scholarly journals Elderly Who Care for Elderly: DoubleVulnerability and Quality of Life

2020 ◽  
Vol 30 ◽  
Author(s):  
Letícia Decimo Flesch ◽  
Samila Sathler Tavares Batistoni ◽  
Anita Liberalesso Neri ◽  
Meire Cachioni

Abstract Elderly caregivers of other elderly people suffer from double vulnerability because they must deal with demands for care and for their own health. The objective of this study was to identify the association between double vulnerability and quality of life of elderly caregivers. The 148 participants were evaluated in relation to socio-demographic variables, quality of life, health self-assessment, perceived burden, measures of physical health of the caregiver and physical and cognitive vulnerability of the elderly who is the target of care. The hierarchical multivariate analysis showed that the elderly caregivers with the highest risk of worse quality of life were those with three or more diseases, with medium or high burden and with a worse health evaluation compared to the past. Greater health weakness is expected over the course of ageing; therefore, to study elderly caregivers, the perception of changes in health is a more pertinent measure than just the assessment of immediate health.

2017 ◽  
Vol 20 (4) ◽  
pp. 502-515 ◽  
Author(s):  
Rebeca de Barros Caldeira ◽  
Anita Liberalesso Neri ◽  
Samila Sathler Tavares Batistoni ◽  
Meire Cachioni

Abstract Objective: to compare the life satisfaction of family caregivers, taking into account their gender, age, time since starting care, health, religion, perceived burden and quality of life, and the level of physical and cognitive dependence of the elderly person receiving care, and to investigate the associations between these variables and low life satisfaction. Methods: a total of 148 caregivers in Indaiatuba and Campinas, in the state of São Paulo, Brazil, selected using the convenience method, were interviewed at home, in private medical clinics and outpatient units, using questionnaires about the sociodemographic characteristics, health conditions, time since starting care, scales of life satisfaction, religiosity, perceived burden and quality of life of the caregiver, and the physical and mental health of the elderly person receiving care. Descriptive, Multivariate and Univariate Logistic Regression analysis were used. Results: caregivers who exhibited low life satisfaction included more frail individuals, with three or more chronic diseases and depression, greater perceived burden and lower self-fulfillment and pleasure, and control and autonomy, scores, which are factors of the Perceived Quality of Life Scale. Elderly caregivers who scored low in self-fulfillment factor and pleasure (OR=101.29; CI=28.68 - 357.73) and who scored high in perceived burden (OR=5.89, CI=2.13 to 16.24) had a greater chance of having low life satisfaction scores. Conclusions: The assessment of caregivers of their satisfaction with life is more influenced by subjective than objective variables, and low satisfaction seems to be strongly associated with poor quality of life, high burden, and caregiver frailty.


Author(s):  
Letícia Decimo Flesch ◽  
Samila Sathler Tavares Batistoni ◽  
Anita Liberalesso Neri ◽  
Meire Cachioni

Abstract Objective : To evaluate the association between the double vulnerability of being elderly and a caregiver and quality of life assessed by Control, Autonomy, Self-realization and Pleasure factors (CASP-19). Method : 148 elderly caregivers participated in the present study. They were selected for convenience from Brazilian public and private health services - a sample from the study “The Psychological Well-Being of Elderly Persons Caring for Other Elderly Persons in a Family Context”. The variables: caregiver’s state of health, care demands, perception of burden, self-rated health, and quality of life were selected. Descriptive analyses, chi-squared tests, Fisher’s exact test, the Kruskal-Wallis test and analysis of multivariate hierarchical logistics were carried out, with theStepwisecriteria applied for selection of variables. Results : The hierarchical multivariate analyses found that number of symptoms and total burden were significantly associated with a poorer quality of life. Elderly persons with three or more symptoms and those with a high burden level were at a higher risk of poor quality of life. The variables number of diseases, burden, and self-rated health compared with the past, were significantly associated with a poorer quality of life. Conclusion : It can be concluded that for the elderly caregiver, physical aspects (signs and symptoms, chronic diseases and a perception of health deterioration) combined with burden are the aspects that most influence quality of life.


2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Vanessa Cruz Santos ◽  
Eduardo Nagib Boery ◽  
Rafael Pereira ◽  
Darci de Oliveira Santa Rosa ◽  
Alba Benemérita Alves Vilela ◽  
...  

ABSTRACT This study aimed to identify the socioeconomic and health conditions associated with quality of life of elderly quilombolas. Cross-sectional, epidemiological and census study, conducted with 427 elderly individuals of a quilombola population enrolled in Family Health Strategies of 17 quilombas communities in Vitória da Conquista, Bahia, four districts of the region. Data collection was performed using tools and analyzed based on descriptive statistics and Spearman correlation (rsp). The factors associated with some areas of Quality of Life and the General Quality of Life Index included the per capita income, the self-assessment of health status and the classification of depression cases, which most strongly affected the quality of life of the elderly quilombolas investigated. The expanded access to health services and the integrality of health care for this group are essential, particularly involving Family Health Teams.


2021 ◽  
pp. 26-33
Author(s):  
Alexey Viktorovich Shapovalov ◽  
Sergey Grigoryevich Tereshchenko ◽  
Anton Pavlovich Bogdanov ◽  
Pavel A. Krieger ◽  
Alexey Sergeevich Shapovalov

Dysphagia affects our most basic functions — the ability to eat and drink. It negatively affects the quality of life of patients, especially in the elderly, which can lead to exhaustion, dehydration, aspiration pneumonia and, ultimately, death. Dysphagia and its severity should be assessed accurately and in a timely manner. Many questionnaires have been proposed to monitor the severity and effectiveness of dysphagia therapy. This paper analyzes ten different self-assessment questionnaires for quality of life. Almost all currently available questionnaires need to be finalized. Based on the DHI (Dysphagia Disability Index) questionnaire, we proposed a special questionnaire that has a number of advantages over the others, it takes into account the age of patients, is universal, and is also suitable for assessing dysphagia, both before and after treatment.


2020 ◽  
Vol 36 (02) ◽  
pp. 194-199
Author(s):  
Andrew William Joseph

AbstractHealth-related quality of life (HRQOL) is an important measure of patient experience before, during, and after treatment for skin cancers. Over the past 20 years, a variety of generic as well as disease-specific HRQOL instruments have been developed to assess clinical outcomes. Clinical trials have increasingly focused on using HRQOL instruments as outcome measures. Patients with both cutaneous melanoma and nonmelanotic skin cancers have been found to experience improvement in HRQOL following surgical treatment and reconstruction. Individual demographic variables may further predict experience within each of these groups. Increasing use of HRQOL instruments in future studies comparing skin cancer treatments will allow physicians to better understand and optimize patient experiences.


2017 ◽  
Vol 05 (01) ◽  
pp. 005-008 ◽  
Author(s):  
Komal Verma ◽  
Meenal Dadarwal

AbstractWith changing time and lifestyle, general health of population has been drastically affected, and deteriorating quality of life. The transition from a traditional to modern lifestyle and consumption of diets rich in fat and calories combined with a high level of mental stress has compounded the problem further. Diabetes is one of the consequences of such a lifestyle change. Over the past 30 years, the status of diabetes has changed from being considered a mild disorder of the elderly to one of the major causes of morbidity and mortality affecting the youth and middle-aged people. This paper aims to present review of association between diabetes and quality of life as quality of life is considered to be one of the major factors affecting diabetes.


2020 ◽  
Author(s):  
Hubert Kotarski

Abstract The aim of the study was to investigate the quality of life of Rzeszow residents aged 18-75 using a WHOQOL-BREF questionnaire which consists of 26 questions and analyses 4 basic domains of quality of life: physical, psychological, social relationships, functional environment of the respondent and a global quality of life and self-assessment of one’s health. The survey was conducted on a representative sample of 618 adult residents of Rzeszow. Respondents were randomly selected through systematic random sampling with latent layer division from the population register shared by Rzeszow Municipal Office. The analysis of factors differentiating the residents’ assessment of quality of life was based on socio-demographic variables such as gender, age and education and variables representing social factors - financial situation and body mass index (BMI). The results indicate that gender does not differentiate the quality of life of Rzeszow residents. However, the quality of life is affected by age, education, financial situation, and body mass index.


2014 ◽  
pp. 1-6
Author(s):  
N. BLEIJENBERG ◽  
V.H. TEN DAM ◽  
I. DRUBBEL ◽  
M.E. NUMANS ◽  
N.J. DE WIT ◽  
...  

Background:Little is known regarding the complex care needs, level of frailty or quality of life ofmulti-morbid older patients. Objectives:The objective of this study was to determine the relationship betweenfrailty, complexity of care and quality of life in multi-morbid older people. Design:Cross-sectional study.Setting: Thirteen primary care practices in the Netherlands. Participants:1,150 multi-morbid older people livingin the community. Measurements:The level of frailty was assessed with the Groningen Frailty Indicator.Complexity of care needs was measured with the Intermed for the Elderly Self-Assessment. Quality of life (QoL)was measured with two items of the RAND-36. Results:In total, 758 out of 1,150 (65.9%) patients were frail,8.3% had complex care needs, and the mean QoL score was 7.1 (standard deviation 1.2). Correlations betweenfrailty and complexity, frailty and QoL, and complexity of care and QoL were 0.67, -0.51 and -0.52 (all p<0.001)respectively. All patients with complex care needs were frail, but, only 12.5% of the frail patients had complexcare needs. Problems at climbing up stairs was associated with higher levels of frailty and complexity of care butwith a lower QoL. Conclusions:Higher levels of frailty and complexity of care are associated with a lower QoLin multi-morbid older people. The results of this study contribute to a better understanding these concepts and arevaluable for the development of tailored interventions for older persons in the future.


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