Elderly Levels Research Articles

Hypnotherapy Technique to Reduce Anxiety Levels in Elderly with Hypertension

Background: One of the non-pharmacological intervention that can be used is hypnotherapy. This intervention uses suggestions that will relax the client's condition so that the brain produces the hormones serotonin, endorpine, and activation of autonomic nerve responses. At the same time the neuroendocrine system will also lower levels of cortisol, glucocorticoids, gonadocorticoids, epinephrine, norepinephrine and will act directly on the alpha androgenic receptors of vascular smooth muscle, thus causing vasodilation of blood vessels, lowering total peripheral pressure and decreasing blood pressure, pulse, and breathing. Objectives: This study is to determine the effect of hypnotherapy techniques on reducing anxiety levels in elderly families with hypertension at RT 10/RW 05 Lenteng Agung, South Jakarta. Methods: This study employed a quantitative pre-experimental design with a one-group pre-test post-test approach to examine the effect of an intervention on anxiety levels in elderly individuals with hypertension. The study population consisted of 39 elderly individuals, with 15 participants meeting the inclusion criteria. Data were collected in 2023, and the sample was selected using total sampling, consisting of 9 women and 6 men. Participants were observed before and after the intervention to assess changes in anxiety levels. Results: This study showed that after being given hypnotherapy technique treatment, the majority experienced a decrease in anxiety levels, namely mild anxiety as many as 11 elderly (73.3%) and respondents who experienced moderate anxiety as many as 4 elderly (46.7%) Conclusion: The majority of elderly individuals with hypertension experienced severe anxiety before receiving hypnosis techniques. After the application of hypnosis, most experienced a reduction in anxiety to mild levels. This demonstrates that hypnosis techniques have a significant effect in reducing anxiety levels in elderly individuals with hypertension

Optimizing Trauma Activation Criteria for a Rural Trauma Center.

There is a need for activation criteria that reflect the different factors affecting rural trauma patients. To develop effective activation criteria for a rural trauma center among adults, incorporating variables specific to the geography, mechanisms of injury, and population served. This is a single-center, retrospective cohort study conducted from (23years) January 1, 2000, to July 31, 2023. The data collected patient demographics, injury details, morbidity, and preexisting comorbidity. This research included all adult (≥15years) true Level I trauma activations defined as an injury severity score>25 and met the need for trauma intervention criteria. The patients were grouped into adult and elderly categories. The analysis utilized a logistic regression model with the outcome of a true Level I trauma activation. A total of 19,480 patients were included in the sample; 2,858 (14.6%) met the Level I activation criteria. Elderly Level I activation included assault, pedestrian struck, multiple pelvic fractures, traumatic pneumo/hemothorax, mediastinal fracture, sternum fracture, and flail rib fracture. Using the findings of the logistic regression model, this center has made more robust activation guidelines adapted to its rural population.

Application of Progressive Muscle Relaxation Technique to Reduce Blood Glucose Levels in Elderly with Diabetes Mellitus

Diabetes mellitus is a metabolic disease which is often found in the elderly caused by a degenerative process. Progressive muscle relaxation technique is one of the non-pharmacological therapy to decrease blood glucose levels in diabetes mellitus. This case study aimed to analyzed the effect of progressive muscle relaxation technique on problem of instability of blood glucose levels in elderly. This research design is case study. The sample of this research is one elderly who had diabetes mellitus type 2. The data collection by measuring blood glucose levels during pre-intervention in the morning and post-intervention in the afternoon. The elderly had intervention twice a day for 20 minutes and forward until 5 days. Data collected and processed by using statistical T-test dependent. The elderly with diabetes mellitus type 2 given progressive muscle relaxation technique experienced a decrease in blood glucose levels from pre to post intervention with p-value 0.005 which means it is significant. The application of progressive muscle relaxation technique given to the elderly affect to decrease blood glucose levels in the outcome of pre and post intervention.

Comparison of Blood Gas Analysis and Auto-Analyzer Results for Sodium and Potassium Levels in Elderly and Non-elderly Adult Emergency Department Patients.

Objectives This study aims to evaluate the concordance between blood gas and biochemical measurement methods for sodium and potassium levels in elderly and non-elderly patients within an emergency department (ED) setting. Methods A retrospective method comparison study was conducted at an ED from February 1, 2023, to March 1, 2023. The study included 414 patients, categorized into "elderly" (aged 65 and above; n = 138, 33.3%) and "non-elderly" (aged 18 to 64; n = 276, 66.7%) groups. Concordance was assessed using Bland-Altman, Passing-Bablok, and Lin's concordance correlation methods. Results In sodium measurements, the elderly group exhibited an average bias of -1.52 mEq/L (95% confidence interval [CI] -2.12 to -0.92), with lower and upper limits of agreement (LoA) at -8.46 and 5.42 mEq/L, respectively, indicating a broader variance than non-elderly patients, who showed an average bias of -0.82 mEq/L with limits of -4.97 to 3.32 mEq/L. For potassium, the elderly group's average bias was -0.46 mEq/L (95% CI -0.36 to -0.57), with limits of agreement from -1.68 to 0.75 mEq/L, compared to non-elderly patients with a bias of -0.29 mEq/L and limits of -0.71 to 0.13 mEq/L. Furthermore, concordance correlation coefficients revealed a reduced agreement in the elderly for both sodium (r ccc = 0.799) and potassium (r ccc = 0.529) compared to the non-elderly cohort (sodium r ccc = 0.821, potassium r ccc = 0.715). Conclusion The study identifies significant discrepancies in sodium and potassium levels between elderly and non-elderly patients, suggesting a need for diagnostic precision. It emphasizes the importance of customizing diagnostic approaches to better serve the elderly population in EDs.

Relationship Between Activities of Visits to the Elderly Posyandu and The Elderly's Level of Independence

Relationship Between Activities of Visits to the Elderly Posyandu and The Elderly's Level of Independence

The Effects of Psychoeducation Intervention with Progressive Muscle Relaxation Video Therapy on Anxiety Levels in Elderly with Hypertension in Salem Village

Background: Anxiety is a common reaction to situations individuals perceive as dangerous or threatening. Prolonged anxiety can disrupt a person's thoughts and behaviors. Elderly individuals often experience anxiety, primarily related to their illnesses, with hypertension being prevalent among them. The advantage of health education using video media lies in its ability to provide effective visualization to facilitate the learning process. Method: This study employed a Pre - Experimental research design with a quantitative approach, explicitly utilizing a one-group pretest-posttest design. Sampling was conducted using random sampling, with a sample size of 54 respondents. The Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety. Results: The average pre-test anxiety score before the intervention was 29.79, while the average post-test score showed a decrease of 4.00, resulting in a score of 25.79. Statistical analysis using the Wilcoxon test obtained a p-value for the pre-test and post-test of 0.000 (0.050), indicating that psychoeducation intervention with PMR video therapy affected anxiety levels in the elderly with hypertension at the Salem Village Elderly Health Post. Conclusion: Psychoeducation intervention with PMR video therapy affects anxiety levels in the elderly with hypertension in Salem Village.

Distraction Guided Imagery Technique to Reduce Anxiety Levels in Elderly with Hypertension

Elderly is an aging process with increasing individual age characterized by a decrease in the function of organs such as the brain, heart, liver and kidneys and increased loss of active body tissue in the form of body muscles. The decline in organ function in the elderly is due to a decrease in the number and ability of body cells, so that the ability of body tissues to maintain normal function disappears, so they cannot defend against infection and repair damage suffered (Fatmah, 2010). The purpose of this study was to identify the Guidance Imagery Distraction Technique on Reducing Anxiety Levels in Elderly People with Hypertension in Rt 010 / Rw 005 Lenteng Agung South Jakarta Year 2023.This type of research uses a quantitative type research design with a research design using pre-experiment. The population in the study was elderly with hypertension as many as 39 people in RT 010 / RW 05 Lenteng Agung The sample technique used was putposive sampling and data analysis using paired sample t-test. The results of this study indicate that after being given guided imagery techniques, the majority experienced a decrease in anxiety levels, namely mild anxiety as many as 11 elderly people (73.3%) and respondents who experienced moderate anxiety as many as 4 elderly people (46.7%). anxiety in elderly people with hypertension in RT 010 In RT 010 /RW 05 Lenteng Agung before being given the Guided Imagery distraction technique, the majority experienced severe anxiety. Anxiety in the elderly with hypertension in RT 010 / RW 05 Lenteng Agung before being given the Guided Imagery distraction technique, the majority experienced mild anxiety. There is an effect of Guidance Imagery distraction techniques on reducing anxiety levels in the elderly with hypertension in RT 010 / Rw 005 Lenteng Agung, South Jakarta in 2023.

Effect of Progressive Muscle Relaxation Techniques on Blood Glucose Levels in Elderly With Type 2 Diabetes Mellitus

Introduction: The International Diabetes Federation revealed that Indonesia is currently ranked sixth worldwide for deaths from diabetes in 2021. In addition to pharmacological therapy, managing type 2 diabetes mellitus can use non-pharmacological therapies, such as progressive muscle relaxation therapy. This study aimed to analyze the effect of progressive muscle relaxation therapy on blood glucose levels in older people with type 2 diabetes mellitus. Method: This study used a quantitative method with a quasi-experimental approach, pre-test, and post-test with a control group. Sampling technique random sampling of 70 elderly. Instruments: observation sheet of blood glucose levels and PMR SOP. Data analysis using the T-Test. Results: The average blood glucose level before the intervention was 211.7 mg/dl and 183.74 mg/dl after the intervention. In the intervention group, there was an effect with p-value = 0.036 (p-value <0.05). Post-intervention and post-control, there was no difference with a value of 0.074 (p> 0.05), meaning there is no difference. Conclusions: Progressive muscle relaxation affects blood glucose levels in the elderly with type 2 diabetes mellitus at the elderly Posyandu, Singosari Village.

Analisis Pengaruh Terapi Garam Epsom terhadap Kadar Asam Urat dan Skala Nyeri pada Lansia dengan Gout Arthritis

The elderly population is a vulnerable group because they experience the aging process and the function of the system declines. One of the health problems experienced by the elderly is gout arthritis. Gout arthritis is a disease caused by increased levels of purines that accumulate in the joints, causing joint pain. This study aims to determine the Effect of Epsom Salt Therapy on Pain Scale and Uric Acid Levels in Elderly with Gout Arthritis. The results showed that there was a significant difference between uric acid levels before and after Epsom salt therapy in patients with gout arthritis (p value 0.000) and there was a significant difference between pain intensity before and after Epsom salt therapy in patients with gout arthritis (p value). 0.000). This research is expected to be an alternative to complementary therapy in nursing care and to develop care, further research can be carried out such as massage therapy or acupuncture.

Iron quantitative analysis of motor combined with bulbar region in M1 cortex may improve diagnosis performance in ALS.

To explore whether the combined analysis of motor and bulbar region of M1 on susceptibility-weighted imaging (SWI) can be a valid biomarker for amyotrophic lateral sclerosis (ALS). Thirty-two non-demented ALS patients and 35 age- and gender-matched healthy controls (HC) were retrospectively recruited. SWI and 3D-T1-MPRAGE images were obtained from all individuals using a 3.0-T MRI scan. The bilateral posterior band of M1 was manually delineated by three neuroradiologists on phase images and subdivided into the motor and bulbar regions. We compared the phase values in two groups and performed a stratification analysis (ALSFRS-R score, duration, disease progression rate, and onset). Receiver operating characteristic (ROC) curves were also constructed. ALS group showed significantly increased phase values in M1 and the two subregions than the HC group, on the all and elderly level (p < 0.001, respectively). On all-age level comparison, negative correlations were found between phase values of M1 and clinical score and duration (p < 0.05, respectively). Similar associations were found in the motor region (p < 0.05, respectively). On both the total (p < 0.01) and elderly (p < 0.05) levels, there were positive relationships between disease progression rate and M1 phase values. In comparing ROC curves, the entire M1 showed the best diagnostic performance. Combining motor and bulbar analyses as an integral M1 region on SWI can improve ALS diagnosis performance, especially in the elderly. The phase value could be a valuable biomarker for ALS evaluation. • Integrated analysis of the motor and bulbar as an entire M1 region on SWI can improve the diagnosis performance in ALS. • Quantitative analysis of iron deposition by SWI measurement helps the clinical evaluation, especially for the elderly patients. • Phase value, when combined with the disease progression rate, could be a valuable biomarker for ALS.

Effect of Dual-Task Net Step Exercise on Working Memory, Global Cognitive Function and Brain Derived Neurotrophic Factor Serum Levels in Elderly with Mild and Moderate Cognitive Impairment

Background: Mild and moderate cognitive impairment in elderly lead to activity limitation and decrease quality of life. Brain derived neurotrophic factor (BDNF) levels is decreased in elderly with cognitive impairment. Physical exercise can promote cognitive function improvement. One of the mechanisms is through BDNF. Objective: Analyzed the effect of dual-task Net Step Exercise (NSE) on working memory, global cognitive function and BDNF serum levels in elderly with mild and moderate cognitive impairment. Method: The study was pretest-posttest control group design, which enrolled 26 elderly subjects with mild and moderate cognitive impairment, 13 subjects in intervention (dual-task NSE) group and 13 subjects in control group. Before and after study working memory, global cognitive function and serum levels of BDNF was examined quantitatively with enzyme linked immune-sorbent assay (ELISA). Result: There was improvement of mini-mental state examination (MMSE) score (p = 0.001) and trail making test-B (TMT-B) score (p = 0.03) in intervention group after 8 weeks of dual-task NSE, while there was no improvement in control group. There was significant elevation of BDNF serum levels in intervention group after 8 weeks of dual-task NSE (p<0.001) while there was no significant change of BDNF serum levels in control group (p = 0.107). Conclusion: Dual-task NSE could improve working memory and global cognitive function and also increase BDNF serum levels in elderly with mild to moderate cognitive impairment.

Effectiveness of Music Therapy on Anxiety among Elderly Residing at Selected Geriatric Homes at Pune City

The present study tries to explore the effect of Music Therapy on Anxiety among Elderly residing at selected Geriatric Homes. Anxiety is a normal emotion. All human beings develop it as a means of Protection from danger and threat when we perceive danger. The present study aims to investigate the Effectiveness of music therapy on anxiety among elderly residing at selected geriatric homes at pune city. For this study data was collected randomly from an Old age Home, of pune from 150 Elderly. “Geriatric Anxiety Scale” was used to assess the Anxiety level of Elderly. Initially Anxiety in Elderly was assessed using the scale followed by Interventions to Music Therapy group for 7 days and no interventions to control group and again posttest was taken using the same scale. The result of the present study revealed some significant findings that Music Therapy is effective to relieve anxiety.

The relationship between Family Duties in Elderly Caring with Independence Level of Elderly in activity daily living at Sumolawang Hamlet Sumolawang Village Mojokerto Regency

The family has a very important duty in elder care. In the process of getting older, a person experiences a physical, mental and social setback little by little until he cannot perform his daily tasks again. Therefore, the implementation of family duties must be optimized so that the elderly can live independently and productively in the conditions. The purpose of this study is to analyze the relationship between family duties in caring for elderly with the level of independence of elderly in everyday life activities in Sumolawang hamlet Sumolawang village, Mojokerto regency. In this study, the population is family and elderly in Sumolawang hamlet Sumolawang village, Mojokerto regency and the sample is family and elderly who have fulfilled inclusion criteria amounting to 35 people. The sample selection was done by a nonprobability sampling of purposive sampling type and in collecting data was used instrument questionnaire sheet for family duty in caring for elderly and Katz index observation sheet for the level of independence of elderly in daily life activity. The result of data analysis using SPSS chi-square test (c2) obtained value (0,607)&gt; a (0,05), which means there is no relation between family duty in caring elderly with the level of independence of elderly in daily life activity in Sumolawang hamlet Sumolawang village, Mojokerto regency. This is due to a different understanding of the elderly in accepting the implementation of maintenance tasks of his family. Efforts to prevent the occurrence of dependence on the elderly can be done by improving the implementation of family duties in caring for the elderly.&#x0D; Keywords: Family Duties, Degree of Independence Elderly&#x0D; The family has a very important duty in elder care. In the process of getting older, a person experiences a physical, mental and social setback little by little until he cannot perform his daily tasks again. Therefore, the implementation of family duties must be optimized so that the elderly can live independently and productively in the conditions. The purpose of this study is to analyze the relationship between family duties in caring for elderly with the level of independence of elderly in everyday life activities in Sumolawang hamlet Sumolawang village, Mojokerto regency. In this study, the population is family and elderly in Sumolawang hamlet Sumolawang village, Mojokerto regency and the sample is family and elderly who have fulfilled inclusion criteria amounting to 35 people. The sample selection was done by a nonprobability sampling of purposive sampling type and in collecting data was used instrument questionnaire sheet for family duty in caring for elderly and Katz index observation sheet for the level of independence of elderly in daily life activity. The result of data analysis using SPSS chi-square test (c2) obtained value (0,607)&gt; a (0,05), which means there is no relation between family duty in caring elderly with the level of independence of elderly in daily life activity in Sumolawang hamlet Sumolawang village, Mojokerto regency. This is due to a different understanding of the elderly in accepting the implementation of maintenance tasks of his family. Efforts to prevent the occurrence of dependence on the elderly can be done by improving the implementation of family duties in caring for the elderly.&#x0D;

The relationship between Family Duties in Elderly Caring with Independence Level of Elderly in activity daily living at Sumolawang Hamlet Sumolawang Village Mojokerto Regency

The family has a very important duty in elder care. In the process of getting older, a person experiences a physical, mental and social setback little by little until he cannot perform his daily tasks again. Therefore, the implementation of family duties must be optimized so that the elderly can live independently and productively in the conditions. The purpose of this study is to analyze the relationship between family duties in caring for elderly with the level of independence of elderly in everyday life activities in Sumolawang hamlet Sumolawang village, Mojokerto regency. In this study, the population is family and elderly in Sumolawang hamlet Sumolawang village, Mojokerto regency and the sample is family and elderly who have fulfilled inclusion criteria amounting to 35 people. The sample selection was done by a nonprobability sampling of purposive sampling type and in collecting data was used instrument questionnaire sheet for family duty in caring for elderly and Katz index observation sheet for the level of independence of elderly in daily life activity. The result of data analysis using SPSS chi-square test (c2) obtained value (0,607)&gt; a (0,05), which means there is no relation between family duty in caring elderly with the level of independence of elderly in daily life activity in Sumolawang hamlet Sumolawang village, Mojokerto regency. This is due to a different understanding of the elderly in accepting the implementation of maintenance tasks of his family. Efforts to prevent the occurrence of dependence on the elderly can be done by improving the implementation of family duties in caring for the elderly.&#x0D; Keywords: Family Duties, Degree of Independence Elderly&#x0D; The family has a very important duty in elder care. In the process of getting older, a person experiences a physical, mental and social setback little by little until he cannot perform his daily tasks again. Therefore, the implementation of family duties must be optimized so that the elderly can live independently and productively in the conditions. The purpose of this study is to analyze the relationship between family duties in caring for elderly with the level of independence of elderly in everyday life activities in Sumolawang hamlet Sumolawang village, Mojokerto regency. In this study, the population is family and elderly in Sumolawang hamlet Sumolawang village, Mojokerto regency and the sample is family and elderly who have fulfilled inclusion criteria amounting to 35 people. The sample selection was done by a nonprobability sampling of purposive sampling type and in collecting data was used instrument questionnaire sheet for family duty in caring for elderly and Katz index observation sheet for the level of independence of elderly in daily life activity. The result of data analysis using SPSS chi-square test (c2) obtained value (0,607)&gt; a (0,05), which means there is no relation between family duty in caring elderly with the level of independence of elderly in daily life activity in Sumolawang hamlet Sumolawang village, Mojokerto regency. This is due to a different understanding of the elderly in accepting the implementation of maintenance tasks of his family. Efforts to prevent the occurrence of dependence on the elderly can be done by improving the implementation of family duties in caring for the elderly.&#x0D;

F164. Epidermal Growth Factor and Fibroblast Growth Factor-2 Circulating Levels in Elderly With Major Depressive Disorder

F164. Epidermal Growth Factor and Fibroblast Growth Factor-2 Circulating Levels in Elderly With Major Depressive Disorder

Poster Number: EI 21 - Epidermal Growth Factor and Fibroblast Growth Factor-2 Circulating Levels in Elderly with Major Depressive Disorder

Poster Number: EI 21 - Epidermal Growth Factor and Fibroblast Growth Factor-2 Circulating Levels in Elderly with Major Depressive Disorder

Evaluation of Causes of High Parathyroid Hormone Levels in Elderly

Evaluation of Causes of High Parathyroid Hormone Levels in Elderly

Live Music Decreased Pain, Improved Mood and Energy Levels in Elderly

Live Music Decreased Pain, Improved Mood and Energy Levels in Elderly

Acute Aerobic Exercise Increases Brain-Derived Neurotrophic Factor Levels in Elderly with Alzheimer's Disease

Studies indicate the involvement of brain-derived neurotrophic factor (BDNF) in the pathogenesis of Alzheimer's disease (AD). Decreased BDNF levels may constitute a lack of trophic support and contribute to cognitive impairment in AD. The benefits of acute and chronic physical exercise on BDNF levels are well-documented in humans, however, exercise effects on BDNF levels have not been analyzed in older adults with AD. The aim of this study was to investigate the effects of acute aerobic exercise on BDNF levels in older adults with AD and to verify associations among BDNF levels, aerobic fitness, and level of physical activity. Using a controlled design, twenty-one patients with AD (76.3 ± 6.2 years) and eighteen healthy older adults (74.6 ± 4.7 years) completed an acute aerobic exercise. The outcomes included measures of BDNF plasma levels, aerobic fitness (treadmill grade, time to exhaustion, VO2, and maximal lactate) and level of physical activity (Baecke Questionnaire Modified for the Elderly). The independent t-test shows differences between groups with respect to the BDNF plasma levels at baseline (p = 0.04; t = 4.53; df = 37). In two-way ANOVA, a significant effect of time was found (p = 0.001; F = 13.63; df = 37), the aerobic exercise significantly increased BDNF plasma levels in AD patients and healthy controls. A significant correlation (p = 0.04; r = 0.33) was found between BDNF levels and the level of physical activity. The results of our study suggest that aerobic exercise increases BDNF plasma levels in patients with AD and healthy controls. In addition to that, BDNF levels had association with level of physical activity.

Multifaceted Exercise Training Affects Abdominal Adiposity and Plasma Adiponectin Levels in the Japanese Elderly

It is well established that abdominal adiposity is a strong predictor of morbidity. The combination of sarcopenia and obesity is strongly associated with disability in the elderly. Adiponectin, an adipose tissue derived-protein, is inversely correlated with body mass index (BMI), body fat mass, and fat distribution. However, the effect of exercise training on abdominal fat and circulating adinopectin in the elderly has not been fully investigated. PURPOSE: To evaluate the influence of a twice-weekly group exercise program on abdominal fat and circulating adiponectin levels in the elderly. METHODS: Thirty-three community-dwelling older persons (16 males, 17 females; ages: 72.4 +/− 6.9 yrs; BMI: 24.9 +/− 3.4), participated in a 12-week supervised, multifaceted group exercise (MGE) training program followed by a 12-week unsupervised program. The 12-week MGE program included stretching, strengthening, and balance-training exercises. Following the MGE program, participants continued to exercise in a maintenance phase for an additional 12 weeks which consisted of machine training in an unsupervised setting. Participants were evaluated for measures of gait speed, grip and leg strength, dynamic balance, agility, and flexibility. Abdominal adipose tissue areas were measured by computed tomography. Blood samples were taken for plasma adiponectin levels. Daily activity was measured using a hip-mounted accelerometer. The measurements were taken before training (T1), after 12-weeks of the MGE program (T2), and at the end of the 12-week of maintenance phase (T3). RESULTS: Twelve weeks of MGE produced significant increases in the physical function measures. Although leg strength and gait speed decreased from T2 to T3, the results remained significantly elevated from T1 values. From T1 to T2, a 51% increase in daily steps occurred, and this increase was maintained at T3. A significant reduction of intra-abdominal fat area was seen by T3 (T1: 117.2 +/− 53.5, T3:109.1 +/−47.7cm2; P< .05), whereas subcutenous fat area showed no significant change. Plasma adiponectin levels were progressively elevated from T1 to T3 (T1: 10.7+/− 5.9, T2: 11.5+/−6.5, T3: 12.2+/−7.1 μg/mL; P <.05) CONCUSION: In the frail older adults, 12 weeks of MGE training was effective for increasing the physical fitness and plasma adiponectin levels. The beneficial effects for abdominal fat and plasma adiponectin levels were sustained following the participation in the unsupervised setting and the physical activity at home. The combination of socialization at an exercise facility and functional independence at home appear to be an important part of the geriatric exercise program.