Forefront of the viral chronic hepatitis treatment. Treatment of the case for which the treatment plans can not be decided. 6. Treatment for the elderly person.

In outpatient care the home care, including hospices, is recognized as a model for providing quality, cost-effective and charitable care. The focus is mainly on the care that helps everyday lifeof the patient as well as the relatives, rather than on treatment, and in most cases it takes place in the patients' home. In Europe, in recent years there has been a real "boom" in home care due to demographic processes linked to increased needs for elderly care and chronically ill under the conditions of limited financial resources.In outpatient medical care in our country by means of a national framework contract there are regulated visits to the patient's home by a doctor, as well as visits by medical staff employed by him - nurse, midwife, medical assistant / paramedic / for manipulation, counseling and monitoring. At the same time there is no regulated legal activity in the Republic of Bulgaria, which is essentially the subject of home care.Since 1994 „Caritas“ has carried out the "Home Care" service, which provides a complex - health and social care for over 360 sick adults in a place where the elderly person feels the most comfortable - in their own home. „Caritas Home Care“ is provided by mobile teams of nurses and social assistants who visit the elderly at home and provide them with the necessary care according to their health and social needs.With the establishment of the first „Home Care Center“ in Lozenets region, Sofia, with the support of the PHARE ACCESS program in 2003, the Bulgarian Red Cross introduces in Bulgaria an integrated model for provision of health care and social services in the home of adults, chronically ill and people with permanent disabilities. To date, there are a number of problems in home care related to the realization of home care for patients in need in out-of-hospital settings: lack of legal regulation for home care, lack of qualified staff in outpatient care; lack of organization and structures for care; unsettled funding and the inability of the part of the population that is most in need of care to pay for it, there is no regulation to control the activity. Although home care began over 20 years ago, our country is yet to make its way to the European program called „Home care in Europe“.

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AnkFall—Falls, Falling Risks and Daily-Life Activities Dataset with an Ankle-Placed Accelerometer and Training Using Recurrent Neural Networks

Sensors ◽

10.3390/s21051889 ◽

2021 ◽

Vol 21 (5) ◽

pp. 1889

Author(s):

Francisco Luna-Perejón ◽

Luis Muñoz-Saavedra ◽

Javier Civit-Masot ◽

Anton Civit ◽

Manuel Domínguez-Morales

Keyword(s):

Elderly Person ◽

Fall Detection ◽

The Elderly ◽

Daily Life Activities ◽

Learning Classifier ◽

The People ◽

Activity Types ◽

Remote Monitoring Systems ◽

Secondary Study

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility.

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The Mental Efficiency of the Elderly Person with Type II Diabetes Mellitus

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1990.tb02398.x ◽

1990 ◽

Vol 38 (5) ◽

pp. 505-510 ◽

Cited By ~ 61

Author(s):

Richard C. U'Ren ◽

Matthew C. Riddle ◽

Muriel D. Lezak ◽

Margaret Bennington-Davis

Keyword(s):

Diabetes Mellitus ◽

Type Ii Diabetes ◽

Elderly Person ◽

The Elderly ◽

Type Ii Diabetes Mellitus ◽

Type Ii ◽

Mental Efficiency

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Prevention and Control of Trichotomy Infection in the Elderly Surgical Patient: An Umbrella Review

iNursing Journal ◽

10.52457/nieq3396 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Teresa Ferreira ◽

Filipe Orfao ◽

Cesar Fonseca ◽

Lara Guedes de Pinho

Keyword(s):

Health Care ◽

Narrative Analysis ◽

Data Extraction ◽

Elderly Person ◽

The Elderly ◽

World Health ◽

Surgical Patient ◽

Risk Of Infection ◽

Umbrella Review ◽

And Control

Introduction: The World Health Organization creates norms and guidelines for the adoption of good practices in health care that are provided to the surgical patient. In order to prevent and control infections associated with health care, the nurse must follow the guidelines for preparing the surgical patient for success. These infections can be particularly harmful to the elderly person given their vulnerability. The preoperative preparation, includes the trichotomy as one of the interventions to be performed, however, is one of the most controversial interventions that has caused in clinical practice, by the potential risk of infection in the surgical patient. Aim: To investigate the need for trichotomy, or removal of hair, in the preparation of the skin of the surgical patient, clarifying which is the most appropriate technique in the prevention of infection. Methodology: we conducted an umbrella review. The documentary research followed the consultation of bibliographic sources in the Cumulative Index to Nursing & Allied Health (CINAHL) and Public/Publisher Medline (PubMed) databases. The researched articles were grouped in a time horizon between 2011 and 2020. Afer data extraction, a narrative analysis was performed. Results: We found 40 articles from which 8 were selected. Conclusion: Trichotomy should be avoided by increasing the risk of infection of the surgical site. Innovative haircut and vacuum technologies can help in hair removal, mitigating the risk of contaminating the surgical incision. The timing of the trichotomy is not consensual among researchers.

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Home-based oral healthcare strategies of elderly people with Alzheimer's disease

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1809-98232016019.160026 ◽

2016 ◽

Vol 19 (5) ◽

pp. 851-860 ◽

Cited By ~ 1

Author(s):

Alessandra Martins Ferreira Warmling ◽

Silvia Maria Azevedo dos Santos ◽

Ana Lúcia Schaefer Ferreira de Mello

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Health Care ◽

Oral Health ◽

Elderly Person ◽

The Elderly ◽

Oral Health Care ◽

University Graduates ◽

Elderly Persons ◽

Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

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