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problems with the elderly

Sang Yoon Lee, Se Hee Jung, Shi-Uk Lee, Yong-Chan Ha, Jae-Young Lim
Background: Although balance impairment after hip fracture surgery (HFS) can constitute a long-term problem of limiting mobility and increasing the risk of falls in older adults, little is known about the effect of balance training (BT) on physical functioning after HFS. Thus, we performed a meta-analysis to evaluate whether BT improved the overall physical functioning of patients after HFS. Methods: We searched the PubMed-Medline, Embase, and Cochrane Library databases in January 2018 and included all randomized controlled trials comparing BT with usual care after HFS...
December 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Roberta Perkovic, Ana Sucic, Ivan Vasilj, Branko Kristo
Introduction: The most common mental disorders in elderly, beside dementia, are depression and anxiety, which are important public health problem, although they are diagnosed and treated in under 20% of the population. Mental health care for elderly is one of the indicators of quality or omissions in the health system of a country. Aim: The aim of the study was to examine the incidence of depression and anxiety among the elderly in the Livno area. Material and methods: Across-sectional study was carried out in the Livno area through June 2017 on a sample of 100 respondents (N=100)...
October 2018: Materia Socio-medica
Alice Rose, Sheeba Rosewilliam, Andy Soundy
OBJECTIVES: To assess the extent of shared decision-making within goal-setting meetings and explore patient-reported factors that influenced their participation to shared decision-making about their goals. DESIGN: A two-phase explanatory sequential mixed-methods study, using questionnaires and interviews. SETTING: A rehabilitation centre and patients' homes. SUBJECTS: Frail elderly patients. MAIN MEASURES: Quantitative data were collected after every patient's goal-setting meeting using the Multifocal Approach to Sharing in Shared Decision Making (MAPPIN'SDM) questionnaire that assesses competencies relevant to shared decision-making...
December 4, 2018: Clinical Rehabilitation
Anna-Karin Strand, Fredrik Nyqvist, Anne Ekdahl, Gun Wingren, Christina Eintrei
BACKGROUND: Long-term cognitive problems are common among elderly patients after surgery, and it has been suggested that inhalation anaesthetics play a role in the development of dementia. This study aims to investigate the hypothesis that patients with dementia have been more exposed to surgery and inhalational anaesthetics than individuals without dementia. METHODS: Using 457 cases from a dementia-registry and 420 dementia-free controls, we performed a retrospective case-control study...
December 3, 2018: Acta Anaesthesiologica Scandinavica
Mahmoud Movahedi, Feryal Khamseh, Abbas Ebadi, Zahra Hajiamini, Ali Navidian
BACKGROUND: Many of the problems caused by aging can be delayed and the health of the elderly maintained by improving and applying a healthy lifestyle during old age. Therefore, the researcher has designed and implemented a study aimed "compare the impact of group motivational interviews with multimedia education on improving lifestyle in the elderly." METHODS: This study is triple blind before and after clinical trial was performed on three groups of thirty ( n = 90) of the elderly with mean age 63...
2018: Journal of Education and Health Promotion
Carlos J Padilla Colón, Irma L Molina-Vicenty, María Frontera-Rodríguez, Alejandra García-Ferré, Bernabejoel Ponce Rivera, Gerardo Cintrón-Vélez, Sebastián Frontera-Rodríguez
Aging is the result of different functional changes leading to a substantial reduction of all human capabilities. A variety of anatomical and physiological changes occur with advancing age. These changes are more evident in the elderly population. There are various methods to measure muscle and bone mass loss, but the dual X-ray absorptiometry (DXA) is considered one of the most efficient. The elderly population (65 years and older) has been increasing throughout the years. Loss of muscle mass (sarcopenia) and loss bone mass (osteopenia or osteoporosis) with advancing age, when untreated, represent a major public health problem for the elderly population and may result in loss of independence in later life...
2018: Journal of Biomedicine
Summer Meranius, Josefsson Karin
Background: Senior Alert is a national quality register aimed at supporting a standardized, structured, and systematic preventive care process for adults aged 65 and over in the areas malnutrition, pressure ulcers, falls, problems with oral health and bladder dysfunction. Therefore, the quality register is particularly suitable for older adults with multimorbidity. Aim: The aim was to describe management practices that contributed to the sustained implementation of the quality register Senior Alert in municipal elderly care in Sweden...
2018: Open Nursing Journal
Flavia Franco Veiga, Maiara Ignacio Costa, Érika Seki Kioshima Cótica, Terezinha Inez Estivalet Svidzinski, Melyssa Negri
Onychomycosis is a fungal nail infection, considered as a public health problem because it is contagious and it interferes with the quality of life. It has long and difficult treatment, with many side effects and high cost. Propolis extract (PE) is a potential alternative to conventional antifungal agents because it has low cost, accessibility, and low toxicity. Herein, we report the favorable response of PE in onychomycosis in three elderly patients.
November 2018: Indian Journal of Dermatology
Aukelien Scheffelaar, Michelle Hendriks, Nanne Bos, Katrien Luijkx, Sandra van Dulmen
INTRODUCTION: In long-term care (LTC), it is unclear which qualitative instruments are most effective and useful for monitoring the quality of the care relationship from the client's perspective. In this paper, we describe the research design for a study aimed at finding and optimising the most suitable and useful qualitative instruments for monitoring the care relationship in LTC. METHODS AND ANALYSIS: The study will be performed in three organisations providing care to the following client groups: physically or mentally frail elderly, people with mental health problems and people with intellectual disabilities...
December 2, 2018: BMJ Open
Aslıhan Uzunkulaoğlu, İlkiz Bilge Yıldırım, Meltem Güneş Aytekin, Saime Ay
OBJECTIVE: To investigate the effect of flamingo exercise with or without KAT 2000 device on the balance problems due to senile OA. PARTICIPANTS: Ninety elderly osteoarthritic patients with balance impairment. INTERVENTIONS: Participants were randomly assigned into three groups; Kinesthetic ability trainer (KAT 2000) training group (Group 1) (n = 30), Flamingo training group (Group 2) (n = 30), Combined training group (Group 3) (n = 30) group...
October 29, 2018: Archives of Gerontology and Geriatrics
S E Avetisov, V P Erichev, S Yu Petrov, A V Volzhanin
At present, phacoemulsification and trabeculectomy are the most widespread surgery methods in cataract and glaucoma treatment, generally recognized as the gold standard. Among elderly patients, comorbid glaucoma and cataract are extremely prevalent, so the order of the two surgeries and the time interval between them are pivotal choices when planning treatment strategy. The reason for it is that almost any eye surgery is considered a risk factor for long-term trabeculectomy effectiveness. In attempts to solve this problem, numerous studies have been conducted on the impact of cataract surgery on filtration bleb scarring...
2018: Vestnik Oftalmologii
Wen Peng, Sandro Dernini, Elliot M Berry
Ensuring Food Security (FS) for all citizens is a fundamental human right and policy for all countries. Dealing with Food Insecurity (FINS) is a challenge causing stress at many levels-national, household, and individual. The conceptual framework of the Sociotype has been developed as a summary ecological construct to organize the multiple, dynamic, reciprocal inputs from the environment that interact with the genotype to determine the expression of phenotypic behaviors such as coping with stress. The Sociotype ecological framework has three domains-Individual (intra-personal), Relationships (inter-personal, family and community), and Context (environment, national)-and their interactions determine an individual's resilience across the life trajectory from birth to old age...
2018: Frontiers in Nutrition
G McCorkindale, M O'Neill, I Prain, L Waterhouse
BACKGROUND: In a recent paper a working group set up by the Lay Advisory Committee of the Royal College of Physicians of Edinburgh (RCPE) had looked into the problems of patients with severe communication difficulties in hospital (J R Coll Physicians Edinb 2017; 47: 211-3). The present online survey expands on this with the objective of garnering the views of physicians on this matter. METHOD: An invitation aimed at physicians to complete an online survey was made through the recently published paper...
December 2018: Journal of the Royal College of Physicians of Edinburgh
Ling-Ying Wang, Yi-Pu Zhao, Qian Chen, Xiu-Ying Hu
BACKGROUND: China is the country with the largest population of elderly, accounting for more than 17.3% of the total population. The arrival of the so-called "silver wave" has generally reduced the abilities of daily life of the elderly and has continued to increase endowment pressures. Assisting the elderly in China to age successfully is an urgent problem. PURPOSE: To understand the living arrangement intentions of the elderly in Western China and to provide a reference for the reformation of the social endowment service system...
December 2018: Hu Li za Zhi the Journal of Nursing
Aukelien Scheffelaar, Nanne Bos, Michelle Hendriks, Sandra van Dulmen, Katrien Luijkx
BACKGROUND: The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care. METHODS: A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities...
November 28, 2018: BMC Health Services Research
Ji Young Kim, Joo Hee Kim, Jeong Yee, Soo Jin Song, Hye Sun Gwak
BACKGROUND: Risk factors associated with opioid-induced adverse reactions (OIARs) in the elderly population have not been well defined. The objective of this study was to determine effects of various risk factors on incidence of OIARs in male elderly patients. METHODS: A retrospective cohort study in Korea Veterans Hospital was performed. Data were analyzed in male patients aged 65 years and older who received morphine, oxycodone, or codeine. Binomial variables describing patient-related and drug-related characteristics were constructed...
November 29, 2018: BMC Geriatrics
Felice Strollo, Sandro Gentile, Giovanna Strollo, Andrea Mambro, Joan Vernikos
Astronauts coming back from long-term space missions present with different health problems potentially affecting mission performance, involving all functional systems and organs and closely resembling those found in the elderly. This review points out the most recent advances in the literature in areas of expertise in which specific research groups were particularly creative, and as they relate to aging and to possible benefits on Earth for disabled people. The update of new findings and approaches in space research refers especially to neuro-immuno-endocrine-metabolic interactions, optic nerve edema, motion sickness and muscle-tendon-bone interplay and aims at providing the curious - and even possibly naïve young researchers - with a source of inspiration and of creative ideas for translational research...
2018: Frontiers in Physiology
Monika Banach, Barbara Miziak, Kinga K Borowicz-Reutt, Stanisław J Czuczwar
As a matter of course, elderly people are more sensitive to both the pharmacological and toxicological effects of pharmacotherapy. A senior's treatment, therefore, requires more attention compared to younger adults. Extended release (ER) formulations of anti-epileptic drugs (AEDs) have been developed to improve safety, efficacy and long-term adherence. In senior patients, ER AEDs are used to treat epilepsy, psychiatric conditions, and neuropathic pain. However, very limited clinical evidence is available on the use of these ER AEDs in these populations...
November 27, 2018: Expert Opinion on Pharmacotherapy
Hanna Birkbak Hovaldt, Tine Nielsen, Jesper Dammeyer
Background and Objectives: Research has shown that dual sensory loss is a risk factor for depression in older adults. However, validated measures of depression for people with dual sensory loss are lacking. The purpose of the present study was to investigate the construct validity and reliability of the Major Depression Inventory for use among elderly persons with acquired dual sensory loss. Research Design and Methods: A cross-sectional questionnaire survey was conducted in a national sample of people ≥50 years of age with functional acquired dual sensory loss...
January 2018: Innovation in Aging
C Kopp-Bigault, M Walter
ISSUE: Suicide is a major problem of public health around the world, and if suicidal mortality rates have declined in recent years, the elderly remain a category of the world's population at major risk of suicide. Seventeen percent of deaths by suicide across the world are individuals over the age of 65. The existence of suicidal ideas for an individual in this age group increases the risk of suicide attempt in the year by 34. In France, about a little less than a quarter of suicides belong to persons over 60-years-old...
November 23, 2018: L'Encéphale
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