A Pilot Study of the Effectiveness of Using Leisure versus Activities of Daily Living to Increase Standing Tolerance in the Elderly Population

2002 ◽  
Vol 21 (2) ◽  
pp. 41-56
Author(s):  
Tracy Chippendale ◽  
Ruth Segal
2013 ◽  
Vol 647 ◽  
pp. 854-860
Author(s):  
Gye Rok Jeon ◽  
Young Jae Kim ◽  
Ah Young Jeon ◽  
Sang Hoon Lee ◽  
Jae Hyung Kim ◽  
...  

Falls detection systems have been developed in recent years because falls are detrimental events that can have a devastating effect on health of the elderly population. Current fall detecting methods mainly employ accelerometer to discriminate falls from activities of daily living (ADL). However, this makes it difficult to distinguish real falls from certain fall-like activities such as jogging and jumping. In this paper, an accurate fall detection system was implemented using two tri-axial accelerometers. By attaching the accelerometers on the chest and the abdomen, our system can effectively differentiate between falls and non-fall events.The Diff_Z and Sum_diff_Z parameter resulted in falls detection rate of 100%, respectively.


2014 ◽  
Vol 60 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Ana Lúcia Danielewicz ◽  
Aline Rodrigues Barbosa ◽  
Giovâni Firpo Del Duca

Objective: to investigate the association between nutritional status and functional limitation and disability in an elderly population in southern Brazil. Methods: epidemiological, cross-sectional household-based study carried out with 477 elderly of both sexes (60 to 100 years). Body mass index (BMI) served to assess the nutritional status: underweight (BMI < 22 kg/m2) and overweight (BMI > 27 kg/m2). The sum score (0-5) obtained in three tests: "chair stand" and "pick up a pen" (measured by time) and standing balance (four static measurements) assessed the functional limitation. The disability was evaluated by the difficulty in performing one or more self-reported tasks related to basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Crude and adjusted analyzes (3 models) were carried out using Poisson regression; prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. Results: crude analyzes showed a positive association between underweight and functional limitation (PR = 2.71, 95% CI = 1.63 to 4.51); overweight and disability in ADLs (PR = 2.20, CI 95% = 1.44 to 3.35); overweight and disability in IADLs (PR = 1.56, CI 95% = 1.20 to 2.03). The additional adjustments for gender, age, level of education, living arrangements, current work, cognitive function and number of morbidities reduced the strength of the associations, without changing the statistical strength. Conclusion: nutritional status is a factor that is independently and positively associated with functional limitation and disability. We recommend the use of this indicator to monitor the health of the elderly.


2015 ◽  
Vol 30 (5) ◽  
pp. 443-446 ◽  
Author(s):  
Mary Colleen Bhalla ◽  
Amos Burgess ◽  
Jennifer Frey ◽  
William Hardy

AbstractIntroductionThe elderly population has proven to be vulnerable in times of a disaster. Many have chronic medical problems for which they depend on medications or medical equipment. Some older adults are dependent on caregivers for managing their activities of daily living (ADLs), such as dressing, and their instrumental activities of daily living (IADLs), such as transportation.ProblemA coordinated effort for disaster preparation in the elderly population is paramount. This study assessed the potential needs and plans of older adults in the face of a local disaster.MethodsThe setting was a community-based, university-affiliated, urban emergency department (ED) that sees more than 77,000 adult patients per year. A survey on disaster plans and resources needed if evacuated was distributed to 100 community-residing ED patients and visitors aged 65 years and older from January through July 2013. Means and proportions are reported with 95% confidence intervals (CIs).ResultsData were collected from 13 visitors and 87 patients. The mean age was 76 years, and 54% were female. Thirty-one responded that they had a disaster plan in place (31/100; CI, 22.4-41.4%). Of those 31, 94% (29/31; CI, 78.6-99.2%) had food and water as part of their plan, 62% (19/29; CI, 42.2-78.2%) had a supply of medication, and 35% (12/31; CI, 21.8-57.8%) had an evacuation plan. When asked what supplies the 100 subjects might need if evacuated, 33% (CI, 23.9-43.1%) needed a walker, 15% (CI, 8.6-23.5%) needed a wheelchair, 78% (CI, 68.6-85.7%) needed glasses, 17% (CI, 10.2-25.8%) needed a hearing aid, 16% (CI, 9.4-24.7%) needed a glucometer, 93% (CI, 86.1-97.1%) needed medication, 14% (CI, 7.8-22.4%) needed oxygen, 23% (CI, 15.2-32.5%) needed adult diapers, and 21% (CI, 13.2-30.3%) had medical equipment that required electricity. Many of the subjects also required help with one or more of their ADLS, the most common being dressing (17%; CI, 10.3-26.1%), or their IADLS, the most common being transportation (39%; CI, 29.7-49.7%). Only 42% (CI, 32.3-52.7%) were interested in learning more about disaster preparation.ConclusionOnly a minority of the older adults in the study population had a disaster plan in place. Most of the respondents would require medications, and many would require medical supplies if evacuated.BhallaMC, BurgessA, FreyJ, HardyW. Geriatric disaster preparedness. Prehosp Disaster Med. 2015;30(5):443–446.


2004 ◽  
Vol 32 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Shu-Chuan Jennifer Yeh ◽  
Sing Kai Lo

This study aimed to describe the characteristics of the elderly population living alone, and to examine how living alone relates to feeling lonely. Interviews were conducted with a stratified random sample of 4,859 elderly individuals living in Kaohsiung, Taiwan. Variables collected included demographic information, living alone or not, activities of daily living (ADL), instrumental activities of daily living (IADL), Short Portable Mental Status Questionnaire (SPMSQ), chronic conditions, perceived social support, and a subjective measure of feeling lonely. Using logistic regression, it was found that factors associated with living alone included gender, marital status, occupation, source of income, religion, and IADL. Living alone was, in turn, related to decreased levels of both perceived social support and feeling lonely after adjustment for potential confounders. Managing retired life is important for adult elders, particularly for men. Lack of social support is common among the elderly community who live alone, which could well be a main reason for this group to feel lonely. As loneliness is linked to physical and mental health problems, increasing social support and facilitating friendship should be factored into life-style management for communities of elderly.


Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel López-López ◽  
Eduardo Pérez-Boal ◽  
Pilar Marqués-Sánchez ◽  
Cristina Liébana-Presa ◽  
...  

The objective of the present study was to evaluate the activities of daily living (ADLs) using the Barthel Index before and after infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and also to determine whether or not the results varied according to gender. The ADLs of 68 cohabiting geriatric patients, 34 men and 34 women, in two nursing homes were measured before and after SARS-CoV-2 (Coronavirus 2019 (COVID-19)) infection. COVID-19 infection was found to affect the performance of ADLs in institutionalized elderly in nursing homes, especially in the more elderly subjects, regardless of sex. The COVID-19 pandemic, in addition to having claimed many victims, especially in the elderly population, has led to a reduction in the abilities of these people to perform their ADLs and caused considerable worsening of their quality of life even after recovering from the disease.


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