Clinical consequences of abuse and misuse of hypnotics and analgesics in geriatric population

Ból ◽  
2021 ◽  
Vol 22 (2) ◽  
pp. 1-8
Author(s):  
Paulina Trawka ◽  
Jakub Husejko ◽  
Kornelia Kędziora-Kornatowska
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
Literature Review ◽  
Medical Personnel ◽  
The Elderly ◽  
Geriatric Population ◽  
Sleeping Pills ◽  
Drug Classes ◽  
Clinical Consequences

Insomnia and pain coexist with chronic diseases, especially in the elderly, who are therefore the largest group taking hypnotics and analgesics. For this reason, seniors are at high risk of abusing these medications, leading to dangerous and unpredictable clinical outcomes. The article provides a literature review using the Pubmed, Medline, Embase and Google Scholar databases. The articles were analysed using the following keywords: drug abuse, sleeping pills, painkillers, benzodiazepines, opioids. The article presents the characteristics of medical substances belonging to sleeping pills and painkillers, taking into account the consequences of their misuse. Hypnotics and pain relievers, especially benzodiazepines and opioids, are the most abused drug classes in the elderly. In the case of hypnotics, apart from benzodiazepines, these are zolpidem and zopiclone or trazodone, and in the case of analgesics, codeine, tramadol, morphine or oxycodone and also paracetamol and NSAIDs. The problem of abuse and misuse of hypnotics and analgesics in the geriatric population is still growing and therefore more and more attention should be paid to this problem. Although this type of treatment is important to maintain a good quality of life for the elderly, proper education among staff, patients and their carers is also needed. Proper information provided by medical personnel plays an important role in this matter.

scholarly journals Gambaran Kualitas Hidup Lansia Yang Tinggal Di Panti Sosial : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1605-1614
Author(s):  
K Krisdiyanti ◽  
Dyah Putri Aryati
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Literature Review ◽  
Elderly People ◽  
Life Quality ◽  
The Elderly ◽  
Care Homes ◽  
Pubmed Database ◽  
Elderly Living

AbstractThe increasing number of the elderly population is a phenomenom that occurs today. The high level of dependence of the elderly causes the elderly to have the potential to be placed in care homes. The elderly are individuals who hane a high risk of isease and stressors. This, of course, requires efforts to ensure the life of the elderly, not only seen from fulfillment of the needs of the elderly but also the life quality of the eldely. The study aims to describe the quality of life of the elderly who live in care homes. The study used a literature review method by searching for articles in the Pubmed database, and google sholar. The search was conducted by combining keywords: “Elderly, “Elderly people”, “Quality of life”, “WHOQOL-BREF”, and “Nursing home” with the year 2011-2021. Participants in this study were 395 respondents of elderly living in care homes. The results of the literature review of 6 articles showed that there are 73 respondents (18,5%) with low category of life quality, 195 respondents (49,9%) with medium category of life quality, and 127 repondents (32,1%) high category of the life quality. From this study, it can be concluded that the quality of life of the elderly living in care homes is mostly (49,9%) in moderate category. The role of nurses is needed to improve the quality of life of the elderly who live in care homes.Keywords: care homes; elderly; quality of life; WHOQOL-BREF AbstrakTerjadinya peningkatan jumlah populasi lanjut usia merupakan fenomena yang terjadi saat ini. Tingkat ketergantungan lansia yang tinggi mengakibatkan lansia berpontesi untuk ditempatkan di panti sosial. Lansia merupakan individu yang memiliki resiko tinggi dan rentan terhadap penyakit serta stresor. Hal ini tentunya dibutuhkan upaya untuk menjamin hidup lansia, tidak hanya dilihat dari pemenuhan kebutuhan lansia namun juga dilihat dari kualitas hidup lansia. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup lansia yang tinggal di panti sosial. Penelitian ini menggunakan metode literature review, untuk pencarian artikel dengan mengakses database Pubmed, dan googlescholar. Pencarian dilakukan dengan mengkombinasi kata kunci: “elderly”, “elderly people”, “Quality of life”, “WHOQOL-BREF”, “Nursing home” dengan batasan tahun 2011-2021. Partisipan pada studi ini adalah lansia yang tinggal di panti sosial dengan total 395 lansia. Hasil penelitian literature review dari 6 artikel menunjukan kualitas hidup lansia dengan kategori rendah 73 responden (18,5%), sedang 195 responden (49,9%) dan tinggi 127 responden (32,1%). Dari penelitian ini diketahui bahwa kualitas hidup lansia yang tinggal di panti sosial sebagian besar (49,9%) dalam kategori sedang. Perlu adanya peran perawat untuk meningkatkan kualitas hidup lansia yang tinggal di panti sosial.Kata kunci : kualitas hidup; lansia; panti sosial; WHOQOL-BREF

scholarly journals Terapi Musik Efektif terhadap Penurunan Kecemasan pada Pasien Kanker

2021 ◽  
Vol 4 (2) ◽  
pp. 634-642
Author(s):  
Nurlina Nurlina ◽  
Yuliana Syam ◽  
Ariyanti Saleh
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Cancer Patient ◽  
Music Therapy ◽  
Cancer Patients ◽  
Research Method ◽  
The Elderly ◽  
Nursing Interventions ◽  
Keywords Cancer

This study aims to determine the effectiveness of music therapy in reducing anxiety in cancer patients. The research method is a literature review using five databases, namely PubMed, ProQuest, Science Direct, Clinicalkey, and Google Scholar, using keywords based on PICO. The results showed that the five articles analyzed all articles reported that music therapy effectively reduced anxiety in cancer patients. Music has psychological, physical, social, and spiritual effects that can increase support for cancer patient care, improve mood, and improve the quality of life of cancer patients to provide nursing interventions to reduce anxiety. In conclusion, music therapy is an effective therapy to reduce anxiety from children, adults to the elderly.   Keywords: Cancer, Anxiety, Music Therapy

scholarly journals Understanding the Psychological Issues in The Geriatric Population in The Times of COVID-19- A Critical Review from The Lens of a Psychologist

2021 ◽  
Author(s):  
Mansi Sharma
Keyword(s):  
Quality Of Life ◽  
Critical Review ◽  
The Elderly ◽  
Geriatric Population ◽  
Psychological Issues ◽  
Mutant Variant ◽  
Study Analyse ◽  
The Times ◽  
And Coping

The first wave of the Covid-19 pandemic hit India in January 2020 when the first confirmed case was reported at a general hospital of Kerala. Since then, the number of reported cases kept on increasing at a steady pace, we saw deaths, rise, fall and stagnancy in the number of cases in India while the figures of deaths reported remained worrisome. While India is currently battling with the deadly double mutant variant of the virus, the present critical review is an attempt to study, analyse and understand the need of catering to the needs of geriatric population, especially in a collectivistic culture like India, where elderly issues, psychological difficulties, and coping mechanism takes a back seat while there is constant fear of leading a healthy life especially in the testing times of a national pandemic, COVID-19. This critical review is an attempt to highlight the various issues dealt by the average Indian elderly, their lifestyle after retirement, sustaining means of livelihood in times of uncertainty and keeping a positive mindset for a better quality of life. This paper also attempts to enumerate few strategies required to inculcate a sense of life satisfaction and improved quality of life among the elderly.

scholarly journals Pengaruh Senam Yoga terhadap Kualitas Tidur dan Fungsi Kognitif pada Lansia

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Auditya Agnesia ◽  
Damajanty H. C. Pangemanan ◽  
Hedison Polii
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Cognitive Function ◽  
Literature Review ◽  
Sleep Quality ◽  
The Elderly ◽  
Quality Of Sleep ◽  
Short Term ◽  
Aging Factors

Abstract: An Elderly is someone who has reached the age of 60 years or more. The number of elderly in Indonesia in 2020 has reached 28.7 million. This number continues to increase every year. The elderly will naturally experience changes both physically and mentally which can reduce their quality of life. The quality of sleep and cognitive function in the elderly also changes due to aging factors. The purpose of this study was to determine the effect of yoga exercises on sleep quality and cognitive function in the elderly. This research is a literature review. This study studied topics related to the effect of yoga exercises on sleep quality and cognitive function in the elderly from previous studies. The literature reviewed consists of 15 literature with 8 literature discussing the effect of yoga exercises on sleep quality in the elderly and 7 other literature discussed the effect of yoga exercise on cognitive function in the elderly. The results of this study indicate that yoga exercises that are carried out regularly both in the long and short term can improve the quality of sleep in the elderly and maintain cognitive function in the elderly. It can also prevent dementia and Alzheimer's disease in the elderly.Keywords: yoga exercise, sleep quality, cognitive function, elderly  Abstrak: Lansia merupakan seseorang yang sudah mencapai usia 60 tahun atau lebih. Jumlah lansia di Indonesia pada tahun 2020 mencapai 28,7 juta jiwa. Angka ini terus meningkat tiap tahunnya. Lansia secara alamiah akan mengalami perubahan baik secara fisik dan mental yang dapat menurunkan kualitas hidupnya. Kualitas tidur dan fungsi kognitif pada lansia juga mengalami perubahan akibat faktor penuaan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia. Penelitian ini merupakan penelitian yang sifatnya literature review. Penelitian ini mempelajari topik-topik terkait pengaruh senam yoga terhadap kualitas tidur dan fungsi kognitif pada lansia dari penelitian-penelitiam sebelumnya. Literatur yang diulas dan dipelajari sebanyak 15 literatur dengan 8 literatur membahas pengaruh senam yoga terhadap kualitas tidur pada lansia dan 7 literatur lainnya mengulas pengaruh senam yoga terhadap fungsi kognitif pada lansia. Hasil penelitian ini menunjukkan bahwa senam yoga yang dilakukan secara rutin baik dalam jangka panjang maupun pendek dapat memperbaiki dan meningkatkan kualitas tidur lansia. Senam yoga juga dapat mempertahankan fungsi kognitif lansia dan mencegah lansia dari penyakit demensia dan alzheimer.Kata kunci : senam yoga, kualitas tidur, fungsi kognitif, lansia

scholarly journals Social support for the elderly with HIV/Aids: an integrative review

2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Marcelo Caetano de Azevedo Tavares ◽  
Márcia Carréra Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Rogério Dubosselard Zimmermann
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Literature Review ◽  
Chronic Condition ◽  
Web Of Science ◽  
Final Analysis ◽  
The Elderly ◽  
Elderly Persons ◽  
Hiv Aids

Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.

scholarly journals Systematic Literature Review of Food-Intake Monitoring in an Aging Population

Sensors ◽  
2019 ◽  
Vol 19 (15) ◽  
pp. 3265 ◽  
Author(s):  
Enrique Moguel ◽  
Javier Berrocal ◽  
José García-Alonso
Keyword(s):  
Quality Of Life ◽  
Food Intake ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Rural Areas ◽  
Dietary Habits ◽  
Research Effort ◽  
The Elderly ◽  
Healthcare Expenses

The dietary habits of people directly impact their health conditions. Especially in elder populations (in 2017, 6.7% of the world’s population was over 65 years of age), these habits could lead to important-nutrient losses that could seriously affect their cognitive and functional state. Recently, a great research effort has been devoted to using different technologies and proposing different techniques for monitoring food-intake. Nevertheless, these techniques are usually generic but make use of the most innovative technologies and methodologies to obtain the best possible monitoring results. However, a large percentage of elderly people live in depopulated rural areas (in Spain, 28.1% of the elderly population lives in this type of area) with a fragile cultural and socioeconomic context. The use of these techniques in these environments is crucial to improving this group’s quality of life (and even reducing their healthcare expenses). At the same time, it is especially challenging since they have very specific and strict requirements regarding the use and application of technology. In this Systematic Literature Review (SLR), we analyze the most important proposed technologies and techniques in order to identify whether they can be applied in this context and if they can be used to improve the quality of life of this fragile collective. In this SLR, we have analyzed 326 papers. From those, 29 proposals have been completely analyzed, taking into account the characteristics and requirements of this population.

scholarly journals Fatores Relacionados à Polimedicação e o Impacto na Qualidade de Vida dos Idosos: Uma Revisão Integrativa da Literatura / Factors Related to Polymedication and the Impact on the Quality of Life of the Elderly: An Integrative Literature Review

2021 ◽  
Vol 15 (54) ◽  
pp. 183-196
Author(s):  
Rafaela De Albuquerque Paulino ◽  
Rebeca De Albuquerque Paulino ◽  
Milena Nunes Alves de Sousa ◽  
Camila Rocha Vieira Torres
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
The Elderly ◽  
Electronic Library ◽  
The Impact

Objetivo: Identificar fatores relacionados à polimedicação em idosos e o impacto na qualidade de vida dessa população. Método: revisão integrativa da literatura realizada nas bases de dados Portal Biblioteca Virtual em Saúde do Brasil (Portal BVS Brasil) e Scientific Electronic Library Online (Scielo). As buscas incluíram artigos em português, na íntegra, publicados entre 2018-2020. Resultados: os fatores relacionados a polimedicação observados foram: idade, sexo feminino, baixo nível de escolaridade, presença de multimorbidades, acesso à saúde suplementar e a percepção negativa da saúde. Como consequência da polimedicação foi observado uso de medicamentos potencialmente inadequados (MPI), reações adversas, declínio funcional, declínio cognitivo, aumento do tempo de internação hospitalar, síndromes geriátricas e óbito. Conclusão: A polifarmácia é um processo natural no idoso, devido à presença, com mais frequência, de multimorbidades, associada ao uso de MPI, produzindo reações adversas, interações medicamentosas, baixa adesão e síndromes geriátricas, contribuindo para o aumento da morbimortalidade nos idosos. 

A Review of Notifications Systems in Elder Care Environments

2013 ◽  
pp. 407-429 ◽  
Author(s):  
Sandra Nava-Muñoz ◽  
Alberto L. Morán
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Literature Review ◽  
Elder Care ◽  
Elderly Care ◽  
The Elderly ◽  
Care Process ◽  
Healthcare Environments ◽  
Technological Perspective

For more than a decade, notification systems to support the care of older adults in settings such as hospitals, nursing homes, and homes have been developed. These systems aim to assist in the care process, trying to ensure the safety and wellness of the elderly, and thus to maintain or increase their quality of life. This chapter identifies challenges and areas of opportunity for the implementation of notification systems in these environments, considering a technological perspective. In this work, the authors firstly present a literature review of notification systems in the elderly care environments mentioned above. Subsequently, they propose a taxonomy to classify the reviewed works, and discuss a set of challenges and areas of opportunity that technology can offer in this environment. These areas of opportunity are projected as specific features in each of the identified healthcare environments.

Anxiety Disorders in the Elderly: Sub-diagnosis and Sub-treatment

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
L.C. Castro ◽  
T. Salgado ◽  
M. Simões ◽  
C. Paz ◽  
O. Ribeiro
Keyword(s):  
Quality Of Life ◽  
Anxiety Disorders ◽  
Late Life ◽  
Later Life ◽  
The Elderly ◽  
Geriatric Population ◽  
Major Health Problem ◽  
Related Quality ◽  
Health Related

Background:Although anxiety disorders prevalence and incidence decline in later life, anxiety is a major health problem for the elderly. Epidemiology, neurobiology, and treatment of anxiety disorders are poorly studied in the geriatric population. Nevertheless, anxiety has a high impact on functional status and health-related quality of life.Aim:To underline the significant impact of anxiety in the elderly. to discuss the sub-diagnosis and sub-treatment of late-life anxiety and subclinical symptoms.Methods:Literature Review. MEDLINE and PubMed databases searches for peer-reviewed studies, published between 1998 and 2008, using combinations of the Medline Subject Heading terms anxiety, anxiety disorders and old age.Results:There are few studies in the literature addressing this topic. Late-life anxiety has a high prevalence and is associated with increased morbidity, mortality, functional impairment, poorer quality of life and significant societal costs. Clinical studies show that most cases of anxiety disorders in late life are undetected and under-treated. Intervention research in late-life anxiety disorders is lacking.Conclusions:It is extremely important and urgent a more efficacious assessment and management of anxiety disorders in the elderly. It is also fundamental an increased attention to subtreshold anxiety, which will allow an earlier intervention and prevention of new cases of anxiety disorders. Well designed interventions will be capable of reducing the burden, morbidity and incidence of late-life anxiety.

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