scholarly journals Multimorbidity, Trauma Exposure, and Frailty of Older Adults in the Community

2021 ◽  
Vol 12 ◽  
Author(s):  
Ioanna V. Papathanasiou ◽  
Evangelos C. Fradelos ◽  
Dimitrios Mantzaris ◽  
Anna Rammogianni ◽  
Foteini Malli ◽  
...  

The aim of this study is to investigate the relation between multimorbidity, traumatic events and frailty among older adults in the community. The studied population consisted of 257 older people who were recipients of the services and active members of Open Care Centers for the Elderly (OCCE) of the Municipality of Grevena and meet a set of selection criteria. The collection of the data was carried out using a fully structured questionnaire, which consisted of two sections: a form of individual features and the Tilburg Frailty Indicator (TFI). The sample consisted of 114 men (44.4%) and 143 women (55.6%) aged between 61 and 96 years with an average of 75.12 years. The results showed that the mean scores were 2.70 for the Physical Frailty (standard deviation = 2.16), 1.43 for the Psychological Frailty (standard deviation = 1.21), 1.32 for the Social Frailty (standard deviation = 0.64) and 5.44 for the total Frailty (standard deviation = 3.02). We took into account the cut-off point five of 54.1% (n = 139) in terms of the participants’ frailty. Physical, Psychological, and Total Frailty are related to (a) the presence of two or more chronic diseases or disorders, (b) the experience of a serious illness in the previous year, and (c) the experience of a serious illness of a loved one during the previous year. The outcomes helped to identify frailty syndrome in older people and the factors associated with it.

2021 ◽  
pp. 025371762110465
Author(s):  
Radha Murthy ◽  
Sruthi Sivaraman ◽  
Anitha Chandra ◽  
Swati Bhandary ◽  
Vijaykumar Harbishettar

Elders Helpline has been operational in Bangalore by joint effort of the Nightingales Medical Trust (NMT) and the City Police since its inception in 2002. The Elders Helpline is unique as it is the first of its kind in India that offers services for the welfare of the older people in Bangalore city. The objectives of this article were to review the process of setting up of the helpline services, its evolution, range of services offered, to evaluate the services to ascertain the social difficulties with a focus on abuse experienced by the older people in Bangalore and find out the common themes. From the records, the Elders Helpline has responded to as many as 144058 calls between April 2009 and March 2020. This article reviewed functions of the Elders Helpline including supervision and training to its staff members, offering counselling to the Older adults by resolving family conflicts and other social issues by upholding and safeguarding their rights. The article highlights the need and impact of Elders Helpline suggesting the need to expand this type of Helpline to other Districts of the country. This study indicates that the Elders Helpline has become a platform for the elderly people to express their concerns and to make them feel secure. The Elders Helpline model is now launched nationally in October 2021 through the expansion of helpline services. There is a need to gather more comprehensive data and for ongoing research and training to reach out many needy older people.


2013 ◽  
Vol 19 (11) ◽  
pp. 1382-1387 ◽  
Author(s):  
Sarah T Stahl ◽  
Salvatore P Insana

Criterion validity of a novel accelerometry device that measures caloric expenditure (Fitbit) was evaluated against a self-report estimation of caloric expenditure (Community Healthy Activities Model Program for Seniors) in older adults. Community Health Activities Model Program for Seniors and Fitbit estimates of total caloric expenditure per day were significantly correlated ( r = .61, p < .05). Bland–Altman plots indicated that 70 percent of participants’ data were within 1 standard deviation of the mean difference between measures. These preliminary findings suggest that the Fitbit may be considered a viable instrument for measuring daily caloric expenditure among older adults. However, further work is required to determine the optimal measurement technique for caloric expenditure among older adults.


2018 ◽  
Vol 74 (8) ◽  
pp. 1474-1482 ◽  
Author(s):  
Stacy Torres

AbstractObjectivesWhile older adults living alone face challenges to maintaining social ties, elders in urban areas also have unique opportunities for daily socializing that can buffer against loneliness.MethodDrawing on 5 years of ethnographic fieldwork among elders in New York City, this study presents empirical insights into the development of supplementary neighborhood-based networks of support for older people living alone and vulnerable to isolation.ResultsThis study finds that elders who lived alone, without close kin, engaged in daily gossip about other older people they encountered as regulars in local eateries. Despite its negative reputation, gossip helped them connect and access less conventional social support close to home. The majority resisted formal organizations, such as churches or senior centers, and thus their interactions in public venues served as an important source of social involvement. In line with Gluckman’s argument (1963), gossip betrayed emotional intimacy and caretaking that connected people who could have fallen off the social radar.DiscussionHigher rates of divorce and lifelong singlehood, coupled with increased longevity, will compel greater numbers of older adults to construct alternative support networks. My findings suggest that more will draw these connections from unconventional venues such as neighborhood public places.


Ekonomia ◽  
2020 ◽  
Vol 25 (4) ◽  
pp. 73-84
Author(s):  
Sylwia Wojtczak

Social policy toward old people in Poland — conditions, development and directions of changesSocial policy shapes people’s living conditions. In the era of dynamic demographic changes, especially the aging of the population observed in Poland and across the world, the activity of the state focused on improving the quality of life of the elderly is particularly important. Population aging is a demographic process of increasing the proportion of older people while reducing the proportion of children in the society of a given country. Elderly people will continue to be a part of society, mainly due to the progress of civilization, advances in modern medicine and the popularization of so-called healthy living.Social policy toward the elderly should not be limited to managing the social security system and social welfare. Eff ective use of human and social capital of the elderly will be a growing challenge for this policy, and for senior citizens — spending satisfactorily the last years of one’s life. However, for some senior citizens, old age means or will mean poverty and living on the margins of civil society. The Ministry of Family, Labor and Social Polic y is responsible for the social policy of people in Poland, off ering for example in the years 2014–2020 to senior citizens such programs as “Senior +”, the Government Program for Social Activity of the Elderly ASOS or “Care 75+.” Each of the above programs have appropriate criteria that must be met to be able to use them. Are older people eager to use them, or are the eff ects of these programs already visible? This study will attempt to answer the above questions. The main purpose of the article is to diagnose and analyze selected government programs targeted at older people. In addition, perspectives for changes in social policy toward older people in Poland will be determined.


2020 ◽  
Vol 19 (3) ◽  
pp. 33-40
Author(s):  
D.A. Bistiakina ◽  
◽  
T.V. Soloveva ◽  
E.G. Pankova ◽  
◽  
...  

the article presents the results of the author’s research carried out within the framework of the scientific project “Transforming the social well-being of war veterans in the context of Russian transformations at the regional level”, analyzing the social well-being of older people during the period of the introduction of the forced self-isolation regime due to the danger of the spread of coronavirus infection. The role of state and public social organizations in mitigating the consequences of forced self-isolation of older people is revealed.


Author(s):  
Dr. Abdul Roof Rather ◽  
Nazia Khan ◽  
Abdul Kaisar

Background: Menstruation and related problems are issues of great importance for adolescent athletes. The concern becomes more crucial when it comes to the sports participation of athletes. The social and cultural setup in India leaves very less space for adolescent athletes to talk freely about menstruation. This raises a great concern regarding menstruation from health perspective. Objectives: To study sport workout and participation associated menstrual problems among adolescent athletes. Materials and Methods: A questionnaire based survey study was carried out during open sports meet 2017 in Aligarh, India. A sample of 158 girl athletes participated in this study. Data was collected using a 23-item semi structured questionnaire. Data collection lasted for two weeks and analysis was done using descriptive statistics, percentages and proportions. Results: Showed that the mean age of menarche was 13.5 years. 37.19% had irregular menstrual cycle. 73.23% (20.11% severe and 53.12% mild) athletes had abdominal pain and cramping during menstruation. While, mere, 7.98% athletes seek any medical practitioner or OB-GYN about their menstruation problems. 56.97% athletes think that sports training and participation effect their menstrual periods. 49.78% reported that diet provided to them was not well balanced and 59.09% reported that imbalanced diet had caused many problems like that of irregular menstrual periods, dizziness, sleeping difficulties, mood swings, constipation and feelings of depression to them. Conclusion: The knowledge of the participants of this study about the menstruation and related problems was very weak and did not know the safe maintenance procedures. They also have the ill faith that sports participation hampers the menstrual periods. Besides this the significant weight loss could be due to training load and dietary imbalances. This seems to have had played major role in the irregularity of the menstrual cycles.


Author(s):  
Judith G. Chipperfield ◽  
Betty Havens

AbstractThis study assessed changes in older peoples' levels of perceived respect between the 1970s and the 1980s using data from the Aging in Manitoba Study. A longitudinal analysis was conducted for Manitobans, age 65 and over, who were interviewed in the mid 1970s and subsequently reinterviewed in the early 1980s. Changes in perceived respect scores for those who survived into the 1980s, and who provided ratings at both interviews (n = 776), were assessed in a repeated measures ANOVA. Significant increases were found in the mean level of respect for some ethnic groups, namely for the British, French, and German. A subsequent analysis indicated that the reported improvements in perceived respect could not be explained by participation in the study. These results may suggest that over the decade, the social climate of the elderly population in Manitoba has improved, at least for some ethnic groups.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Muslimah Yusof ◽  
S. Maria Awaluddin ◽  
Maisarah Omar ◽  
Noor Ani Ahmad ◽  
Fazly Azry Abdul Aziz ◽  
...  

Introduction. Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This study investigates ethnic differences in prevalence of anaemia and identifies potential factors associated with anaemia in the elderly. Methods. Data from the National Health & Morbidity Survey (NHMS) 2015 conducted by Ministry of Health was analyzed. Haemoglobin levels were measured using point-of-care testing, HemoCue® Hb 201+ System©, from consenting individuals. Demographic information and other clinical information were obtained through a structured questionnaire. Descriptive and multivariate analyses were conducted and significant results were presented as adjusted odds ratio. Results. A total of 3794 participants aged 60 years and older responded to the anaemia module with a response rate of 93.7%. 64.0% of respondents were of Malay ethnicity, 21.6% were Chinese, 6.1% were Indians, and 8.3% were of other ethnicities. The overall prevalence of anaemia among older people was 35.3%. The highest prevalence of anaemia was found among respondents of Indian ethnicity (45.5%). The Indian (aOR: 1.72; 95% CI 1.26–2.34) and Malay (aOR: 1.25; 95% CI 1.04–1.49) ethnic groups were more likely to be anaemic in comparison to those of Chinese ethnicity. Anaemia in older people was also associated with increasing age, history of hospital admission, and the presence of diabetes mellitus. Conclusion. Anaemia in the elderly is associated with Indian and Malay ethnicities, increasing age, hospitalization, and diabetes. Our study has identified important information on a common condition which will guide and assist future studies in reducing the burden of anaemia.


1997 ◽  
Vol 31 (4) ◽  
pp. 416-422 ◽  
Author(s):  
Alessandro Nobili ◽  
Mauro Tettamanti ◽  
Lucilla Frattura ◽  
Alberto Spagnoli ◽  
Lorenza Ferraro ◽  
...  

Objectives To evaluate drug consumption in the elderly aged 75 years or more living at home. Design Cross-sectional study. Setting Old-old (i.e., >75 y) people living in central Turin, a city in northern Italy. Participants Thirty-four general practitioners (GPs), with 50 or more old-old people in their patient list, randomly chosen among the GPs working in the Unità Socio-Sanitaria Locale I (Local Health Unit I) of Turin; 261 old-old people (135 men and 126 women) randomly selected from the practice records. Methods Data were collected by the GP through a structured questionnaire during an office visit and by a social worker in a home interview within 14 days of the GP visit GPs were asked to record every diagnosis and drug currently taken by the patient; social workers were trained in the administration of a structured questionnaire exploring sociodemographic variables, drug use (following the medication inventory strategy), disability, cognitive functions, and depressive symptoms. Results Nearly all subjects (95% of the women and 91% of the men) were taking at least 1 drug. The overall number of drugs recorded was 917 (47.1% for men and 52.9% for women), of which 172 (18.8%) were not reported by the GP but were recorded during the social worker's visit. The mean number of drugs was 3.2 for men and 3.8 for women, with a statistically significant difference (p = 0.02), while the mean number of diagnoses was 2.3 and 2.6, respectively. The study of correlates of drug consumption showed a strong association with number of diagnoses at univariate analysis (p < 0.0001, with a linear correlation coefficient of 0.64). No multivariate model showed a clear superiority over the simple one containing only the number of diagnoses in predicting the total number of drugs taken. Cardiovascular, nervous system, and alimentary tract drugs were the most frequently used. A total of 107 subjects (41%) were taking at least 1 unreported drug. Conclusions Our study shows high drug consumption among old-old people, with nearly 20% of drugs taken not reported by the GP. These results emphasize the need for an essential therapeutic approach in old-old people, prescribing only drugs of scientifically proven efficacy. Furthermore, the GP must make more effort when collecting a drug history from old-old patients.


2019 ◽  
Vol 12 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Fatemeh Mousavi-Shirazi ◽  
Parisa Mollaei ◽  
Ahmad Delbari

Background: Studies show as people age, demand for health care services rises. One of the most important factors that significantly affect the quality of elderly care is the attitude towards older adults. Objective: The current study aimed to assess the attitude of medical sciences students towards older adults in Iran. Methods: A cross-sectional design study using a multistage proportional random sampling method was employed to obtain a sample of 583 Iranian medical sciences students in 2017. The data were measured using the Kogan's Attitudes Towards Older People Scale (KAOPS). The SPSS 23.0 for Windows (IBM SPSS Statistics 23.0) was used to analyze the data. Results: Out of the 583 respondents, around 44% were female and a little more than one-fourth was medical students. The mean age was 21.98 (SD=3.63) years. The mean score of the attitude towards the elderly was found to be 56.90 (SD=8.04). Aging health students scored a more positive attitude towards elderly people than other medical sciences students. Results of the bivariate analyses revealed that field of study (F (7, 575) = 2.66, P<0.01), participating in gerontology and geriatrics research (t (581) =2.80, p<0.01), and attending in gerontology and geriatrics congress (t (581) =1.96, p<0.05) significantly associated with attitude toward older adults. Conclusions: The findings from the current study show that Iranian medical sciences students have moderate positive attitudes towards older adults and vary by students’ field of study and their research activity in gerontology and geriatrics field. Therefore, effective interventions for enhancing the attitudes of medical sciences students towards older adults should be developed and implemented.


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