scholarly journals Hospital at Home, an innovative approach for Elderly care during the COVID-19 Pandemic

2021 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Abu Bashar

The COVID-19 pandemic has profoundly affected the elderly people (those aged 60 years or above as per the definition by the World Health Organization) who are found to have higher rates of infection and poorer health outcomes in this pandemic compared to other age groups [1,2]. Nevertheless, elderly adults, despite having a wide range of chronic illnesses, are experiencing critically inadequate access to care as healthcare organizations are emphasizing more on patients primarily affected by COVID-19 [3,4]. Furthermore, Elderly people remain most vulnerable in this pandemic as most of the nations do not have adequate preparedness to ensure acute and chronic geriatric care in public health emergencies.

Author(s):  
Kunho Lee ◽  
Goo-Churl Jeong ◽  
JongEun Yim

COVID-19 has spread worldwide causing an unprecedented public health crisis. After the World Health Organization declared a pandemic in March 2020, the number of confirmed cases and deaths has continued to increase. This situation may be prolonged until an effective, tested, and safe treatment is available. COVID-19 can occur at any age. However, the maximum confirmed cases and deaths have occurred among the elderly. Particularly, the mental and physical health of the elderly aged above 60 and classified as high-risk groups is more vulnerable than other age groups, requiring more attention. Strong social restraint, social distancing, and quarantine measures to prevent the COVID-19 spread have raised concerns about their mental health. Therefore, it is crucial to analyze and identify the psychological concepts and protective factors that support and constitute these guidelines and strategies and prepare practical suggestions and guidelines to protect the mental health of the elderly during COVID-19. These discussions will facilitate a deeper understanding and expansion of these guidelines and strategies. Therefore, this study explores factors—including pandemic-induced stress, self-integration, self-efficacy, and resilience—in order to prepare practical and detailed suggestions and guidelines using studies that considered these factors, including coping with COVID-19-induced stress, social support, and physical activity.


2020 ◽  
Vol 8 ◽  
Author(s):  
Reham M. Marei ◽  
Mohamed M. Emara ◽  
Omar M. Elsaied ◽  
Gheyath K. Nasrallah ◽  
Tawanda Chivese ◽  
...  

Background: SARS-CoV-2 continues to claim hundreds of thousands of people's lives. It mostly affects the elderly and those with chronic illness but can also be fatal in younger age groups. This article is the first comprehensive analysis of the epidemiological and clinical outcomes of the travel-associated SARS-CoV-2 cases until April 19, 2020.Methods: Demographic and clinical data of travel-associated SARS-CoV-2 cases were collected for the period between January 16, 2020 and April 19, 2020. More than one hundred and eighty databases were searched, including the World Health Organization (WHO) database, countries' ministries websites, and official media sites. Demographic and clinical data were extracted and analyzed.Results: A total of 1,186 cases from 144 countries meeting the inclusion criteria were reported and included in the analysis. The mean age of the cases was 44 years, with a male to female ratio of 1.6:1. Travel-associated cases originated from more than 40 countries, with China, Italy, and Iran reporting the highest numbers at 208, 225, and 155, respectively. Clinical symptoms varied between patients, with some reporting symptoms during the flights (117 cases; 9.87%). A total of 312 (26.31%) cases were hospitalized, of which 50 cases (4.22%) were fatal.Conclusion: Major gaps exist in the epidemiology and clinical spectrum of the COVID-19 travel-associated cases due to a lack of reporting and sharing data of many counties. The identification and implementation of methodologies for measuring traveler's risk to coronavirus would help in minimizing the spread of the virus, especially in the next waves.


2021 ◽  
Vol 2 (2) ◽  
pp. 70-77
Author(s):  
Nanik Dwi Astutik

The increasing number of elderly in quantity must get a great attention so that the elderly can pass through their old age successfully, and be able to maintain their health in the midst of the covid 19 pandemic.Tajinan Health Center already has an integrated service program (posyandu) for the elderly that is routinely held every month. However, the activity was temporarily suspended due to constraints on not being allowed to leave the house during Covid 19. Elderly people are among the vulnerable to contracting corona virus because at that age there is a decrease in hormone production and function of the body's organs. Even seniors who already have chronic diseases such as hypertension, diabetes and cancer are more susceptible to contracting due to declining immunity. According to a report issued by the World Health Organization (WHO), the highest death rate due to COVID-19 is the elderly over the age of 80. During the covid 19 period, cadres cannot accompany the elderly directly even though the elderly need to be given knowledge and assistance to be ready to face COVID 19. Elderly people are difficult to digest some of the appeals given by the government related to efforts to keep themselves from being exposed to the COVID-19 virus. The presence of cognitive impairment can make it difficult for the elderly to understand the reasons behind various precautions, such as why they should not leave the house, why they should wear masks, and so on. Therefore, the approach and way of communicating with the elderly needs a little adjustment. Based on the potential of elderly posyandu cadres and the assessment results that have been described, it is necessary to provide knowledge and understanding on elderly health management to improve the understanding of health cadres as an effort to improve the health of the elderly during the covid 19 pandemic.


2020 ◽  
Vol 9 (6) ◽  
pp. 1917 ◽  
Author(s):  
Kacper Lechowicz ◽  
Sylwester Drożdżal ◽  
Filip Machaj ◽  
Jakub Rosik ◽  
Bartosz Szostak ◽  
...  

In December 2019, a novel coronavirus, SARS-CoV-2, appeared, causing a wide range of symptoms, mainly respiratory infection. In March 2020, the World Health Organization (WHO) declared Coronavirus Disease 2019 (COVID-19) a pandemic, therefore the efforts of scientists around the world are focused on finding the right treatment and vaccine for the novel disease. COVID-19 has spread rapidly over several months, affecting patients across all age groups and geographic areas. The disease has a diverse course; patients may range from asymptomatic to those with respiratory failure, complicated by acute respiratory distress syndrome (ARDS). One possible complication of pulmonary involvement in COVID-19 is pulmonary fibrosis, which leads to chronic breathing difficulties, long-term disability and affects patients’ quality of life. There are no specific mechanisms that lead to this phenomenon in COVID-19, but some information arises from previous severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS) epidemics. The aim of this narrative review is to present the possible causes and pathophysiology of pulmonary fibrosis associated with COVID-19 based on the mechanisms of the immune response, to suggest possible ways of prevention and treatment.


2021 ◽  
Vol 34 (11) ◽  
pp. 761
Author(s):  
Filipa Novais ◽  
Catarina Cordeiro ◽  
Pedro Câmara Pestana ◽  
Beatriz Côrte-Real ◽  
Teresa Reynolds Sousa ◽  
...  

Introduction: In March 2020, the World Health Organization declared COVID-19 as a pandemic, and Portugal reported its initial cases. In this study, we aimed to determine the impact of COVID-19 on Portuguese individuals aged over 60 years old.Material and Methods: We performed a cross-sectional study using data from the Survey of Health, Ageing and Retirement in Europe (SHARE 8: COVID-19 Survey). We selected a sample of 1080 noninstitutional Portuguese individuals aged ≥ 60 years.Results: The study sample consisted of 605 (56%) women and 475 (44%) men, with a mean age of 70 ± 9.1 years. In total, 80% of the participants experienced higher levels of anxiety, 73% felt more depressed and 30% experienced additional sleep problems comparedto the period before the pandemic. Interestingly, there were no statistically significant differences between the sexes or the two selected age groups (60 - 74 and over 75 years old) regarding the incidence of these changes. Only 23%, of those that were interviewed maintained their walking routines. In addition, only 8% of the participants continued visiting family members as frequently as before. While 8% of the participants were refused some form of medical treatment, 56% claimed that they experienced healthcare delays. However,only 15% of the participants reported that their health status worsened during the pandemic.Discussion: The pandemic has had a significant impact on Portuguese individuals aged ≥ 60 years; which is in agreement with the findings of previous international studies. It changed the participants’ routines and increased their anxiety and depression levels. Despite the deterioration of healthcare services, most participants did not experience worsening of their health status.Conclusion: In conclusion, a COVID-19 pandemic had a significant impact on the elderly population, particularly regarding their mental health.


2017 ◽  
pp. 62-66
Author(s):  
Maryn Baltov ◽  
Nataliia Kozytska ◽  
Roman Havadza

Suicide is an important social problem of modern society. Every year in the world from 800 000 to one million people commit suicide. Suicides occur every 40 seconds. Suicide is the 15th cause of death in the world. The committing of suicides by people is in close connection with the social and economic problems of society. With the intensification of integration processes and the weakening of social ties, a person feels lonely and unprotected in a social environment, he/she is unable to solve problems of a different nature and is under constant stress. The World Health Organization emphasizes the suicide problem and raises the issue of its solution. The purpose of the study is to compare suicide cases in two countries, which, in our opinion, earlier developed similarly and had much in common, but they appeared on the path of democracy at different rates and methods; to analyze some social aspects of suicides and their correlation with economic indicators, such as gross domestic product (GDP) per capita and unemployment rate. CONCLUSIONS During the period from 2006 to 2015 in Khmelnytskyi oblast suicides were committed twice more than in t Plovdiv oblast. The dynamics of suicides in the Plovdiv oblast is unstable, in its turn, in Khmelnytskyi oblast there is basically a similar number of cases. When assessing suicides in age categories, a similar pattern is observed in the age groups from 0 to 18 years old and from 44 to 65 years old, with a difference in age groups of 19-43 years old with an increase in cases in Khmelnytskyi oblast and a group of over 65 years old with an increase in cases in Plovdiv In our opinion, this may be due to the economic development of the country, the young people’s inability to realize themselves and the different worldviews and difficulties in adapting to life for the elderly. The same picture is observed in the study of suicides committed by men and Men both in Plovdiv oblast and in Khmelnytskyi oblast commit the majority of suicides. It can be concluded that men are more prone to suicide. In our opinion, this is due to the inability to support the family, due to the abuse of alcohol and drugs and due to the inability to overcome the existing obstacles. There is a link between the level of economic development of the country and the rate of suicide deaths. The level of living in Bulgaria is twice higher (in terms of GDP) than in Ukraine and the mortality rate is twice lower.


Author(s):  
Sertaç Güngör ◽  
Fatma Bütüner

Covid-19, which affects the whole world and is accepted as a pandemic by the world health organization, caused millions of people to die. The elderly are in the group with the highest risk of losing their lives due to the Covid-19 virus. Stricter restrictive / protective measures have been taken for the elderly in Turkey, as in the whole world. With this research, it is aimed to evaluate the sociological and psychological effects of the "elderly", who are one of the health risk groups of the society, in terms of landscape architecture, during the pandemic days when they had to experience various problems after the outbreak. In the study, face-to-face and online questionnaires were applied to individuals aged 50 and over on a voluntary basis. As a result of the study, it was determined that the implementation of curfews and restrictions for the elderly and the formation of an isolated lifestyle from other age groups caused an increase in loneliness and anxiety levels and negative psychological effects. It has been revealed that the activities that individuals will carry out in the green area, their conversations and socializing with their peers, and walks in the open area have a positive psychological and sociological effect for the elderly. It has been determined that the elderly who become lonely and depressed at home with the restrictions imposed under pandemic conditions want to be in green areas. The sociological and psychological positive effects of being in green areas and spending time, and the changes in the behaviour and emotions of the elderly who have pandemic restrictions paralleled the response of the participants to the questionnaire.


2017 ◽  
Vol 4 (08) ◽  
pp. 1558 ◽  
Author(s):  
Hamidreza Sadeghi Gandomani ◽  
Mahshid Ghoncheh ◽  
Hamid Salehiniya

One of the achievements of the 21st century is the aging population (Angus and Reeve, 2006). According to the World Health Organization (WHO), senility is passing the 60th birthday (Bengtson and Allen, 2009). According to forecasts, by 2050, the population of the world 65-year-old age group will reach over 1.4 billion people from 550 million. It means that the world's aging index, rising from 24 people in 1950 to 33 people in 2000, will increase to 101 people in 2050 (Christensen et al., 2009). Currently, due to lower birth rates, increased life expectancy, health promotion, and disease detection, Iran is also in the age structure transition phase of the population from youth to senility (Noroozian, 2012). Therefore, elderly people are considered as the largest population group in Iran. According to the census conducted in 2016, the ratio of the elderly of Iran reached 6.1% in the past five years from 5.7% (Yearbook, 2017). It is anticipated that by 2050, the Iran’s elderly population will reach 31.5% of the total population of the country (Yearbook, 2013, 2017). Due to the WHO, the world's elderly population will reach 21.5% in 2050 and 24% in Asia (Organization, 2009), according to which the population of the elderly people in Iran will be higher than the whole world average and the Asia average till 4 years (Yearbook, 2017). This demographic crisis in Iran can be called the senility tsunami, which can be debatable in various aspects including social, economic, health, medical, and political, in developing countries like Iran.


2021 ◽  
pp. 107-145
Author(s):  
Paul V. Dutton

This chapter investigates the health of the elderly in Sweden and the United States, focusing on populations that are no longer active in the labor force. For most workers in the United States and Europe, the working years are followed by a period of voluntary withdrawal from the labor market. Sweden earned third place on the Global AgeWatch ranking of ninety-six countries. The rating considers health outcomes, income security, financial capability, and an enabling environment in determining the best places to grow old. Meanwhile, the United States ranks ninth. The chapter looks at three social determinants that the World Health Organization has identified as the most important to healthy aging: (1) financial security, including the ability of the elderly to afford appropriate and safe housing, to maintain a nutritious diet, and to benefit from adequate means of transport; (2) social integration, the degree to which elderly people participate in the community, through continued employment, volunteering, or activity in sports, clubs, or other social organizations; and (3) access to preventive and curative health services, including long-term care, and the proximity of these services to the community in which elderly people live.


Author(s):  
Marcelo Carvalho Filgueiras ◽  
José Nilson Rodrigues Menezes ◽  
Maria Dorilane Ferreira Apolônio ◽  
Rafaele Teixeira Borges

Resumo: A saúde é um fator essencial para o desenvolvimento humano e um dos campos de ação propostos no contexto da promoção da saúde é a criação de ambientes favoráveis. A Organização Mundial de Saúde (OMS), desde o ano de 2002, desenvolve uma política de saúde que preconiza o chamado envelhecimento ativo. A Fisioterapia , cujo objetivo de estudo é principalmente o movimento humano, colabora lançando mão de seus conhecimentos e recursos fisioterapêuticos com intuito de facilitar a compreensão dos fatores que possam acarretar em diminuição de qualidade de vida e bem estar nos idosos. A pesquisa teve como objetivo geral descrever a percepção dos idosos sobre a atuação da fisioterapia em um programa de promoção da saúde. A metodologia utilizada foi descritiva qualitativa na qual foram entrevistados 16 idosos que participam de um Programa de Assistência Fisioterapêutica dedicada à Terceira Idade no NAMI. Foram incluídos na pesquisa idosos que participavam regularmente do programa e excluídos idosos que obtiveram no total de 03 faltas consecutivas. O período de coleta foi de Maio a Julho de 2008, no qual foi realizada uma entrevista semi-estruturada . Os resultados indicaram que a fisioterapia contribuiu, através do grupo, na vida dos idosos, motivando-os buscar um programa de assistência. A solidão é um dos grandes problemas na velhice. Assim era o dia a dia desses idosos antes de participar do programa de assistência, porém houve uma mudança de vida após o mesmo. Logo, pelo grupo investigado, observou-se que a fisioterapia contribui pra a promoção da saúde de idosos, através de grupos promotores de saúde que apresentam benefícios para o idoso e sua rede, estendendose ao seu processo de envelhecimento.  Palavras-chave: Fisioterapia; Gerontologia, Promoção de Saúde. Abstract: Health is an essential factor for human development and one of the fields of action proposed in the context of the health promotion is the creation of favorable environments. The World Health Organization (WHO) develops a health policy that advocates the so-called active aging since the year 2002. The Physiotherapy, which the objective of study is especially the human movement, collaborates through its knowledge and physiotherapeutic resources aiming to facili tate the understanding of the factors that may cause a decrease in the elderly well-being and quality of life. The research had as general objective to describe the elderly perception about the physiotherapy performance in a health promotion program. It was used a qualitative and descriptive methodology in which 16 elderly people who participate in a Program of Physiotherapeutic Assistance dedicated to the third age at NAMI were interviewed. It was included in the research the elderly people who had a regular participation in the program and excluded the ones who got a total of 03 consecutive absences. The period of collected data was from May to July 2008 when it was conducted a semi-structured interview. The results indicate that the Physiotherapy contributed through the group in the elderly lives, motivating them to look for an assistance program. The loneliness is one of the major problems in old age. The daily life of these elderly was like that before joining in the assistance program, but there was a change of life after the program. Therefore, it was observed in the investigated group that the Physiotherapy contributes to the elderly health promotion through promoters groups of health that present benefits to the elderly and his network, extending to the ageing process. Key words: Aged; Health Promotion; Physiotherapy.  


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