scholarly journals A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease

2018 ◽  
Vol 1 (1) ◽  
pp. 24-34
Author(s):  
Bahtiar Bahtiar ◽  
Sahar Sahar ◽  
Junaiti Junaiti ◽  
Wiarsih Wiarsih ◽  
Wiwin Wiwin
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
The Elderly ◽  
Nursing Intervention ◽  
Prolonged Treatment ◽  
Descriptive Phenomenology ◽  
Grieving Process ◽  
Disease Condition ◽  
Psychological Reaction

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family

scholarly journals The impact of chronic disease and disability on the elderly

1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Care Systems ◽  
The Elderly ◽  
Therapeutic Interventions ◽  
Elderly Persons ◽  
Care Systems ◽  
And Function ◽  
The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

scholarly journals Repercussões do adoecimento crônico na saúde mental de pessoas idosas

2018 ◽  
Vol 12 (11) ◽  
pp. 2923 ◽  
Author(s):  
Geisiane Oliveira Silva ◽  
Luma Costa Pereira Peixoto ◽  
Dieslley Amorim de Souza ◽  
Alana Libânia de Souza Santos ◽  
Aline Cristianede Souza Azevedo Aguiar
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Elderly People ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Analysis Technique ◽  
Salud Mental ◽  
The Moment

RESUMOObjetivo: compreender as concepções de pessoas idosas acerca das repercussões do adoecimento crônico na sua saúde mental. Método: trata-se de estudo qualitativo, descritivo, realizado com 13 pessoas idosas com diagnóstico de doenças crônicas cadastradas em uma Unidade de Saúde da Família. Coletaram-se as informações a partir da aplicação de um formulário de um roteiro de entrevista semiestruturada. Analisaram-se as entrevistas conforme a técnica de análise de conteúdo. Resultados: a partir da análise do conteúdo das descrições originárias das entrevistas, emergiram quatro categorias temáticas: << Sentimentos relacionados à doença crônica >>; << Mudanças nos hábitos de vida após a descoberta da doença crônica >>; << Dificuldade para aceitação da doença crônica >>; e << A busca pela espiritualidade para aceitação da doença crônica >>. Conclusão: percebeu-se, com o alcance do objetivo do estudo, a necessidade de qualificação dos profissionais atuantes da Atenção Básica para assistir o ser idoso, não apenas para a resolutividade de suas demandas no momento, mas também para saber ouvir e identificar as possíveis repercussões que esse adoecimento traz para a vida desses indivíduos e sua saúde mental. Descritores: Saúde Mental; Doença Crônica; Idoso; Envelhecimento; Sentimentos; Impacto Psicossocial.ABSTRACT Objective: to understand the conceptions of elderly people about the repercussions of chronic diseases on their mental health. Method: qualitative, descriptive study with 13 elderly people diagnosed with chronic diseases registered in a Family Health Unit. The information was collected through the application of a form of a semi-structured interview script. The interviews were analyzed according to the content analysis technique. Results: the analysis of the content of the descriptions collected in the interviews resulted in four thematic categories: << Feelings related to the chronic disease >>; << Changes in life habits after the discovery of the chronic disease >>; << Difficulty to accept the chronic disease >> and << Search for spirituality for acceptance of the chronic disease >>. Conclusion: in order to reach the objective of the study, it was noticed the need to qualify professionals working in Primary Care to assist the elderly people, not only for the resolution of their demands at the moment, but also to know how to listen and identify possible repercussions that this disease brings to the lives of these individuals and to their mental health. Descriptors: Mental Health; Chronic disease; Elderly; Aging; Feelings; Psychosocial Impact.RESUMEN Objetivo: comprender las concepciones de personas ancianas acerca de las repercusiones de enfermedades crónicas en su salud mental. Método: estudio cualitativo, descriptivo, realizado con 13 personas ancianas con diagnóstico de enfermedades crónicas registradas en una Unidad de Salud de la Familia. Las informaciones fueron recogidas a partir de la aplicación de un formulario de una guía de entrevista semi-estructurada. Se analizaron entrevistas conforme a la técnica de análisis de contenido. Resultados: a partir del análisis de contenido de las descripciones originarias de las entrevistas, surrgieron cuatro categorías temáticas: << Sentimientos relacionados a la enfermedad crónica >>; << Cambios en los hábitos de vida después de descubrir la enfermedad crónica >>; << Dificultad para aceptación de la enfermedad crónica >> y << La búsqueda por la espiritualidad para aceptación de la enfermedad crónica >>. Conclusión: con el alcance del objetivo del estudio, se percibió la necesidad de calificación de los profesionales actuantes de la Atención Básica para asistir el ser anciano, no apenas para la resolutividad de sus demandas en el momento, pero también para saber oir e identificar las posibles repercusiones que esa enfermedad trae para la vida de estos individuos y su salud mental. Descriptores: Salud mental; Enfermedad crónica; Ancianos; Envejecimiento; Sentimientos; Impacto Psicosocial.

scholarly journals Chronic illness and quality of life

2000 ◽  
Vol 56 (4) ◽  
pp. 10-16 ◽  
Author(s):  
C. J. Eales ◽  
A. V. Stewart ◽  
T. D. Noakes
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
Psychological Health ◽  
Major Objective ◽  
Acceptable Quality ◽  
Successful Rehabilitation ◽  
Life Evaluations

The major objective of medical care is to preserve life. If patients cannot be cured and are left with residual chronic diseases then the aim is to provide them with the means to lead a life of quality within the confines of their disease. Rehabilitation in chronic disease means restoring or creating a life of acceptable quality. This is achieved by restoring the patient to optimal physiological and psychological health compatible with the extent of the disease and in doing so improve the quality of life. Improved quality of life is the best indicator of successful rehabilitation. Patients with chronic diseases are increasingly expected to become partners when decisions are made regarding their therapy and therefor their evaluation of the outcome is of great importance. There are a number of shortcomings with quality of life evaluations and the most important one is that it does not seem to be adequately defined. Another major problem is that this evaluation usually focuses on aspects of physical function and few studies include subjective indicators. It is generally felt that the opinion of the spouse or caregiver should be included.

Social Class and Chronic Illness

1973 ◽  
Vol 3 (3) ◽  
pp. 357-368 ◽  
Author(s):  
Patrick W. Conover
Keyword(s):  
Socioeconomic Status ◽  
Chronic Disease ◽  
Chronic Illness ◽  
Social Class ◽  
Chronic Diseases ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Central Research ◽  
Income Category

This paper traces a three-stage history of theorization on the causal relationship between social class and chronic illness, focusing in particular on the contributions of Kadushin and Mechanic. Five areas of agreement between Kadushin and Mechanic are presented as a basis for further analysis: (1) the importance of data from the National Health Survey; (2) the necessity for controlling for age as an important variable; (3) the more severe measures of chronic diseases, as shown by criteria of activity limitation or work loss, are clearly class related, with the greatest magnitude of change between the lowest income category and the next highest category; (4) there are no data from other studies that can be counted as opposing the above evidence; (5) there is agreement that it is more likely that persons will accurately report more severe episodes of chronic illness than less severe episodes. Two central research questions are then addressed: What is the true shape of the relationship between socioeconomic status and chronic disease? What are the most reasonable of the possible causes of this relationship? Analysis of new material from the National Health Survey is presented in answer to these questions. The utility of these data for this purpose is defended. Certain relationships are noted: For whites and non-whites, with age adjusted or not adjusted, there is a strong relationship between income and measures of chronic disease. With a threefold division of the income category, the magnitude of the differences between income levels is large. These relationships hold over a wide range of specific chronic diseases. The conclusion is drawn that Kadushin's hypothesis of overreaction to illness by the lower classes is of little significance. More study is needed of the downwardly mobile effects of chronic illness. The effects of poor health and low socioeconomic status are presumed to be circular.

scholarly journals RESEARCH AND ANALYSIS OF THE HEALTH STATUS OF ELDERLY PEOPLE

2019 ◽  
Vol 7 (1) ◽  
pp. 73-78
Author(s):  
Tanya Paskaleva ◽  
Biyanka Torniyova ◽  
Maya Vizeva ◽  
Dimitar Shopov
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Characteristic Feature ◽  
Chronic Diseases ◽  
Elderly People ◽  
Average Rate ◽  
The Elderly ◽  
Cardiac Diseases ◽  
Anonymous Questionnaire ◽  
The City

Ageing is a clearly identifiable time and life period that is associated with a number of medico-social problems, which are to a great extent connected to the changes that occur in the organism at that age. Together with the problems, due to involutive processes and the functional peculiarities, one should not underestimate such, connected to morbidity. Aim: To research and analyze the health status of the elderly people. Materials and methods - There has been conducted a direct individual anonymous questionnaire amongst elderly people aged 60 or more, through accidental principle, in the period between April 2016 and February 2018. Results: The analysis of the health status of the elderly people shows multiple pathologies - highest is the rate of the cardiac diseases. A characteristic feature of the pathology with the elderly people is its multitude - 49% have stated two and three diseases. Women have more often three and more diseases, and with men there prevail the percentage without any diseases. The city dwellers are with higher average rate of the number of diseases and it is more often that they suffer from chronic diseases. 65,2% of the respondents with lower incomes (up to 150 lv.) have been in dispensaries owing to a chronic disease. Highest is the rate of the respondents who assess their health status as satisfactory – 49,1%.

scholarly journals The Elderly Spiritual Description with Chronic Disease in Elderly and Children Social Services Centres of Binjai and Medan

2020 ◽  
Vol 2 (2) ◽  
pp. 53-58
Author(s):  
Adelina Sembiring ◽  
Martaulina Sinaga ◽  
Lisbeth Gurning
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Social Services ◽  
Health Workers ◽  
Descriptive Analysis ◽  
The Elderly ◽  
Health Condition ◽  
Spiritual Needs ◽  
Service Unit ◽  
Natural Beauty

At this time many elderly suffer from chronic diseases so that their spiritual needs need attention. This study aims to determine the spiritual description of the elderly who suffer from chronic diseases in the Social Service Unit for the Elderly Children under five in Binjai and Medan areas. The research design used was descriptive with a sample size of 64 people with purposive sampling method. The instrument used was a questionnaire prepared using a Likert scale. This research was conducted on 28 November to 19 December 2014. The characteristics of the respondents and the spiritual description of the elderly who suffer from chronic diseases are described by descriptive analysis to determine the frequency and percentage. The results showed, the characteristics of male respondents were 51.6%, aged 60-70 years 57.8%, Islam 95.3%, not going to school 59.4% Spiritual description of the elderly who suffer from chronic disease is quite good (56 people, 87.5%), the elderly who say good (8 people, 12.5%). To be able to undergo a declining health condition due to diseases suffered by the elderly, it is hoped that all parties, both families, health workers understand the spiritual needs of the elderly so that the elderly can accept their conditions, socialize with those around them, enjoy the natural beauty of their surroundings, and believe that God will give strength in living his condition.

Ciprofloxacin in Elderly Patients with Underlying Chronic Diseases

1988 ◽  
Vol 16 (5) ◽  
pp. 386-393 ◽  
Author(s):  
W. Bianchi ◽  
F. Maggiolo ◽  
H. Ohnmeiss
Keyword(s):  
Chronic Disease ◽  
Side Effects ◽  
Elderly Patients ◽  
Chronic Diseases ◽  
Age Groups ◽  
The Elderly ◽  
Clinical Failure ◽  
Clinical Resolution ◽  
High Incidence ◽  
Resistance To Infection

Age is not as important in predisposing to infections as are the associated problems peculiar to certain age groups. Factors such as the advanced age of the patients combined with the presence of chronic disease reduce their resistance to infection. This study comprises 212 elderly patients (aged 65–98 years) who were treated with 500–1000 mg/day ciprofloxacin for 1–18 days. Despite the high incidence of associated chronic diseases, microbiology showed that infections were eradicated in 88.5%. Clinical resolution occurred in 75.5% of patients and clinical failure occurred in 6.1%. Treatment was well tolerated, with clinical side-effects reported in only seven patients. Ciprofloxacin may be considered an effective and safe antimicrobial agent for the treatment of infections in the elderly.

scholarly journals Efek Penyakit Kronis terhadap Gangguan Mental Emosional

2013 ◽  
Vol 7 (7) ◽  
pp. 309
Author(s):  
Giri Widakdo ◽  
Besral Besral
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
Emotional Disorders ◽  
Disease Risk ◽  
Standard Of Care ◽  
Cross Sectional Study ◽  
Emotional Disorder ◽  
Cross Sectional ◽  
Chronic Disease Risk

Hasil Riset Kesehatan Dasar tahun 2007 menunjukkan 11,6% penduduk Indonesia berumur 15 tahun ke atas mengalami gangguan mental emosional. Penelitian ini bertujuan untuk mengetahui efek penyakit kronis terhadap gangguan mental emosional. Desain penelitian ini adalah potong lintang mengggunakan data Riskesdas tahun 2007. Sebanyak 660.452 responden berusia di atas 15 tahun yang tidak mengalami gangguan jiwa dijadikan sampel. Gangguan mental emosional dinyatakan ada jika responden mem-punyai paling tidak enam dari 20 gangguan. Penyakit kronis seperti tuberculosis (TB) paru, hepatitis, jantung, diabetes, kanker, dan stroke diukur melalui wawancara yang didasarkan pada diagnosis petugas kesehatan. Hasil penelitian menunjukkan bahwa dari sepuluh penderita penyakit kronis, dua sampai lima penderita akan mengalami gangguan mental emosional. Analisis regresi logistik multivariat memperlihatkan bahwa risiko gangguan mental emosional semakin tinggi bersamaan dengan semakin banyak jumlah penyakit kronis yang diderita oleh responden. Responden yang menderita satu penyakit kronis berisiko 2,6 kali lebih besar untuk mengalami gangguan mental emosional, yang menderita dua penyakit kronis berisiko 4,6 kali, yang menderita tiga penyakit kronis atau lebih berisiko 11 kali. Kementerian Kesehatan disarankan untuk mengembangkan standar pelayanan penyakit kronis terkait dengan pengurangan dampak pada gangguan mental emosional dan dibentuknya tim bimbingan teknis pelayanan penyakit kronis.Basic Health Research (Riskesdas) year 2007 showed that 11.6 percent of Indonesia’s population aged 15 years and above suffering from mental emotional disorder. This study aimed to examine the effects of chronic illness to the mental emotional disorders. A cross-sectional study was performed that used Riskesdas 2007 data. Atotal of 660,452 respondents aged 15 years and over who are mentally health become sample of this study. Mental emotional disorders exist if they have at least six of the 20 disorder. Chronic diseases such as pulmonary tuberculosis, hepatitis, heart disease, diabetes, cancer, and stroke were measured based on diagnosis by health pro-fesional. The results showed that out of ten respondents with chronic illness, aproximately two to five will suffering from mental emotional disorder. Multivariat logistic regression analysis shows that the risk of developing mental emotional disorders higher as more number of chronic illnesses suffered by the respondent. Respondents suffering from one chronic disease were 2.6 times greater risk for emotional mental disorder, suffering from two chronic dis-ease have risk 4.6 times, which had three or more chronic disease risk have risk 11 times. It is suggested that the Ministry of Health to develop a standard of care of chronic diseases associated with reducing impact on the mental emotional disorders and establishment of teams for technical guidance chronic disease care.

Quality of life in chronic disease rehabilitation

2004 ◽  
Vol 14 (4) ◽  
pp. 317-325
Author(s):  
Peter Hobson ◽  
Jolyon Meara
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
Mental Health Problems ◽  
Musculoskeletal Diseases ◽  
Sugar Content ◽  
Strong Association ◽  
Chronically Ill ◽  
World Health ◽  
Chronic Lung Diseases

In 2002 the World Health Organisation (WHO) reported that worldwide, deaths due to chronic diseases were accountable for around 30 million people. An earlier report by the WHO revealed that the leading causes of deaths due to chronic disease were cardiovascular disease (17 million), cancers (7 million), chronic lung diseases (4 million) and diabetes (approximately 1 million). In developed nations, the most frequently reported risk factors associated with chronic diseases are exposure to tobacco products (12.2%), hypertension (10.9%), alcohol consumption (9.2%), elevated cholesterol (7.6%), and obesity (7.4%), unhealthy diets that include high saturated fat and sugar content (3.9%) and sedentary lifestyle (3.3%). In view of the demographic shifts, and the strong association with aging and chronic disease, it is estimated that worldwide, within the next two decades, the predicted number of deaths due to chronic illness will rise to around 50 million people per year. Amongst elderly populations in particular, circulatory diseases, respiratory diseases, mental health problems, and musculoskeletal diseases are frequently cited as causes of chronic illness. Population estimates in the UK suggest that around 70% of people by the age of 80 report some type of health-related disability. Patients with chronic conditions will often have multiple co-morbidities with complicated disease management which will necessitate considerable contributions from their caregivers. The caregivers of the chronically ill are often unpaid family members who are frequently placed under considerable stress, and as a result can themselves suffer from functional decline, depression, isolation and loneliness.

Mobile-Based Technology for the Management of Chronic Diseases in the Elderly: A Feasibility Study

2019 ◽  
Vol 12 (2) ◽  
pp. 84-90
Author(s):  
Ghazal Shagerdi ◽  
Haleh Ayatollahi ◽  
Fatemeh Oskouie
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Diseases ◽  
Elderly People ◽  
Feasibility Study ◽  
Chronic Disease Management ◽  
The Elderly ◽  
Healthcare Services ◽  
Survey Study ◽  
Economic Dimension

Introduction: Population aging and related issues are among the most important challenges in different countries. It seems that the use of remote technology can provide the elderly with better healthcare services and can help them to manage chronic diseases. This research aimed to investigate the experts' views about the feasibility of using mobile-based technology to manage chronic diseases in the elderly. Methods: This was a survey study which was completed in 2018. The participants were the faculty members of the department of geriatrics across the country (n=33). In order to collect data, two questionnaires were used. The first questionnaire contained questions related to the five dimensions of a feasibility study and the second questionnaire consisted of five open questions about the opportunities, threats, strengths and weaknesses of using mobile-based technology in chronic disease management. The qualitative data were analyzed by using content analysis method and the quantitative data were analyzed by using descriptive statistics. Results: From the participants’ perspectives, it was feasible to use mobile-based technology in chronic disease management for elderly people. The mean values for five feasibility dimensions were as follows: ethico-legal dimension (4.09±1.01), scheduling dimension (3.70±1.03), economic dimension (3.47±1.04), operational dimension (3.42±1.12) and technical dimension (3.07±1.27). While such a technology can help increasing the accessibility of healthcare services, raising health literacy, and saving time and costs, the main threats, namely; the misinterpretation of information and the possibility of breeching confidentiality should not be underestimated. Conclusion: The results showed that mHealth and remote medical technologies can be used for chronic disease management among elderly people. However, these technologies have some strengths and weaknesses. In order to succeed in the development and implementation of these projects, it is essential to consider probable threats and weaknesses before implementing the applications.

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