Geriatric Cardiology: Coming of Age

JACC Advances, Год журнала: 2022, Номер 1(3), С. 100070 - 100070

Опубликована: Авг. 1, 2022

Older adults with cardiovascular disease (CVD) contend deficits across multiple domains of health due to age-related physiological changes and the impact CVD. Multimorbidity, polypharmacy, cognitive changes, diminished functional capacity, along in social environment, result complexity that makes provision CVD care older challenging. In this review, we first describe history geriatric cardiology, an orientation acknowledges unique needs Then, introduce 5 essential principles for meeting CVD: 1) recognize consider potential multicomplexity; 2) evaluate integrate constructs cognition into decision-making; 3) physical function 4) incorporate environmental factors management decisions; 5) elicit patient priorities goals align plan. Finally, review future steps maximize growing population.

Язык: Английский

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Challenges and opportunity in mobility among older adults – key determinant identification

BMC Geriatrics, Год журнала: 2023, Номер 23(1)

Опубликована: Июль 21, 2023

Abstract Background Attention is focused on the health and physical fitness of older adults due to their increasing age. Maintaining abilities, including safe walking movement, significantly contributes perception in old One early signs declining limited mobility. Approximately one third 70-year-olds most 80-year-olds report restrictions mobility apartments immediate surroundings. Restriction or loss a complex multifactorial process, which makes prone falls, injuries, hospitalizations worsens quality life while overall mortality. Objective The objective study identify factors that have had significant impact recent years currently, gaps our understanding these factors. aims highlight areas where further research needed new effective solutions are required. Methods PRISMA methodology was used conduct scoping review Scopus Web Science databases. Papers published from 2007 2021 were searched November 2021. Of these, 52 papers selected initial 788 outputs for final analysis. Results analyzed, key determinants found be environmental, physical, cognitive, psychosocial, confirms findings previous studies. determinant technological. New lie interactions between different mobility, addressing environmental factors, exploring opportunities context emerging technologies, such as integration smart home design accessible age-friendly public spaces, development policies regulations, exploration innovative financing models support assistive technologies into lives seniors. Conclusion For an comprehensive solution senior cannot solved separately. Physical, technological can often perceived cause/motivation Further help arrive at determinants, which, turn, will improve Future studies should investigate financial aspects, especially since many expensive not commonly available, limits use.

Язык: Английский

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Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(5), С. 539 - 539

Опубликована: Апрель 25, 2024

This study investigated the impact of home care, health status, and cognition. A qualitative quantitative approach was employed through a cross-sectional with sample 60 elderly individuals in need care municipality Itatiba, São Paulo, Brazil. The analysis utilized Discourse Collective Subject (DCS), EQ-5D, EQ VAS, Mini-Mental State Examination (MMSE). consisted 40.0% male 60.0% female individuals. majority (61.6%) received weekly visits, mainly from community agents, who were responsible for (45%). Positive considerations highlighted, 36.6% emphasizing contribution to treatment continuity. VAS assessment indicated moderately good perception health. EQ-5D revealed significant differences between genders personal (

Язык: Английский

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Obstacles to access to community care in urban senior-only households: a qualitative study

BMC Geriatrics, Год журнала: 2022, Номер 22(1)

Опубликована: Фев. 14, 2022

Abstract Background The increased number of older adults living alone has created a substantial care need. However, the utilization rate services and facilities to meet these needs are surprisingly low. Many experience difficulties accessing services, although it remains unclear how obstacles impede access services. This study explored experienced by urban in seeking community care. Methods A phenomenological was carried out participatory observation in-depth interviews were employed investigate process communities. total 18 community-dwelling aged 75 years over included. Data collected analysed content analysis. Results We identified pathways which senior-only households sought encountered obstacles. (1) lack information: did not know where get even though institutions scattered throughout community; (2) limited mobility: often suffered from various chronic diseases, physically hindered their resources; (3) complex achieving care: functional fragmentation geographical dispersion made care-seeking challenging confusing for adults; (4) incomprehension expression: interaction time communication barriers between staff final obstacle. Only surmounting one can resources effectively. Conclusions When initiated calls help, they several Their physiological social disadvantages ability seek physically. Lack integration clear guidance providing exacerbated difficulties. Reform should focus on visibility accessibility adults.

Язык: Английский

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Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(14), С. 8269 - 8269

Опубликована: Июль 6, 2022

Over the life course, persons with disabilities require a range of supports to be integrated into their communities, participate in activities that are meaningful and necessary, have access, on an equal basis without disabilities, community living. We conducted scoping review peer-reviewed grey literature support for low- middle-income countries (LMICs). The main findings this concern following: there gaps access LMICs; barriers provision such support; formal informal strategies interventions exist across cycle different domains, but evidence concerning effectiveness coverage is limited; role community-based rehabilitation Organisations Persons Disabilities assessment needs for, development of, support, more clearly articulated. Research robust theory change models focus evaluating aspects complex allow effective practices identified.

Язык: Английский

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Benefits of and barriers to telehealth for the informal caregivers of elderly individuals in rural areas: A scoping review

Australian Journal of Rural Health, Год журнала: 2022, Номер 30(4), С. 442 - 457

Опубликована: Апрель 23, 2022

Abstract Introduction Maintaining care for elderly individuals in rural areas is heavily dependent on support from informal caregivers. Many caregivers of the feel burdened and urgently require professional support. Interests telehealth that can provide irrespective geographical location have been increasing. Objective To identify benefits barriers engagement to evidence service improvement. Design A scoping review method was used following PRISMA‐ScR guidelines Arksey O'Malley's five‐stage framework. Five databases were searched. The search terms chosen based target intervention (i.e. telehealth), population (caregivers individuals) context (rural areas). Two authors independently assessed eligibility studies extracted data eligible studies. Findings Of 4220 retrieved studies, 19 articles met inclusion criteria. This study identified four two Four subthemes as key using caregivers: decrease psychological distress, increase efficiency, social access resources, while inadequate infrastructures caregivers’ own reasons primary those populations. Conclusions Telehealth shown significantly benefit Future research be designed conducted overcoming telehealth. Additionally, by this need translated into practice care.

Язык: Английский

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Research status of elderly-care robots and safe human-robot interaction methods

Frontiers in Neuroscience, Год журнала: 2023, Номер 17

Опубликована: Ноя. 30, 2023

Faced with the increasingly severe global aging population fewer children, research, development, and application of elderly-care robots are expected to provide some technical means solve problems elderly care, disability semi-disability nursing, rehabilitation. Elderly-care involve biomechanics, computer science, automatic control, ethics, other fields knowledge, which is one most challenging concerned research robotics. Unlike robots, work for frail elderly. There information exchange energy between people safe human-robot interaction methods core key technology. The states art their various nursing modes introduced discussed in this paper. To conclude, considering disparity current care anticipated objectives, we offer a comprehensive overview critical technologies trends that impact enhance feasibility acceptance robots. These areas encompass collaborative assistance diverse assistive establishment novel smart home model individuals using sensor networks, optimization robot design improved flexibility, enhancement acceptability.

Язык: Английский

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The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: a qualitative research

BMC Primary Care, Год журнала: 2022, Номер 23(1)

Опубликована: Июль 26, 2022

Abstract Background Currently, population aging has been an obstacle and the spotlight for all countries. Compared with developed countries, problems caused by China’s are more prominent. Beijing, as a typical example, is characterized advanced age high disability rate, making this capital city scramble to take control of severe problem. The main types care disabled elderly classified home care, institutional community care. With obvious shortage senior institutions, most people prone choose This kind model in line traditional Chinese concept it can save social cost greatest extent. However, facing bumps from whole society, such lack professional medical support humanistic resources provided single subject cannot meet needs elderly. Objective Based on demands their families, study aims explore current status service, look what suitable elderly, try find appropriate mechanism which could diverse Methods A total 118 primary caregivers were selected four districts Beijing using multi-stage stratified proportional sampling method. one-to-one semi-structured in-depth qualitative interview conducted out health relationship between caregivers, utilization resources, etc. views interviewees analyzed through thematic framework All methods carried accordance relevant guidelines regulations. Results results showed that average 81.38 ± 9.82 years; 86 (72.9%) disability; 105 (89.0%)are plagued chronic diseases; duration 5.63 5.25 have 2 children, but caregiver own partner (42, 35.6%), there uneven sharing responsibilities among elderly's offspring process enjoy services, rehabilitation training, daily psychological other demands. families face significant financial burden, well physical issues. services government, family doctors, members organizations fall far short satisfying Conclusions In order effectively provide therefore necessary establish coordination multiple subjects give full play each subject. proposes strengthening path common cooperation subjects, taking specific participating elderly: (1) government should top-level leading implement people-oriented measures (2) Family doctors strengthen gatekeepers promote continuous management (3) assume responsibility range basic services. (4) Social forces supplementary public welfare expand connotation personalized (5) shoulder personal actively cooperate subjects.

Язык: Английский

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Reliability and validity of the Chinese version of the Walsh Family Resilience Questionnaire among community-dwelling disabled elderly individuals (WFRQ-CE)

Frontiers in Psychology, Год журнала: 2023, Номер 13

Опубликована: Янв. 17, 2023

Objective To test the reliability and validity of Chinese version Walsh Family Resilience Questionnaire among community-dwelling disabled elderly individuals (WFRQ-CE). Methods Convenience sampling was used to select 566 dyads their caregivers. The Version (WFRQ-C) tested individuals. Care Capacity Scale for Elderly Patients (FCCSE) as a concurrent validation tool caregivers, Psychological (CD-RISC-10), Social Support Assessment (SSRS-10) were tools both Results Exploratory factor analysis (EFA) revealed four common factors–“Family belief,” “Organization problem solving,” “Family communication,” “Utilization external resources”–with cumulative variance contribution rate 56.94%. Confirmatory (CFA) yielded following fit indices: chi-square/freedom degree (χ2/df) = 2.007, Tucker Lewis index (TLI) 0.900, incremental (IFI) 0.917, comparative (CFI) 0.916, parsimony goodness-of-fit (PGFI) 0.681, root-mean-square error approximation (RMSEA) 0.060. scales significantly correlated with WFRQ-C total score scores each ( r values between 0.23 0.60, P < 0.01). Cronbach’s alpha coefficient 0.93 WFRQ-CE 0.87, 0.83, 0.89, 0.65 factors; retest 0.96 scale 0.95, 0.92, 0.95 split-half 0.85 scale, 0.81, 0.78, 0.79, 0.68 factors. Conclusion has good can be evaluate level family resilience.

Язык: Английский

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Accessibility Assessment of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(3), С. 1153 - 1153

Опубликована: Янв. 28, 2021

Equity in accessible healthcare is crucial for measuring health equity community care policy. The most important objective of such a policy Taiwan empowering people and communities by improving literacy increasing access to resources. Using the nearest-neighbor two-step floating catchment area method, this study performed an accessibility assessment resources before after supply capacity optimization. For target maximum when allocating resources, taking values, mean values minimum distances into consideration, three analytical allocation solutions capability optimization were derived further compare disparities geographical accessibility. Three indicators, namely, Gini coefficient, median minus mean-squared error, employed assess degree scores at locations demand population determine geographic inequities Our proposed method which value distance adopted as approximate representation between service point found that can effectively resource among urban rural communities.

Язык: Английский

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