scholarly journals Tiredness, Care and Impact on Family Caregivers of Older Adults with Chronic Degenerative Diseases

Author(s):  
María Asunción Vicente Ruiz ◽  
Carmen de la Cruz García ◽  
Ramón Antonio Morales Navarrete ◽  
Clara Magdalena Martínez Hernández ◽  
María de los Ángeles Villarreal Reyna

Chronic diseases such as diabetes, hypertension, cardiovascular disease, and cancer, may limit the older adults’ ability to execute daily life activities; generating tiredness and/or overload on the caregivers. Objective: To determine the existing relationship between tiredness, the caregiver and the effects on the caregiver’s health. Method: Quantitative analytic study. The sample was assembled with 123 family caregivers and 123 older adults with a chronic degenerative disease. The sampling method was non-probabilistic. Results and Discussion: It was found association between tiredness and care’s repercussions (r=.438, p<.01), this suggest that, the higher the fatigue presented by the caregivers, higher the repercussions in their health will be (r=.546, p<.01). Also, a correlation from the care given by the familiar and the repercussions on the caregiver’s health (r=.546, p<.01), indicating that, the more extensive and complex the care given, greater the affectation this will have on the caregiver´s health. The care was related with the tiredness allows us to affirm that the more extensive and complex the care, the more tiredness is perceived by the caregiver (r=.109, p<.01). Conclusion: The caregiver’s tiredness is high; it is associated with the overload of the care and has several repercussions on the health or the wellbeing and future interdisciplinary-based interventions.

Author(s):  
María Asunción Vicente Ruiz ◽  
Carmen de la Cruz García ◽  
Ramón Antonio Morales Navarrete ◽  
Clara Magdalena Martínez Hernández ◽  
María de los Ángeles Villarreal Reyna

Chronic diseases such as diabetes, hypertension, cardiovascular disease, and cancer, may limit the older adults’ ability to execute daily life activities; generating tiredness and/or overload on the caregivers. Objective: To determine the existing relationship between tiredness, the caregiver and the effects on the caregiver’s health. Method: Quantitative analytic study. The sample was assembled with 123 family caregivers and 123 older adults with a chronic degenerative disease. The sampling method was non-probabilistic. Results and Discussion: It was found association between tiredness and care’s repercussions (r=.438, p<.01), this suggest that, the higher the fatigue presented by the caregivers, higher the repercussions in their health will be (r=.546, p<.01). Also, a correlation from the care given by the familiar and the repercussions on the caregiver’s health (r=.546, p<.01), indicating that, the more extensive and complex the care given, greater the affectation this will have on the caregiver´s health. The care was related with the tiredness allows us to affirm that the more extensive and complex the care, the more tiredness is perceived by the caregiver (r=.109, p<.01). Conclusion: The caregiver’s tiredness is high; it is associated with the overload of the care and has several repercussions on the health or the wellbeing and future interdisciplinary-based interventions.


2015 ◽  
Vol 23 (3) ◽  
pp. 383-390 ◽  
Author(s):  
Sofie Martien ◽  
Christophe Delecluse ◽  
Jan Seghers ◽  
Filip Boen

The primary purpose of this study was to assess the validity of two motion sensors in measuring steps in institutionalized older adults during daily life activities. Sixty-eight nursing home residents (85.8 ± 5.6 years) were equipped with a hip-worn and ankle-worn piezoelectric pedometer (New Lifestyles 2000) and with an arm-mounted multisensor (SenseWear Mini). An investigator with a hand counter tallied the actual steps. The results revealed that the multisensor and hip- and ankle-worn pedometer significantly underestimated step counts (89.6 ± 17.2%, 72.9 ± 25.8%, and 20.8 ± 24.6%, respectively). Walking speed accounted for 41.6% of the variance in percent error of the ankle-worn pedometer. The threshold value for accurate step counting was set at 2.35 km/hr, providing percent error scores within ± 5%. The ankle-worn piezoelectric pedometer can be useful for accurate quantification of walking steps in the old and old-old (> 85 years) walking faster than 2.35 km/hr.


Author(s):  
Esmee Volders ◽  
Renate H. M. de Groot ◽  
Juul M. J. Coumans ◽  
Catherine A. W. Bolman ◽  
Lilian Lechner

Abstract Background Cognitive functioning (CF) is important for wellbeing and an independent life. However, older adults with chronic diseases are at a higher risk of poorer CF levels. Although, research suggests that physical activity (PA) could play an essential role in maintaining good CF, older adults with chronic diseases have low levels of PA. PA interventions to prevent cognitive decline for this specific group exist. Yet, until now these interventions focused on a single specific chronic disease. Active Plus is a proven effective computer-tailored PA stimulating intervention focused on increasing PA in daily life for the older adult population suffering from a broad range of chronic diseases. This study tests the cognitive effects of Active Plus in older adults with chronic diseases. Methods In this RCT older adults with at least one chronic disease (≥65 years) were allocated to the intervention group (N = 260, mean age = 74.2) or waiting list control group (N = 325, mean age = 74.5). In total, intervention group participants received three times computer-tailored PA stimulating advice within four months (i.e., at baseline, after two months, and after three to four months). The online and print delivered advice were tailored to the specific needs and wishes of the participant and focused on incorporating PA in daily life. Baseline and follow-up measurements of the CF verbal memory (Verbal Learning Test), shifting (Trailmaking Test), inhibition (Stop-signal Task) and processing speed (Letter Digit Substitution Test) were assessed after six and 12 months. Intervention effects were analyzed with multilevel linear mixed-effects models adjusted for the clustered design and confounding variables. Results The dropout rate was 19.1% after 6 months and 25.1% after 12 months. Although both conditions improved on all verbal memory outcomes after 6 months, and all CF outcomes except inhibition after 12 months, no intervention effects were found, not even in subgroups (p > .05). Conclusions To our knowledge this is the first study to test the cognitive effects of a computer-tailored PA stimulating intervention in older adults suffering from a broad range of chronic diseases. The effects of the Active Plus intervention were not strong enough to improve CF or prevent cognitive decline. A blended approach, in which this computer-tailored intervention is combined with a face-to-face PA intervention and / or cognitive training, might be a good suggestion to increase the effects of Active Plus on PA and CF in older adults with chronic diseases. Trial registration Netherlands Trial Register NL6005; Date of Registration 03-21-2017; https://www.trialregister.nl/trial/6005


Author(s):  
Thuli G. Mthembu ◽  
Zubair Brown ◽  
Alicia Cupido ◽  
Gulzari Razack ◽  
Danielle Wassung

2020 ◽  
Vol 5 (1) ◽  
pp. 91-103
Author(s):  
María Alexandra Amaya-Mancilla ◽  
Jennifer Andrea Meneses-Barrera ◽  
Jenny Alexandra Leal-Cárdenas

Objective: To establish the level of independence of the older adult in carrying out the basic activities of daily living of institutionalized older adults. Methods: A quantitative investigation was carried out with a population of 112 older adults, who entered the study as part of the sample, 41 of them, distributed according to gender as 16 women and 25 men. On the other hand, the age range with the highest prevalence in the sample of older adults is between 75 and 84 years old. With the review of medical records and the application of the Barthel index. Results: in the activities of daily life and the level of dependency that is progressive, which leads the older person to a level of dependency that increases with age. The prevalence of these changes can be evidenced by determining the pathologies of Hypertension and Arthritis in the sample. Conclusions: The level of independence in the performance of daily life activities was qualified as independent in less than half of the older adults in the sample.


2014 ◽  
Vol 28 (11) ◽  
pp. 1136-1144 ◽  
Author(s):  
Elizabeth K Pritchard ◽  
G Ted Brown ◽  
Anna L Barker ◽  
Terry P Haines

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