scholarly journals Peran Keluarga dalam Meningkatkan Kesehatan Jiwa Lansia di Rumah

2014 ◽  
Vol 2 (7) ◽  
pp. 253-257
Author(s):  
Wiwin Wiarsih
Keyword(s):  
Emotional Support ◽  
Memory Loss ◽  
The Elderly ◽  
Health State ◽  
Elderly Persons ◽  
Emotional States ◽  
Health States ◽  
The Family ◽  
Confusional States ◽  
Rest Activity

Seseorang yang berusia lanjut akan mengalami perubahan-perubahan akibat penurunan fungsi sistem tubuh. Salah satu perubahan tersebut adalah perubahan kejiwaan. Masalah kesehtan jiwa lansia yang sering muncul adalah gangguan proses piker yang ditandai dengan lupa, pikun, bingung, dan curiga; gangguan perasaan diantaranya ditandai dengan kelelahan, acuh tak acuh, mudah tersinggung; gangguan fisik/somatic tanpa penyebab yang jelas meliputi gangguan pola tidur, gangguan makan dan minum; gangguan perilaku ditandai dengan enggan berhubungan dengan orang lain, dan ketidakmampuan merawat diri sendiri.Keluarga merupakan masyarakat terkecil dimana lansia berada. Perubahan kejiwaan pada lansia akan mempengaruhi status kesehatan keluarga. Oleh karena itu keluarga dan lansia perlu mengetahui perubahan kejiwaan pada lansia agar dapat mencegah terjadinya gangguan jiwa pada lansia. Keterlibatan keluarga akan menentukan keberhasilan perawatan kesehatan jiwa lansia yang digambarkan pada tulisan ini. Abstract Changing in physical and psychosocial in elderly associated with aging. The observed changes represent the cumulative effects of heredity, environment, nutrition, rest, activity and altered health state while the most observed changes in psychosocial state of the elderly such as forgetfulress, memory loss, norrowed, attention spans, confusional states and impairment of their mind and emotional states increased accompany with their physical state. Family is the closest person around the elderly, a caring attitude, calm conversation and promotion of the comfort contribute to the relief of confusional states, and also emotional support helps the family cope with the elderly persons disorientation and confusion. Family is the most important person to help the elderly in maintaining their health states physically and psychosocially.Keywords: Changing in physical and psychosocial states in elderly, family participation.

Treatment of Early-Stage Breast Cancer in the Elderly

1998 ◽  
Vol 18 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Kimbroe J. Carter ◽  
Nathan P. Ritchey ◽  
Frank Castro ◽  
Leonard P. Caccamo ◽  
Edward Kessler ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Transition Probabilities ◽  
Early Stage ◽  
Treatment Options ◽  
The Elderly ◽  
Health State ◽  
Health States ◽  
Life Years ◽  
Simple Mastectomy ◽  
Health State Utilities

Purpose. To evaluate the post-lumpectomy treatment of a nonpalpable, stage I, T1b tumor, mammographically detected, in a 74-year-old woman without comorbidities. Methods. A Markov process, through 120 monthly cycles, was used to model patient progression through a treatment program, employing literature data and a health-outcome utility. Treatments considered were: observation; radiation totaling 5,000 cGy over six weeks; tamoxifen, 20 mg/day, for five years; simple mastectomy; and radiation therapy plus tamoxifen. Health states included absence of disease (NED), loco-regional recurrence, distant metastasis, age-sex-race (ASR)-adjusted death, cancer mortality, treatment complications, and post-mastectomy death. Transition probabilities were established from the literature. Health-state utilities were determined from the responses of health care professionals to a basic reference gamble. Results. Quality-adjusted life years (QALYs) were determined to be 8.19 for radiation plus tamoxifen, decreasing to 8.04 for mastectomy, a difference of only a 0.15 years (1.8 months). Sensitivity analysis, however, showed relative stability in the ranking among treatment options. Conclusion. Although the model showed little difference between QALYs with the treatments, the combination of radiation and tamoxifen provides the optimal therapy for this case.

scholarly journals GUIDE AGAINST ELDERLY ABUSE AMONG THE EFIK PEOPLE OF SOUTH-SOUTH, NIGERIA: AN EXAMINATION OF EXODUS 20:12

2020 ◽  
pp. 1
Author(s):  
Akpanika Ekpenyong Nyong
Keyword(s):  
Civic Education ◽  
The Elderly ◽  
Elderly Persons ◽  
Not Given ◽  
Cultural Shift ◽  
Elderly Abuse ◽  
The Family ◽  
Abuse And Neglect ◽  
Small Measure ◽  
Traditional Setting

Elderly abuse is an issue that has not been given much attention particularly among the Efik speaking people of South-South, Nigeria. The unjust and abusive treatment given generally to the elderly is gradually on the increase in the 21st century. The growing number of parents experiencing abuse, violence and insult in contemporary Efik society by caregivers or sometimes their children desire some attention. Today, since most elderly persons are not seen as breadwinners of the family, they are regarded as not being important and as such, not given the same respect as they deserve. This paper examines the biblical injunction of Exodus 20:12 to honour one's father and mother and its implication among the Efik People of South-South, Nigeria. God through Moses gave the children of Israel some moral laws that guided their relationship with the aged and elderly. The commandment in Exodus 20:12 to honour one's father and mother were primarily to protect them from abuse and neglect. Similarly, among the Efik people, some moral laws protected the aged and the elderly from possible abuse. This obligatory respect for the aged which was a panacea for family stability in the patriarchal period and Efik traditional setting is gradually losing its relevance in contemporary times. This cultural shift calls for reinvigoration in an attempt to stop elderly abuse among the Efik people. The paper adopted the qualitative research method using the hermeneutical and historical approach and discovered that globalization, urbanization and poverty have contributed in no small measure to the devaluing respect that the Efik people had for the aged and recommends the introduction of gerontology as part of civic education in Primary and Secondary schools to recapture these values.

scholarly journals Identifying elderly persons who are at risk of falling and fall risk factors in the general population

2018 ◽  
Vol 146 (7-8) ◽  
pp. 396-402
Author(s):  
Suncica Ivanovic ◽  
Sanja Trgovcevic ◽  
Biljana Kocic ◽  
Snezana Todorovic-Tomasevic ◽  
Milica Jeremic-Knezevic ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Population ◽  
Odds Ratio ◽  
Female Gender ◽  
The Elderly ◽  
Health State ◽  
Elderly Persons ◽  
Risk Of Falling ◽  
Self Assessment ◽  
Risk Factors For Falls

Introduction/Objective. The aim of this study was to identify the elderly who are at increased risk of falling, as well as the risk factors for falls in the general population. Methods. This cross sectional study included a random sample of 400 people (164 men and 236 women) with the average age of 75.04 (65?94) years selected from the Register of the Primary Health Center in Nis, Serbia. Socio-demographic questionnaire, the Elderly Fall Screening Test, and the Multi-factor Falls Questionnaire were used. Odds ratio (OR) was evaluated and adjusted for gender, age, marital status, education level, and self-assessment of the health state. Results. The risk of falling and risk factors for falls were as follows: age [odds ratio (OR) = 1.129, confidence interval (CI) = 1.067?1.196], health self-assessed as good (OR = 0.365; CI = 0.142?0.938), limitation of activities (OR = 7.189; CI = 3.559?14.522), walking problems (OR = 2.153; CI = 1.046?4.428), osteoporosis (OR = 4.611; CI = 1.231?17.265), female gender (OR = 3.770, CI = 1.648?8.624), vision problems (OR = 2.719; CI = 1.588?108.581), cognitive problems (OR = 4.485; CI = 17.721), arthritis (OR = 6.524; CI = 2.077?20.496), and urination problems (OR = 2.511; CI = 1.083?5.820). Conclusion. Risk factors for falls were the following: age, self-assessment of health state, walking problems, osteoporosis, female gender, vision problems, arthritis, and urination problems.

scholarly journals Death and dying: elderly persons’ experiences of grief over the loss of family members

2018 ◽  
Vol 60 (5) ◽  
pp. 53
Author(s):  
Eucebious Lekalakala-Mokgele
Keyword(s):  
Elderly Women ◽  
Death And Dying ◽  
Family Members ◽  
The Elderly ◽  
Phenomenological Approach ◽  
Elderly Persons ◽  
Age Group ◽  
The Family ◽  
Qualitative Phenomenological ◽  
Depth Interviews

Background: Death is one of life’s few certainties and a universal experience for all individuals. When death occurs there is usually an impact on the family and friends of the deceased, the magnitude of which often depends on whether death was expected or unexpected. The grieving experiences of the elderly are rarely discussed. The purpose of this study was to describe experiences of grief and reactions to the death of family members amongst the elderly.Methods: A qualitative phenomenological approach was used to obtain data from elderly women in Ga-Rankuwa, Gauteng, to gain insight into the experiences of grief in this age group. Purposive sampling was used to conduct in-depth interviews with 10 elderly women whose family members had died. The data were analysed using a thematic approach.Results: The findings show that the elderly were exposed to multiple deaths of family members. The participants helplessly experienced with sorrow the death of family members, had experienced death anxiety, and relinquished control to God in terms of deaths.Conclusions: The response to death of the elderly affirms that it cannot be assumed that multiple death experiences establish their readiness or ability to handle these experiences and to grieve successfully. It can be concluded that the grieving process of the elderly is not different from any other age group and that they will also require the type of support and assistance considered for younger persons in times of grieving.

scholarly journals Association between triglycerides and HDL-cholesterol ratio and cardiovascular risk factors among elderly persons receiving care under the family health strategy of Viçosa, Minas Gerais

2017 ◽  
Vol 20 (2) ◽  
pp. 236-243
Author(s):  
Marcos Vidal Martins ◽  
Jacqueline Danesio de Souza ◽  
Karina Oliveira Martinho ◽  
Fernanda Silva Franco ◽  
Adelson Luiz Araújo Tinôco
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Family Health ◽  
Hdl Cholesterol ◽  
The Elderly ◽  
Serum Glucose ◽  
Elderly Persons ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Objective: To evaluate the association between triglycerides and HDL-cholesterol (TG/HDL-c) ratio and cardiovascular risk factors among the elderly. Method: A cross-sectional epidemiological study with a random sample of elderly persons (n=349) of both genders, who received care under the Family Health Strategy in the municipality of Viçosa, in the state of Minas Gerais, was performed. Cardiovascular risk was calculated by the relationship between the TG and the HDL-c levels, with values greater than 3.5 considered a risk. Social and economic variables, lifestyle, noncommunicable chronic diseases, serum glucose levels, waist circumference (WC) and body mass index were evaluated. Multiple linear regression was used to evaluate the association between the TG/HDL-c ratio and other variables. Variables associated with the dependent variable with a level of significance lower than 0.20 in univariate regression analysis were included in the final model (stepwise-forward), applying a significance level of p<0.05. Results: The highest TG/HDL-c ratio values were associated with the presence of hypertension, having been or currently be a smoker, having elevated serum glucose and an increased waist circumference. Conclusion: The findings reflect the importance of studies on cardiovascular risk in the elderly, as health professionals should be familiar with the parameters that classify at risk individuals. The TG/HDL-c ratio is a reliable classification method that is easy to apply and correlates closely with adverse health effects.

The admission of the elderly to places of care: a socio-psychiatric community survey

1982 ◽  
Vol 12 (1) ◽  
pp. 159-168 ◽  
Author(s):  
L. S. Gillis ◽  
R. Elk ◽  
L. Trichard ◽  
K. Le Fevre ◽  
A. Zabow ◽  
...  
Keyword(s):  
Old Age ◽  
Emotional Support ◽  
The Elderly ◽  
Elderly Persons ◽  
Economic Problems ◽  
Social And Emotional ◽  
Age Related ◽  
Socio Economic Variables ◽  
The Many ◽  
Separate Population

SynopsisElderly persons over the age of 60 who were admitted for psychiatric care were compared with a random sample of persons living in the same community in respect of psychiatric, medical and socio-economic variables. The group admitted to hospital for psychiatric reasons was very similar to the latter in general characteristics. However, those people admitted to old age homes, which are the other major resource for psychiatric illness, constitute a distinctly separate population, being older and having considerably more physical illnesses and socio-economic problems. Factors predicting admission to an old age home were largely irremediable age-related conditions (dementia, physical infirmity, etc.), but there were also adverse social circumstances, including marked isolation and a lack of social and emotional support. A comparative analysis of the many psychiatric, social and medical factors is presented, with particular reference to reasons for referral and prevention of admission.

The Significance of the Past in the Study of Ageing: Introduction to the Special Issue on History and Ageing

1984 ◽  
Vol 4 (4) ◽  
pp. 379-389 ◽  
Author(s):  
Peter Laslett
Keyword(s):  
Family Relationships ◽  
The Elderly ◽  
Elderly Persons ◽  
Special Issue ◽  
Old People ◽  
The Past ◽  
Familial Support ◽  
The Family ◽  
The Subject ◽  
Long Life

‘These days no-one bothers with old people, not even their children or their relatives.’ This familiar falsehood is important to us here because of its initial phrase, two words which are very often met with in familiar conversation and which imply comparison with the past. The statement is false both because research on the family relationships of the elderly shows it to be so today, and because historical work fails to show that familial support has declined over time. Comparisons with the past, scholarly comparisons properly worked out, which illustrate what history can tell us about ageing and about ourselves as members of populations marked by long life and by the presence of many elderly persons, are the subject of the present issue of Ageing and Society.

Occurrence of respiratory symptoms in elderly persons heard by the family health strategy in Águas Lindas, Ananindeua, Pará State

2020 ◽  
Vol 42 ◽  
pp. e47682
Author(s):  
Renato da Costa Teixeira ◽  
Kézia Danniely da Silva Santos ◽  
Marinara do Socorro Dias da Silva ◽  
Valéria Marques Ferreira Normando ◽  
Madacilina de Melo Teixeira
Keyword(s):  
Elderly People ◽  
Respiratory Symptoms ◽  
Respiratory Diseases ◽  
Family Health ◽  
The Elderly ◽  
Lung Compliance ◽  
Elderly Persons ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Respiratory diseases are among the five leading causes of death in Brazil, particularly among the elderly. This study identified the occurrence of respiratory symptoms in older persons. Specifically, a descriptive, observational, and quantitative study was conducted using a sample of elderly people enrolled in the Hypertension and Diabetes sessions of the Family Health Strategy program in a Brazilian city. MRC-ATS-DLD78 questionnaires were used to analyze respiratory symptoms with a sample comprised of 50 volunteers (mean age = 69.96 years). The median time living in a dwelling within a polluted sample area was 30 years, with 82% reporting spending more time per day at home or in the neighborhood. The presence of coughing was reported by 18% persons, expectoration (17%), productive cough (14%), wheezing (34%), dyspnea (12%), and respiratory diseases (26%). Physiological changes in aging associated with the effects of pollution exposure leave elderly people more vulnerable to respiratory diseases because they are predisposed to diseases, such as decreased pulmonary elasticity, elevated lung compliance, reduced oxygen diffusion capacity, reduced expiratory flow, and premature closure of airways. The occurrence of respiratory symptoms in the elderly was 30% with one symptom, two (22%), three (10%), four (6%), and five (2%).

scholarly journals Relation between family functionality and the household arrangements of the elderly

2018 ◽  
Vol 21 (5) ◽  
pp. 562-569
Author(s):  
Henrique Ciabotti Elias ◽  
Tatiana Silveira Marzola ◽  
Nayara Paula Fernandes Martins Molina ◽  
Luiza Maria de Assunção ◽  
Leiner Resende Rodrigues ◽  
...  
Keyword(s):  
Family Relationships ◽  
Elderly Women ◽  
Household Survey ◽  
The Elderly ◽  
Categorical Variables ◽  
Multidisciplinary Teams ◽  
Elderly Persons ◽  
Cross Sectional ◽  
The Family ◽  
Family Functionality

Abstract Objective :to verify the association between family functionality and the household arrangements of the elderly in an urban area of Minas Gerais. Method: a quantitative, household survey type study that was analytical, cross-sectional and observational in nature was carried out with 637 elderly persons. The Mini Mental State Examination, a characterization of sociodemographic and economic data and the Family Apgar test were used. Descriptive analysis was performed by absolute and relative frequencies for the categorical variables. The Chi-squared test (p <0.05) was used to identify relationships between household arrangements and family functionality. Results: elderly women (66.6%), aged 60 to 70 years (42.1%), who were married (42.7%), and received the minimum wage (45.1%), with up to four years of education (51%) predominated. It was found that the majority of the elderly persons interviewed (87.8%) considered their family as a unit of care with good functionality. There was a significant association between poor family functionality and elderly individuals who lived alone (p = 0.007). Conclusion: it is important to understand the family dynamics of the elderly so that multidisciplinary teams can promote actions and interventions aimed at the needs of each family, helping to strengthen family relationships.

Promotion of self-care to the person dependent on nursing care

2011 ◽  
Vol 6 (1) ◽  
pp. 165
Author(s):  
Vanessa Sofia Henriques Costa ◽  
Ana Sara Resende Pereira Marques ◽  
Mário Jorge Oliveira ◽  
Nélson Filipe Lameiro Lino ◽  
Cristina Lavareda Baixinho ◽  
...  
Keyword(s):  
Elderly Person ◽  
Self Care ◽  
Femoral Fractures ◽  
The Elderly ◽  
Lower Limbs ◽  
Elderly Persons ◽  
The Family ◽  
Care Of Elderly ◽  
The Moment ◽  
Management Of Care

ABSTRACTObjective: to identify the difficulties in self-care, on the elderly person with fracture of the proximal end of the femur. Method: literature review, informal interviews and practice reflection based on the Gibbs Cycle. Results: There is a marked dependence on the self-care of elderly persons with fracture of the proximal end of the femur, at the moment of hospitalization; a positive evolution occurs towards independence during hospitalization; when the elderly persons were asked about the main difficulties that will arise at home, all of them referred walking, transfers, and dressing/undressing lower limbs; the caregivers mentioned by the elderly persons are mostly the spouses or the sons, whom require more information for a home return with confidence. Conclusion: in one continuum of care perspective, it is essential to prepare the returning home of the elderly person in order to increase the autonomy and independence, enable the family for the management of care that increase the functionality, decreasing the limitations imposed by the fracture, surgery and the risk of developing complications, namely those associated with immobility; such fact will have direct consequences on the motivation and responsibility for the restoring of his health and progress towards independence. Descriptors: self-care; aged; femoral fractures; Patient discharge.RESUMOObjectivo: identificar as dificuldades no autocuidado, no idoso com fractura do terço proximal do fémur. Método: estudo em que foi usada a revisão da literatura, entrevistas informais e reflexão sobre a prática de cuidados tendo por base o ciclo de Gibbs. Para sustentar a reflexão utilizaram-se como instrumentos: o Índice de Barthel, aplicado no 1º dia de internamento, no 2º dia do pós-operatório e no último dia de internamento, a idosos submetidos a cirurgia por fractura da extremidade proximal do fémur e realizaram-se entrevistas informais a enfermeiros, a cuidadores e a clientes, durante o internamento e na primeira consulta após o regresso a casa. Resultados: há dependência marcada no autocuidado dos idosos com fractura da extremidade proximal do fémur, no momento da admissão hospitalar; ocorre uma evolução positiva, no sentido da independência durante o internamento; quando questionados sobre as principais dificuldades que irão surgir no domicílio, todos os idosos referiram a deambulação, as transferências e o vestir/despir os membros inferiores. Conclusão: na perspectiva de continuidade de cuidados, é fundamental preparar o regresso a casa para aumentar a autonomia e independência do idoso, capacitar a família para a manutenção dos cuidados que aumentem a funcionalidade, diminuindo as limitações impostas pela fractura e cirurgia e o risco de aparecimento de complicações, nomeadamente as associadas à imobilidade; tal facto terá consequências directas na motivação e responsabilização pelo restabelecimento do seu estado de saúde e progressão para a independência. Descritores: autocuidado; idoso; fraturas do fémur; alta do paciente.RESUMENObjetivo: Identificar las dificultades en el auto-cuidado en pacientes ancianos con fractura del extremo proximal del fémur. Método: revisión de la literatura, entrevistas informales y la deliberación sobre la práctica del cuidar teniendo en cuenta el ciclo de Gibbs. Resultados: existe una marcada dependencia en el auto-cuidado de los pacientes ancianos con fractura del extremo proximal del fémur, en el momento de ingreso en el hospital; hay una evolución positiva, en el sentido de la independencia durante la hospitalización; cuando se les preguntó acerca de las principales dificultades que surgen en el hogar, todos os adultos mayores señalaron la deambulación, los traslados y vestir/desvestir los miembros inferiores; los cuidadores referidos por los ancianos son en su mayoría las esposas y los hijos, los cuáles necesitan más información para poder regresar a su casa con confianza. Conclusión: con el objetivo de mantener la continuidad de los cuidados, es fundamental la preparación del regreso a casa para aumentar así la autonomía e independencia del anciano, capacitando a la familia para el mantenimiento de los cuidados que aumenten la funcionalidad, disminuyendo las limitaciones impuestas por la fractura y la cirugía y el riesgo de desarrollar complicaciones, especialmente aquellas asociadas con la inmovilidad; este hecho tendrá consecuencias directas en la motivación y la responsabilidad para la restauración de su estado de salud y el progreso hacia la independencia. Descriptores: autocuidado; anciano; fracturas del fémur; alta del paciente. 

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