TIME PERSPECTIVE PERCEPTION SPECIFIC AND MALADAPTATION IN ELDERLY UNDER UNCERTAINTY CONDITIONS DURING PANDEMIC EMERGENCY

2021 ◽  
pp. 672-678
Author(s):  
А.В. Васильева ◽  
Р.И. Антохина ◽  
Е.Ю. Антохин
Keyword(s):  
Older People ◽  
Psychological Stress ◽  
Time Perspective ◽  
Comparison Group ◽  
Adult Population ◽  
The Elderly ◽  
Adaptive Capabilities ◽  
Age Factor ◽  
Perception Of Time ◽  
Adaptive Resource

Цель исследования - определение специфики переживания психологического стресса, временной перспективы и симптоматики адаптационных нарушений у пожилых людей в чрезвычайной ситуации пандемии по сравнению с активным взрослым населением. На первом этапе были обследованы 587 человек с помощью шкалы PSM-25, затем были отобраны 100 респондентов с дезадаптационным уровнем стресса (сумма ≥155 баллов). Основную группу составили 50 человек 60-74 лет (средний возраст - 65±2,7 года), 50 человек 18-44 лет (средний возраст - 32±3,8 года) вошли в группу сравнения, которые были обследованы с помощью опросника SCL-90-R для оценки психопатологической симптоматики и опросника ZTPI для оценки восприятия временной перспективы. Выявлено наличие адаптационных расстройств в обеих группах. В группе пожилых установлена активация восприятия позитивного прошлого, что может быть адаптационным ресурсом, и большая выраженность фаталистического восприятия настоящего, что обусловливает пассивное преодоление стресса и сужает адаптационные возможности пожилых людей. Результаты исследования позволяют обозначить потенциальные «мишени» психотерапевтической работы с населением в условиях пандемического стресса с учетом возрастного фактора. The purpose of the study - to determine the specifics of experiencing psychological stress, the time perspective and symptoms of adaptation disorders in older people in a pandemic emergency compared to the active adult population. At the first stage, 587 people were examined using the PSM-25 scale, then 100 respondents with maladaptive stress levels (sum ≥155 points) were selected. The main group consisted of 50 people aged 60 to 74 years (aver age age 65±2,7 years), 50 people aged 18 to 44 years (average age 32±3,8 years) were included in comparison group, who were examined with using the SCL-90-R questionnaire for assessing psychopathological symptoms and the ZTPI questionnaire for assessing the perception of time perspective. The presence of adaptation disorders in both groups was revealed. In the elderly group, the activation of the perception of the positive past was established, which can be an adaptive resource, and the greater severity of the fatalistic perception of the present, which causes passive overcoming with stress and narrows the adaptive capabilities of the elderly. The results of the study make it possible to identify potential «targets» of psychotherapeutic work with the population in conditions of pandemic stress, taking into account the age factor.

scholarly journals Personal Resources of Adapting the Elderly to the Limitations of the COVID-19 Pandemic

2021 ◽  
Vol 20 (2) ◽  
pp. 107-115
Author(s):  
Marina V. Kornilova ◽  
Keyword(s):  
Older People ◽  
Emotional State ◽  
Personal Communication ◽  
The Elderly ◽  
Self Determination ◽  
Personal Resources ◽  
Leaving Home ◽  
The Public ◽  
Adaptive Capabilities ◽  
Family And Household

The relevance of the topic is determined by the unprecedented restrictions (associated with the spread of COVID-19) on leaving home and personal communication, primarily for the older people. Particular interest is in studying of personal resources elderly Russians needed for living in new conditions, the list of which is based on existing classifications and supplemented by empirical data obtained as a result of a survey by the Public Opinion Foundation on the new lifestyle of Russians during the spread of the coronavirus pandemic (April 2020). The indicators are conditionally summarized in four resource blocks: family and household, material and labor, behavioral, psychological. The article shows how the adaptive capabilities of older people depend on the resources they have. According to the results of the study, specifics of adaptation of the older generation to the limitations of the pandemic based on the characteristics of living, labor activity and self-determination, attitude to the self-isolation regime and the reasons for compliance with quarantine measures, the emotional state and features of the perception of a new lifestyle.

scholarly journals Perception and cognition of time in elderly patients (review of foreign studies)

2015 ◽  
Vol 4 (2) ◽  
pp. 14-27
Author(s):  
A.I. Melehin
Keyword(s):  
Elderly Patients ◽  
Time Perception ◽  
Time Perspective ◽  
Social Activity ◽  
The Elderly ◽  
Productive Aging ◽  
The Other ◽  
Time Intervals ◽  
Perception Of Time

The process of cognition and perception of time in the elderly (55-75 years) and old (75-90 years) people was always a matter of interest for gerontologists and psychologists looking for the answer to the question why in old age time flows very quickly on one hand and very slowly on the other hand. Studies show that the ability to adequately perceive and prioritize its activities in time in elderly patients depends on the physical, intellectual and social activity, and other factors that determine the quality of life and promote productive aging. The purpose of this article is to familiarize professionals with notions of perception and cognition of time, as well as paradigms of time perception studies in psychology. The article also familiarizes the readers with foreign research aspects of time cognition, i.e, orientation in time, perception of time intervals, time perspective, and mental journey of elderly patients through time

scholarly journals Older people at risk in times of pandemic? A qualitative study of coping narratives that support resilience in older people

2021 ◽  
Author(s):  
Lucía Pérez Sánchez ◽  
Beatriz Guadalupe Maza Pérez ◽  
Guiana Fernández De Lara López Fernández De Lara López
Keyword(s):  
At Risk ◽  
Older People ◽  
Old Age ◽  
Adult Population ◽  
Continuous Process ◽  
Psychological Impact ◽  
The Elderly ◽  
Coping Resources ◽  
World Health ◽  
Cross Sectional

Background: The World Health Organization mentions that the stress that COVID-19 triggers and confinement are causing a strong psychological impact on societies, due to the relationship made of the binomial pandemic and death. The above exposes the political scenario of COVID-19 for the elderly that once again exhibits the image of the elderly as fragile beings, incapable of thinking and deciding for themselves, who must be cloistered and isolated. However, despite the empirical evidence that shows a vulnerable and at-risk population in the context of the current pandemic, other theoretical views differ and emphasize the strengths that are manifested in this stage of life. Objective: To understand the narrative construction and resilient processes that the older adult population has experienced concerning COVID-19. Special attention was paid to the discourse on psycho-emotional consequences, social beliefs about old age, discrimination, as well as the omissions of human rights and dignity of the elderly. Method: qualitative descriptive cross-sectional ethnomethodological design, with a continuous inclusion sample, corresponding to 15 participants, between 64 and 85 years old, living in Mexico. Results: It was identified that the participating older adults have sufficient psycho-emotional coping resources, due to the efficacy of the regulation of the feelings experienced. However, it is still influenced by the social perception of stereotypes and stigmatization. Conclusions: The results coincide with the postulates of positive psychology and psycho-gerontology regarding the development of capacities and potentialities as a continuous process, and that in older adulthood they become present, thanks to the accumulation of experiences, individual and collective. This underlines the importance of including other ways in which old age is lived and studied, and therefore in the methodologies and proposals for intervention.

Pharmacological Management of Hyperlipidemia in Older individuals

2021 ◽  
Vol 36 (6) ◽  
pp. 284-303
Author(s):  
Laura V. Tsu ◽  
Kacey Carroll ◽  
Katee Kindler ◽  
Nicole Early
Keyword(s):  
Older People ◽  
Data Extraction ◽  
Adult Population ◽  
The Elderly ◽  
Research Review ◽  
Original Research ◽  
Older Individuals ◽  
Pcsk9 Inhibitors ◽  
Pharmacological Management ◽  
Common Chronic Disease

OBJECTIVE: To provide an up-to-date review of current hyperlipidemia guidelines and discuss pharmacotherapeutic management of hyperlipidemia in older individuals. DATA SOURCES: A PubMed search of articles published through October 2020 was performed using a combination of the following words: older adults, hyperlipidemia, statin, ezetimibe, fibrate, fish oil, niacin, bile acid sequestrant, and proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitor. STUDY SELECTION/DATA EXTRACTION: Relevant original research, review articles, and guidelines were assessed for the management of hyperlipidemia in the older individuals. References from the above literature were also evaluated. Articles were selected for inclusion based on relevance to the topic, detailed methods, and complete results. DATA SYNTHESIS: Hyperlipidemia is a common chronic disease state in the elderly population, though there is limited evidence for clinical outcomes in older people when compared withwith the general adult population. Statins have the most evidence for primary and secondary prevention of cardiovascular disease in older people, though ezetimibe and PCSK9 inhibitors have a role as add-on or monotherapy in patients who do not tolerate statins. CONCLUSION: Optimal management of hyperlipidemia in older people is important in order to avoid further complications and improve outcomes. Pharmacists can help improve management in the elderly by incorporating up-to-date evidence from guidelines and providing medication education specifically for this population.

scholarly journals Population aging and the historical development of intergenerational transfer systems

Genus ◽  
2020 ◽  
Vol 76 (1) ◽  
Author(s):  
Ronald Lee
Keyword(s):  
Older People ◽  
Population Aging ◽  
Intergenerational Transfers ◽  
The Elderly ◽  
Intergenerational Transfer ◽  
Agricultural Revolution ◽  
Public Transfers ◽  
Working Age ◽  
Social Sharing ◽  
Private Transfers

Abstract From our evolutionary past, humans inherited a long period of child dependency, extensive intergenerational transfers to children, cooperative breeding, and social sharing of food. Older people continued to transfer a surplus to the young. After the agricultural revolution, population densities grew making land and residences valuable assets controlled by older people, leading to their reduced labor supply which made them net consumers. In some East Asian societies today, elders are supported by adult children but in most societies the elderly continue to make private net transfers to their children out of asset income or public pensions. Growing public intergenerational transfers have crowded out private transfers. In some high-income countries, the direction of intergenerational flows has reversed from downward to upwards, from young to old. Nonetheless, net private transfers remain strongly downward, from older to younger, everywhere in the world. For many but not all countries, projected population aging will bring fiscal instability unless there are major program reforms. However, in many countries population aging will reduce the net cost to adults of private transfers to children, partially offsetting the increased net costs to working age adults for public transfers to the elderly.

scholarly journals Rational Use of Protein Supplements in the Elderly—Relevance of Gastrointestinal Mechanisms

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1227
Author(s):  
Ian Chapman ◽  
Avneet Oberoi ◽  
Caroline Giezenaar ◽  
Stijn Soenen
Keyword(s):  
Blood Glucose ◽  
Older People ◽  
The Elderly ◽  
Time Intervals ◽  
Lower Blood Glucose ◽  
Protein Supplements ◽  
Protein Requirements ◽  
Lower Blood ◽  
Older Subjects

Protein supplements are increasingly used by older people to maintain nutrition and prevent or treat loss of muscle function. Daily protein requirements in older people are in the range of 1.2 gm/kg/day or higher. Many older adults do not consume this much protein and are likely to benefit from higher consumption. Protein supplements are probably best taken twice daily, if possible soon after exercise, in doses that achieve protein intakes of 30 gm or more per episode. It is probably not important to give these supplements between meals, as we have shown no suppressive effects of 30 gm whey drinks, and little if any suppression of 70 gm given to older subjects at varying time intervals from meals. Many gastrointestinal mechanisms controlling food intake change with age, but their contributions to changes in responses to protein are not yet well understood. There may be benefits in giving the supplement with rather than between meals, to achieve protein intakes above the effective anabolic threshold with lower supplement doses, and have favourable effects on food-induced blood glucose increases in older people with, or at risk of developing, type 2 diabetes mellitus; combined protein and glucose drinks lower blood glucose compared with glucose alone in older people.

scholarly journals Effectiveness of Oral Nutritional Supplements on Older People with Anorexia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 835
Author(s):  
Mengqi Li ◽  
Si Zhao ◽  
Shuang Wu ◽  
Xiufen Yang ◽  
Hui Feng
Keyword(s):  
Systematic Review ◽  
Body Weight ◽  
Older People ◽  
Energy Intake ◽  
Meta Analysis ◽  
Nutritional Supplements ◽  
The Elderly ◽  
Randomized Controlled ◽  
Oral Nutritional Supplements ◽  
Positive Effect

Background: Nutrition plays an important role in maintaining the overall health of older people. Inadequate intake may lead to impaired body function, higher morbidity, and mortality. Oral nutritional supplements (ONS) showed positive effect on the nutritional status of the elderly; however, systematic evidence is currently lacking on the effect of ONS on the elderly with anorexia. Aims: The current systematic review and meta-analysis included randomized controlled trial (RCT) articles to investigate the effectiveness of ONS on the main aspects of anorexia of aging (AA). Methods: By using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, researchers independently searched PubMed/MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Library, China National Knowledge Infrastructure (CNKI) and other gray literature resources for publications that met the inclusion criteria by October 2020. The Cochrane Risk of Bias Tools were used for quality assessment. The inverse-variance method was used for the fixed model (FM) while the DerSimonian–Laird method was used for the random model (RM). Respective 95% confidence intervals (95% CIs), mean difference (MD) or standardized mean difference (SMD) was used for indices in terms of effect size (ES). Results: 2497 records were found through the systematic search, while 17 RCTs (n = 1204) were included, with a mean age of 81.9 years (range: 74–87 years). Supplementation occurred in the morning, mid-day, and evening, while the times varied from one to three times a day. The results of meta-analysis showed that, generally, ONS had a positive effect on the overall appetite, MD = 0.18, 95% CI (0.03, 0.33), p = 0.02, and consumption, MD = 1.43, 95% CI (0.01, 2.86), p = 0.05; but not significant in terms of other aspects of appetite: hunger, p = 0.73; fullness, p = 0.60; desire to eat, p = 0.80; preoccupation, p = 0.15. Additionally, it showed an increase in the overall energy intake, SMD = 0.46, 95% CI (0.29, 0.63), p < 0.001, in protein intake, SMD = 0.59, 95% CI (0.16, 1.02), p = 0.007, and in fat intake, MD = 3.47, 95% CI (1.98, 4.97), p < 0.001, while no positive effect was found on carbohydrates intake, p = 0.06. Significance differences were also found in the body weight, SMD = 0.53, 95% CI (0.41, 0.65), p < 0.001, and body mass index (BMI), MD = 0.53, 95% CI (0.12, 0.95), p = 0.01. Moreover, subgroup analyses were conducted according to the nutrient density with no positive results showed except for the low-density ONS on overall energy intake. Conclusions: The results of the present study indicated that ONS had beneficial effects on overall appetite, energy intake, body weight and BMI.

scholarly journals Registered nurses’ role experiences of caring for older stroke patients: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Cheng ◽  
Jiong Tu ◽  
Xiaoyan Shen
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Registered Nurses ◽  
Elderly Care ◽  
The Elderly ◽  
Working Environment ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Care Needs ◽  
Nursing Clinical Practice

Abstract Background With China’s population ageing rapidly, stroke is becoming one of the major public health problems. Nurses are indispensable for caring for older patients with acute and convalescent stroke, and their working experiences are directly linked to the quality of care provided. The study aims to investigate registered nurses’ experiences of caring for older stroke patients. Methods A qualitative descriptive design was adopted. Data were collected via semi-structured interviews with 26 registered nurses about their lived experiences of caring for older stroke patients. Thematic analysis was used to analyze the data. Results Two main themes were identified. First, the nurses identified an obvious gap between their ideal role in elderly care and their actual practice. The unsatisfactory reality was linked to the practical difficulties they encountered in their working environment. Second, the nurses expressed conflicting feelings about caring for older stroke patients, displaying a sense of accomplishment, indifference, annoyance, and sympathy. Caring for older stroke patients also affects nurses psychologically and physically. The nurses were clear about their own roles and tried their best to meet the elderly people’s needs, yet they lack time and knowledge about caring for older stroke patients. The factors influencing their working experiences extend beyond the personal domain and are linked to the wider working environment. Conclusions Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of older people. Understanding nurses’ lived working experiences is the first step. At the individual level, nurse mangers should promote empathy, relieve anxiety about aging, and improve the job satisfaction and morale of nurses. At the institutional level, policymakers should make efforts to improve the nursing clinical practice environment, increase the geriatric nursing education and training, achieve a proper skill mix of the health workforce, and overall attract, prepare and sustain nurses regarding caring for older people in a rapidly aging society.

scholarly journals Sex with robots: A not-so-niche market for disabled and older persons

2020 ◽  
Vol 11 (1) ◽  
pp. 228-232
Author(s):  
Adamantios Koumpis ◽  
Thomas Gees
Keyword(s):  
Artificial Intelligence ◽  
Older People ◽  
Older Persons ◽  
Well Being ◽  
The Elderly ◽  
Deep Roots ◽  
Value System ◽  
Sex Robots ◽  
Per Se ◽  
Sex Toys

AbstractIn this article, we present our experiences from research into the healthy ageing and well-being of older people and we report on our personal opinions of robots that may help the elderly to have sex and to cope with isolation and loneliness. However, and while there is a growing industry for sex robots and other sex toys and gadgets, there is also a growing concern about the ethics of such an industry. As is the case with pornography, the concept of sex robots may be criticized, yet it has deep roots in human civilization, with erotic depictions that date back to the Palaeolithic and Mesolithic Ages. So the need for an artefact that would offer sexually relevant functionality is not new at all. But what might be new and worrying is the potential for using artificial intelligence in sex robots in ways that might cause a repositioning of our entire value system. Such a threat is not related to the proliferation of sex robots per se but to the use of robots in general and in a variety of other fields of application.

scholarly journals Combined instruments for the screening of dementia in older people with low Education

2009 ◽  
Vol 67 (2a) ◽  
pp. 185-190 ◽  
Author(s):  
Cássio M.C. Bottino ◽  
Sonia E. Zevallos-Bustamante ◽  
Marcos A. Lopes ◽  
Dionisio Azevedo ◽  
Sérgio R. Hototian ◽  
...  
Keyword(s):  
Older People ◽  
The Elderly ◽  
Cognitive Tests ◽  
Weighted Sum ◽  
Dementia Screening ◽  
Moderate Dementia ◽  
Icd 10 ◽  
Roc Area ◽  
Low Educated ◽  
State Examination

OBJECTIVE: To determine which combination of cognitive tests and informant reports can improve the diagnostic accuracy of dementia screening in low educated older people. METHOD: Patients with mild to moderate dementia (n=34) according to ICD-10 and DSM-III-R criteria and 59 older controls were assessed with the Mini-Mental State Examination (MMSE) and the Fuld Object Memory Evaluation (FOME). Informants were assessed using the Informant Questionnaire on Cognitive Decline in the Elderly and the Bayer-Activities of Daily Living Scale. RESULTS: The 4 instruments combined with the mixed rule correctly classified 100% and the logistic regression (weighted sum) classified 95.7% of subjects. The weighted sum had a significantly larger ROC area compared to MMSE (p=0.008) and FOME (p=0.023). The specificity of the tested combinations was superior to the MMSE alone (p=0.002). CONCLUSIONS: Cognitive tests combined with informant reports can improve the screening of mild to moderate dementia in low educated older people.

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