social aspects which increase their proneness to health ailments. The associated functional impairment and physical inability will influence on their absorption and metabolism leading to the changes in nutritional status. Epidemiological study was conducted among the elderly subjects with respective to understand the quality of health in relation to the nutritional profile. Using a purposive randomized sampling technique, the elderly subjects were selected and assessed for the nutrition and health condition. The investigation comprises approximately 90 subjects of old age institutions and 90 subjects of residents from different domiciles. The study was conducted using standardized validated tools and checklist with oral interview technique and one to one interactions. Findings: In accordance with the body mass evaluation; approximately 59% elderly living at own houses were under Grade 1, Grade 2 and Grade 3 obesity in comparison to their counterpart. Medical health records indicated iron deficiency anemia among 10% of subjects. Gastritis, Diabetes, hypertension, arthritis was observed to be the major health problems. Comparatively 64% male elderly from household had oral problems and underwent for dentures. Often had three meal patterns in a day. Henceforth, there is a need to understand and address on the nutritional needs, etiology and demographic characteristics interlinked with comorbidities and health disabilities among aging population. Evidently a significant association was noticed between nutritional status on morbidities and health quality among elderly. Key words: Old age home, elderly, Ageing, nutritional profile, quality of health.

scholarly journals Analysis of the pharmaceutical care activities practiced by private homeopathic pharmacies located in Rio de Janeiro North Zone

2021 ◽  
Vol 10 (36) ◽  
pp. 229-230
Author(s):  
Daniele Osorio Pacheco ◽  
Tereza Aguiar
Keyword(s):  
Pharmaceutical Care ◽  
Professional Practice ◽  
Rio De Janeiro ◽  
The Elderly ◽  
Ethical Aspects ◽  
Patient Trust ◽  
Self Medication ◽  
Pharmaceutical Form ◽  
Information Professionals ◽  
Homeopathic Drugs

The complexity of homeopathic treatment delegates to the Pharmacist the need and the responsibility of pharmaceutical care. This paper had the objective of verifying the practices of pharmaceutical care in homeopathy. The study was conducted in homeopathic pharmacies situated in Rio de Janeiro North Zone, during March and April, 2011, where 15 pharmacists were interviewed, with the help of a semi-open questionary self-administered. For the survey were investigated variables related to pharmaceutical: sex, age, nature of the institution where he graduated, having completed post-graduate and working ties. Information professionals for the pharmaceutical care were collected in 14 questions grouped into three areas: attitudes, perceptions and satisfaction. Attending the ethical aspects, the study was submitted to and approved by the Ethics Committee of University Estácio de Sá. The results demonstrated that 33% of the pharmacists have less than 5 years of professional practice, and 53% are specialists graduated by the Hahnemann’s Institutite of Brasil. All Pharmacists claim to orient patients, mostly during dispensation and through phone contacts. Most pharmacists oriented patients passively and actively. The elderly were pointed as the ones, who most often sought orientation. During dispensation of homeopathic drugs, all patients elicit some orientation. 67% of the pharmacies keep material for pharmaceutical guidance to the patients, usually leaflets. The verbal and written orientation was predominanted on homeopathic pharmacist. Posology and instructions of use for the pharmaceutical form dispensed were described as the most common doubts of the patients. Of all pharmacists interviewed, 67% pointed to self-medication practices in the pharmacy. The questions which measure the position and perception of the pharmacists related to pharmaceutical assistance scored over 3. The question which scored higher was related to the patient trust regarding the pharmacist guidance. We concluded that there was a mobilization on the pharmacists side to overcome obstacles and focus on the patient through the practices of pharmaceutical care.

scholarly journals ZAGROŻENIA KORUPCYJNE W RELACJACH MIĘDZY LEKARZEM A PACJENTEM

2016 ◽  
Vol 60 (1) ◽  
Author(s):  
Marcin Kolwitz ◽  
Jakub Gąsiorowski
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Medical Personnel ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Doctor Patient Relationship ◽  
Criminal Sanctions ◽  
The Relationship ◽  
Care System

The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor–patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better health care for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient’s opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.

scholarly journals Assessment of facilities and reasons for settlement in old age homes of Himachal Pradesh, India

2020 ◽  
Vol 7 (7) ◽  
pp. 2588
Author(s):  
Sanjay Kumar ◽  
Anmol Gupta ◽  
Salig Ram Mazta ◽  
Deepak Sharma ◽  
Ankit Chaudhary ◽  
...  
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Himachal Pradesh ◽  
Satisfaction Level ◽  
Ethical Considerations ◽  
Cross Sectional ◽  
Medical Facilities ◽  
Old Age Homes

Background: Ageing though a physiological phenomenon has massive implications on health status of an individual. Once a nation of joint families, India has also seen increase in nuclearization of families. This in-turn has led to increase in old age homes (OAHs) in our country and also increased number of admissions in such institutions. The present study evaluated such facilities in state of Himachal Pradesh and the reasons for the settlement among the occupants.Methods: A descriptive cross sectional study was conducted to capture socio-demographic variables, reasons for settlement, facilities available in such institutions, medical facilities provided and overall satisfaction level among the occupants of all seven OAHs of the state. After taking ethical considerations into account, data was collected and analyzed using appropriate statistical techniques.Results: A total of 145 inmates were included in the study. About 86.2% inmates belonged to rural area and about three fourth of the elderly were illiterate. About 53.8% of the inmates had no children with about 45.5% of participants having lost their spouse. About 19.3% individuals had no source of income. Most common cause for settlement in OAHs was the non-availability of a care giver. About 85% of inmates had satisfaction level of average and above.Conclusions: Considering the increase in elderly population in the country there is a need for increase in number of facilities for elderly too. Moreover there is a need for standardizing such institutions in term of infrastructure, staff and facilities, with more emphasis on medical aspect. 

The legal and ethical aspects of telemedicine. 3: Telemedicine and malpractice

1998 ◽  
Vol 4 (2) ◽  
pp. 72-79 ◽  
Author(s):  
Ben Stanberry
Keyword(s):  
Patient Relationship ◽  
Ethical Aspects ◽  
Doctor Patient Relationship ◽  
Telemedicine Service ◽  
Face To Face ◽  
Legal Principles ◽  
Practice Of Medicine ◽  
Valid Consent

Summary This paper reviews the difficulties raised by the need to obtain valid consent from telemedicine patients to the treatment that they receive and evaluates the legal principles that the courts will apply to an allegation of negligence brought against a teleconsultant or telemedicine service by a patient. While many of the processes that take place during a telemedical consultation will be unique, it is suggested that the legal principles that apply to the conventional, face-to-face, doctor-patient relationship are equally as valid in the context of the practice of medicine at a distance.

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