scholarly journals Nutritional status and independence in instrumental activities of daily life in the elderly living in nursing homes and community dwellings: A comparative study

2018 ◽  
Vol 9 (2) ◽  
pp. 111
Author(s):  
Samia Farouk Mahmoud ◽  
Hanady Gaber Sheha
Keyword(s):  
Nursing Homes ◽  
Data Collection ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Daily Life ◽  
The Elderly ◽  
Institutionalized Elderly ◽  
Activities Of Daily Life ◽  
Instrumental Activities ◽  
Elderly Living

Background and objective: Dietary habits and patterns have been shown to have strong influence on the mental wellbeing of elderly. Aim of the study: to compare the current nutritional status and independence in instrumental activities of daily life (IADL) in the elderly living in nursing homes and community dwellings.Methods: The study was carried out in nursing homes and elderly clubs in Cairo using descriptive comparative design. It involved a group of 125 institutionalized elderly from six nursing homes in Cairo and a second group (community dwellers) of 250 elderly from social clubs or elderly daycare centers in Cairo. The data collection tools were an interview questionnaire including the Mini Nutritional Assessment (MNA), the IADL, and the 24-hour recall for dietary intake in addition to an inventory checklist for the nursing homes. The data collection lasted from October 2016 to December 2017.Results: The institutionalized elderly had significantly higher median age, more divorced /widows, from urban areas, with higher education, and more insufficient income; they were more obese (p = .02). In MNA 62.0% of those in community dwellings were normal compared to only 17.6% of institutionalized (p < .001), but significantly more institutionalized elders had deficient caloric intake (80.0%) compared to 69.6% of those in community dwellings (p = .03). The IADL were significantly better among those in community dwellings. In multivariate analysis, having recreations was a positive predictor of MNA score, while smoking and institutionalization were negative predictors. As for the IADL score, the level of education was its positive predictor, whereas age and institutionalization were negative predictors. Body mass index (BMI) was positively predicted by female gender, educational level, and having recreations, and negatively predicted by age. For institutionalized elderly, income was a positive predictor of the MNA score, whereas the length of institutionalization was a negative predictor.Conclusion and recommendations: Malnutrition and dependency in IADL are more prevalent among elderly in nursing homes, and are related to the duration and characteristics of the institutionalization. The study recommends improving the dietary services in nursing homes, with training programs for their staff and regular monitoring of food services.

scholarly journals Nutritional Status of the Elderly Living in Nursing Homes in Sabzevar, Iran

2019 ◽  
Vol 3 (1) ◽  
pp. 18-22
Author(s):  
Reza Shahabi ◽  
Ahmad Mozaffari Jovein ◽  
Nasrin Mostofi Asl ◽  
◽  
◽  
...  
Keyword(s):  
Nursing Homes ◽  
Nutritional Status ◽  
The Elderly ◽  
Elderly Living

scholarly journals Multidimensional Assessment Of Institutionalized Elderly: The Reality Of A Brazilian Institution

10.3823/2413 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Alcides Viana De Lima Neto ◽  
Lívia Maria De Azevedo ◽  
Gabriella Xavier Barbalho Mesquita ◽  
Kamilla Sthefany Andrade de Oliveira ◽  
Vilani Medeiros de Araújo Nunes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nutritional Status ◽  
Daily Life ◽  
Population Aging ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Functional Activities

Background: The population aging in Brazil is characterized by the accumulation of progressive disabilities in their functional activities and daily life. To consider the elderlies in his/her multiple dimensions turns out to be a critical issue to improve their assistance to an institutionalized level, improving their health and quality of life. To perform a mini-overall evaluation of institutionalized elderly person to trace their profile in relation to the socio-demographic, functional capacity, nutritional status and cognition. Methods: descriptive, cross-sectional study of quantitative approach conducted in facilities for the aged people in Natal, RN. Results: 63.3% of the elderly were female, with ages varying from 61 to 103 years. 60.0% were single; 56.7% were literate. 66.7% had no children and 55% lived with their families before the institutionalization. As for the institutionalization time, 63.3% resided in the institution for four years. As what concerns the aspects of health, 73.3 of the elderly presented hearing difficulties, 90% make use of medicines predominantly to diabetes and hypertension. There is clear evidence that the institutionalization has been harmful to the elderly as with regards basic activities of daily living, nutritional status and cognitive aspects. Conclusion: the progressive disability in functional activities of daily life interferes directly in the quality of life, increasing dependency and minimizing the autonomy of these individuals. It is necessary to effective implementation of public policies directed to the institutionalized elderly from the perspective of effective actions for improved attention and assistance. Descriptors: Aged, Institutionalization, Aging, Facilities for the Aged. 

scholarly journals KEBERMAKNAAN HIDUP PADA LANSIA DI PANTI WREDA

2020 ◽  
Vol 8 (1) ◽  
pp. 82
Author(s):  
Anindita Nova Ardhani ◽  
Yudi Kurniawan
Keyword(s):  
Nursing Home ◽  
Reference Material ◽  
Nursing Homes ◽  
Data Collection ◽  
Good Life ◽  
Developmental Psychology ◽  
Meaning Of Life ◽  
The Elderly ◽  
Good General Condition ◽  
The Subject

The aim of this study was to see the meaning of life in the elderly who live in the nursing home. The benefits that are expected to have in this research include theoretical benefits, which are expected to be a reference material for the development of developmental psychology, especially psychogerontology and practical benefits to be a reference material for psychologists, therapists, counselors, assistants, and readers in an effort to increase the meaning of life. in the elderly in general and in the elderly who live in nursing homes in particular. The subject criteria for the study were the elderly who were still able to communicate with and in good general condition. These criteria are determined on the basis of consideration because this study was conducted using interviews as a method of data collection. The results of this study indicate that the elderly who live in nursing homes have a good life meaning.Keywords: nursing homes, parents, the meaning of life,

KUALITAS HIDUP LANJUT USIA YANG TINGGAL DI PANTI: STUDI LITERATUR

2020 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Majesty Kowureng ◽  
Kairupan Kairupan ◽  
Ns. Kristamuliana
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Elderly Population ◽  
Critical Appraisal ◽  
The Elderly ◽  
Google Scholar ◽  
Literature Study ◽  
Physical Activity Interventions ◽  
Elderly Living

Abstract : The increasing elderly population is a global phenomenon nowadays. Faced with this, the importance of ensuring the elderly is not only seen from a long life but also the quality of life of the elderly needs to be considered. Objective. The purpose of this literature study is to explain the quality of life and strategies to improve the quality of life of the elderly who live in nursing homes. Method. The method used to compile this literature study is by searching through an electronic database. Searching for articles is done by using the keywords Quality Of Life, Elderly, Nursing Homes, that are traced through Google Scholar, Pubmed, and Science Direct. The Joanna Briggs Institute (JBI) Critical Appraisal is used to assess and analyze the quality of the article methodology. Result. There were 723 articles published from 2015 to 2019 related to the quality of life of elderly living in nursing homes that were identified. However, of 723 articles, only 6 articles met with the review requirements. Six articles that meet the inclusion criteria are divided into two major themes, namely the quality of life of elderly living in nursing homes (4 studies) and interventions that affect improving the quality of life of elderly living in nursing homes (2 studies). Conclusion. This literature study concludes that the majority of elderly people living in nursing homes had a moderate quality of life and physical activity interventions and religious-spiritual interventions affected improving the quality of life in elderly nursing homes. Suggestion. The author suggests making modifications to the nursing care of the elderly who live in nursing homes that are adjusted to any changes that occur in the elderly needed to improve their quality of life.Keywords : Quality of Life, Elderly, Nursing Homes. Abstrak: Peningkatan populasi lanjut usia merupakan fenomena global saat ini. Menghadapi hal tersebut, pentingnya menjamin lanjut usia bukan hanya dilihat dari umur yang panjang, tetapi juga kualitas hidup lanjut usia perlu untuk diperhatikan. Tujuan penelitian ini untuk menjelaskan kualitas hidup dan strategi peningkatan kualitas hidup lanjut usia yang tinggal di panti. Metode yang digunakan untuk menyusun studi literatur ini adalah dengan mencari melalui database elektronik. Pencarian artikel dilakukan dengan menggunakan kata kunci Quality Of Life, Elderly, Nursing Homes, yang ditelusuri melalui Google Scholar, Pubmed, dan Science Direct. Menilai dan menganalisis kualitas metodologi dalam setiap studi menggunakan The Joanna Briggs Institute (JBI) Critical Appraisal. Hasil. Didapatkan 723 artikel terkait kualitas hidup lanjut usia yang tinggal di panti yang diidentifikasi dan dipublikasikan dari tahun 2015-2019. Dari 723 artikel hanya 6 artikel yang memenuhi syarat untuk dianalisis. Enam artikel yang memenuhi kriteria inklusi terbagi menjadi dua tema besar yaitu kualitas hidup lanjut usia yang tinggal di panti (4 studi) dan intervensi yang berpengaruh meningkatkan kualitas hidup lanjut usia yang tinggal di panti (2 studi). Kesimpulan. Dari studi literatur ini dapat disimpulkan bahwa sebagian besar lanjut usia yang tinggal di panti memiliki kualitas hidup pada tingkat sedang dan intervensi aktivitas fisik dan intervensi spiritual keagamaan berpengaruh pada peningkatan kualitas hidup lanjut usia yang tinggal di panti. Saran. Melakukan modifikasi pada asuhan keperawatan lanjut usia yang tinggal di panti yang disesuaikan dengan setiap perubahan yang terjadi pada lanjut usia sangat diperlukan demi meningkatkan kualitas hidup mereka.

scholarly journals Contextual income and incidence of disability

2019 ◽  
Vol 53 ◽  
pp. 11
Author(s):  
Ana Lúcia Danielewicz ◽  
Eleonora D’Orsi ◽  
Antonio Fernando Boing
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Lower Income ◽  
Regression Analyses ◽  
Elderly Individuals ◽  
Instrumental Activities ◽  
The Subject ◽  
Individual Variables ◽  
Elderly Living

OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.

scholarly journals Investigating the Effect of Cognitive and Sensorimotor Exercises on the Functional Balance of the Elderly

2019 ◽  
Vol 6 (4) ◽  
pp. 171-176
Author(s):  
Mahmoud Shaykh ◽  
Zinat Ayazi Vanani ◽  
Fazllolah Bagherzadeh
Keyword(s):  
Nursing Homes ◽  
The Elderly ◽  
Functional Independence ◽  
Control Group ◽  
Statistical Population ◽  
Functional Balance ◽  
Quasi Experimental ◽  
The Difference ◽  
Elderly Living ◽  
Tinetti Test

Background and aims: The elderly living in nursing homes have different motor situations compared with their peers, which can affect different motor functions. Investigating the characteristics of balance has always been of interest to researchers due to its importance in the functional independence of the elderly. Thus, the present research aimed to investigate the effect of cognitive and sensorimotor exercises on the functional balance of the elderly. Methods: This quasi-experimental study was performed with the intragroup comparison design, as well as pre- and post-test measurement stages in Iran during 2017. A total of 60 elders were chosen through the convenience sampling method. Accordingly, the subjects were matched in four groups after performing the pretest with demographic, physical activity readiness, and Mini-Mental State Examination questionnaires and Tinetti test. Each group performed eight exercise situations lasting for 5-10 seconds by taking the overload principle into account throughout 24 sessions. The statistical population of this research consisted of the elderly living in nursing homes under the supervision of the Welfare Organization of Shiraz, including 875 individuals. In general, 60 subjects were chosen through a voluntary method (age: 61.7 ± 7.6 years old, weight: 65.2± 16.2 kg, and height: 157.7± 6.7 cm). During the data collection, 14 subjects left the study for different reasons. The balance characteristics were measured by the Tinetti test. Finally, statistical analysis was performed through the difference of the scores of measurement stages and by one-way ANOVA and Tukey post hoc tests. Results: The comparison of cognitive, sensorimotor, and combined groups with the control group regarding the dependent variables of the research indicated that cognitive exercises have no significant effect on balance (P=0.103), while the sensorimotor (P=0.002) and combined (P=0.002) exercises were effective on balance. Conclusion: In general, the significance of the balance following sensorimotor and combined exercises compared to the insignificance of cognitive exercises can highlight the importance of sensorimotor exercises in the balance of the elderly living in nursing homes.

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