scholarly journals Effects of depression and dementia on the risk of falls in the elderly treated at the Health Center Banja Luka

2018 ◽  
Vol 71 (11-12) ◽  
pp. 368-376
Author(s):  
Kosana Stanetic ◽  
Vesna Kevic ◽  
Mirko Stanetic
Keyword(s):  
Chronic Diseases ◽  
Medical Records ◽  
The Elderly ◽  
Demographic Questionnaire ◽  
Treatment Of Depression ◽  
State Test ◽  
Risk Of Falls ◽  
Banja Luka ◽  
A Prospective Study ◽  
The Impact

Introduction. The number of people over 65 is increasing in the world, and falls are rather common among them. The objective of this research was to examine the impact of depression, dementia, the number of chronic diseases and the number of used medications in the risk of falls in the elderly. Material and Methods. We carried out a prospective study during the period from March 20 to May 20, 2016. The patients were interviewed, and data were also obtained from medical records. The data collection included a socio-demographic questionnaire, the Tinetti Gait and Balance Instrument, Beck Depression Inventory and the Folstein Mini-Mental State test to assess cognitive functions. Results. The study included 208 patients older than 65 years, 81 men, 127 women. The Tinetti Gait and Balance tool revealed that onethird (63) of patients were at a high risk of falls, 35 patients at a moderate risk, and 110 patients presented with a low risk of falls. The results of our study showed a statistically significant association between dementia (p = 0.000) and depression (p = 0.000) as the risks of falling. Patients with some chronic diseases and patients continuously taking various drugs were also at higher risk of falls. Conclusion. Timely detection and treatment of depression and dementia may contribute to reducing the risk of falls in the elderly. Patients? medication lists should be reviewed to decrease the number of medications or modify the dose. Family physicians play a major role in preventing falls in the elderly.

scholarly journals The impact of chronic disease and disability on the elderly

1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Care Systems ◽  
The Elderly ◽  
Therapeutic Interventions ◽  
Elderly Persons ◽  
Care Systems ◽  
And Function ◽  
The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

scholarly journals Falls among patients with hypertension - preliminary study

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
N Swiatoniowska-Lonc ◽  
E Jaciow ◽  
J Polanski ◽  
B Jankowska-Polanska
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
High Risk ◽  
Ischemic Heart Disease ◽  
Beta Blockers ◽  
The Elderly ◽  
Ischemic Heart ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: None. Background. Falls among the elderly are a major cause of injury, significant disability and premature death. Hypotension is a potential risk factor for falls in older adults, especially patients with hypertension (HTN) taking antihypertensive drugs. Furthermore, the cardiovascular benefit of treatment of hypertension in older patients is clear, findings from observational studies have raised concerns that antihypertensive therapies in the elderly might also induce adverse effects, including injurious falls.  In spite of the large number of issues related to this topic, the analysis of the causes of falls is insufficient. The aim of the study was to assess the frequency of falls and the impact of selected variables on the occurrence of risk of falls among patients with HTN. Material and methods. 100 patients, including 55 women, with HTN (mean age 69.4 ± 3.29 years) were enrolled into the study. The Tinetti test was used to assess the risk of falls. Sociodemographic and clinical data were obtained from the hospital register. Results. 89% of patients had a high risk of falls and 11% were prone to falls. The average number of falls during the last year in the study group was 1.86 ± 2.82 and in 30% of cases the fall was the cause of hospitalization. Single-factor analysis of the influence of selected variables on the risk of falls showed that higher values of SBP (-0.27; p = 0.007), DBP (-0.279; p = 0.005) and younger age of patients decrease the risk of falls (-0.273; p = 0.006). The linear regression model showed that independent predictors increasing the risk of falling are: use of diuretics (β=4.192; p < 0.001), co-occurrence of ischemic heart disease (β=4.669; p = 0. 007) and co-occurrence of heart failure (β=3.494; p = 0.016), and predictors reducing the risk of falling patients with hypertension are: the use of beta-blockers (β= -4.033; p = 0.013) and higher DBP value (β= -0.123; p = 0.016). Conclusions. Patients with HTN have a high risk of falling. Independent determinants increasing the risk of falling patients with HTN are the use of diuretics and the co-occurrence of ischemic heart disease or heart failure, while beta-blockers and a higher DBP value are factors reducing the risk of falling. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.

scholarly journals Falls and Fractures in the Elderly with Sinus Node Disease: The Impact of Pacemaker Implantation

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Nazmi Krasniqi ◽  
Diana Segalada ◽  
Thomas F. Lüscher ◽  
Kurt Lippuner ◽  
Laurent Haegeli ◽  
...  
Keyword(s):  
Medical Records ◽  
Assessment Tool ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Osteoporotic Fractures ◽  
The Elderly ◽  
Relative Reduction ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool ◽  
The Impact

Background. Falls and fractures in the elderly are among the leading causes of disability. We investigated whether pacemaker implantation prevents falls in patients with SND in a large cohort of patients.Methods. Patient demographics and medical history were collected prospectively. Fall history was retrospectively reconstituted from available medical records. The 10-year probability for major osteoporotic fractures was calculated retrospectively from available medical records using the Swiss fracture risk assessment tool FRAX-Switzerland.Results. During a mean observation period of 2.3 years after implantation, the rates of fallers and injured fallers with fracture were reduced to 15% and 6%, respectively. This corresponds to a relative reduction in the number of fallers of 75% (P<0.001) and of injured fallers of 63% (P=0.014) after pacemaker implantation. Similarly, the number of falls was reduced from 60 (48%) before pacemaker implantation to 22 (18%) thereafter (relative reduction 63%,P=0.035) and the number of falls with injury from 22 (18%) to 7 (6%), which corresponds to a relative reduction of 67%,P=0.013.Conclusion. In patients with SND, pacemaker implantation significantly reduces the number of patients experiencing falls, the total number of falls, and the risk for osteoporotic fractures.

scholarly journals Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria: a multidisciplinary consensus panel

2014 ◽  
Vol 43 (6) ◽  
pp. 773-778 ◽  
Author(s):  
Dominique A. de Groot ◽  
Marloes de Vries ◽  
Karlijn J. Joling ◽  
Jos P. C. M. van Campen ◽  
Jacqueline G. Hugtenburg ◽  
...  
Keyword(s):  
Medical Records ◽  
Expert Panel ◽  
The Elderly ◽  
Adverse Outcomes ◽  
Start Criteria ◽  
Stopp Criteria ◽  
Appropriate Prescribing ◽  
Consensus Procedure ◽  
The Impact ◽  
Full Consensus

Abstract Background: the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into international disease and medication codes to facilitate computerised extraction from medical records and databases. Methods: a three round consensus procedure with a multidisciplinary expert panel was organised to prepare, judge and agree on the design of the STOPP/START criteria specifications in corresponding international disease codes (ICD9 and ICPC) and medication codes (ATC). Results: after two rounds consensus was reached for 74% of the STOPP criteria and for 73% of the START criteria. After three rounds full consensus was reached resulting in a specification of 61 out of 62 STOPP criteria and 26 START criteria with their corresponding codes. One criterion could not be specified and for some criteria corresponding disease codes were lacking or imperfect. Conclusion: this study showed the necessity of a consensus procedure as even experts frequently differed on how to specify the STOPP/START criteria. This specification enables next steps such as prognostic validation of these criteria on adverse outcomes and studying the impact of improving appropriate prescribing in the elderly.

scholarly journals Impact of Co-creation Footwear Workshops on Older Women in Elderly Centers in Hong Kong

2019 ◽  
Vol 14 (1) ◽  
pp. 25
Author(s):  
Mei-ying Kwan ◽  
Kit-lun Yick ◽  
Yan-yan Wong
Keyword(s):  
Hong Kong ◽  
Older Women ◽  
Design Process ◽  
User Involvement ◽  
The Elderly ◽  
Design Features ◽  
Geriatric Population ◽  
Psychological Impacts ◽  
Risk Of Falls ◽  
The Impact

Background: The use of appropriate footwear could reduce the risk of falls among the geriatric population. However, the elderly are generally reluctant to accept new footwear designs particularly with the incorporation of fabrication materials and functional design features that are perceived to be less comfortable. Co-creation activities that encourage user involvement during the product design process and development can therefore address this issue and provide unique benefits and better value for users, increase acceptance, and even lead to positive perception as well as positive psychological impacts, thereby increasing the practical use of newly designed footwear. Objective: This study aims to investigate the impact of hands-on footwear workshops on perceived functionality of geriatric footwear for older women. Method: Footwear co-design workshops for older women were carried out in two elderly centers in Hong Kong. Twenty-one healthy females between 64 and 80 years old (mean: 71; SD: 4.2), were recruited. Subjects were invited to decorate the prescribed geriatric footwear prototype and discuss their ideas on footwear design in a group of three. They were surveyed after completing the footwear decoration. Main outcome measures: The perceptions of the subjects on the geriatric footwear and related design features were analysed. Results: The questionnaire survey shows positive results in the psychological value of the workshops for older women. The participants express high levels of satisfaction with the co-design process and a strong sense of achievement with the newly designed geriatric footwear. The acceptance and awareness of the functions of the footwear are greatly enhanced. Conclusions: The co-design approach has positive psychological impacts on the elderly and their acceptance of the final product. This approach also better meets the aesthetic needs of the users.

scholarly journals The Effect of Chronic Diseases on the Use of Health Technology and Digital Services in the Elderly Population in Finland

2020 ◽  
Author(s):  
Jukka Mielonen ◽  
Ulla-Mari Kinnunen ◽  
Kaija Saranto ◽  
Anssi Kemppi ◽  
Hanna Kuusisto
Keyword(s):  
Health Care ◽  
Chronic Diseases ◽  
Elderly People ◽  
Elderly Population ◽  
Chronically Ill ◽  
The Elderly ◽  
Health Technology ◽  
Digital Services ◽  
Care Technology ◽  
The Impact

Digital services are growing in the health-care field. The population in Europe is aging, and digital services are on the rise. There are also plenty of new health-care devices on the market. The aim of this study was to survey how elderly people cope with digital services or devices, especially if they are chronically ill. This quantitative study focuses on the impact of chronic diseases on the use of health technology and digital services. The target group of this study is Finnish people aged 65 or over. Based on the results, a chronic disease or disability is not an obstacle to the use of digital services or health-care technology in the Finnish elderly population. The main obstacles to the use of health technology or digital services are complexity, obscure text, or small font size. According to this study, elderly people seem to trust the device or application. Devices, applications, and online services should be designed so that elderly people’s diseases or ability to function are considered.

scholarly journals Impacto da obesidade sarcopênica na capacidade funcional de idosos

2020 ◽  
Vol 14 ◽  
Author(s):  
Bárbara Carvalho De Hollanda ◽  
Vanessa Augusta Souza Braga ◽  
Renata Evangelista Tavares Machado
Keyword(s):  
Web Of Science ◽  
Descriptive Analysis ◽  
The Elderly ◽  
The Body ◽  
Sarcopenic Obesity ◽  
Calidad De Vida ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Negative Impacts ◽  
The Impact

Objetivo: identificar a produção científica sobre o impacto da obesidade sarcopênica na capacidade funcional de idosos. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, a partir da busca nas bases de dados CINAHL, LILACS, MEDLINE, SCOPUS e Web of Science e Biblioteca Virtual SciELO, entre 2014 e 2018. Procedeu-se com a análise descritiva dos resultados a partir de semelhanças dos dados, explicitados em fugura sinóptica. Resultados: incluíram-se 14 artigos que apontaram influências do agravo na velocidade da marcha, dificuldades no equilíbrio e aumento do risco para ocorrência de quedas. Mostrou-se que esses impactos eram limitadores das atividades cotidianas, aumentando a dependência e fragilidade dos idosos, com piora na qualidade de vida e ocorrência de sintomas depressivos. Conclusão: ressalta-se que os impactos negativos gerados pela obesidade sarcopênica na funcionalidade dos idosos apontam a necessidade do monitoramento da composição corporal e força muscular da população idosa, além de ações preventivas deste agravo à saúde. Descritores: Idoso; Obesidade; Sarcopenia; Fragilidade; Saúde Pública; Revisão.AbstractObjective: to identify scientific production on the impact of sarcopenic obesity on the functional capacity of the elderly. Method: this is a bibliographic, descriptive, integrative review type study, based on the search in the CINAHL, LILACS, MEDLINE, SCOPUS and Web of Science and SciELO Virtual Library databases, between 2014 and 2018. We proceeded with the descriptive analysis of the results based on similarities of the data, explained in synoptic fugue. Results: 14 articles were included that pointed out influences of the aggravation in gait speed, difficulties in balance and increased risk of falls. These impacts were shown to limit daily activities, increasing the dependence and frailty of the elderly, with worsening quality of life and occurrence of depressive symptoms. Conclusion: it is emphasized that the negative impacts generated by sarcopenic obesity on the functionality of the elderly point to the need to monitor the body composition and muscle strength of the elderly population, in addition to preventive actions for this health problem. Descriptors: Aged; Obesity; Sarcopenia; Frailty; Public Health; Review.ResumenObjetivo: identificar la producción científica sobre el impacto de la obesidad sarcopénica en la capacidad funcional de los ancianos. Método: este es un estudio de tipo de revisión bibliográfica, descriptiva e integradora, basada en la búsqueda en las bases de datos CINAHL, LILACS, MEDLINE, SCOPUS y Web of Science y Biblioteca Virtual SciELO, entre 2014 y 2018. Se procedió al análisis descriptivo de los resultados basados en similitudes de los datos, explicado en figura sinóptica. Resultados: se incluyeron 14 artículos que señalaron las influencias del agravamiento de la velocidad de la marcha, las dificultades en el equilibrio y el aumento del riesgo de caídas. Se demostró que estos impactos limitan las actividades diarias, aumentando la dependencia y la fragilidad de los ancianos, con el empeoramiento de la calidad de vida y la aparición de síntomas depresivos. Conclusión: se enfatiza que los impactos negativos generados por la obesidad sarcopénica en la funcionalidad de los ancianos apuntan a la necesidad de monitorear la composición corporal y la fuerza muscular de la población de ancianos, además de las acciones preventivas para este problema de salud. Descriptores: Anciano; Obesidad; Sarcopenia; Fragilidad; Salud Pública; Revisión.

scholarly journals Community Intervention In Elderly Population: A Fall Prevention Project

10.3823/2562 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Vera Lúcia Moreira Massa Coimbra ◽  
Ermelinda Maria Bernardo Gonçalves Marques ◽  
Cristina Alexandra Lopes Requeijo ◽  
Renata Jabour Saraiva
Keyword(s):  
Community Intervention ◽  
Health Planning ◽  
Community Setting ◽  
Pilot Project ◽  
The Elderly ◽  
Northern Region ◽  
Care Providers ◽  
Risk Of Falls ◽  
One Year ◽  
A Prospective Study

Objective: This article seeks to present a pilot project of community intervention that aims to prevent the occurrence of falls in the elderly in a community setting. Method: It is a prospective study in the temporal relationship, based on Health Planning, it was developed for 9 weeks in a Community Care Unit in the Northern Region of Portugal. Data collection and interventions were performed in the home of 6 of the 12 elderly being followed up at home by the nursing team. Elderly institutionalized and totally dependent were excluded. For the collection of data, an evaluation protocol was filled out using the Morse scale, validated for the Portuguese population, to assess the risk of falls.   Results: Of the elderly who underwent nursing interventions, 50% presented a high risk of falls. Epidemiological indicators show that the incidence rate of falls was 0% and the prevalence rate of falls, in the last year was, 37.5%.  Conclusion: The data collected was used for the production of epidemiological indicators, structure, process, and results. It is suggested to continue the project for one year, covering a larger sample and subsequent evaluation, and the creation of indicators for informal care providers.

scholarly journals Chronic Diseases and Labor Force Participation Among Presenile and Senile Chinese

2021 ◽  
Vol 9 ◽  
Author(s):  
Xiaotuo Qiao ◽  
Bo Wang ◽  
Haifeng Guo
Keyword(s):  
Labor Force ◽  
Chronic Diseases ◽  
Labor Force Participation ◽  
Psychological Health ◽  
Negative Impact ◽  
The Elderly ◽  
Structural Equations ◽  
Lifestyle Changes ◽  
Psychological Problems ◽  
The Impact

Background: The incidence of chronic diseases has increased dramatically due to rapid aging and lifestyle changes of China in recent decades. The population aged more than 45 years is an important participant in the labor force market, and the health status directly affects their labor force participation decision. This study aims to explore the relationship between chronic diseases and the labor force participation among the elderly Chinese population aged more than 45 years.Method: We employ a multivariate probit (MVP) model to construct five structural equations for an analysis. The advantage of this model is that it can deal with the endogeneity of chronic diseases.Results: Firstly, compared with the elderly, younger people are more likely to participate in the labor force market; the influence of chronic diseases is the largest for presenile women in the decision-making of labor force participation; the impact of psychological problems on labor force participation cannot be ignored, especially for men aged more than 45 years. In addition, sociodemographic factors such as geographical location and marital status also have direct effects on the probability of labor force participation while the impact of both family wealth and family number is much smaller. Finally, unhealthy lifestyles through chronic diseases have negative and indirect marginal effects on labor force participation.Conclusions: This article proves that chronic diseases have a negative impact on the labor force participation for Chinese aged more than 45 years. The public should give more tolerance and opportunities to these groups. The population aged more than 45 years are more vulnerable and face more psychological problems, which will lead to a decline in labor force participation. Psychological health counseling and services are urgently needed. As the urban areas enjoy more social welfare, Chinese welfare policy needs to be tilted toward the rural elderly. For individuals, maintaining healthy lifestyles can help you stay away from chronic diseases and stay in the labor force market.

scholarly journals MECHANISMS OF ENDOCRINE DISEASE: Sarcopenia in endocrine and non-endocrine disorders

2019 ◽  
Vol 180 (5) ◽  
pp. R185-R199 ◽  
Author(s):  
Victoria Zeghbi Cochenski Borba ◽  
Tatiana Lemos Costa ◽  
Carolina Aguiar Moreira ◽  
Cesar Luiz Boguszewski
Keyword(s):  
Elderly Patients ◽  
Diagnostic Criteria ◽  
Chronic Diseases ◽  
Treatment Options ◽  
The Elderly ◽  
Clinical Situation ◽  
Diagnostic Tools ◽  
Comorbid Condition ◽  
Endocrine Disorders ◽  
The Impact

Objective This paper reviews the main mechanisms, diagnostic criteria, treatment options and available data on sarcopenia in endocrine and non-endocrine disorders. The literature notes the presence of sarcopenia as a comorbid condition or a complication of another clinical situation and not a disease that only affects elderly patients. Method We performed a literature review, focusing on the following: mechanisms related to sarcopenia in elderly patients, and sarcopenia as it presents in the context of chronic and endocrine diseases; diagnostic tools and methods; aspects of sarcopenia and treatment options specific to chronic diseases and endocrine disorders respectively. Results Sarcopenia in chronic and endocrine disorders shares many mechanisms with sarcopenia affecting elderly patients, but certain diseases can have a predominant aspect that leads to sarcopenia. The prevalence of sarcopenia varies, depending on different diagnostic criteria, from around 12 to 60% in chronic illnesses and 15 to 90% in endocrine disorders. The interplay between sarcopenia, chronic diseases and elderly patients requires further study, to clarify the impact of each, in terms of prognosis and mortality. Conclusion Awareness of the presentation of sarcopenia in the context of other diseases and ages (and not just the elderly) is fundamental to ensure that preventive measures can be deployed.

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