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Search Results: 1 - 10 of 35062 matches for " health of the elderly "
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Elderly vaccination—The glass is half full  [PDF]
Chandini Raina MacIntyre
Health (Health) , 2013, DOI: 10.4236/health.2013.512A011

The shifting global demography and ageing of populations worldwide brings with new challenges for the health care, and an imperative for healthy ageing and preventive health strategies for adults. Immunization is the low hanging fruit for healthy ageing, and yet under-utilized for various reasons, including waning immunity in the elderly, lack of RCT data in this age group, and lack of provider confidence in vaccines for the elderly. The elderly people have a higher incidence of infection and more severe and serious consequences of infection. Diseases such as influenza, pneumococcal disease and herpes zoster have long been recognized as causing a high burden in the elderly, but evidence is also emerging for other infections such as pertussis being a major cause of the morbidity in this age group. Now, there are several vaccines which can prevent major infectious diseases in the elderly. To improve uptake of these vaccines, elderly vaccination should be viewed through a different lens to pediatric vaccination, accepting that vaccines are less immunogenic in the elderly. The population health impact of vaccines in the elderly, despite of immunosenescence and lower immunogenicity, is still likely to be high given the increased disease incidence. Vaccination is an important and readily available means of prevention in the elderly.

Evaluation of Quality Care for Senior Citizens in Primary Health Care  [PDF]
Tainara L?rena dos Santos Ferreira, Tiago José Barbosa de Andrade, Janio Gustavo Barbosa, Iris do Ceu Clara Costa, Fábia Barbosa de Andrade
Health (Health) , 2015, DOI: 10.4236/health.2015.79121
Abstract: Objective: This study aimed to evaluate the quality care received by senior citizens in Primary Health Care (PHC) in the Unified Health System, with the objectives of contributing with the comprehensive implementation of humanized conduct and actions for this part of the population. Methods: This is a descriptive-exploratory study with a quantitative approach that was conducted in the city of Santa Cruz, which is located in the Brazilian state of Rio Grande do Norte, with a population of 130 senior citizens. The research was approved by the Committee for Ethics in Research at the Federal University at Rio Grande do Norte under protocol 152/2012. Results: In the results, the classification of the PHC services varied from good to reasonable. Regarding the assistance offered to the aging and comprehensive care, there were failures in accordance with how it’s recommended in the National Healthcare System. This concludes, through the perspective of the elderly user, the need for the reformulation of the activities which are offered to this population and therefore the implementation of conduct for better service in the area of Primary Health Care.
Senior Citizens’ Cultural Activity and Participation in Community Life  [PDF]
Fábia Barbosa de Andrade, Tainara L?rena dos Santos Ferreira, Dídia de Oliveira Pereira, íngrid Katianne Marques Araújo, Joymara Railma Gomes de Assun??o, Isabelle Christine Fonsêca G. A. Silva, Jéssica Isabelle dos Santos Dutra, Aline de Lima Cabral
Health (Health) , 2015, DOI: 10.4236/health.2015.77101
Abstract: Objective: This study has the objective to know the cultural activities of the senior citizen and their participation in community life as encouraged by Primary Health Care professionals. Methods: This is a quantitative study that was performed on 130 senior citizens in the city of Santa Cruz, in the Brazil state of Rio Grande do Norte. Results: The participation of senior citizens in groups is very beneficial because it increases their autonomy and self-esteem, socialization, well-being and consequently, which leads to a higher quality of life. However, there were some failures in the promotion of healthy aging and the adoption of strategic activities. Conclusions: Based on this observation, it is expected that this study can provide resources for the primary health care professionals to try to stimulate senior citizens by carrying out cultural activities that value and increase their potential, quality of life and self-esteem and, thus, promote active and healthy aging.
Drug Utilization in Homes for the Aged in Brasilia, Brazil  [PDF]
Mirna Poliana Furtado de Oliveira, Maria Rita Carvalho Garbi Novaes
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.32021
Abstract: This paper aims to describe the socioeconomic and epidemiological profile, as well as the standards of medicine consumption in a group of 154 elderly people from five homes for the aged in Brasilia, in order to expand the understanding about some characteristics and individual needs of this population and its influence on the quality of drug’s therapy. Data were collected between January and December of 2007, it was used a questionnaire adapted from Dader’s method (2002) and a pharmacotherapeutic follow up method and it was responded by the elders and caregivers. Data were supplemented with information from medical records and prescriptions available in the institutions. The studied group has an average age of 74.6 years, living in their current homes for about 5.4 years and the group consists mainly of men with preserved cognitive status. The members of the group have low monthly income, low education level and are sedentary. They consume 4 - 5 drugs and are affected mainly by cardiovascular and psychiatric diseases. Results suggest that low monthly income, low education level, the prevalence of sedentary lifestyle, elders with compromised cognitive status, the increasing number of chronic diseases and the high consumption of drugs in the researched group may be important factors for the emergence or injury drugs-related problems (DRP) as non-adherence to treatment, medication errors, drug interactions and adverse drug reactions compromising the quality of medication therapy. This study points out the necessity of including a pharmacotherapeutic follow-up for the elderly people in order to minimize such problems and provide better quality of life for patients.
Causal relationships between physical, mental and social health-related factors among the Japanese elderly: A chronological study  [PDF]
Motoyuki Yuasa, Tanji Hoshi, Takashi Hasegawa, Naoko Nakayama, Toshihiko Takahashi, Sugako Kurimori, Naoko Sakurai
Health (Health) , 2012, DOI: 10.4236/health.2012.43021
Abstract: The World Health Organization defines health as a state of physical, mental and social well being. This study was conducted to explore chronological relationships between physical, mental and social factors. Among urban-dwelling elderly aged 65 years and over, data were collected via a self-report questionnaire in 2001 and 2004. The three health-related latent factors were identified with nine measurement variables by an exploratory factor analysis. A structural equation modeling method was used to analyze underlying relationships among the three factors with a cross-lagged model and a synchronous model. A total of 7,683 individuals aged between 65 and 84 years were analyzed. The three-year prior and current physical health significantly affected social health as well as mental health, and this effect appeared to be stronger in males compared to females. Maintenance of physical health may be crucial to support mental and social health among elderly individuals.
How many systolic and diastolic variables must be measured in elderly patients with symptoms of heart failure?  [PDF]
Jan B. Remmets, Mona K. Olofsson, Hans Stenlund, Kurt O. Boman
World Journal of Cardiovascular Diseases (WJCD) , 2012, DOI: 10.4236/wjcd.2012.22017
Abstract: Objectives: To explore the concordance and the feasibility of obtaining systolic or diastolic variables of left ventricular function in elderly patients with heart failure symptoms. Methods: One hundred twenty four patients with symptoms of heart failure (mean age 77 years, 70% females) were included in a cross-sectional, explorative study. Nineteen echocardiographic variables (7 systolic and 12 diastolic) were measured. Results: Overall, feasibility ranged from 93% to 100% for 15 variables and was 48% for mitral regurgitation dp/dt(MRdp/dt), 66% for the difference between pulmonary AR-dur and mitral A-dur, 81% for the ratio between early and late mitral inflow velocity (E/A), and 76% for tissue Doppler imaging late dia-stolic velocity (TDI A’). Concordance was very good/ good in 83% and poor/missing in 17% of systolic variables, whereas it was very good/good for 67% of diastolic variables and poor/missing for 33%. Factor analysis reduced systolic variables to two factors that explained 69% of the total variance in systolic function. Conclusions: Low feasibility for some and questionable concordance of especially diastolic variables questions the rationale for routinely measuring a high number of echocardigraphic variables. The results of the factor analysis further strengthen the possibility of reducing the number of measured variables. The clinical value of such a reduction needs to be validated.
Health and widowhood: Meanings and experience of elderly women in Chile  [PDF]
Paulina Osorio-Parraguez
Health (Health) , 2013, DOI: 10.4236/health.2013.58173

Aging and widowhood signal a real and symbolic landmark of change toward new vital experiences of elderly people. In the aging experience of women, there are three social age markers that participate directly in the construction of their identity as women during old age: menopause, work and widowhood. The present paper reports the results of a research on widowhood in old age and the experience of aging in elderly women in Chile. Through a qualitative methodological strategy, in depth biographic interviews were held with elderly people who were widowed after reaching 60 years of age, centering the analysis on its meanings on the body, health and death in old age, highlighting sociocultural aspects of the aging and widowing processes. Approaching widowhood in old age shows us not only a person who has lost a husband, but also what it means to be an elderly woman in a life experience continuum that also brings about key changes to understand the aging process of people, because marital relations can get to be determining factors for the construction of the identity of women and their experience of the aging process.

Perceived Health, Physical Activity and Sport among the Elderly of Spain  [PDF]
Rafael Serrano-del-Rosal, Lourdes Biedma-Velázquez, David Moscoso-Sánchez, María Martín-Rodríguez
Advances in Applied Sociology (AASoci) , 2013, DOI: 10.4236/aasoci.2013.32020

Purpose: It determines if participating in sports and/or physical activity influences perceived health among the elderly. Basic procedures: Data were drawn from a population subsample of subjects aged 65 - 79 years old that took part in a survey conducted in 2008 by the IESA-CSIC. A regression model was performed with perceived health status with the dependent variable and sociodemographic characteristics and physical activity as independent variables. Results: Physical activity is closely associated to perceived health, although sport has little influence on this relationship. Conclusions: Doing exercise or feeling that one is physically active makes the elderly feel better about their health status. However, this age group practises few sports and sport is not found to have an important or constant influence on self-perceived health status among the elderly.

The Study on Community Health Education of Empty Nest Elderly  [PDF]
Ling Gao, Xue Cao, Min Zhang
Engineering (ENG) , 2013, DOI: 10.4236/eng.2013.510B028

Objective:To study the demands of community health education on the empty nest elderly and analyse the related factors. Methods:The 36-Item Short-Form Health Survey(SF-36), activities of daily living (ADL) and the community health services satisfaction scale were used to investigate the community health service demand and supply of 358 empty nesters. Results:The results showed that the ability of self-care was worse and needed more nursing or caring from others in the empty nest elderly; the empty nest elderly, in comparison with the non-empty-nest elderly, had lower physical and mental scores. With the age changing, the requirements of community health services were different in empty nest elderly and the satisfaction of community health service was low in the empty nest (39.1%). Conclusions: Empty nest elderly generally needed the different degree of community health education demands. The utilization rates of community health education were low.

Social Construction of Dependence in Elderly Men in Chile  [PDF]
Paulina Osorio-Parraguez, Andrés G. Seguel
Health (Health) , 2014, DOI: 10.4236/health.2014.610125
Abstract: Based on a qualitative research restricted to aging processes in Chile, the paper presents the experience and significance of dependence in elderly men and how it is related with the social construction of old age. It is important to know how the identity of aging is configured when facing such a significant biographical and social landmark as the loss of functionality in later life. When analyzing the social construction of dependence in elderly men, three aspects of that configuration stand out: first, the way in which they understand and signify their situations of illness, physical problems, disability, and evaluation of their health; second, the characteristics of the social significant contexts in which disability or physical problems become evident; and third, the actions, roles or activities that they perform in those contexts, which are valued differently according to the experiences of dependence or autonomy. Dependence in elderly men does not appear as a static condition, but rather as a passage from physical-biological conditioners to the social context in which their everyday actions take place. So the agency of the dependence, its construction, experience and significance is the understanding of the social phenomenon of old age.
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