Elderly Suffers Research Articles

Patient Care for Gout Arthritis with Physical Mobility Impairments Who Received Active Therapy Range of Motion (ROM) at Kandangsapi Health Center

Impaired physical mobility is a health problem where a person cannot move freely and regularly. In general, the problem of impaired physical mobility can occur in various age groups, one of which can occur in elderly sufferers. gout arthritis. Generally, sufferers of gout arthritis experience joint stiffness and pain when moved, making it difficult for sufferers to move their extremities. If physical mobility problems are not treated immediately, it can cause sufferers to have difficulty carrying out daily activities. Generally, sufferers of gout arthritis take medication to lower uric acid levels, but consuming too much medication can cause dependence, memory problems, kidney failure, and so on. Therapy range of motion can be a reference for overcoming physical mobility disorders that can be done anytime, anywhere, and do not cause side effects such as taking drugs. This case study aims to identify further changes in physical mobility experienced by sufferers of gout arthritis who experience physical mobility problems after therapy range of motion. This research method is a case study design where the patient is approached using the nursing process. In this case study, the author applies the therapy range of motion active in-patient Mrs. S for seven days. The results showed that on the seventh day, the nursing problem of impaired physical mobility was resolved, and this was proven by achieving all the outcome criteria for nursing goals. So, the therapy range of motion effectively overcame physical mobility disorders in patients with gout arthritis.

The Effect of Chronic Dietary Protein Manipulation on Amino Acids' Profile and Position Sense in the Elderly Suffering from Type 2 Diabetes Mellitus.

Dietary protein with adequate essential amino acids effectively stimulates protein synthesis and improves muscle mass. Musculoskeletal disorders in lower or upper limbs are not uncommon among patients with type II diabetes mellitus (T2DM). Therefore, this study primarily examines the effects of chronic dietary protein manipulation on amino acids' profile and position sense in the elderly suffering from T2DM. A total of 26 individuals suffering from non-insulin-dependent T2DM (age > 55 years old) participated in a 12 week nutritional intervention. The subjects were randomly assigned and the control group received 0.8-1.0 g protein/kg/day, while the intervention group received 1.2-1.5 g protein/kg/day. Lean body mass, muscle strength, and position sense were assessed at baseline, as well as at the 6th and 12th week of the intervention. Only in the intervention group, the essential amino acids intake met the current nutritional recommendations (p < 0.05), while, by the 12th week, only the intervention group showed significant improvement in the muscle strength of knee (p < 0.05) and shoulder (p < 0.05) extension. On the contrary, in the control group, a significant decline in appendicular lean mass (p < 0.05) was observed by the 12th week. Position sense at the knee joint revealed a tendency for improvement in the intervention group by the 12th week (main effect of time p = 0.072). In the present investigation, it was revealed that the higher protein intake in the intervention group seemed to have positive effects on muscle strength and nearly positive effects on position sense.

On the Etiology and Characteristic of Pain in the Elderly Suffering from Dementia

On the Etiology and Characteristic of Pain in the Elderly Suffering from Dementia

Improving Health Status in The Elderly Through Health Checks and Education at Nuriah Nursing Homes in Karimun.

Background. Elderly is the final stage of development in human life. Everyone who goes through old age will experience various changes. Purpose. From the results of data collection for the elderly at the Nuriah Nursing Home, Kec.Sei Lakam, Kab. Karimun can identify the main problem in the elderly, namely the risk of declining health status of the elderly as evidenced by the existence of health problems such as CKD, high blood pressure, heart disease, rheumatism, paralysis and diabetes mellitus. Method. The method used is by conducting health checks and counseling followed by 5 elderly people. Results. The results of this activity showed that from 5 elderly people, 1 elderly had hypertension because the elderly underwent dialysis 2 times a week. 1 elderly suffers from malnutrition. 1 elderly had dementia, and one elderly experienced long bed rest. Conclusion. The conclusion is that 70% are all carried out / assisted by orphanage officers. Starting from bathing, clothes, chapters and tubs. The elderly seem to understand how to improve health status.

Improving the Degree of Health in the Elderly Through Health Checks and Education

Background. The thesis focuses on the elderly as the final stage of human development and acknowledges that individuals in old age undergo various changes. The research is conducted at the Nuriah Nursing Home, located in Kecamatan Sei Lakam, Kabupaten Karimun. The purpose of the research is to identify the main health problems faced by the elderly in the nursing home, specifically the risk of declining health status. The thesis mentions specific health problems prevalent among the elderly, such as chronic kidney disease (CKD), high blood pressure, heart disease, rheumatism, paralysis, and diabetes mellitus. Purpose. This activity aims to determine the health status. Method. The method used is by conducting health checks and counseling followed by 5 elderly people.. Results. The results of this activity showed that from 5 elderly people, 1 elderly had hypertension because the elderly underwent dialysis 2 times a week. 1 elderly suffers from malnutrition. 1 elderly had dementia, and one elderly experienced long bed rest. Conclusion. . The conclusion is that 70% are all carried out / assisted by orphanage officers. Starting from bathing, clothes, chapters, and tubs. The elderly seem to understand how to improve their health status. instructional approaches to meet the specific needs of their students.

Retracted: Influence of Nutritional Support Program on Gastrointestinal Function, Complication Rate, and Prognosis in Elderly Sufferers with CI.

[This retracts the article DOI: 10.1155/2022/3198272.].

A STUDY ON MORBIDITY PATTERN AND HEALTH SEEKING BEHAVIOUR AMONG ELDERLY POPULATION RESIDING IN AN URBAN AREA OF DISTRICT KATIHAR, BIHAR: A CROSS SECTIONAL STUDY

Background The world is on brink of demographic milestone. The elderly are one of the most vulnerable as well as high risk groups in respect to health. Understanding elderly health problems and health-seeking behaviour is prerequisite for proving comprehensive geriatric care to them. Objectives: The aim was to study the socio-demographic prole, pattern of morbidity and health seeking behaviour of elderly people of Katihar, Bihar. Methods A community based cross-sectional study was conducted in urban eld practice area of Katihar Medical College. A total 384 elderly people aged 60 years and above were selected by systematic random sampling technique. A pre-designed, pre-tested semi structured questionnaire was used to collect information and complete clinical examinations were performed among the study subjects. Data was analyzed using epi info version 7 statistical software. Results Among 384 elderly people studied, 52.86% were female and 47.14% were male. Cardiovascular diseases including hypertension were the most common morbidity (85.68 %), followed by musculoskeletal disorders (51.74 %). Majority of elderly people used to go to private hospitals (66.67 %), followed by government hospitals (22.14 %). Conclusions The study has highlighted that the elderly suffers from multiple morbidities. The high morbidity load among elderly in present study stresses for effort to provide better health care to them and thus ensure that they remain active members of our society.

Influence of Nutritional Support Program on Gastrointestinal Function, Complication Rate, and Prognosis in Elderly Sufferers with CI.

To explore the effect of nutritional support program on gastrointestinal function, complication rate, and prognosis in elderly patients with cerebral infarction (CI), 200 elderly patients with CI from January 2020 to January 2021 are investigated in this study. The patients were randomly divided into a study set and a control group, with 100 cases in each set. All sets were given routine treatment, the control set was given parenteral nutrition support on a routine basis, and the study set was given enteral nutrition support on a routine basis. First, the clinical efficacy of the two sets after treatment was compared. Next, the constipation symptom score was adopted to compare the intestinal function of the two sets of patients before and after one month of treatment. The nutritional indicators, including serum albumin (ALB) and serum total protein (TP) levels, were compared between the two sets of patients before and after one month of treatment. Furthermore, the complications of the two sets of patients and the prognosis of the two groups of patients are analyzed. For elderly CI patients, enteral nutrition support therapy can significantly improve the clinical treatment effect, the gastrointestinal function, and nutritional index level. Also, it can reduce the incidence of complications and enhance the prognosis, survival rate, and quality of life.

Anemia of geriatric patients.

Anemia is a common finding in the elderly. Approximately 10 percent of the elderly suffers from anemia. Anemia per se is an independent factor of mortality in older patients regardless its cause. Frailty is also frequent in geriatric patients. That means that there is a decreased reserve capacity to react to different stress factors including anemia. The frequent presence of heart failure and also impaired cerebrovascular circulation makes more difficult to tolerate anemia in older age. Anemia is a symptom, finding and treating the underlying cause is also important. Treatment always depends on clinical findings: the more severe the symptoms, the more important to treat them. Severity of anemia depends not only the underlying cause, degree of anemia, co-morbidities and frailty of the patients, but also the speed of its development. Sudden blood loss due to an accident is less well tolerated than the same degree of anemia due to B12 deficiency. Main causes of anemia in the elderly include nutritional deficiencies, chronic diseases, tumors, and certain hematological malignancies such as chronic lymphocytic leukemia, multiple myeloma, myelodysplastic syndrome.

Effect of Foot Reflexology with Pharmacological Treatment on Pain and Quality of Life among Elderly Suffering from Osteoarthritis

Effect of Foot Reflexology with Pharmacological Treatment on Pain and Quality of Life among Elderly Suffering from Osteoarthritis

The Effect of Daily Living Activities of the Elderly Suffering from Hip Fractures

Elderly in the world is expected that are double by 2050 and triple by 2100, Elderly who suffer from hip fractures must have tasks and routines that are performed on a daily basis in order to live independently, being able to successfully manage routine tasks. Assess daily living activities of the elderly suffering from hip fractures. Descriptive research design was used. Purposive sample include 200 elderly. The study results revealed that more than two thirds of elderly have unsatisfactory knowledge; nearly two fifths of elderly were partially dependent in doing daily living activities. There was highly statistically significant correlation between elderly total knowledge and total daily living activities. Less than two fifths of elderly were partially dependent in doing their activities and more than three fifths of elderly have unsatisfactory knowledge about hip fractures. Also, there was a positive relation between elderly total knowledge about hip fractures and total daily living activities with highly statisticallysignificantcorrelation.

The Effect of Laughter Therapy for Depression Level among Geriatric Patients at Pangesti Lawang Nursing Home

Background: The elderly will experience decreased organ function and social changes experienced. 1 in 5 elderly suffers from mental or neurological disorders. Depression is underdiagnosed and undertreated in primary care settings because they appear together with other elderly problems. Depression in the elderly can reduce the quality of life and increases the risk of suicide. As a non-pharmacological alternative treatment, laughter and classical music therapy positively affect mental health, especially depression. Methods: The Design of this study is a quasi-experimental research with pre and post-test control group design. Data were collected with a short-form GDS questionnaire 15 Statements. Results: A total of 32 participants were from the elderly at the PangestiLawang Nursing Home. Laughter Therapy showed a significant GDS score before and after being given therapy p-value = 0.000. Classical Music Therapy also showed a significant GDS score before and after given therapy p-value = 0.002. In the comparison between both therapies, there was no significant difference between the treatment p-value = 0.541. Conclusion: There was a difference GDS before and after the elderly were given laughter therapy and classical music therapy, but there was no significant difference in GDS score between laughter therapy and classical music therapy, Both of them were given the same effect on decreasing GDS Score for the Elderly at PangestiLawang Nursing Home

The Effectiveness of Compassion-Focused Therapy on Loneliness and Cognitive Flexibility in Elderly Men

The phenomenon of aging is the result of the natural course of time, which leads to physiological, psychological and social changes. Considering the accelerating growth of the aging population and the fact that the elderly suffers from reduced cognitive flexibility and feelings of loneliness due to old age and reduced abilities; Therefore, this study was performed to determine the effectiveness of compassion- focused therapy on loneliness and cognitive flexibility in elderly men. The research method was quasi-experimental with pretest-posttest design with a control group. The statistical population of the study was the elderly male in Ahvaz in 2020. The sample size consisted of 30 elderly men (60 to 70 years old) who were selected by convenience sampling method and according to the inclusion criteria. The experimental group received Therapeutic intervention in 8 weeks and 8 sessions of 90 minutes. The questionnaires used in this study included Dennis and Vanderwall Cognitive Flexibility Questionnaire and Russell Loneliness Questionnaire. Data were analyzed by univariate analysis of covariance. The results showed that there was a significant difference between the experimental and control groups in terms of loneliness and cognitive flexibility. In other words, compassion-focused therapy reduced loneliness and increased cognitive flexibility in the elderly. Consistent with the findings of the present study, compassion- focused therapy can be suggested as an effective method to reduce feelings of loneliness and increase cognitive flexibility in the elderly.

Health problems among Elderly - A Community based survey in a rural area of Ernakulam district

Aim: A survey was conducted to identify the health problems of elderly residing in a selected rural community of Ernakulam district. Background: People worldwide are living longer. Today, 125 million people are aged 80 years or older in the world. Older age is also characterized by the emergence of several complex health states that tend to occur only later in life. Common conditions in older age include hearing loss, cataracts, refractive errors, back and neck pain, osteoarthritis, chronic obstructive pulmonary disease, diabetes, hypertension, depression and dementia. Furthermore, as people age, they are more likely to experience several conditions at the same time1. Methods: A survey was conducted to identify the health problems of elderly population residing in a selected rural community of Ernakulam district. 340 elderly aged 60 years and above were included in the study. Convenient sampling technique was used and data regarding health problems of elderly was collected by interview method. Results: The present study concluded that among the 340 subjects, 62.1% had health problems. The major health problems among elderly were sleep disturbances (40.6%), problems of vision (33.5%), musculoskeletal problems (24.4%), hypertension (23.8%), diabetes mellitus (21.8%) and hearing problems (20.3%). 4.1% of elderly were having difficulty to perform their activities of daily living as measured by Katz Index of activities of daily living Scale. Conclusion: The study shows that elderly suffers from various health problems, which shows the need of comprehensive health service to address these problems.

Elderly Suffering from ST-Segment Elevation Myocardial Infarction-Results from a Database Analysis from Two Mediterranean Medical Centers.

Background: Little is known regarding primary percutaneous coronary intervention (pPCI) for ST-segment elevation myocardial infarction (STEMI) in the elderly. Methods: Data on 319 octogenarians, 641 septuagenarians, and 2451 younger patients was collected from an ongoing prospective registry of patients treated with pPCI for STEMI at two Mediterranean-area medical centers in 2009–2017. Results: More octogenarian patients were female (40.8 vs. 31.9 septuagenarians and 26.5% under 70 y, p < 0.01), had hypertension (79.5 vs. 69.5 and 45.9%, p < 0.01), renal failure (32.5 vs. 20.1 and 5.2%, p < 0.01), and a lower left-ventricular ejection fraction (42.0 vs. 44.9 and 47.6%, p = 0.012). At 1 month and 3 years after intervention, mortality was higher in the octogenarian patients (12.2 vs. 7.9%, p = 0.01; and 36.7 vs. 23.1%, p < 0.01, respectively), with no significant differences in the rates of recurrent myocardial infarction, target vessel revascularization, coronary artery bypass surgery, and cardiovascular death. Following adjustment for confounders, 3-year mortality was significantly higher in the octogenarians (HR 3.89 vs. 3.19 for septuagenarians, p < 0.01), but rates of major adverse cardiac events or cardiovascular death were not. Conclusions: Despite suffering from higher all-cause mortality, octogenarian patients treated with pPCI for STEMI do not suffer an increased risk of ischemic cardiac events relative to younger patients.

Effectiveness of Structured Restorative Rehabilitation on Sleep Quality and Pain in Elderly Suffering with Osteoarthritis of Knee

Effectiveness of Structured Restorative Rehabilitation on Sleep Quality and Pain in Elderly Suffering with Osteoarthritis of Knee

Old and Depressed? What We Think About Ending Their Suffering-Attitudes Toward Euthanasia for Elderly Suffering From Physical Versus Mental Illness.

This study aims to extend our knowledge regarding attitudes toward euthanasia. Specifically, the effect of patient's age and illness type. 123 participants were randomly assigned to 1 of 4 groups completed the Assessing Right to Die Attitudes (ARDA) questionnaire after reading a patients age (79 vs. 29 year old) and illness type (cancer vs. depression) description. Findings revealed more positive attitudes toward euthanasia when the patient was physically ill, as opposed to mentally ill. Participants' attitude towards euthanasia was more positive when the patient was elderly. Illness type as a function of the patient's age did not significantly influence attitudes towards euthanasia. The results of the current study reinforce the individual influence of illness type and of patient age on attitudes toward euthanasia, and suggest additional avenues for further research regarding their combined influence.

Dementia Rating Scale Pada Lansia di RW 1 Kelurahan Cungking Kabupaten Banyuwangi

The problems that occur in the elderly in RW 01 Cungking Village, Banyuwangi Regency are living alone, inability to remember posyandu time and inability to come without assistance so that the number of elderly posyandu arrivals has decreased. The research objective is to identify the level of dementia according to gender in the elderly RW 01 . This research is a quantitative study with cross sectional design. Data collection using the Dementia Rating Scale questionnaire instrument designed by Steven Mattis. The population and research sample consisted of 20 elderly people who were taken based on non random sampling techniques with purposive sampling. The results of the study were 15 people (71.4%) 15 did not have dementia, and 3 people (14.3%) had mild dementia and 3 people (14.3%) had moderate dementia. Women are more predominantly experiencing dementia than men. Mild dementia in women as many as 3 people (100.0%) and no man has mild dementia. Medium dementia were 2 people (66.7%) and 1 person (33.3%) men. The conclusion of measuring dementia is that most respondents did not experience dementia but still found respondents with mild and moderate dementia status. Most of the research respondents were female with a higher incidence of dementia than men. Suggestion of research results is to make efforts to monitor the health of the elderly, especially dementia because if there is an increase in elderly sufferers it will affect productivity.&#x0D; &#x0D;

Quantitative Analysis of Medicinal plants used by the Traditional healers of Karanja block of Wardha district for treating Musculoskeletal disorders

Background: 20% to30 % elderly population suffers with Musculoskeletal disorders such as Multiple joint pains, Low back pain, Rheumatoid arthritis, Osteoarthritis. Multiple treatment modalities are in vogue to treat MSDs all over the world but neither provides adequate pain relief nor modifies the disease process. Hence majority of the tribal population prefer traditional healers for treating MSDs as they are safe, effective, inexpensive and easily available. Aim &amp; Objectives: Quantitative analysis of Medicinal plants used by the traditional healers of Karanja block of Wardha district for treating musculoskeletal disorders. Material &amp; Methods: The survey study was carried out through field visits. Questionnaire, personal interviews and discussions with the traditional healers were used for data collection. Specific pharmacological properties of herbal drugs used by the traditional healers to treat MSDs were authenticated by taxonomist and forest range officer and verified through Nighantus and Samhitas. Observations &amp; results: Total 17 traditional healers were interviewed for data collection. Total 23 plant species belonging to 20 families were indentified and documented for the treatment of MSDs. Tribal utilized 9 varieties of plant parts from 4 types of habitat and treat the patients of MSDs with 5 types of medicinal preparations through external and internal applications.

Pengaruh Hypnoterapi Terhadap Penurunan Skala Nyeri Pada Lansia Penderita Gout Arthritis Di Posyandu Lansia Puskesmas Pademawu Pamekasan

ABSTRACT&#x0D; Gout arthritis often causes elderly sufferers to complain that there is a decline in daily activities which results in decreased musculoskeletal function due to pain as a result of gout arthritis. Besides pain, gouty arthritis also causes the elderly to be anxious to actively carry out daily activities due to the pain that often arises. (Smeltzer &amp; Bare, 2009). This study aims to determine whether there is an effect of hypnotherapy on pain scale reduction in gout arthritis in elderly Posyandu Puskesmas Pademawu Pamekasan. The design used in this study uses Quasy-Experimental with a pre post test control group design approach. The number of samples in this study were all Gout Arthritis patients in the Posyandu Elderly Pademawu Public Health Center Pamekasan District as many as 47 people 17 treatment groups and 17 control groups using Non-Probability Sampling techniques with Purposive Sampling. while the data analysis is done by paired t test and independent t test with a 95% confidence interval or with a value of α = 0.05. Statistical test results obtained Sig (2-Tailed) = 0,000. It means that there is an influence of hypnotherapy on the decrease in pain scale in gout arthritis in Posyandu Elderly Pademawu Puskesmas, Pamekasan. This research is expected to be an additional information and knowledge in the field of nursing about non-pharmacological pain management by using hypnotherapy to reduce pain scale.&#x0D; Key word: Hypnotherapy, Pain Scale