Institutionalization Of Elderly Research Articles

Perception of Care Givers about Oral Health Services for Institutionalized Elderly - A Mixed Method Study.

In India, the absence of formal training in geriatric dentistry and the lack of recognition of it as a speciality contributes to the deterioration of oral health in the older adults. India lacks specific oral healthcare policies for older adults. Additionally, caregivers' perspective in Indian old age homes regarding oral health care services remains underexplored, necessitating further studies in this context. A mixed method study was conducted, and the quantitative component focused on assessing the oral health status of institutionalized older adults and caregivers' perceptions using a questionnaire. The qualitative part evaluates caregivers' perceptions of providing oral health care services for institutionalized older adults by conducting in-depth interviews. More than 50% of caregivers perceived that the oral health status of institutionalized older adults was fair even though institutionalized older adults has poor oral health status. Barriers include autonomy, difficulty in traveling, lack of financial support, lack of knowledge and time. Approaches for enhancing oral health services for institutionalized older adults include oral health education for older adults and caregivers, monthly dentist visits to the institution, utilization of portable dental chair services, collaboration with dental colleges/dental clinics, distribution of oral health education materials, and provision of oral hygiene aids. Caregivers face barriers in providing oral health care services to institutionalized older adults, especially those who are functionally reliant and cognitively impaired. Findings from our study show that there is a need to collaborate with the dental colleges to provide oral health services in old age homes.

Cognitive Function and Quality of Life in Institutionalized Elderly: Each Predictors and Both Influences

Cognitive Function and Quality of Life in Institutionalized Elderly: Each Predictors and Both Influences

Cognitive Function & Functional Capacity In Institutionalized Elderly

PURPOSE: Comparison of functional capacity according to cognitive status in institutionalized elderly. METHODS: Cross-sectional study, with a convenience sample of 152 elderly people of both sexes from 6 long-stay institutions for philanthropic elderly people in São Caetano do Sul. Cognitive function was measured by the Mini Mental State Examination (MMSE). Functional capacity was assessed by the CELAFISCS Functional Capacity Assessment Scale, consisting of the measurement of leg circumference (centimeters), elbow flexion test (repetitions), walking speed test (seconds), and stationary gait test (repetitions) with a total score of up to 16 points. The ANCOVA test adjusted for sex and age was applied, adopting a significance level of p < 0.05 using the SPSS 25.0 statistical program. RESULTS: Significant differences were found in the group with cognitive impairment according to the functional when adjusted for age and sex in the following variables: elbow flexion, maximum walking speed and 2-minute stationary gait. CONCLUSION: The institutionalized elderly with cognitive deficit presented a lower functional capacity. Functional capacity variables according to the presence of cognitive deficit in institutionalized elderly

Can Music Therapy Improve the Quality of Life of Institutionalized Elderly People?

Introduction: The current population has new characteristics that require changes to be made in the public health system. In the case of the elderly, the concrete aspects of their health must be known to improve the system, in search of a better quality of life and as much independence as possible. Method: The aim of this study was to verify the efficiency of a music therapy program with institutionalized elderly participants to avoid depressive symptoms and improve social interaction and creativity. This is a group case study that uses a pretest–post-test descriptive design. The program was divided into sixteen sessions, two sessions each week. As inclusion and exclusion criteria, physical dependency and cognitive state were used. Results: The results present an improvement in the physical dimensions of quality of life and an increase in creativity and social interaction. It is recommended that the sessions in the program, aiming to achieve a greater efficiency, are extended because the elderly have very ingrained habits and routines that are very hard to eliminate. Discussion and conclusions: Music therapy, a non-pharmacological and worthwhile treatment, is a therapeutic option with proven benefits. Music therapy has the potential to improve health and quality of life in the elderly and also foster the amelioration of various chronic illnesses, such as depression.

Emotional Intelligence, Perceived Social Support and Mental Health of Institutionalized Elderly

Abstract: Many life circumstances such as physical health, income and social support, may decline in later adulthood, older adults who are higher in emotional intelligence may adjust their life goals and use more effective emotion regulation strategies, such as cognitive reappraisal, to enhance their life and their affective well-being. The objective of this study was to determine the relationship between the emotional intelligence, social support and mental health of institutionalized elderly. Design: A correlational descriptive design was used. Setting: The study was conducted at Dar- El Saada geriatric home in Tanta city. Subjects: selected only 54 older adults who were passed by cognitive impairment test. Three tools used for this study: tool I: Emotional intelligence scale, tool II: Multidimensional perceived social support, tool III: General Health Questionnaire 28 item. Result: The results of this study showed that the majority of the studied subjects had low emotional intelligence. And there was low percentage of subjects (83.3%) had low social support levels. Also it was found that two thirds of the studied subjects had poorer mental health. Conclusions: The results concluded that there was a significant positive relation between emotional intelligence and social support. The study also found negative relation between emotional intelligence and poor mental health, also the study found a significant negative relation between mental health of elderly and their level of perceived social support. Recommendation: Future researches are needed to find out exactly how older adults with higher emotional intelligence cope with the changing life circumstances to maximize their well-being.

Barriers to Oral Care Provision in Homebound and Institutionalized Elderly

Barriers to Oral Care Provision in Homebound and Institutionalized Elderly

PERCEPTION OF INSTITUTIONALIZED ELDERLY ABOUT QUALITY OF LIFE: AN INTEGRATIVE REVIEW

Abstract: Aging is a physiological process that happens over time permeated by biological, psychosocial and cultural changes. Through the increase in life expectancy and, consequently, population aging worldwide, the Long Term Care Institutions for the Elderly (ILPI) stand out in caring for these elderly people, making it necessary to know what life is like for the elderly in this environment. Given the above, the study aimed to verify in the literature the perspective of institutionalized elderly about quality of life. Thus, the study is an integrative literature review with a qualitative approach, using Lilacs, Scielo and Medline databases as a means of research, taking advantage of the following Health Sciences Descriptors (DeCS): “Elderly”, “Quality of life” and “institutionalized”. The study sample consisted of 16 articles, which discussed the theme of the study, in which it was sought to verify the perception of institutionalized elderly about quality of life, it was decided to carry out two thematic categories: 01) Quality of Life for the Elderly Institutionalized, and 02) Perception of the Institutionalized Elderly. In view of the above, the study was able to show that the elderly who reside, live in a Long-Term Care Facility for the Elderly (ILPI), it is necessary to be active, dynamic, prepared to carry out their activities of daily living, in order to achieve their quality of life, harmonize health and promote healthy aging. Keywords: Elderly, Quality of Life, Institutionalized.

Analysis of the Effects of an Episodic Memory Training Program on Institutionalized Elderly

The objective of this study is to analyze the effects of an episodic memory training on the cognitive performance of institutionalized elderly. The sample consisted of 21 elderly individuals divided into experimental group (EG, n = 11, mean age = 75.82 years, SD = 9.70) and control group (CG, n = 10, mean age = 79.0 years, SD = 9.70). The EG underwent five episodic memory training sessions, and the CG participated in general stimulation activities. To evaluate the effects of the training, the following instruments were applied: cognitive screening scales, subtests of the brief neuropsychological assessment instrument (NEUPSILIN) (episodic verbal memory, semantic memory, visual memory, prospective memory, and oral language), and subtests of the Wechsler Abbreviated Scale of Intelligence (WASI). The results indicate that there are effects of the training for the skills trained (episodic verbal memory). There are also effects of distal transfer for abilities that were not directly targeted by the intervention (semantic memory, visual memory, and on the scales for screening for cognitive symptoms). Limitations and impacts are discussed.

Role of Mindfulness, Religious Coping and Serenity in Institutionalized and Non-Institutionalized Elderly

ABSTRACT The current study investigated the relationship among mindfulness, religious coping, and serenity between institutionalized and noninstitutionalized elderly. A total sample of 100 elderly participants, which included 50 institutionalized (n = 25 females, n = 25 males) and 50 noninstitutionalized (n = 25 females, n = 25 males) participants within an age range of 60–89, was selected from different institutions and homes of Lahore, Pakistan. The research instruments used include the Brief Serenity Scale, Mindful Attention Awareness Scale, and Religious Focused Coping Strategies Scale. Results indicated that institutionalized elderly were higher on levels of mindfulness than noninstitutionalized elderly. Also, institutionalized elderly who had the greatest age were found to be more serene than those institutionalized elderly who had the lowest age. Moreover, a significant positive relationship of mindfulness and religious coping was found with serenity. Furthermore, higher levels of religious focused coping, mindfulness, and age were found to be significant predictors of serenity. The study has its implications for the authorities and concerned caretakers of community centers for the elderly to take various steps in improving their services and enhancing well-being of the residing elderly.

The Influence of Anxiety and Stress toward Depression in Institutionalized Elderly

Due to age-related changes, the elderly are prone to psychological problems, such as anxiety and stress, and mental disorder, such as depression. This study aimed to analyze the influence of anxiety and stress on depression in elderly living in the nursing home. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. Hamilton Anxiety Rating Scale (HARS), Suan Prung Stress Test - 20 (SPST-20), and Geriatric Depression Scale (GDS) was used for collecting data. Linear and ordinal regression tests were used in data analysis (α&lt;0.05). Results showed that the majority was old married Chinese female with basic education level, and living in the nursing home for 1-3 years. Averagely, respondents had mild anxiety, mild stress, and not depressed. Anxiety has a significant influence on depression in elderly living in the nursing home (p = 0.000), and it was accounted for 12.8% variance of depression in this population (R 2 = 0.128). Stress has significant influence also on depression (p = 0.000), and it was accounted for 24% variance of depression in this population (R 2 = 0.240). Stress is proved to have more influence on depression in the elderly living in a nursing home compared to anxiety. Keywords: anxiety, depression, elderly, institutionalized elderly, nursing home, stress

The impact of intensive care admission criteria on elderly mortality.

To review systematically the influence of admission criteria on the mortality of elderly patients under intensive therapy. We performed a search on the PUBMED and BIREME databases by using the MeSH and DeCS terms "intensive care units", "patient admission", and "aged" in Portuguese, English, and Spanish. Only prospective and retrospective cohort studies were included. We analyzed the severity score, type of hospital admission, quality of life, co-morbidities, functionality, and elderly institutionalization. Of the 1,276 articles found, thirteen were selected after evaluation of the inclusion and exclusion criteria. It was observed that the severity score, functionality, and co-morbidities had an impact on mortality. It was not possible to determine which severity score was more suitable. We suggest that analysis of functionality, co-morbidities, and severity scores should be conducted to estimate the elderly mortality in relation to the admission to intensive care units.

The Effect Of A Multicomponent Exercise Program On Sleep Quality In Institutionalized Elderly

Sleep disorders are one of the most prevalent changes in the elderly and this has been associated with a negative impact on health outcomes. Exercise to be a potential non-pharmacological treatment to improve sleep quality. However, the effects in older has been largely unexplored. PURPOSE: To evaluate the effects of exercise on sleep complaints in older adults residing in a nursing home. METHODS: A total of thirteen older adults (84.1±6.9 years) were according to the inclusion criteria. Socio-demographic data was collected using a structured questionnaire. Anthropometric measures were obtained using standardized techniques. Sleep quality was collected by self-report through the face to face Oviedo sleep questionnaire. The EQ-D5 was used to assess the health related quality of life. The training program included a multicomponent exercise intervention (9 weeks; 2 times per week) focused on mobility, strength and balance. Student paired t-test was carried out to detect any significant differences between the pre-test and post-test in any variable. The difference between variables was calculated using the effect size (ES) through Cohen´s d. The significance level was set at p<0.05. RESULTS: The EQ-5D mean scores were similar for the four dimensions (pre-post intervention) including mobility, pain/discomfort, self-care and usual activities; however the dimension related with depression improved 31% at the end of the intervention. The t-student test and Cohen’s d showed a medium non-significant effect on sleep satisfaction (p=0.26; ES: 0.32; insomnia (p= 0.37; ES: 0.38) and hypersomnia (p= 0.09; SE: 0.52). CONCLUSIONS: A supervised exercise program has a moderately beneficial effect on sleep quality in terms of insomnia, hypersomnia and depression in older people.

Cognitive Behavioural Therapy for Depression among Institutionalized Elderly in Kerala

Aging is a social problem and is often studied from the point of view of one or more of the basic perspectives. From the functionalist perspective, aging is a problem because institutions of modern societies are not working well enough to serve the needs of the dependent aged. The extended families which once allowed elderly people to live out their lives among kin has been weakened by greater sociomobility and a shift to the nuclear family as the basic kinship unit. As grandparents, for example, once played an important role in socializing the young, teaching them the skills, values, and ways of life of their people. Now these functions are performed by schools and colleges, for it is assumed that the elderly cannot understand or master the skills required in today’s fast changing world. Instead, they most often are cared for either at home or institution such as old age homes, which free the productive member of society to perform other functions. Purpose of the current study was to examine effect of cognitive behavior therapy for depression among institutionalized elderly.

Functional Capacity, Cognitive Capacity and Quality of Life of Institutionalized Elderly: Observational Study

Functional Capacity, Cognitive Capacity and Quality of Life of Institutionalized Elderly: Observational Study

An Economic Evaluation of Preventing Falls Using a New Exercise Program in Institutionalized Elderly.

Falls in the elderly represent a public health crisis. Effective prevention programs need to conduct economic analyses. The Move With Balance program showed a 65% reduction in falls in institutionalized elderly. We evaluated the return on investment (ROI) of Move With Balance. We calculated the ROI for 2 situations: first, using data from the current study (N = 27); second, extrapolating the data to an "intended" annual program (N = 45) where training costs can be spread over 6 years. The program costs for the current study was $11,143. Based on an efficacy rate of 65%, we estimated that 13 falls were averted among the 21 participants in the treatment group. At a cost of $1440/fall, total averted cost of falls was $18,720. The ROI was 1.7:1 for a 10-week period. Program effects persisted for at least 6 months. Extrapolating the current program costs and fall rates to include classes for 45 people twice a year, the annual program costs would be $27,217. Total annual averted cost of falls would be $208,594. The annual ROI in this group would be 7.6:1. Move With Balance not only is efficacious in reducing falls in institutionalized elderly but also has a positive ROI.

Social Death of Finitude in the Life of Institutionalized Elderly

Social Death of Finitude in the Life of Institutionalized Elderly

Assessment and Comparison of Emotional Health of Institutionalized and Non-institutionalized Elderly of Uttarakhand

ABSTRACTThe present study was undertaken to assess and compare the levels of stress, anxiety and depression among institutionalized and non-institutionalized elderly of Uttarakhand. The sample for ...

特別養護老人ホーム入所高齢者の家族介護者におけるQOLとその関連要因 : SF-36による検討

特別養護老人ホーム入所高齢者の家族介護者におけるQOLとその関連要因 : SF-36による検討

Dialysis in the Elderly and Impact of Institutionalization in the United States Renal Data System

Background: We hypothesized that in the very elderly dialysis patients in the United States, institutionalization in nursing homes would increase mortality in addition to age alone. Methods: Incident dialysis patients from 2001 to 2008 above the age of 70 were included. Patients above 70 were categorized into 4 groups according to age as 70-75, 76-80, 81-85, and >85 years and further divided into institutionalized and noninstitutionalized. Kaplan-Meier survival curves were plotted to assess patient survival. Results: A total of 349,440 patients were identified above the age of 70 at the time of initiation of dialysis. For institutionalized patients, the mean survival was significantly lower, 1.71 ± 0.03 years for those in the age range 70-75, 1.44 ± 0.02 years for those in the age range 76-80, 1.25 ± 0.02 years for those in the age range 81-85, and 1.04 ± 0.02 for those in the >85 years age group (p = 0.0001). The hazard ratio for mortality in institutionalized elderly patients on dialysis was 1.80 ([95% CI 1.77-1.83]; p = 0.0001). After adjustment for other variables (multivariate Cox regression), to be institutionalized was still an independent risk factor for mortality (adjusted hazard ratio = 1.57 [95% CI 1.54-1.60]; p = 0.0001). Conclusion: There was increased mortality in institutionalized elderly patients as compared to noninstutionalized elderly patients in the same age group. In accordance with the increased frailty and decreased benefits of therapies in the very elderly, especially in those with additional co-morbidities besides age, palliative and end-of-life care should be considered.

Physical Fitness in Community Dwelling Elderly and Institutionalized Elderly Using Senior Fitness Test (SFT)

Background: Aging is a physiologic process that affects all of our body systems. It is characterized by a physiological decline in bodily functions. Physical fitness helps to maintain a good quality of life. Thus we need to study the effect of physical activity on one's physical fitness. The main aim of our study was to compare physical fitness in community-dwelling elderly and institutionalized elderly using Senior Fitness Test (SFT). This test assessed strength, flexibility, balance and endurance. These components are frequently used in one's daily activities and thus helpful to evaluate physical fitness. Since there is an increase in the number of elders becoming institutionalized, it is imperative to understand if there is a difference in demands on their bodily systems which will affect their fitness parameters, hence this study was undertaken.Methods: Two groups were selected (n=40) which included 20 individuals from the community and 20 from an institution. Their fitness level was evaluated using Senior Fitness Test (SFT) which had six components to assess upper body strength and upper body flexibility, lower body strength and lower body flexibility, 8 feet test, 6-minute walk test.Result: Comparison of SFT components was made by using unpaired t-test and Mann-Whitney test. Analysis of this study revealed significant difference in lower body strength (p value=0.0028), 8 feet test (p value=0.0205) and 6-minute walk test (p value=&lt;0.0001) which was better in community-dwelling elderly than institutionalized elderly. Also, upper body flexibility (p-value = 0.4477) and lower body flexibility (p-value =0.0766) were better in community-dwelling elderly though was not statistically significant.Conclusion: The current study suggests that community-dwelling elderly have better lower body strength, dynamic balance and aerobic endurance in comparison to institutionalized elderly of the same age group. Thus, it can be said that staying in institutions, in a restricted environment with less amount of physical activity has a negative impact on one's functional and physical independence.