scholarly journals The effects of teaching methods of palliative care on life pattern of old women with chronic pain

2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Elham Hesari ◽  
Zahra Sabzi ◽  
Shohreh Kolagari

Chronic pain is among problems of old people and causes changes in their life pattern and processes. Teaching palliative care can help old people suffering from chronic pain to live an active life. The aim of this research was to determine effects of educating of palliative care on life pattern of elderly women with chronic pain. The present study was a Quasi-experimental design with pre-test and post test was conducted on 30 elderly women suffering from chronic pain in 2018 in Iran. The Questionnaire for evaluating the Pattern of Life with Pain in the elderly was filled before the intervention, group educating of palliative care was carried out using an educational package, and the questionnaire was completed again immediately and one and three months after. The data was analyzed using mean, standard deviations, Fisher’s F test, and Greenhouse-Geisser and Bonferroni post-hoc test by employing SPSS- 16. Mean changes before teaching palliative care significantly differed from those of immediately and one and three months after the educational program (p = 0.0), (p = 0.004). There were significant differences between the stages of immediately and one month after the educational program and that of three months after it (p = 0.001), (p = 0.002). Concerning the personal life patterns, there were statistically significant differences between the stage immediately after the educational program and those before the intervention and three months after it (p = 0.005), (p = 0.000). Regarding the social life pattern, only the stage of one month after the educational program significantly differed from that of three months (p = 0.005). Mean growth in life pattern of the old women suffering from chronic pain in the stages after the intervention indicated the importance of and the necessity for palliative care during old age. Moreover, the success of this education three months after the educational program as compared to immediately and one month after it indicates that allocation of sufficient time plays a very important role in transferring information and in teaching methods of palliative care to old people.

2000 ◽  
Vol 32 (1) ◽  
pp. 89-98 ◽  
Author(s):  
M. OMAR RAHMAN

This paper uses prospective data from the Matlab surveillance system in rural Bangladesh to demonstrate that initially co-resident spouses and sons have a major impact on the subsequent mortality of old people, with significant differences by the sex of the elderly person, and the age of the son. Spouses significantly reduce mortality by similar magnitudes for both elderly men and women. On the other hand, co-resident adult sons reduce mortality for elderly women much more than for elderly men, with younger sons being more beneficial than older sons. Furthermore, both married and unmarried females appear to benefit equally from co-resident adult sons. Finally, this analysis suggests that the impact of spouses and sons on mortality in old age is not substantially mediated through changes in elderly economic status.


2021 ◽  
pp. 1-10
Author(s):  
Sawsan Abuhammad ◽  
Ruaa Almasri

Abstract Objective This study aims to assess the knowledge and attitude of nurses toward pediatric palliative care (PPC) and examine the impact of an educational program on pediatric nurses’ knowledge and attitude regarding PPC for children facing life-threatening illnesses or chronic diseases in Jordan. Method A quasi-experimental design was used. Exactly 120 pediatric nurses participated in the study, of which 60 were in the intervention group and 60 in the control group. Results The results of the study showed that nurses had a low score in knowledge and attitude toward PPC. The mean knowledge score of PPC for the control group is 6.88 (SD = 2.26), while that of the intervention group was 7.92 (SD = 1.99; p = 0.052). The mean attitude for PPC score for the control group was 95.88 (SD = 7.90), while that of the intervention group was 100 (SD = 10.95; p = 0.009). Also, the educational intervention had a significant positive effect on the knowledge and attitude toward PPC among nurses. Significance of the results Based on the result of this study, the authors found strong evidence of the effectiveness of the PPC educational program when it came to improving the nurses’ knowledge and attitude toward PPC services and offer us an effective educational program.


2021 ◽  
Author(s):  
Patrícia Paula Bazzanello Henrique ◽  
Fabrízzio Martin Pelle Perez ◽  
Osvaldo Henrique Cemin Becker ◽  
Ericles Andrei Bellei ◽  
Daiana Biduski ◽  
...  

BACKGROUND Kinesiotherapy is an option to mitigate the neuropsychomotor worsening of human aging. Also, exergames are beneficial for the practice of physical therapy of the elderly. There is evidence that physical exercise interventions can alter the epigenome, but little is known about its association with exergames. OBJECTIVE We aim to evaluate the effects of kinesiotherapy with exergaming on elderly women's epigenetic marks and cognitive ability, alongside the effects on clinical functional variables. Our hypothesis states this kind of therapy can elicit equal or even better outcomes than the conventional one. METHODS We will develop a virtual clinic exergame with 8 types of kinesiotherapy exercises. Afterward, we will conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with exergames (intervention group) against conventional kinesiotherapy (control group). A total of 24 elderly women will be enrolled for 1-hour sessions performed twice a week, for 6 weeks, totaling 12 sessions. We will assess outcomes at various stages using epigenetic blood tests, Montreal Cognitive Assessment test, Timed Up and Go test, muscle strength grading in a hydraulic dynamometer, and Game Experience Questionnaire. RESULTS The project was funded at the end of 2019. Game development takes place during 2020. Patient recruitment and clinical trial are planned for 2021. CONCLUSIONS Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To our knowledge, this may be one of the first studies exploring epigenetic outcomes of exergaming interventions. CLINICALTRIAL Brazilian Clinical Trials Registry RBR-9tdrmw


2019 ◽  
Vol 10 (3) ◽  
pp. 2351-2359
Author(s):  
Allehabi Muhaisn A ◽  
Alshammari Mohammad A ◽  
Alenzy Muhya T ◽  
ALshehri Mohammed A ◽  
Almusri Ali D

The elderly population experience many health issues that range from emotional, psychological to physiological conditions. Previous studies reveal that chronic pain is among the major health issues affecting old people. The processes of managing chronic pain among the elderly have proven to be challenging practices since individuals exhibit different health complications in advanced age.   Saudi Arabia is among the countries that have made progressive improvements to the approaches employed to address chronic pain. Thus, exploring the status of elderly patients experiencing chronic pain in three major hospitals in Saudi Arabia is an educational strategy to understand the situation both in the middle east and the rest of the world. The notable chronic ailments associated with the elderly in Saudi Arabia include diabetes, back pain, and depression. Several studies have shown that the systems for treating older adults that suffer from chronic pain in Saudi Arabia are effective. However, the treatment is not as smooth as the systems due to the complexities associated with old age. For instance, old people have memory problems, movement challenges, and concertation difficulties, among others. However, noting how different people experience and address chronic pain is imperative for understanding the magnitude of distress pain causes to the elderly.  The study used the 20-item pain anxiety symptom scale (PASC) to asses chronic pain for 53 patients draw from King Fahad Hospital in Jeddah, Asir Central Hospital, and King Khaled hospital in Najran. The study revealed that chronic pain causes fear. Inability to think properly. Concertation problem and lack of sleep, among other issues. Apparently. The study borrows from other studies done outside Saudi Arabia to explore the issue problem in a broader spectrum. The understanding of chronic pain status is an inevitable exercise towards establishing effective pain management programs or systems.


Author(s):  
Aliakbar R Vaezi ◽  
Arefeh Dehghani Tafti ◽  
Sanaz Behzadi Goodari ◽  
Reza Bidaki

Introduction: Cognitive impairment rate such as memory loss increases because of aging as a natural process. Based on the evidence, physical activity can lead to improved mental and cognitive function and also plays a preventive role against reducing cognitive function.  the purpose of this study was to investigate the effect of yoga exercises on memory of elderly women. Methods: This experimental study was a randomized, controlled clinical trial that was conducted in 2018. Two elderly day care centers in Yazd city ,in central  Iran were selected and randomly assigned to control and intervention groups. Then, according to the inclusion criteria, eligible people were selected from the centers and enrolled in the study. Participants were 58 elderly women who were assigned to control (n: 29) and intervention (n: 29) groups. Yoga exercises were held for 2 months (three 1-h sessions a week) for intervention group. The Wechsler Memory Scale was completed for both groups before and after the intervention. Data were analyzed by SPSS using descriptive and inferential statistics. Results: The mean score of memory in the intervention group before intervention was 77.7 ± 17.8 and after the intervention reached 86.4 ± 17.3, with a statistically significant difference (p < 0.05), but in control group, no significant difference was observed. In the intervention group, mental control, logical and visual memory subscales increased significantly (p < 0.05), but there was no significant difference in other subscales. There was no significant difference in any of the subscales in control group (p > 0.05). Conclusion: To improve the memory of the elderly, physical activity such as yoga exercise can be helpful. The elderly can routinely practice these exercises in elderly care centers.  


2017 ◽  
Author(s):  
Jeeyoung Hong ◽  
Hyoun-Joong Kong ◽  
Hyung-Jin Yoon

BACKGROUND While physical exercise is known to help prevent falls in the elderly, bad weather and long distance between the home and place of exercise represent substantial deterrents for the elderly to join or continue attending exercise programs outside their residence. Conventional modalities for home exercise can be helpful but do not offer direct and prompt feedback to the participant, which minimizes the benefit. OBJECTIVE We aimed to develop an elderly-friendly telepresence exercise platform and to evaluate the effects of a 12-week telepresence exercise program on fall-related risk factors in community-dwelling elderly women with a high risk of falling. METHODS In total, 34 women aged 68-91 years with Fall Risk Assessment scores >14 and no medical contraindication to physical training-based therapy were recruited in person from a senior citizen center. The telepresence exercise platform included a 15-inch tablet computer, custom-made peer-to-peer video conferencing server system, and broadband Internet connectivity. The Web-based program included supervised resistance exercises performed using elastic resistance bands and balance exercise for 20-40 minutes a day, three times a week, for 12 weeks. During the telepresence exercise session, each participant in the intervention group was supervised remotely by a specialized instructor who provided feedback in real time. The women in the control group maintained their lifestyle without any intervention. Fall-related physical factors (body composition and physical function parameters) and psychological factors (Korean Falls Efficacy Scale score, Fear of Falling Questionnaire score) before and after the 12-week interventional period were examined in person by an exercise specialist blinded to the group allocation scheme. RESULTS Of the 30 women enrolled, 23 completed the study. Compared to women in the control group (n=13), those in the intervention group (n=10) showed significant improvements on the scores for the chair stand test (95% confidence interval -10.45 to -5.94, P<.001), Berg Balance Scale (95% confidence interval -2.31 to -0.28, P=.02), and Fear of Falling Questionnaire (95% confidence interval 0.69-3.5, P=.01). CONCLUSIONS The telepresence exercise program had positive effects on fall-related risk factors in community-dwelling elderly women with a high risk of falling. Elderly-friendly telepresence technology for home-based exercises can serve as an effective intervention to improve fall-related physical and psychological factors. CLINICALTRIAL Clinical Research Information Service KCT0002710; https://cris.nih.go.kr/cris/en/search/ search_result_st01.jsp?seq=11246 (Archived by WebCite at http://www.webcitation.org/6zdSUEsmb)


2010 ◽  
Vol 5 (3) ◽  
pp. 75-97
Author(s):  
Ljubica Milosavljević

This paper is the result of a three-month monitoring of Serbian television commercials which aimed to study the way elderly people are represented in the media. Elderly people appear in only six commercials, more often as a functional part of a series than as protagonists. Yet in spite of the small number of commercials in which they appear, it is easy to identify the stereotypes which are translated from a social paradigm into the sphere of the media. The stereotypes on which commercials are based belong for the most part to the corpus of negative stereotypes of elderly people as hopelessly behind the times, feeble, lonely, irritating, cantankerous, etc. Some positive stereotypes are also evident, but they are mostly limited to a perception of elderly people as kindly givers of useful advice. It is interesting to note that the "cantankerous people next door" are as a rule anonymous elderly people, as are those "lost in time and space", who are mostly elderly women. In contrast, those who let their careers and images be associated with a certain product, in order to pass on their great experience and knowledge, are as a rule famous persons. Just as it is possible to make a distinction between commercials depending on whether or not the products advertised are targeted at the elderly – which they rarely are – and whether elderly people appear in leading or supporting roles, in order to make viewers laugh or annoy them, so it is possible to distinguish between the "real-life principle", which involves the translation of the society’s dominant attitudes into commercials, and "commercial reality", which either makes old age invisible or "masks" it so that it is pleasant to the eye. The reason that old people are absent from television commercials or are mostly represented in a negative light is to be found in the low purchasing power of this age group, but also in the fact that advertising in Serbia developed practically overnight, and therefore has not always been able to follow foreign advertising trends, which treat the elderly as a worthy target audience for commercials.


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