Pub Date : 2019-11-01DOI: 10.23937/2469-5858/1510081
Gündoğdu Semra, A. Fatma, Keser Gökhan
Purpose: The older adults, in particular, care more about quality of life than longevity. Therefore, initiatives for the elderly should focus on increasing the quality of their life. Many factors affect the older adults’ quality of life, but their dependence level is the most important. This study examined the effect of dependence level on quality of life for older adults living in nursing homes. Methods: The sample of this descriptive, cross-sectional study included 109 older adults who lived in nursing homes. Data were collected using the Older Adult Information Form, World Health Organization Quality of Life Scale Brief Form Turkish Version and Barthel Index. Results: The mean age of the older adults were 73.92 ± 9.36 years and the mean duration of their stay in a nursing home was 3.61 ± 3.22 years. Their Barthel Index score was 89.35 ± 21.39 and quality of life score was 88.33 ± 16.62. Discussion: The older adults in nursing homes had a medium level of independence. Being female and having low levels of education, chronic diseases, and hearing loss negatively affected independence levels and quality of life. Relevant initiatives that increase the functional independence of older adults should be supported because these practices will also increase their quality of life.
{"title":"Dependence Level and Quality of Life of Older Adults Living in Nursing Home","authors":"Gündoğdu Semra, A. Fatma, Keser Gökhan","doi":"10.23937/2469-5858/1510081","DOIUrl":"https://doi.org/10.23937/2469-5858/1510081","url":null,"abstract":"Purpose: The older adults, in particular, care more about quality of life than longevity. Therefore, initiatives for the elderly should focus on increasing the quality of their life. Many factors affect the older adults’ quality of life, but their dependence level is the most important. This study examined the effect of dependence level on quality of life for older adults living in nursing homes. Methods: The sample of this descriptive, cross-sectional study included 109 older adults who lived in nursing homes. Data were collected using the Older Adult Information Form, World Health Organization Quality of Life Scale Brief Form Turkish Version and Barthel Index. Results: The mean age of the older adults were 73.92 ± 9.36 years and the mean duration of their stay in a nursing home was 3.61 ± 3.22 years. Their Barthel Index score was 89.35 ± 21.39 and quality of life score was 88.33 ± 16.62. Discussion: The older adults in nursing homes had a medium level of independence. Being female and having low levels of education, chronic diseases, and hearing loss negatively affected independence levels and quality of life. Relevant initiatives that increase the functional independence of older adults should be supported because these practices will also increase their quality of life.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43348296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-26DOI: 10.23937/2469-5858/1510079
Ilter Sümeyra Mihrap, O. Özlem, Ovayolu Nimet
Purpose: The aim of this study is to investigate the relationship between foot care behaviors and metabolic control parameters of the elderly individuals diagnosed with diabetes. Methods: The study was carried out as a descriptive study in a training and research hospital between February and July 2017. The study was conducted with patients diagnosed with diabetes. Data of the research; the questionary form was obtained with some laboratory results from the foot care scale (FCS) and patient records. Results: This study was completed with 135 patients. The diabetic foot care scale mean score of the patients was 45.8 ± 8.9 and the mean of metabolic control values was high. HbA1c, fasting blood glucose, waist circumference, body mass index, triglyceride score averages, diabetic foot care scale mean score was found to decrease. Conclusion: In this study, it was found that there was a relation between the metabolic control criteria of the elderly individuals and the mean score of diabetic foot care scale, and the mean score of diabetic foot care scale was lower in the patients who did not have enough metabolic control. For this reason, it may be suggested to give training for patients to provide metabolic control and to prevent complications.
{"title":"The Relationship between Foot Care Behaviors and Metabolic Control Criterıa of the Elderly wıth Diabetes","authors":"Ilter Sümeyra Mihrap, O. Özlem, Ovayolu Nimet","doi":"10.23937/2469-5858/1510079","DOIUrl":"https://doi.org/10.23937/2469-5858/1510079","url":null,"abstract":"Purpose: The aim of this study is to investigate the relationship between foot care behaviors and metabolic control parameters of the elderly individuals diagnosed with diabetes. Methods: The study was carried out as a descriptive study in a training and research hospital between February and July 2017. The study was conducted with patients diagnosed with diabetes. Data of the research; the questionary form was obtained with some laboratory results from the foot care scale (FCS) and patient records. Results: This study was completed with 135 patients. The diabetic foot care scale mean score of the patients was 45.8 ± 8.9 and the mean of metabolic control values was high. HbA1c, fasting blood glucose, waist circumference, body mass index, triglyceride score averages, diabetic foot care scale mean score was found to decrease. Conclusion: In this study, it was found that there was a relation between the metabolic control criteria of the elderly individuals and the mean score of diabetic foot care scale, and the mean score of diabetic foot care scale was lower in the patients who did not have enough metabolic control. For this reason, it may be suggested to give training for patients to provide metabolic control and to prevent complications.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48768711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-21DOI: 10.5772/intechopen.83384
E. Andrès, L. Meyer, A. Zulfiqar, M. Hajjam, S. Talha, S. Ervé, J. Hajjam, N. Jeandidier, A. Hassani
Since the beginning of the 1990s, several telemedicine projects and studies focused on type 1 and type 2 diabetes have been developed, including very few elderly diabetic patients. Several of these projects specifically concerned elderly subjects (n = 4). Mainly, these projects and studies show that telemonitoring diabetes results in improved blood glucose control—a significant reduction in HbA1c, improved patient ownership of the disease, greater patient adherence to therapeutic and hygiene-dietary measures, positive impact on comorbidities (hypertension, weight, dyslipidemia), improved quality of life for patients, and at least good patient recep-tivity and accountability. To date, the magnitude of its effects remains debatable, especially with the variation in patients’ characteristics (e.g., background, ability for self-management, medical condition), sample selection, and approach for treatment of control groups. Over the last 5 years, numerous telemedicine projects based on connected objects and new information and communication technologies (ICT) (ele-ments defining telemedicine 2.0) have emerged or are still under development.
{"title":"State of Art of Telemonitoring in Patients with Diabetes Mellitus, with a Focus on Elderly Patients","authors":"E. Andrès, L. Meyer, A. Zulfiqar, M. Hajjam, S. Talha, S. Ervé, J. Hajjam, N. Jeandidier, A. Hassani","doi":"10.5772/intechopen.83384","DOIUrl":"https://doi.org/10.5772/intechopen.83384","url":null,"abstract":"Since the beginning of the 1990s, several telemedicine projects and studies focused on type 1 and type 2 diabetes have been developed, including very few elderly diabetic patients. Several of these projects specifically concerned elderly subjects (n = 4). Mainly, these projects and studies show that telemonitoring diabetes results in improved blood glucose control—a significant reduction in HbA1c, improved patient ownership of the disease, greater patient adherence to therapeutic and hygiene-dietary measures, positive impact on comorbidities (hypertension, weight, dyslipidemia), improved quality of life for patients, and at least good patient recep-tivity and accountability. To date, the magnitude of its effects remains debatable, especially with the variation in patients’ characteristics (e.g., background, ability for self-management, medical condition), sample selection, and approach for treatment of control groups. Over the last 5 years, numerous telemedicine projects based on connected objects and new information and communication technologies (ICT) (ele-ments defining telemedicine 2.0) have emerged or are still under development.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86274057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-18DOI: 10.23937/2469-5858/1510078
K. Farrell, Akke Vellinga
Background: Urinary incontinence (UI) is highly prevalent in elderly people residing in nursing homes. Care staff often lack the knowledge and management skills to effectively care for and treat residents with UI. The implementation of standardised treatment interventions at the individual or nursing home level can help to successfully manage and reduce UI in elderly residents. Aim: Review intervention studies evaluating the effectiveness of different treatment interventions in managing and improving UI in residential care. Data sources: MEDLINE and PubMed were searched from 2005-2019 using selective search strategies, detailing interventions and randomised controlled trials (RCTs) in residential care and nursing homes, focusing on elderly people. Pharmacological and surgical interventions were excluded. The search was limited to studies published in the English language. Methods: A narrative review of studies aimed at reducing UI and improving continence in nursing home residents. Results: 10 studies were identified that reported on interventions to improve continence care, and reduce UI with behavioural and conservative approaches for residents and/ or educational training for staff. Assessment of UI varied widely in each study from recording of prompt voiding and frequency, electronic devices, diary assessment, support and motivation from care staff, to quality of life. None of the studies could be compared on intervention effectiveness in terms of outcome and assessment. Conclusions and implications: Even though all studies reported some sort of improvement of UI, no comparisons can be made between studies. A core outcome set would be of great benefit to standardise the assessment and allow comparison of intervention effectiveness of UI in elderly.
{"title":"Interventions for Treating Urinary Incontinence in Residential Care: A Narrative Review","authors":"K. Farrell, Akke Vellinga","doi":"10.23937/2469-5858/1510078","DOIUrl":"https://doi.org/10.23937/2469-5858/1510078","url":null,"abstract":"Background: Urinary incontinence (UI) is highly prevalent in elderly people residing in nursing homes. Care staff often lack the knowledge and management skills to effectively care for and treat residents with UI. The implementation of standardised treatment interventions at the individual or nursing home level can help to successfully manage and reduce UI in elderly residents. Aim: Review intervention studies evaluating the effectiveness of different treatment interventions in managing and improving UI in residential care. Data sources: MEDLINE and PubMed were searched from 2005-2019 using selective search strategies, detailing interventions and randomised controlled trials (RCTs) in residential care and nursing homes, focusing on elderly people. Pharmacological and surgical interventions were excluded. The search was limited to studies published in the English language. Methods: A narrative review of studies aimed at reducing UI and improving continence in nursing home residents. Results: 10 studies were identified that reported on interventions to improve continence care, and reduce UI with behavioural and conservative approaches for residents and/ or educational training for staff. Assessment of UI varied widely in each study from recording of prompt voiding and frequency, electronic devices, diary assessment, support and motivation from care staff, to quality of life. None of the studies could be compared on intervention effectiveness in terms of outcome and assessment. Conclusions and implications: Even though all studies reported some sort of improvement of UI, no comparisons can be made between studies. A core outcome set would be of great benefit to standardise the assessment and allow comparison of intervention effectiveness of UI in elderly.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44814636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-03DOI: 10.23937/2469-5858/1510077
Dinçer Recep, HalilBurç, Baykal Y Barbaros, A. Tolga, Kırdemir Vecihi
Background: Recent technological advancements and accumulating surgical experience have led to a higher interest in orthopedic minimally invasive surgery. This study aims to present the feasibility of posterior mini-incision for partial hip prosthesis compared with total hip prosthesis. Materials and methods: We enrolled 15 patients (nine females, six males) who presented with a geriatric hip fracture between 2013 and 2014. While 11 of the fractures were in the collum femoris, 4 were intertrochanteric fractures. Hemiarthroplasty with a mini-incision was applied to all patients. Results: In all patients, a mini-incision of 8.5-cm mean length was used. The mean surgical duration was 67.4 min, and the mean blood loss was 526 mL. We observed no neurovascular damage in any patient resulting from the limited exposure. Moreover, no postoperative complication was reported, and there was no mortality during the follow-up. Conclusion: This study suggests that the advantages and disadvantages of classic and mini-incision methods should be comprehensively assessed, and the most appropriate method should be selected for each patient.
{"title":"Partial Endoprosthesis Application with Posterior Mini-Incision in Geriatric Hip Fractures: A Retrospective Study","authors":"Dinçer Recep, HalilBurç, Baykal Y Barbaros, A. Tolga, Kırdemir Vecihi","doi":"10.23937/2469-5858/1510077","DOIUrl":"https://doi.org/10.23937/2469-5858/1510077","url":null,"abstract":"Background: Recent technological advancements and accumulating surgical experience have led to a higher interest in orthopedic minimally invasive surgery. This study aims to present the feasibility of posterior mini-incision for partial hip prosthesis compared with total hip prosthesis. Materials and methods: We enrolled 15 patients (nine females, six males) who presented with a geriatric hip fracture between 2013 and 2014. While 11 of the fractures were in the collum femoris, 4 were intertrochanteric fractures. Hemiarthroplasty with a mini-incision was applied to all patients. Results: In all patients, a mini-incision of 8.5-cm mean length was used. The mean surgical duration was 67.4 min, and the mean blood loss was 526 mL. We observed no neurovascular damage in any patient resulting from the limited exposure. Moreover, no postoperative complication was reported, and there was no mortality during the follow-up. Conclusion: This study suggests that the advantages and disadvantages of classic and mini-incision methods should be comprehensively assessed, and the most appropriate method should be selected for each patient.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46363105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-18DOI: 10.23937/2469-5858/1510076
Tingting Selina Cheong, Yang Wen, Hui Ong Eng, Karim Siti Nurhana Abdul, Li See Lin, C. Kah
Background: The complex interplay between altered pharmacokinetics and pharmacodynamics, greater multimorbidity and polypharmacy, are associated with increased risk of adverse drug reactions (ADR) in older adults. There remains a paucity of data on the association between frailty and ADRs. We aimed to determine the association between frailty and the prevalence, presentation and severity of ADRs among hospitalized older adults. Methods: This was a retrospective, cross-sectional study in an acute care hospital in Singapore. The first 150 older adults admitted from emergency department or outpatient clinic under Geriatric Medicine service in September 2016 were included. We used Clinical Frailty Scale (CFS) to determine frailty status. Probability and severity of ADRs were determined using Naranjo and Hartwig Scale respectively. Results: The prevalence of frailty was 83.3%; mean age and CFS were 89.7 ± 4.0 years, and 6 ± 1.3 respectively. Majority (70%) experienced at least 1 side effect; more than 40% of these ADRs were of mild to moderate in severity. Constipation was the most common ADR (41.3%) and was associated with calcium supplement. ACE-inhibitors, diuretics and anti-platelets were also frequently associated with ADRs in older adults. Frail older adults significantly experienced lesser cardiovascular ADRs but more central nervous system ADRs compared to the non-frail group (P < 0.05). Conclusions: There is a high prevalence of frailty and ADRs in hospitalized older adults, with ADRs mostly mild to moderate in severity. More robust studies to prospectively explore the relationship between frailty and ADRs are required.
{"title":"The Prevalence of Frailty and Its Association with Adverse Drug Reactions in Hospitalized Older Adults","authors":"Tingting Selina Cheong, Yang Wen, Hui Ong Eng, Karim Siti Nurhana Abdul, Li See Lin, C. Kah","doi":"10.23937/2469-5858/1510076","DOIUrl":"https://doi.org/10.23937/2469-5858/1510076","url":null,"abstract":"Background: The complex interplay between altered pharmacokinetics and pharmacodynamics, greater multimorbidity and polypharmacy, are associated with increased risk of adverse drug reactions (ADR) in older adults. There remains a paucity of data on the association between frailty and ADRs. We aimed to determine the association between frailty and the prevalence, presentation and severity of ADRs among hospitalized older adults. Methods: This was a retrospective, cross-sectional study in an acute care hospital in Singapore. The first 150 older adults admitted from emergency department or outpatient clinic under Geriatric Medicine service in September 2016 were included. We used Clinical Frailty Scale (CFS) to determine frailty status. Probability and severity of ADRs were determined using Naranjo and Hartwig Scale respectively. Results: The prevalence of frailty was 83.3%; mean age and CFS were 89.7 ± 4.0 years, and 6 ± 1.3 respectively. Majority (70%) experienced at least 1 side effect; more than 40% of these ADRs were of mild to moderate in severity. Constipation was the most common ADR (41.3%) and was associated with calcium supplement. ACE-inhibitors, diuretics and anti-platelets were also frequently associated with ADRs in older adults. Frail older adults significantly experienced lesser cardiovascular ADRs but more central nervous system ADRs compared to the non-frail group (P < 0.05). Conclusions: There is a high prevalence of frailty and ADRs in hospitalized older adults, with ADRs mostly mild to moderate in severity. More robust studies to prospectively explore the relationship between frailty and ADRs are required.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48445707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-16DOI: 10.23937/2469-5858/1510075
Taylor-Piliae Ruth E, Hsu Chiu-Hsieh (Paul), Dolan Hanne, Toosizadeh Nima, M. Jane
Background: A Matter of Balance (MOB) is a national community-based fall prevention program focusing on cognitive restructuring to manage concerns about falling, though does not include a balance-training component. A dual-task balance challenge (DTBC) comprising weight transfer using fixed and random ordering of ankle-reaching balance tasks was added to MOB, to determine if this would lead to reduced fall risk. The study aims were to assess acceptance, satisfaction, safety and adherence to the interventions, examine changes in fall risk, and monitor incident falls for 3-months post-intervention. Methods: A single-blind, two-group, randomized pilot study with community-dwelling older adults assigned to MOB (2-hours, twice/week for 4 weeks) with 15 minutes of social time or MOB plus DTBC (15 minutes of fixed and random ordering of ankle-reaching balance tasks). Acceptability and satisfaction obtained by self-report, safety and adherence monitored during class by study staff. Fall risk included objectively assessed balance and gait (LEGSysTM, BioSensics, LLC), and fear of falling (Falls Efficacy Scale International). Monthly fall calendars with phone follow-ups for incident falls. Results: At high fall risk older adults (n = 16, mean age = 74 ± 8 years), mainly retired (95%), women (88%), with > 13 years education (81%), completed the study (drop-outs, n = 1). Acceptability and satisfaction (mean score = 9.0 ± 1.3, 1 = least, 10 = most) were high, no safety issues, and very high adherence rates (> 94%), regardless of group assignment. The MOB group (n = 7) had no within group changes in fall risk post-intervention (p > 0.05). Conversely, the MOB plus DTBC group (n = 9) had significant improvements in balance (p < 0.05) and gait (p < 0.05) with less fear of falling (p = 0.04) post-intervention, when compared to baseline. Conclusions: Reducing fall risk factors and preventing falls are essential for older adults, to ensure that they continue to live safely and independently. The addition of DTBC to the nationally-used MOB curriculum may enhance both balance and gait, and lead to reduced fall risk.
{"title":"A Novel Dual-Task Balance Challenge to Prevent Falls in Older Adults: A Randomized Pilot Study","authors":"Taylor-Piliae Ruth E, Hsu Chiu-Hsieh (Paul), Dolan Hanne, Toosizadeh Nima, M. Jane","doi":"10.23937/2469-5858/1510075","DOIUrl":"https://doi.org/10.23937/2469-5858/1510075","url":null,"abstract":"Background: A Matter of Balance (MOB) is a national community-based fall prevention program focusing on cognitive restructuring to manage concerns about falling, though does not include a balance-training component. A dual-task balance challenge (DTBC) comprising weight transfer using fixed and random ordering of ankle-reaching balance tasks was added to MOB, to determine if this would lead to reduced fall risk. The study aims were to assess acceptance, satisfaction, safety and adherence to the interventions, examine changes in fall risk, and monitor incident falls for 3-months post-intervention. Methods: A single-blind, two-group, randomized pilot study with community-dwelling older adults assigned to MOB (2-hours, twice/week for 4 weeks) with 15 minutes of social time or MOB plus DTBC (15 minutes of fixed and random ordering of ankle-reaching balance tasks). Acceptability and satisfaction obtained by self-report, safety and adherence monitored during class by study staff. Fall risk included objectively assessed balance and gait (LEGSysTM, BioSensics, LLC), and fear of falling (Falls Efficacy Scale International). Monthly fall calendars with phone follow-ups for incident falls. Results: At high fall risk older adults (n = 16, mean age = 74 ± 8 years), mainly retired (95%), women (88%), with > 13 years education (81%), completed the study (drop-outs, n = 1). Acceptability and satisfaction (mean score = 9.0 ± 1.3, 1 = least, 10 = most) were high, no safety issues, and very high adherence rates (> 94%), regardless of group assignment. The MOB group (n = 7) had no within group changes in fall risk post-intervention (p > 0.05). Conversely, the MOB plus DTBC group (n = 9) had significant improvements in balance (p < 0.05) and gait (p < 0.05) with less fear of falling (p = 0.04) post-intervention, when compared to baseline. Conclusions: Reducing fall risk factors and preventing falls are essential for older adults, to ensure that they continue to live safely and independently. The addition of DTBC to the nationally-used MOB curriculum may enhance both balance and gait, and lead to reduced fall risk.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41416868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-12DOI: 10.23937/2469-5858/1510074
Lin Jung-Ting, Huang Chin-Kai, Hu Lan-yin, Wu Pei-Ying, Huang Yu-fang
Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fusion and involuntary urine loss were observed in the patient. Uniquely, she had a sequence of different micturition symptoms over time. Surgical separation of the labial fusion, followed by use of topical estrogen, successfully restored the anatomy and voiding function in the postoperative two-year follow-up period. This case reminds us to examine postmenopausal patients with LUTS early, to review associated risk factors, and to treat these patients with multimodal strategies. Surgery in conjunction with topical treatment could be effective in elderly patients with labial fusion.
{"title":"Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report","authors":"Lin Jung-Ting, Huang Chin-Kai, Hu Lan-yin, Wu Pei-Ying, Huang Yu-fang","doi":"10.23937/2469-5858/1510074","DOIUrl":"https://doi.org/10.23937/2469-5858/1510074","url":null,"abstract":"Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fusion and involuntary urine loss were observed in the patient. Uniquely, she had a sequence of different micturition symptoms over time. Surgical separation of the labial fusion, followed by use of topical estrogen, successfully restored the anatomy and voiding function in the postoperative two-year follow-up period. This case reminds us to examine postmenopausal patients with LUTS early, to review associated risk factors, and to treat these patients with multimodal strategies. Surgery in conjunction with topical treatment could be effective in elderly patients with labial fusion.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44747716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-11DOI: 10.23937/2469-5858/1510073
Hendra Kalen, S. Catherine, Boshra Soheir
Numerous studies have shown that music therapy (MT) and music listening (ML) can improve patient symptoms such as anxiety, pain, and relaxation. To investigate the effect of multiple ML sessions and the association between patient expectations and outcomes, patients were recruited from two nursing and rehabilitation centers in Roanoke, Virginia. Patients received three 30-minute ML sessions (experimental) or no intervention (control). Patient data included the Edmonton Symptom Assessment System (ESAS), vitals, and an expectations questionnaire. No difference was observed between the experimental and control groups when comparing symptoms and vitals. No correlation was observed between patient expectations and improvement in anxiety and pain (as measured by ESAS). However, patients who expected a clear improvement in anxiety demonstrated an improvement in systolic blood pressure and heart rate. Our results do not support the use of ML to improve anxiety and pain in chronically and terminally ill patients. Although no correlation was observed between patient expectations and symptom improvement, it may be helpful to utilize patient expectations when identifying those who may benefit from music interventions.
{"title":"The Effect of Music Listening on Anxiety and Pain in Chronically and Terminally Ill Patients","authors":"Hendra Kalen, S. Catherine, Boshra Soheir","doi":"10.23937/2469-5858/1510073","DOIUrl":"https://doi.org/10.23937/2469-5858/1510073","url":null,"abstract":"Numerous studies have shown that music therapy (MT) and music listening (ML) can improve patient symptoms such as anxiety, pain, and relaxation. To investigate the effect of multiple ML sessions and the association between patient expectations and outcomes, patients were recruited from two nursing and rehabilitation centers in Roanoke, Virginia. Patients received three 30-minute ML sessions (experimental) or no intervention (control). Patient data included the Edmonton Symptom Assessment System (ESAS), vitals, and an expectations questionnaire. No difference was observed between the experimental and control groups when comparing symptoms and vitals. No correlation was observed between patient expectations and improvement in anxiety and pain (as measured by ESAS). However, patients who expected a clear improvement in anxiety demonstrated an improvement in systolic blood pressure and heart rate. Our results do not support the use of ML to improve anxiety and pain in chronically and terminally ill patients. Although no correlation was observed between patient expectations and symptom improvement, it may be helpful to utilize patient expectations when identifying those who may benefit from music interventions.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" 81","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41255263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Treatment of patients with fractures of the bones of the leg in an outpatient setting occurs under conditions of a forced increase in the axial load on the injured lower limb. The aim of the study was to determine the conditions for the formation of periosteal callus of the shoulder and lower leg and to assess the effect on its formation of the time frame for fixation of bone fragments in people of different ages under the conditions of treatment in the outpatient setting. Two groups of patients with closed diaphyseal bone fractures were examined using the Ilizarov method. The first group consisted of 29 patients with fractured shoulders aged from 24 to 94 years (43 ± 3). The second is 36 patients aged from 17 to 84 years (44 ± 4) with fractures of the bones of the leg in the conditions of Ilizarov treatment. All patients were treated for the first 2 weeks in inpatient, and later on in the outpatient setting. It was found that increased motor mode and axial load on the limb in the conditions of outpatient treatment lead to an increase in the period of fixation of bone fragments as compared with the previously recommended G.A. Ilizarov standards by 60% and the appearance of periosteal callus. At the same time, the size of callus on the tibia is relatively more than on the shoulder by 43% (p ≥ 0.05), while the timing of fixation of bone fragments was not statistically significantly different. Increasing the size of callus is favorable for reducing the time of fixation of fragments in patients with shoulder injury. In patients with a leg injury of working age with an increase in the number of past years, the size of the periosteal callus also became larger, however, this increase only influenced the reduction of fixation time when the shadow size of the callus reached 360 mm2. At the same time, on the lower legs, the time of fixation of fragments, unlike patients with shoulder herbs, after the formation of callus, ceases to depend on the initial micromobility of bone fragments that took place after the application of the Ilizarov apparatus. As a result, no selective adverse effect of an increase in the load on the lower leg was revealed on the terms of treatment of patients with lower leg injuries on an outpatient basis.
{"title":"Age Features of Periostal Callus Formation in Patients with Closed Fractures Bones of the Shoulder and of the Tibia","authors":"Alekseevich Schurov Vladimir, Vasilievna Melnikova Lyudmila","doi":"10.23937/2469-5858/1510072","DOIUrl":"https://doi.org/10.23937/2469-5858/1510072","url":null,"abstract":"Treatment of patients with fractures of the bones of the leg in an outpatient setting occurs under conditions of a forced increase in the axial load on the injured lower limb. The aim of the study was to determine the conditions for the formation of periosteal callus of the shoulder and lower leg and to assess the effect on its formation of the time frame for fixation of bone fragments in people of different ages under the conditions of treatment in the outpatient setting. Two groups of patients with closed diaphyseal bone fractures were examined using the Ilizarov method. The first group consisted of 29 patients with fractured shoulders aged from 24 to 94 years (43 ± 3). The second is 36 patients aged from 17 to 84 years (44 ± 4) with fractures of the bones of the leg in the conditions of Ilizarov treatment. All patients were treated for the first 2 weeks in inpatient, and later on in the outpatient setting. It was found that increased motor mode and axial load on the limb in the conditions of outpatient treatment lead to an increase in the period of fixation of bone fragments as compared with the previously recommended G.A. Ilizarov standards by 60% and the appearance of periosteal callus. At the same time, the size of callus on the tibia is relatively more than on the shoulder by 43% (p ≥ 0.05), while the timing of fixation of bone fragments was not statistically significantly different. Increasing the size of callus is favorable for reducing the time of fixation of fragments in patients with shoulder injury. In patients with a leg injury of working age with an increase in the number of past years, the size of the periosteal callus also became larger, however, this increase only influenced the reduction of fixation time when the shadow size of the callus reached 360 mm2. At the same time, on the lower legs, the time of fixation of fragments, unlike patients with shoulder herbs, after the formation of callus, ceases to depend on the initial micromobility of bone fragments that took place after the application of the Ilizarov apparatus. As a result, no selective adverse effect of an increase in the load on the lower leg was revealed on the terms of treatment of patients with lower leg injuries on an outpatient basis.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42104436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：