Healthy Aging & Clinical Care in the Elderly

10.4137/hacce ◽  
2018 ◽  
Keyword(s):  
Healthy Aging ◽  
Clinical Care ◽  
The Elderly

Prospective Memory Development Across the Lifespan

2020 ◽  
Vol 25 (3) ◽  
pp. 162-173 ◽  
Author(s):  
Sascha Zuber ◽  
Matthias Kliegel
Keyword(s):  
Prospective Memory ◽  
Healthy Aging ◽  
Present Model ◽  
Current Knowledge ◽  
Well Being ◽  
The Elderly ◽  
Cognitive Factors ◽  
Everyday Functioning ◽  
Integrative Framework

Abstract. Prospective Memory (PM; i.e., the ability to remember to perform planned tasks) represents a key proxy of healthy aging, as it relates to older adults’ everyday functioning, autonomy, and personal well-being. The current review illustrates how PM performance develops across the lifespan and how multiple cognitive and non-cognitive factors influence this trajectory. Further, a new, integrative framework is presented, detailing how those processes interplay in retrieving and executing delayed intentions. Specifically, while most previous models have focused on memory processes, the present model focuses on the role of executive functioning in PM and its development across the lifespan. Finally, a practical outlook is presented, suggesting how the current knowledge can be applied in geriatrics and geropsychology to promote healthy aging by maintaining prospective abilities in the elderly.

Intergenerational Education for the Psychological, Social and Educational Improvement of the Elderly

2019 ◽  
Vol 15 (1) ◽  
pp. 22-26
Author(s):  
Nazaret Martínez-Heredia
Keyword(s):  
Educational Level ◽  
Mixed Type ◽  
Healthy Aging ◽  
Social Role ◽  
Intergenerational Relationships ◽  
Daily Practice ◽  
The Elderly ◽  
Educational Improvement ◽  
Intergenerational Education

Introduction: Intergenerational education encourages cooperation and interaction between two or more generations through experiences, knowledge, skills, attitudes and values. Objective: The main objective of our research was to know the benefits at the psychological, social and educational level of intergenerational education. Methods: This is mixed-type research establishing relationships between young and old. The sample consists of a total of 94 people, 47 young people (aged between 21 and 40 years old) and 47 older (aged between 65 and 85 years). We promote the development of a mixed methodology to know if after the implementation of an intergenerational program we have obtained benefits in the elderly participants. Results: Considering the results we can say that the benefits at the psychological, social and educational level have been very remarkable of our elders. Conclusions: We must bet on intergenerational relationships as an ideal within our daily practice achieving a healthy aging, benefiting continuity in an active social role of our elders.

scholarly journals A cornerstone of healthy aging: do we need to rethink the concept of adherence in the elderly?

2018 ◽  
Vol Volume 12 ◽  
pp. 1003-1005 ◽  
Author(s):  
Anna Giardini ◽  
Marina Maffoni ◽  
Przemyslaw Kardas ◽  
Elisio Costa
Keyword(s):  
Healthy Aging ◽  
The Elderly

scholarly journals Geriatric oral health concerns, a dental public health narrative

2019 ◽  
Vol 6 (2) ◽  
pp. 883
Author(s):  
Ramprasad Vasthare ◽  
Anil V. Ankola ◽  
Arron Lim Yan Ran ◽  
Prateek Mansingh
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Healthy Aging ◽  
Dental Health ◽  
The Elderly ◽  
Dental Public Health ◽  
Cognitive Changes ◽  
Geriatric Population ◽  
Health Concerns ◽  
Treatment Services

Across the world, the segment of the elderly in populations is seen to be increasing at a rapid rate. There also exists a trend in which more teeth are retained as age increases due to effective dental public health measures like fluoridation. This inevitably places an increased need for dental healthcare among the geriatric populations. Since oral health greatly affects the systemic health of aged individuals, it is imperative for dentists and physicians to work together as a team to impart treatment to the best of one’s abilities for geriatric patients. It is therefore, necessary to first assess the oral health concerns surrounding the geriatric population from the perspective of public health dentistry. Relationship of the elderly with periodontal disease, dental caries, salivary hyposalivation and xerostomia, cognitive changes, and simultaneous usage of diverse medications was discussed. This paper reviewed the literature and then examined and discussed the various problems mentioned in depth and suggested recommendations for a plan of action. Knowledge about the specific oral health concerns and issues will help to better position us in developing strategies for providing better oral healthcare to the geriatric population in addition to the existing systemic healthcare. In the future, the elderly will make up a huge portion of the demographic visiting dentist regularly for a myriad of oral health problems. Dental health professionals therefore, must have adequate training and competency to deal with the predicament of this geriatric population. Preventive and treatment services can ensure healthy aging which will improve the quality of life.

scholarly journals Effect of the Leisure Activities on the Level of Psychological stress among the elderly during the Coronavirus Outbreak

2021 ◽  
Vol 9 (1) ◽  
pp. 70-78
Author(s):  
Ayed Zureigat ◽  
Osama Abdel Fattah
Keyword(s):  
Psychological Stress ◽  
Healthy Aging ◽  
Leisure Activities ◽  
The Elderly ◽  
Control Group ◽  
Face To Face ◽  
Quasi Experimental ◽  
Physical Abilities ◽  
The Individual ◽  
Experimental Group

Background: It is well known that advancing age is accompanied by many negative feelings due to the feeling of loneliness and psychological emptiness, which leads to the individual feeling that society does not need him due to his weak physical abilities and thus this, will negatively affect healthy aging. Objective: The study aimed to investigate the effect of the leisure activities on the psychological stress among the elderly during Coronavirus (COVID-19) Outbreak. Design: To achieve this, we used the quasi-experimental approach on a sample consisting of 54, with the average age of (65.4±2.3) years. Divided into two groups 27 as a control group and 27 as the experimental group and this sample was purposively selected. Because of the home quarantine and to reduce face-to-face interaction, we used a questionnaire to measure the psychological stress level by using the Google form. The study tool consisted of 7 paragraphs associated with depression and 6 paragraphs associated with anxiety, finally 6 paragraphs associated with aggression. Before applying the experiment, the psychological stress was measured among the study sample, and then the leisure activities program was sent to the experimental group by the WhatsApp application. The researchers used means, standard deviations, paired and independent sample t-test by using SPSS version 24 with a confidence level of 95% (p<0.05). Results: The results of the study have shown that the level of the psychological stress among both groups came with a high average in the pre-measurement, as well as the anxiety domain that were the most affected in a positive way through leisure activities practicing. Additionally, there were statistically significant differences between the pre and post measurement among experiment group and favor of the post measurement. Conclusion: the leisure activities practicing among the elderly have contributed positively to reducing the level of psychological stress represented by depression, anxiety.

scholarly journals Percepção acerca do envelhecimento saudável e das questões raciais

2019 ◽  
Vol 13 (1) ◽  
pp. 281
Author(s):  
Drielly Silva Andrade ◽  
Jessyka Santos Ferreira ◽  
Uilma Santos de Souza ◽  
Michelle De Santana Xavier Ramos
Keyword(s):  
Healthy Aging ◽  
Case Reports ◽  
Black Population ◽  
The Elderly ◽  
Physical Aspect ◽  
Multiprofessional Team ◽  
Racial Issues ◽  
Qualitative Descriptive ◽  
Elderly Health ◽  
Nursing Health

ABSTRACT Objective: to describe the experience of living with the elderly with a look at racial issues and healthy aging. Method: this is a qualitative, descriptive study, a type of experience report, performed in a USF, from November 2017 to March 2018. A field diary was constructed through the meetings. Results: in the contact with the elderly, the fragilities and the difficulties of each one in carrying out the daily activities and the self-care are perceived. It is inferred that most of the participants underwent medical treatment of chronic diseases. The participation of the elderly in the discussions about racial issues and the needs aroused by them to continue aging with health becomes relevant. Conclusion: the intervention project made it possible for all those involved in the activities to understand the aging process and the demands demanded in this phase, both in the physical aspect and in the psychic and social aspects of the elderly, awakening in each member of the multiprofessional team, the interest in contributing and being able to welcome this clientele. Descritores: Health of the Elderly; Health of the Black Population; Case Reports; Nursing; Health Education; Primary Health Care. RESUMOObjetivo: descrever a experiência da convivência com idosos com um olhar sobre as questões raciais e o envelhecimento saudável. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, realizado em uma USF, no período de novembro de 2017 a março de 2018. Construiu-se, por meio dos encontros, um diário de campo. Resultados: percebem-se, no contato com os idosos, as fragilidades e as dificuldades de cada um em realizar as atividades diárias e o autocuidado. Infere-se que a maior parte dos participantes realizava tratamento medicamentoso de doenças crônicas. Torna-se relevante a participação dos idosos nas discussões sobre as questões raciais e as necessidades despertadas por eles para continuar envelhecendo com saúde. Conclusão: possibilitou-se, pelo projeto de intervenção, a todos os envolvidos nas atividades, compreender o processo de envelhecimento e as demandas exigidas nessa fase, tanto no aspecto físico, quanto nos aspectos psíquico e social do idoso, despertando, em cada membro da equipe multiprofissional, o interesse em contribuir e se capacitar para acolher essa clientela. Descritores:  Saúde do Idoso; Saúde da População Negra; Relato de Caso; Enfermagem; Educação em Saúde; Atenção Primária à Saúde.RESUMEN Objetivo: describir la experiencia de la convivencia con los ancianos con una mirada sobre las cuestiones raciales y el envejecimiento saludable. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia, realizado en una USF, en el período de noviembre de 2017 a marzo de 2018. Se construyó, por medio de los encuentros, un diario de campo. Resultados: se percibe, en el contacto con los ancianos, las fragilidades y las dificultades de cada uno en realizar las actividades diarias y el autocuidado. Se infiere que la mayoría de los participantes realizaba tratamiento medicamentoso de enfermedades crónicas. Se hace relevante la participación de los ancianos en las discusiones sobre las cuestiones raciales y las necesidades despertadas por ellos para continuar envejeciendo con salud. Conclusión: se posibilitó, por el proyecto de intervención, a todos los involucrados en las actividades, comprender el proceso de envejecimiento y las demandas exigidas en esa fase, tanto en el aspecto físico, como en los aspectos psíquico y social del anciano, despertando, en cada miembro del equipo multiprofesional, el interés en contribuir y capacitarse para acoger a esa clientela. Descritores: Salud del Anciano; Salud de la Población Negra; Informes de Casos; Enfermería; Educación en Salud; Atención Primaria de Salud.

scholarly journals Key epidemiological drivers and impact of interventions in the 2020 SARS-CoV-2 epidemic in England

2021 ◽  
pp. eabg4262
Author(s):  
Edward S. Knock ◽  
Lilith K. Whittles ◽  
John A. Lees ◽  
Pablo N. Perez-Guzman ◽  
Robert Verity ◽  
...  
Keyword(s):  
Clinical Care ◽  
Vaccination Campaign ◽  
Herd Immunity ◽  
Credible Interval ◽  
The Elderly ◽  
Surveillance Data ◽  
Control Measures ◽  
Care Homes ◽  
High Coverage ◽  
Degree Of Protection

We fitted a model of SARS-CoV-2 transmission in care homes and the community to regional surveillance data for England. Compared with other approaches, our model provides a synthesis of multiple surveillance data streams into a single coherent modelling framework allowing transmission and severity to be disentangled from features of the surveillance system. Of the control measures implemented, only national lockdown brought the reproduction number (Rteff) below 1 consistently; if introduced one week earlier it could have reduced deaths in the first wave from an estimated 48,600 to 25,600 (95% credible interval [95%CrI]: 15,900–38,400). The infection fatality ratio decreased from 1.00% (95%CrI: 0.85%–1.21%) to 0.79% (95%CrI: 0.63%–0.99%), suggesting improved clinical care. The infection fatality ratio was higher in the elderly residing in care homes (23.3%, 95%CrI: 14.7%–35.2%) than those residing in the community (7.9%, 95%CrI: 5.9%–10.3%). On 2nd December 2020 England was still far from herd immunity, with regional cumulative infection incidence between 7.6% (95%CrI: 5.4%–10.2%) and 22.3% (95%CrI: 19.4%–25.4%) of the population. Therefore, any vaccination campaign will need to achieve high coverage and a high degree of protection in vaccinated individuals to allow non-pharmaceutical interventions to be lifted without a resurgence of transmission.

scholarly journals Nutrition and Healthy Aging: Prevention and Treatment of Gastrointestinal Diseases

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4337
Author(s):  
Neri Maria Cristina ◽  
d’Alba Lucia
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Healthy Aging ◽  
Well Being ◽  
The Elderly ◽  
Gastrointestinal Diseases ◽  
The Body ◽  
Fundamental Aspect ◽  
Effective Prevention

Nutritional well-being is a fundamental aspect for the health, autonomy and, therefore, the quality of life of all people, but especially of the elderly. It is estimated that at least half of non-institutionalized elderly people need nutritional intervention to improve their health and that 85% have one or more chronic diseases that could improve with correct nutrition. Although prevalence estimates are highly variable, depending on the population considered and the tool used for its assessment, malnutrition in the elderly has been reported up to 50%. Older patients are particularly at risk of malnutrition, due to multiple etiopathogenetic factors which can lead to a reduction or utilization in the intake of nutrients, a progressive loss of functional autonomy with dependence on food, and psychological problems related to economic or social isolation, e.g., linked to poverty or loneliness. Changes in the aging gut involve the mechanical disintegration of food, gastrointestinal motor function, food transit, intestinal wall function, and chemical digestion of food. These alterations progressively lead to the reduced ability to supply the body with adequate levels of nutrients, with the consequent development of malnutrition. Furthermore, studies have shown that the quality of life is impaired both in gastrointestinal diseases, but especially in malnutrition. A better understanding of the pathophysiology of malnutrition in elderly people is necessary to promote the knowledge of age-related changes in appetite, food intake, homeostasis, and body composition in order to better develop effective prevention and intervention strategies to achieve healthy aging.

Neuromuscular adaptations to healthy aging

2018 ◽  
Vol 43 (11) ◽  
pp. 1158-1165 ◽  
Author(s):  
Chris J. McNeil ◽  
Charles L. Rice
Keyword(s):  
Daily Living ◽  
Healthy Aging ◽  
The Elderly ◽  
Neuromuscular System ◽  
Healthy Humans ◽  
Age Related ◽  
Physiological Adaptations ◽  
Neuromuscular Adaptations ◽  
The Central Nervous System ◽  
Stimulation Of

Even in the absence of disease or disability, aging is associated with marked physiological adaptations within the neuromuscular system. An ability to perform activities of daily living and maintain independence with advanced age is reliant on the health of the neuromuscular system. Hence, it is critical to elucidate the age-related adaptations that occur within the central nervous system and the associated muscles to design interventions to maintain or improve neuromuscular function in the elderly. This brief review focuses on the neural alterations observed at both spinal and supraspinal levels in healthy humans in their seventh decade and beyond. The topics addressed are motor unit loss and remodelling, neural drive, and responses to transcranial magnetic stimulation of the motor cortex.

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