scholarly journals Pain Research and Treatment in the Gerontological Context: A Discussion of the Issues

1998 ◽  
Vol 3 (2) ◽  
pp. 91-96
Author(s):  
Margaret C Gibson ◽  
Michael R Thomas ◽  
Andrew J Cook

An appreciation of the context in which gerontological health care occurs is crucial to the successful and ethical collection, interpretation and utilization of data on the pain experiences of elderly people. Important contextual considerations for researchers and clinicians who are addressing pain in the elderly are identified. It is argued that topics that are the focus of current attention in the field of pain and ageing, such as the effect of dementia on memory for pain and the responsiveness of the elderly to psychosocial pain treatment, would be clarified by an understanding of the broader sociopolitical context in which ageing occurs.

Ból ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 31-44
Author(s):  
Françoise Capriz ◽  
Sylvie Chapiro ◽  
Laurence David ◽  
Marie Floccia ◽  
Cyril Guillaumé ◽  
...  

The aim of this study is to publish recommendations on the use of painkillers in the elderly, in sensitive, isolated or highly dependent patients. These recommendations have been prepared by a group of experts in the field of pain and geriatrics from several scientific societies: French Society for Research and Pain Treatment (SFETD), French Society of Geriatrics and Gerontology (SFGG), French Society for Palliative Support and Care (SFAP), French Society for Assistive Oncology (AFSOS).


2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.


2004 ◽  
Vol 10 (3) ◽  
pp. 365-371
Author(s):  
A. A. Mahfouz ◽  
A. I. Al Sharif ◽  
M. N. El Gamal ◽  
A. H. Kisha

Use of primary health care [PHC] services and satisfaction among elderly people [60 + years] in Asir was studied in 26 PHC centers. They visited PHC centers significantly less often than younger adults but they were referred significantly more often to secondary and tertiary care and for more laboratory tests. A r and om sample of 253 elderly people attending the centers was interviewed about accessibility, continuity, humaneness, informativeness and thoroughness of care. Overall, 79.0% were satisfied with the services provided. The leading 3 items of dissatisfaction were:not enough audiovisual means for health education [65.1%], long time spent in the centre [46.4%], and not enough specialty clinics [42.5%]


2018 ◽  
Vol 2 (1) ◽  
pp. 70-120
Author(s):  
Ekaterina Vetrova ◽  
Daria Vasianina ◽  
Ivan Mityushnikov

The state of the health care system is an important characteristic of the country’s social and economic development, but the results of surveys can not demonstrate an objective result. The respondents are influenced by a number of factors, including their level of socialization, in assessing healthcare services. In the article, we consider the hypothesis that communication with relatives and neighborhood significantly increases the relative pessimism of the subjective evaluation of healthcare services by the elderly. In order to reduce the incompatibility of subjective assessments of respondents, the anchoring vignette method is used.


2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Flávia Maria Derhun ◽  
Giovana Aparecida de Souza Scolari ◽  
Vivian Carla de Castro ◽  
Maria Aparecida Salci ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
...  

ABSTRACT Objective: To know the perception of relatives of elderly people about the coexistence center and its importance in supporting the Health Care Network. Methodology: A qualitative study carried out with 14 relatives of elderly people participating in a coexistence center. Data collection took place in January 2016 through individual interviews, which were recorded, transcribed and submitted to content analysis. The results were discussed in the light of the theoretical referential of health promotion. Results: The elderly's participation in the coexistence center was an alternative to support care and institutionalization, provided time for self-care and to maintain or engage in the formal labor market and positively influenced the family relationships. Conclusion: The coexistence center was set up as a health promotion institution, being jointly responsible for the care of the elderly with the Health Care Network and the families.


2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.


2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Josefa Muriele da Silva Marinho ◽  
Karyne Beatriz Almeida de Medeiros ◽  
Romário Nóbrega Santos Fonseca ◽  
Thiego Santos de Araujo ◽  
Wanessa Cristina Tomaz dos Santos Barros ◽  
...  

ABSTRACT Objective: To identify the pattern of medication consumption among the elderly assisted in Primary Health Care. Methods: Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte. Results: The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free. Conclusion: The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.


2021 ◽  
Author(s):  
Anuroop Gaddam ◽  
Tim Wilkin ◽  
Maia Angelova ◽  
Alvin Valera ◽  
Jacqueline McIntosh ◽  
...  

Over a few decades, there is a steady accretion of life expectancy in many countries. Significant advances in modern healthcare technologies, medicines and overall health care awareness gave many to lead a prolonged healthy life. Over the past few years, there has been a huge demand for unobtrusive health monitoring systems from both medical professionals and the general populace to use these technologies for understanding the general health well being in order to improve life longevity. However, most of the available technologies for health monitoring are difficult for the general populace to access and most of the developed health monitoring systems are either deployed in a controlled environment or in healthcare facilities, thus severely limiting the ease of access to many, especially the elderly people. For effective health management of elderly people, evidence-based decision making, continuously monitoring the health status of the elderly demographic is paramount. In order to address these issues, we developed an innovative smart IoT based outdoor health monitoring system. The proposed system collects information about the mobility, posture, and overall gait of the person in an easy to access public outdoor setting such as parks, supermarkets etc. It is quite evident from multiple studies, that analysing the gait can be a useful tool in early detection of the declining health of individuals, as mobility is a key factor in any individual's well being. Also, detecting gait disorders earlier will allow for functional relief to the health care system with the possibility of reducing the number and severity of gait disorders through early intervention.


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