The Effect Of Religious Coping Strategies Used During The Care Process On Quality Of Life Of Caregivers Of The Elderly Patients Hospitalized In Palliative Care Unit and Internal Medicine Clinic

Longer life expectancy has resulted in the elderly making up the largest proportion of the population. As a result, medical care has trended toward focusing on wellness, quality of life, and symptom relief in addition to curative therapies. Palliative care is dedicated to improving overall patient quality of life by providing treatment focused on symptom management rather than cure. A greater appreciation for palliative care has expanded the field to include multiple specialties, including surgery. Undoubtedly, palliative interventions are an important part of the thoracic surgeon’s armamentarium, considering the innumerable malignancies—primary and metastatic—as well as the proportion of elderly patients in this patient cohort.

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Effects of Special Oral Care with EM(Effective Micro-organisms) Solution by Care Provider on Dental Plague Index, Degree of Halitosis and Quality of Life for the Elderly Patients in Hospital

The Journal of Humanities and Social sciences 21 ◽

10.22143/hss21.9.4.76 ◽

2018 ◽

Vol 9 (4) ◽

pp. 1083-1098

Author(s):

Mikyung Kwon ◽

Kyungsook Kang ◽

Giil Park

Keyword(s):

Quality Of Life ◽

Elderly Patients ◽

Care Provider ◽

Oral Care ◽

The Elderly ◽

Micro Organisms

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A study on oral health perception and oral health-related quality of life of the elderly patients in a geriatric hospital

Journal of Korean society of Dental Hygiene ◽

10.13065/jksdh.2016.16.03.363 ◽

2016 ◽

Vol 16 (3) ◽

pp. 363-371

Author(s):

Ga-Hyun Kim ◽

Yong-Sun Kwon

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Elderly Patients ◽

The Elderly ◽

Health Perception ◽

Health Related Quality ◽

Geriatric Hospital ◽

Related Quality ◽

Health Related

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Tapentadol Prolonged Release for Severe Chronic Osteoarthritis Pain in the Elderly—A Subgroup Analysis of Routine Clinical Practice Data

Pain Research and Management ◽

10.1155/2020/5759265 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Andreas Schwittay ◽

Melanie Sohns ◽

Birgit Heckes ◽

Christian Elling

Keyword(s):

Quality Of Life ◽

Clinical Practice ◽

Elderly Patients ◽

Subgroup Analysis ◽

The Elderly ◽

Routine Clinical Practice ◽

Prolonged Release ◽

Younger Patients ◽

Quality Of Life Measures

Background. Tapentadol prolonged release (PR) has been shown effective and generally well tolerated in a broad range of chronic pain conditions. This subgroup analysis investigated its benefits for elderly patients with severe chronic osteoarthritis (OA) pain in routine clinical practice. Patients and Methods. Data of all patients with chronic OA pain were extracted from the database of a prospective, 3-month noninterventional tapentadol PR trial. The data of elderly OA patients (>65 years of age; n = 752) were compared with the data of younger OA patients (≤65 years; n = 282). Results. Almost all patients (elderly 98.7% and younger patients 99.3%) had received long-term analgesic medication prior to the start of tapentadol PR treatment but presented with severe pain accompanied by considerable impairments in sleep quality and quality of life measures. Tapentadol PR provided effective pain relief in both patient groups, with slightly better outcomes in younger patients. However, the mean baseline pain intensity of 7.1 (SD 1.5) was reduced by 3.8 points (p≤0.001), and sleep and quality of life measures had also markedly improved in the elderly: quality of sleep by 3 points, quality of life by 3.4 points, social activities by 3 points, and independence by 2.7 points (p≤0.001 for all measures; 11-point scale). At the end of observation, 68% of the elderly had clinically relevant pain reductions of at least 50% (vs baseline), and 87.9% attained either their intended pain reduction target and/or an additional individual treatment target (both predefined during baseline examination). Only 8.4% of the elderly experienced adverse drug reactions, most frequently nausea (2.7% of patients) and dizziness (1.5%). Conclusion. Tapentadol PR provided effective and well-tolerated treatment of severe chronic OA pain for elderly patients in routine clinical practice. The favorable tolerability profile in particular suggests tapentadol PR as a treatment option before classical strong opioids are considered.

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Ethics and the law involving the elderly

10.1093/med/9780198735571.003.0015 ◽

2017 ◽

Author(s):

Chris Dodds ◽

Chandra M. Kumar ◽

Frédérique Servin

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Informed Consent ◽

The Elderly ◽

Outcome Data ◽

Ethical Principles ◽

Assisted Death ◽

The Uk

The role of ethics in the care of the elderly is discussed, and some of the aspects of importance to anaesthesia are reviewed. Ethical principles are commonly viewed as either consequential, where the risk/benefit balance between necessary harm (surgery) provides improved quality of life, or deontological, where it is simply the action that is judged and not the outcome. The lack of individualized outcome data is identified as a major issue for the consequential process. Consent for surgery (and anaesthesia) is described in the context of the UK, but it is applicable worldwide. The validity of informed consent is reviewed against the criteria of competence, lack of duress, and appropriately provided information. The capacity to give consent and the use of legal alternatives such as health attorneys is detailed. Finally, the debate on excellent palliative care rather than assisted death is reviewed.

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Role of Patient Coping Strategies in Understanding the Effects of Early Palliative Care on Quality of Life and Mood

Journal of Clinical Oncology ◽

10.1200/jco.2017.73.7221 ◽

2018 ◽

Vol 36 (1) ◽

pp. 53-60 ◽

Cited By ~ 36

Author(s):

Joseph A. Greer ◽

Jamie M. Jacobs ◽

Areej El-Jawahri ◽

Ryan D. Nipp ◽

Emily R. Gallagher ◽

...

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Depressive Symptoms ◽

Coping Strategies ◽

Indirect Effect ◽

Avoidant Coping ◽

Intervention Effects ◽

Early Palliative Care ◽

Patient Reported

Purpose The early integration of oncology and palliative care (EIPC) improves quality of life (QOL) and mood for patients with advanced cancer. However, the mechanisms by which EIPC benefits these outcomes remain unclear. We therefore examined whether EIPC improved patients’ coping strategies and if changes in coping accounted for intervention effects on QOL and depressive symptoms. Patients and Methods For this secondary analysis of an EIPC trial, we examined data from 350 patients with newly diagnosed incurable lung or GI cancer. Participants completed assessments of QOL (Functional Assessment of Cancer Therapy–General), depressive symptoms (Patient Health Questionnaire–9), and coping (Brief COPE) at baseline and 24 weeks. We used linear regression to test intervention effects on use of coping strategies and mediation regression models with bias-corrected bootstrapping to examine whether improvements in coping mediated the effects of early palliative care on patient-reported outcomes. Results Compared with usual oncology care, EIPC significantly increased patient use of approach-oriented coping strategies ( B = 1.09; SE = 0.44; P = .01) and slightly reduced use of avoidant strategies ( B = −0.44; SE = 0.23; P = .06) from baseline to 24 weeks. Also, the increased use of approach-oriented coping and reduction in avoidant coping were associated with higher QOL and lower depressive symptoms at 24 weeks. The positive changes in approach-oriented coping, but not avoidant coping, significantly mediated the effects of EIPC on QOL (indirect effect, 1.27; 95% CI, 0.33 to 2.86) and depressive symptoms (indirect effect, −0.39; 95% CI, −0.87 to −0.08). Conclusion Patients with incurable cancer who received EIPC showed increased use of approach-oriented coping, which was associated with higher QOL and reduced depressive symptoms. Palliative care may improve these outcomes by providing patients with the skills to cope effectively with life-threatening illness.

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Impact of clinical pharmacist’s interventions on pharmacotherapy management in elderly patients on polypharmacy with mental health problems including quality of life: A prospective non-randomized study

Scientific Reports ◽

10.1038/s41598-019-53057-w ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 4

Author(s):

Matej Stuhec ◽

Nika Bratović ◽

Aleš Mrhar

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Elderly Patients ◽

Mental Health Problems ◽

Randomized Study ◽

The Elderly ◽

Health Problems ◽

Potentially Inappropriate Medications ◽

The Impact

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.

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Physician Advice to the Elderly about Physical Activity

Journal of Aging and Physical Activity ◽

10.1123/japa.11.1.90 ◽

2003 ◽

Vol 11 (1) ◽

pp. 90-97 ◽

Cited By ~ 27

Author(s):

Alseny Balde ◽

Jaime Figueras ◽

Dawn A. Hawking ◽

John R. Miller

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Elderly Patients ◽

Public Health Problem ◽

The Elderly ◽

Physician Counseling ◽

Overweight Status ◽

Physician Advice ◽

Counseling Practices

Lack of physical activity is an increasing public-health problem. Physicians should counsel elderly patients to maintain regular physical activity in order to retain functionality and quality of life. This study examined the patterns of physician advice about physical activity in an elderly population. A homogeneous group of older adults living in public housing (N= 146) was surveyed to determine the extent to which they received such advice. Their mean age was 77.9 ± 7 years, 74% were women, 70.5% were White, and 53.4% had high school education or less. We assessed the association between physician counseling practices and the participants’ demographic characteristics, overweight status, and type of physical activity performed. The prevalence rate of physician counseling was 61.6%. Elderly men who were married and those who were overweight were most likely to receive advice. Routine physician counseling of elderly patients regardless of overweight status could contribute to improving their quality of life.

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