Creating a universal questionnaire based on the protocols for assessing the severity of dysphagia

2021 ◽  
pp. 26-33
Author(s):  
Alexey Viktorovich Shapovalov ◽  
Sergey Grigoryevich Tereshchenko ◽  
Anton Pavlovich Bogdanov ◽  
Pavel A. Krieger ◽  
Alexey Sergeevich Shapovalov
Keyword(s):  
Quality Of Life ◽  
Aspiration Pneumonia ◽  
The Elderly ◽  
Timely Manner ◽  
Self Assessment ◽  
Before And After ◽  
Basic Functions ◽  
Dysphagia Therapy ◽  
Almost All

Dysphagia affects our most basic functions — the ability to eat and drink. It negatively affects the quality of life of patients, especially in the elderly, which can lead to exhaustion, dehydration, aspiration pneumonia and, ultimately, death. Dysphagia and its severity should be assessed accurately and in a timely manner. Many questionnaires have been proposed to monitor the severity and effectiveness of dysphagia therapy. This paper analyzes ten different self-assessment questionnaires for quality of life. Almost all currently available questionnaires need to be finalized. Based on the DHI (Dysphagia Disability Index) questionnaire, we proposed a special questionnaire that has a number of advantages over the others, it takes into account the age of patients, is universal, and is also suitable for assessing dysphagia, both before and after treatment.

scholarly journals Elderly Who Care for Elderly: DoubleVulnerability and Quality of Life

2020 ◽  
Vol 30 ◽  
Author(s):  
Letícia Decimo Flesch ◽  
Samila Sathler Tavares Batistoni ◽  
Anita Liberalesso Neri ◽  
Meire Cachioni
Keyword(s):  
Quality Of Life ◽  
Cognitive Vulnerability ◽  
The Elderly ◽  
Demographic Variables ◽  
Health Evaluation ◽  
Self Assessment ◽  
The Past ◽  
Perceived Burden ◽  
Elderly Caregivers

Abstract Elderly caregivers of other elderly people suffer from double vulnerability because they must deal with demands for care and for their own health. The objective of this study was to identify the association between double vulnerability and quality of life of elderly caregivers. The 148 participants were evaluated in relation to socio-demographic variables, quality of life, health self-assessment, perceived burden, measures of physical health of the caregiver and physical and cognitive vulnerability of the elderly who is the target of care. The hierarchical multivariate analysis showed that the elderly caregivers with the highest risk of worse quality of life were those with three or more diseases, with medium or high burden and with a worse health evaluation compared to the past. Greater health weakness is expected over the course of ageing; therefore, to study elderly caregivers, the perception of changes in health is a more pertinent measure than just the assessment of immediate health.

scholarly journals SOCIOECONOMIC AND HEALTH CONDITIONS ASSOCIATED WITH QUALITY OF LIFE OF ELDERLY QUILOMBOLAS

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Vanessa Cruz Santos ◽  
Eduardo Nagib Boery ◽  
Rafael Pereira ◽  
Darci de Oliveira Santa Rosa ◽  
Alba Benemérita Alves Vilela ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Health ◽  
The Elderly ◽  
Health Conditions ◽  
Access To Health Services ◽  
Self Assessment ◽  
Cross Sectional ◽  
Region Data ◽  
Quality Of Life Index

ABSTRACT This study aimed to identify the socioeconomic and health conditions associated with quality of life of elderly quilombolas. Cross-sectional, epidemiological and census study, conducted with 427 elderly individuals of a quilombola population enrolled in Family Health Strategies of 17 quilombas communities in Vitória da Conquista, Bahia, four districts of the region. Data collection was performed using tools and analyzed based on descriptive statistics and Spearman correlation (rsp). The factors associated with some areas of Quality of Life and the General Quality of Life Index included the per capita income, the self-assessment of health status and the classification of depression cases, which most strongly affected the quality of life of the elderly quilombolas investigated. The expanded access to health services and the integrality of health care for this group are essential, particularly involving Family Health Teams.

Quality of life of patients on chronic parenteral nutrition before and after gastrointestinal tract continuity restoration

2015 ◽  
Vol 87 (4) ◽  
Author(s):  
Michał Ławiński ◽  
Edyta Kot-Mielczarska ◽  
Aleksandra Gradowska
Keyword(s):  
Quality Of Life ◽  
Gastrointestinal Tract ◽  
Parenteral Nutrition ◽  
Social Life ◽  
The Elderly ◽  
Stoma Closure ◽  
Sf 36 ◽  
Before And After ◽  
Intestinal Stoma

AbstractThe issue of the quality of life considering patients with a temporary or permanent intestinal stoma, as well as the necessity for chronic parenteral nutrition at home remain a poorly understood problem. Daily care of the intestinal stoma and the need to comply with sterile procedures required for parenteral nutrition require such patients to commit their time, which secondarily is associated with the broad aspects of social and personal life.The aim of the study was to analyse the quality of life considering patients with intestinal stomas subjected to chronic parenteral nutrition, before and after gastrointestinal tract continuity restoration.Material and methods. The survey was conducted between May and July, 2014 on a group of 71 patients (33 female and 38 male) who were under the care of the Department of General Surgery and Clinical Nutrition, Warsaw Medical University, operated during the period between 2007 and July, 2014 with a present stoma (32 patients - 45%), as well as after stoma closure (39 patients - 55%). The analysed questionnaire contained 31 questions, and the SF-36 questionnaire was additionally used, determining the quality of life.Results. Analysis of the study material showed differences in the quality of life, considering three most important determinants. Significantly worse assessment of the quality of life was reported by patients with a stoma and subject to intravenous nutrition (83.2±30.5), as compared to those after stoma closure subject to normal nutrition (52.3±33.8). Based on the SF-36 questionnaire differences between patients with a stoma and those without amounted to t(69)=2.84 (p=0.006) demonstrating that those with a stoma reported a lower quality of life. Analysis between younger and older patients, based on the SF-36 questionnaire (t(62.87)=2.49; p=0.016) showed that younger patients achieved lower results, considering dissatisfaction with life (61.55±27.5), as compared to the elderly (80.8±36.9).Conclusions. The group of patients without a stoma seem to be more independent- the vast majority do not use the help of family members (43.6%), or friends (64.1%). Patients with a stoma more often withdraw from social life. The factor that mostly reduces the quality of life is the presence of a stoma, which impairs daily functioning a lot more than the sterile procedures associated with parenteral nutrition. All patients after stoma closure consider that their overall functioning has significantly improved.

scholarly journals Orthopedic rehabilitation of elderly cancer patients as a technology of longevity

2020 ◽  
Vol 22 ◽  
pp. 01013
Author(s):  
Vera V. Karaseva ◽  
Tatyana M. Elovikova ◽  
Sergey E. Zholudev ◽  
Anatoly S. Koshcheev ◽  
Artem S. Prihodkin
Keyword(s):  
Quality Of Life ◽  
Barrier Properties ◽  
The Elderly ◽  
Malignant Neoplasms ◽  
Orthopedic Rehabilitation ◽  
Before And After ◽  
Invasive Method ◽  
Upper Jaw ◽  
Jaw Defects

Defects after resection of the upper jaw lead to communication of the oral cavity with the nasal cavity, chewing disorders, aesthetic problems and other functional disorders. The aim of the study is to assess the dental status and quality of life of elderly patients with upper jaw defects, as a technology of longevity, at the stage of orthopedic rehabilitation. 24 patients were examined, divided into two groups of 12 people aged from 58 to 74 years. The main group – patients after resection of the upper jaw for malignant neoplasms. Buccal epithelial cells and quality of life of patients were studied before and after prosthetics. After orthopedic rehabilitation, there is a tendency to restore the barrier properties of the oral mucosa and improve the quality of life of patients. Orthopedic rehabilitation of patients with upper jaw defects using obturator prostheses is an appropriate and non-invasive method of treatment for the elderly.

scholarly journals A Prospective Study of the Quality of Life of Patients with Stress Incontinence before and after a Transobturator Tape (TOT) Procedure—Preliminary Report

2021 ◽  
Vol 10 (19) ◽  
pp. 4571
Author(s):  
Maciej Zalewski ◽  
Gabriela Kołodyńska ◽  
Anna Mucha ◽  
Waldemar Andrzejewski
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Stress Incontinence ◽  
Transobturator Tape ◽  
Female Population ◽  
Before And After ◽  
Limiting Behaviour ◽  
Almost All ◽  
A Prospective Study

Background: Urinary incontinence (UI) is a significant social problem. The latest figures show that it affects as many as 17–60% of the female population, and it is one of the most common chronic diseases. Incontinence substantially decreases the quality of patients’ lives. The transobturator tape (TOT) procedure is the gold standard in surgical treatment due to its high efficacy and low complication rate. Objective: The aim of this study was to assess the quality of life (QoL) of patients with stress incontinence before and after the TOT procedure. Method: The study included 57 patients diagnosed with stress incontinence on the basis of ultrasonography and history. The QoL before and after surgery was measured using the Incontinence Impact Questionnaire (IIQ-7) and the Incontinence Quality of Life (I-QOL) standardised questionnaires. Results: The IIQ-7 scores for each question were higher (indicating poorer quality of life) before surgery than after surgery. The results for almost all domains were statistically significant. The I-QOL results also showed that, in most cases, the quality of patients’ lives improved after the surgery. Statistically significant changes were observed in all three questionnaire domains of avoidance/limiting behaviour, psychosocial impact, and social embarrassment. Conclusion: Surgical treatment of stress incontinence with TOT results in resolution of bothersome symptoms in the majority of patients, leading to improved comfort in life.

scholarly journals Benefits of Virtual Reality Used in Vestibular Rehabilitation in Adult and Elderly Individuals with Dizziness

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Maria da Glória Canto de Sousa
Keyword(s):  
Quality Of Life ◽  
Virtual Reality ◽  
Video Game ◽  
The Elderly ◽  
Vestibular Rehabilitation ◽  
Language Intervention ◽  
Psychosocial Disorders ◽  
Gender And Age ◽  
Before And After

Introduction: Aging brings about several changes in health in the elderly. Dizziness is one of the symptoms most commonly found in this age group, causing psychosocial disorders in the daily activities. Objective: To assess the benefits of virtual reality by using the video game X-Box 360, in the vestibular rehabilitation of affected individuals of dizziness. Materials and Methods: The research consists of an observational study of the quantitative type of exploratory and descriptive character. The participants were five individuals of both genders, with a mean age of 59.6 year, subject to fulfillment of Kinect games and Kinect Sport Adventure the X-Box 360, and evaluated by comparing the scores of Dizzines Handicap interventory - DHI before and after intervention. Results: 80% of participants are female, the gender and age did not influence the improvement of quality of life, 80% had reduction of DHI in the physical, functional and emotional domain and consequently improved quality of life. Conclusion: The language intervention with patients with dizziness, through the video game X-Box 360, provided improvement in the quality of life of patients surveyed.

Improved Quality of Life in the Elderly, and Nurses and Caregivers by Kinaesthetics applications: A Survey in Germany and Austria

2020 ◽  
Vol 2020 ◽  
Author(s):  
Hiroko Tadaura ◽  
Norbert Feldmann ◽  
Sabine Bartholomeyczik ◽  
Niu Kaijun ◽  
Ryoichi Nagatomi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rating Scale ◽  
The Elderly ◽  
Functional Evaluation ◽  
Sf 36 ◽  
Significant Difference ◽  
Before And After ◽  
Distress Scale

Background: The number of elderly people having physical disabilities and other chronic diseases has dramatically increased with the rapid aging of society. The importance of the care has been noticed again from the viewpoint of the prevention, and the effective care is expected for both sides to be assisted Kinästhetik/Kinaesthetics (hereinafter, referred to as Kinesthetics) and is noticed. The purpose of this study was to clarify the relationship between QOL and Kinsesthetics by conducting a comparative study on QOL, pain, and sensation of movement for elderly people under long-term medical treatment, and nurses and caregivers working at the same hospital and nursing homes.Methods: The subjects were elderly people, nurses and caregivers in geriatric wards of general hospitals and nursing homes in Austria, Germany, where Kinaesthetics clinical practice has been introduced the longest. We analyzed data from VSA-QOL (Visual Analog Scale for Quality of Life), SDS (Symptom Distress Scale) modified, pain (Numerical Rating Scale: NRS-Pain), Kinesthetic senses before and after assisting with movement, medical record surveys, functional evaluation BI (Barthel-Index), and Braden Scale for the elderly. SF -36 v2, pain (NRS-Pain) before and after the movement assistance, Kinesthetic senses in the movement support, problem on the health and countermeasure, and Kinaesthetics mastery situation were analyzed for nurses and caregivers. SOPMAS (Structure of the Observed Patient Movement Assistance Skill) evaluation was also carried out for both subjects.Results: The subjects were included in 115 elderly people of Kinaesthetics group, 34 Non-Kinaesthetics group, 149 nurses and caregivers of Kinaesthetics group, and 46 nurses and caregivers of Non-Kinaesthetics group. The QOL of the elderly in the Kinaesthetics group was significantly improved after 1 month (p=0.03). The eldely in the Kinaesthetics group showed a significant improvement for SDS after 1 month (p=0.01). There was a significant difference for Bowel in SDS in repeated measures analysis of variance (spherical assumption; time x group) (p=0.01). SF -36 v2 of Nurses and caregivers using Kinaesthetics showed a significant difference in the role emotional (p=0.04). The level of pain before and movement assistance (NRS) was further significantly enhanced in the Non-Kinaesthetics group. The muscle strain was significantly higher in the Non- Kinaesthetics group for both the elderly and nurses (p=0.01).Conclusion: Kinaesthetics applications enhance QOL among the elderly, nurses, and caregivers in Germany and Austria.

ASSOCIATIONS BETWEEN FRAILTY, COMPLEX CARE NEEDS AND QUALITY OF LIFE IN MULTI-MORBID OLDER PEOPLE

2014 ◽  
pp. 1-6
Author(s):  
N. BLEIJENBERG ◽  
V.H. TEN DAM ◽  
I. DRUBBEL ◽  
M.E. NUMANS ◽  
N.J. DE WIT ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
The Elderly ◽  
Complex Care ◽  
Care Needs ◽  
Self Assessment ◽  
Primary Care Practices ◽  
Complex Care Needs ◽  
The Relationship

Background:Little is known regarding the complex care needs, level of frailty or quality of life ofmulti-morbid older patients. Objectives:The objective of this study was to determine the relationship betweenfrailty, complexity of care and quality of life in multi-morbid older people. Design:Cross-sectional study.Setting: Thirteen primary care practices in the Netherlands. Participants:1,150 multi-morbid older people livingin the community. Measurements:The level of frailty was assessed with the Groningen Frailty Indicator.Complexity of care needs was measured with the Intermed for the Elderly Self-Assessment. Quality of life (QoL)was measured with two items of the RAND-36. Results:In total, 758 out of 1,150 (65.9%) patients were frail,8.3% had complex care needs, and the mean QoL score was 7.1 (standard deviation 1.2). Correlations betweenfrailty and complexity, frailty and QoL, and complexity of care and QoL were 0.67, -0.51 and -0.52 (all p<0.001)respectively. All patients with complex care needs were frail, but, only 12.5% of the frail patients had complexcare needs. Problems at climbing up stairs was associated with higher levels of frailty and complexity of care butwith a lower QoL. Conclusions:Higher levels of frailty and complexity of care are associated with a lower QoLin multi-morbid older people. The results of this study contribute to a better understanding these concepts and arevaluable for the development of tailored interventions for older persons in the future.

scholarly journals PENGARUH SENAM BUGAR LANJUT USIA (LANSIA) TERHADAP KUALITAS HIDUP PENDERITA HIPERTENSI

2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Gilbert W Setiawan
Keyword(s):  
Quality Of Life ◽  
Aerobic Exercise ◽  
Short Form ◽  
The Elderly ◽  
Test Plan ◽  
Serious Illness ◽  
Short Form 36 ◽  
Group Test ◽  
Before And After

Abstract: Hypertension is the most common illness experienced by residents in Indonesia. Hypertension is known as high blood pressure resulting from various factors. Hypertension is a serious illness and most often occur to the elderly, which greatly affect their quality of life. Focus on this research is finding the influence of elderly aerobic exercise on hypertension patients’ quality of life in BPLU senja cerah paniki bawah Manado. This research is a field experiment with pre-post one group test plan. To test the significance of this study, statistic test such as t paired with level of error of 5% or 0,05 is applied. Elderly aerobic exercise is instructed to 30 elderly patients with hypertension as respondents in this study. Experiment is performed by comparing the quality of life scores, measured by filling up a short- form 36 questioners by hypertension patients before and after elderly aerobic exercise. There is a significant effect of elderly aerobic exercise towards the quality of life of hypertension patients in BPLU senja cerah paniki bawah, where the value of significance is 0,00. This means there is an influence of quality of life before and after elderly aerobic exercise, where an increase in quality of life score emerges. Keywords: Elderly Aerobic Exercise, Quality of life, Hypertension   Abstrak: Hipertensi merupakan salah satu penyakit yang paling banyak dialami oleh penduduk di Indonesia. Hipertensi dikenal sebagai penyakit darah tinggi akibat dari berbagai macam faktor. Hipertensi ini merupakan penyakit serius dan paling sering terjadi terutama pada lansia yang sangat mempengaruhi kualitas hidup mereka. Fokus pada penelitian ini yaitu untuk mencari pengaruh senam bugar lansia terhadap kualitas hidup penderita hipertensi pada BPLU Senja Cerah Paniki bawah Manado. Jenis penelitian ini adalah eksperimental lapangan dengan rancangan pre-post one group test. Untuk menguji signifikan dari penelitian ini maka digunakan uji statistik berupa uji t berpasangan dengan taraf kesalahan yaitu 5 % atau 0,05. Senam bugar lansia dilakukan oleh 30 responden yang menderita hipertensi. Eksperimen dilakukan dengan membandingkan skor kualitas hidup yang diukur dengan  pengisian short-form 36 yang dilakukan lansia penderita hipertensi sebelum dan sesudah senam bugar lansia. Terdapat pengaruh yang signifikan antara senam bugar lansia terhadap kualitas hidup pasien penderita hipertensi di BPLU Senja Cerah Paniki Bawah dimana nilai signifikannya 0,000. Artinya ada pengaruh kualitas hidup sebelum dan sesudah senam buagr lansia, dimana terjadi peningkatan skor kualitas hidup. Kata Kunci: senam bugar lansia, kualitas hidup, hipertensi

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