scholarly journals Treating complexity in the older adult - the role of the geriatric giants

2019 ◽  
Vol 61 (6) ◽  
Author(s):  
L. Greenstein ◽  
A. Abraham ◽  
B. Tipping
Keyword(s):  
Geriatric Patients ◽  
Functional Independence ◽  
Management Approach ◽  
Mortality And Morbidity ◽  
Geriatric Giants ◽  
Primary Care Practitioners ◽  
Caregiver Burnout ◽  
Key Questions

As people age, they accumulate medical conditions. Geriatric giants comprise a group of conditions that lead to significant mortality and morbidity and contribute to the complexity in treating geriatric patients. They are common and rarely occur in isolation. The 5 Is of geriatric giants are: iatrogenesis, immobility, instability, incontinence and impaired cognition. Consequences for the patient and their caregivers include loss of functional independence, institutionalisation and caregiver burnout. Primary care practitioners are often the first port of call for geriatric patients in South Africa and by asking a few key questions and performing a thorough examination; these conditions can be recognised early. Whilst there are often limitations to cure, the main aim is to maintain the older adult’s functional independence as much as possible, and by following an organised management approach to each of these conditions, the quality of life of patients can be improved.

Cardiac rehabilitation during COVID-19 pandemic – new challenges, new opportunities

2021 ◽  
Vol 14 (3) ◽  
pp. 215-221
Author(s):  
Maciej Janiszewski ◽  
Artur Mamcarz
Keyword(s):  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Second Phase ◽  
Mortality And Morbidity ◽  
Rehabilitation Programs ◽  
Rehabilitation Centers ◽  
New Challenges ◽  
Artery Disease

The role of comprehensive cardiac rehabilitation (CCR) is well established in the secondary prevention of cardiovascular diseases such as coronary artery disease and heart failure. Many clinical trials demonstrated effectiveness of CCR in improving exercise capacity, quality of life, and in reducing cardiovascular mortality and morbidity. However, even before the era of the COVID-19 pandemic comprehensive cardiac rehabilitation program’s implementation, especially the second phase, had many barriers. One of the main reasons for not attending in second phase of CCR was lack of transportation from patient’s home to rehabilitation centers. Additionally, in recent months COVID-19 pandemic has led to closure of many cardiac rehabilitation centres resulting in many eligible patients unable to participate in the optimisation of secondary prevention. During the coronavirus disease-2019 pandemic, hybrid telerehabilitation has become the leading solution in the cardiac rehabilitation programs. The present paper contains key information about structures, effectives and safety of hybrid telerehabilitation during the COVID-19 era.

Epidemiologic Trends, Social Determinants, and Brain Health: The Role of Life Course Inequalities

Stroke ◽  
2022 ◽  
Author(s):  
Saima Hilal ◽  
Carol Brayne
Keyword(s):  
Life Course ◽  
Healthy Lifestyle ◽  
Later Life ◽  
Functional Independence ◽  
Health Determinants ◽  
Brain Health ◽  
Public Health Challenge ◽  
Specific Disorders

Brain health as expressed in our mental health and occurrence of specific disorders such as dementia and stroke is vitally important to quality of life, functional independence, and risk of institutionalization. Maintaining brain health is, therefore, a societal imperative, and public health challenge, from prevention of acquisition of brain disorders, through protection and risk reduction to supporting those with such disorders through effective societal and system approaches. To identify possible mechanisms that explain the differential effect of potentially modifiable risk factors, and factors that may mitigate risk, a life course approach is needed. This is key to understanding how poor health can accumulate from the earliest life stages. It also allows us to integrate and investigate key material, behavioral, and psychological factors that generate health inequalities within and across communities and societies. This review provides a narrative on how brain health is intimately linked to wider health determinants, thus importance for clinicians and societies alike. There is compelling evidence accumulated from research over decades that socioeconomic status, higher education, and healthy lifestyle extend life and compress major morbidities into later life. Brain health is part of this, but collective action has been limited, partly because of the separation of disciplines and focus on highly reductionist approaches in that clinicians and associated research have focused more on mitigation and early detection of specific diseases. However, clinicians could be part of the drive for better brain health for all society to support life courses that have more protection and less risk. There is evidence of change in such risks for conditions such as stroke and dementia across generations. The evidence points to the importance of starting with parental health and life course inequalities as a central focus.

The role of autosuggestion in geriatric patients’ quality of life: a study on psycho-neuro-endocrine-immunology pathway

2016 ◽  
Vol 12 (5) ◽  
pp. 551-559 ◽  
Author(s):  
Nina Kemala Sari ◽  
Siti Setiati ◽  
Akmal Taher ◽  
Martina Wiwie ◽  
Samsuridjal Djauzi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Geriatric Patients

scholarly journals Promoção da saúde bucal e o idoso

2020 ◽  
Vol 61 (2) ◽  
pp. 64-70
Author(s):  
Lucinei Paz Torquato ◽  
Debora Berger Schmidt
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Population Aging ◽  
Public Policies ◽  
The Elderly ◽  
Functional Independence ◽  
National Health Policy ◽  
Care For The Elderly

Introduction: For the year 2050, the estimate is to have more than two billion people over the age of 60 worldwide. This projection of population aging highlights the importance of assessing the oral health of the elderly and, consequently, highlighting the role of public policies and the dental surgeon in health promotion in this context. Objective: The purpose of this paper is to approach the main oral changes that occur in the elderly and the importance given to this by public policies. Discussion: The literature emphasizes the national health policy of the elderly and the duty of the professional to promote the quality of life while preserving the autonomy and functional independence of the patient. Conclusion: Several public policies ensure the rights guaranteed to people aged 60 years or older regarding whole health care for the elderly. However, much needs to be done for them to benefit and have full access to this service. Therefore, it’s the dental surgeon’s responsibility to bring awareness to this reality and need.

scholarly journals PAIN MANAGEMENT IN GERIATRIC PATIENTS AND THE ROLE OF THE NURSE

2017 ◽  
Vol 5 ◽  
pp. 994-997
Author(s):  
Diana Paskaleva ◽  
Maria Semerdjieva ◽  
Stoilka Tufkova
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Geriatric Patients ◽  
Pain Syndrome ◽  
Accurate Assessment ◽  
And Control

Introduction: The role of the nurse for pain management in geriatric patients is not only for the administration of painkillers prescribed by a doctor. It also includes timely information about it, accurate assessment of its extent, which facilitates the physician's diagnostic actions, rapid intervention and control of the syndrome, in order to achieve the ultimate goal of improving the quality of life of geriatric patients.Purpose: We set a goal to investigate the opinion of geriatric patients, and if the pain syndrome is positively affected by the nurses in inpatient care.Materials and methods: The study includes an anonymous survey of 392 patients aged over 65 years who received treatment in the inpatient department.Results: It was determined that sex factorial signs P<0,01 (χ2 = 10,63) and age P <0,001 (χ2 = 18,29) are expressed according to the management of pain during hospitalization.

Exercise and Cancer-related Fatigue

2010 ◽  
Vol 06 ◽  
pp. 20 ◽  
Author(s):  
Karen M Mustian ◽  
Luke J Peppone ◽  
Oxana G Palesh ◽  
Michelle C Janelsins ◽  
Supriya G Mohile ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Cancer Patients ◽  
Side Effect ◽  
Daily Living ◽  
Functional Independence ◽  
Common Side Effect ◽  
Cancer Related Fatigue

Cancer-related fatigue is the most common side effect reported by cancer patients during and after treatment. Cancer-related fatigue significantly interferes with a patient’s ability to perform activities of daily living and maintain functional independence and quality of life. Cancer-related fatigue can also interfere with a patient’s ability to complete treatments. The purpose of this article is to provide an overview of cancer-related fatigue, its pathopsychophysiology, and the role of exercise in the management of this side effect.

scholarly journals The role of financial literacy and advice in financial decision making

2019 ◽  
Vol 20 (1) ◽  
pp. 388-413
Author(s):  
M Reyers
Keyword(s):  
Decision Making ◽  
Financial Literacy ◽  
Financial Advice ◽  
South Africans ◽  
Financial Decision Making ◽  
Financial Decision ◽  
Low Levels ◽  
Key Questions

Financial decision making is complex and individuals either need to have the financial knowledge to make the correct decisions, or they need to ask for advice from experts. However, there are two key questions pertaining to financial advice. Firstly, do financially unsophisticated individuals know that they need advice, and do they therefore ask for assistance? Secondly, if they do ask for advice, are financially unsophisticated individuals able to assess the quality of the advice received? A growing body of research is focused on determining to what extent financial advice can act as a substitute for low levels of financial literacy. To date, studies have found conflicting results. This study used data from a national survey of South Africans to determine whether advice could substitute for low levels of financial sophistication. Additionally, the quality of advice in preretirement cash-out decisions was assessed using survey data collected at a university. The results indicate that professional financial advice complements financial literacy, while advice from other sources could substitute for low levels of financial sophistication. Furthermore, the study found that with respect to pre-retirement cash-out decisions, financially unsophisticated individuals followed advice from human resources departments or fund administrators and received quality advice.

scholarly journals The Role Of Community Physical Therapy In The Functional Independence And Quality Of Life Of Elderly Women

10.3823/1898 ◽  
2016 ◽  
Author(s):  
Susan Karolliny Silva Fontenele Coutinho ◽  
Ronny Anderson Carvalho Silva ◽  
Stefanne Rosa de Almeida Rêgo ◽  
Ramon Handerson Gomes Teles ◽  
Yago Medeiros Dutra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Elderly Women ◽  
Functional Independence
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