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At least 217 records · Page 12Linked to original sources
PubMed2004

[Strategies to reduce bed-ridden or house-bound elderly people in Japan].

Preventive medicine is supposed to be important for reducing bed-ridden ('netakiri', in Japanese) or frail elderly people. Previous studies showed that only about 30% of the bed-ridden elderly had decreased their ADL levels directly due to diseases, such as cerebrovascular disease or hip fracture. One of the other important causes of 'Netakiri' is disused syndrome. A few weeks after staying in bed, not only muscle power but also bone mineral density and intellectual interest often decrease in the elderly. Rehabilitation in daily life is expected to prevent disused syndrome. House-bound ('tojikomori', in Japanese) is supposed to be another cause of reduction of ADL. There are miscellaneous causes of tojikomori. Aging is one of the most important factors, but cannot be modified. Physical, mental, social or environmental factors are also important. Participation in social activity, improvement of intellectual interest and habitual physical excise, as well as prevention of diseases, is expected to be useful for preventing 'tojikomori' and 'netakiri' in the elderly.

Activities of Daily Living↗
PubMed2005

[Subjective well-being and all-cause mortality among middle-aged and elderly people living in an urban Japanese community].

AIM: We examined the relationship between subjective well-being and all-cause mortality among middle-aged and elderly people, using a population-based prospective approach (Tokyo Metropolitan Institute of Gerontology-Longitudinal Interdisciplinary Study on Aging). METHODS: The participants were 1,034 men and 1,413 women aged 52 to 77 years, living in an urban Japanese community. The baseline data on age, gender, number of years of education, hospitalization, lifestyle-related illness, subjective health status, living alone and subjective well-being (measured by Philadelphia Geriatric Center Morale Scale) were collected in 1993. RESULTS: Mean subjective well-being scores for men and women were 12.3 +/- 3.2 and 11.9 +/- 3.5, respectively. Analysis of covariance controlling for age, the number of years of education, hospitalization, lifestyle-related illness and living alone, revealed no inter-gender difference in subjective well-being. Multiple regression analysis to explore factors related to subjective well-being showed that age in men, and the number of years of education in both genders were significantly, independently and positively associated with subjective well-being, and that hospitalization, lifestyle-related illness and living alone in both genders were significantly, independently and negatively related to subjective well-being. From 1993 to 2000, there were 183 deaths and 258 dropouts. In Cox's multivariate hazard model adjusted for age, the number of years of education, hospitalization, lifestyle-related illness and living alone, there was a significant and independent association between a low level of subjective well-being and the risk for all-cause mortality in both genders. CONCLUSION: Satisfaction with life is an important factor affecting longevity among middle-aged and elderly people.

Aged↗
PubMed2002

A comparison of African American & Caucasian American female caregivers of rural, post-stroke, bedbound older adults.

As changes in health care take place, the care of older adults in the home becomes a greater responsibility of informal caregivers. The purpose of this study was to compare African American and Caucasian American female caregivers of post-stroke, bedbound older adults in rural Mississippi. A purposive sample of 74 caregivers reported bedbound older adults' functional impairments, along with caregivers' stress and self-efficacy, social support, coping, depression, and life satisfaction. Significant differences were determined for self-efficacy between the African American and Caucasian American caregivers. Disordinal interactions existed between race and caregiving self-efficacy on the variables of stress and life satisfaction. Nurses must be cognizant of the many stressors influenced by cultural factors, such as race, faced by these caregivers. This is important to include in the curricula of nursing programs for the 21st century.

Activities of Daily Living↗
PubMed2006

The use of anticholinergic medications in homebound elderly patients with dementia.

OBJECTIVE: Identify the number of homebound older adults admitted to a home-based health care agency in 2003 with a diagnosis of dementia. Compare the use of anticholinergic medications in older adults with a diagnosis of dementia to a matched comparison group without a diagnosis of dementia. DESIGN: Retrospective, cohort study. SETTING: Home health care agency in the eastern part of Washington State serving the homebound. PARTICIPANTS: Homebound subjects 60 years of age or older with or without a diagnosis of dementia. INTERVENTIONS: N/A. MAIN OUTCOME MEASURES: Number of homebound subjects with a diagnosis of dementia. Comparison of those in the group diagnosed with dementia (n = 50) to a matched cohort in the group with no dementia diagnosis (n = 50) in regard to use of drugs with anticholinergic activity. RESULTS: From a population of 1,746 patients served in 2003 who met the study criteria, 107 (6.1%) patients had a diagnosis of dementia. Of these, 50 were studied. Of the subjects with dementia, 62% were prescribed a drug with anticholinergic activity, compared with 80% of subjects without dementia. Fewer patients in the study group were prescribed anticholinergic drugs than in the comparison group. The primary drugs with anticholinergic activity cited most often were olanzapine, hydroxyzine, and mirtazapine. CONCLUSION: Drugs with anticholinergic activity are used frequently in an older homebound population, irrespective of a dementia diagnosis.

Aged↗
PubMed2006

[Supporting independent oral health care among the home-care elderly--the influence of dementia].

The purpose of this study was to clarify the effects of dementia based on the changes of independence conditions targeting the home-care elderly classified as Care level 1 of care needs or support. The care managers entered the basic information and assessment including oral health care for them. The independence level and other aspects of the elderly with and without dementia were examined comparatively for eight weeks. The results were as follows: 1. The highest independence level was observed for oral health care of the elderly without dementia, and it remained at the highest level for eight weeks. 2. Almost all independence levels of the elderly with dementia were significantly lower than those without dementia. 3. The willingness of the elderly without dementia was high among all areas, it was the highest of oral health care. A significant difference was observed between those with and without dementia. 4. As for cooperation from family members, the lowest value was oral health care. It is suggested that the elderly requiring home-based long-term light care or support have a high independence level concerning oral health care. The willingness toward oral health care of the elderly with mild dementia was still high. The elderly with dementia were less independent regarding oral health care. Moreover, an increasing number of elderly people live by themselves, and do not expect support from their families. Active intervention by experts is necessary to improve their independence concerning oral health care.

Activities of Daily Living↗
PubMedDate not supplied

Home but not alone.

Explore the source record for details and available documents.

Aged↗
PubMed1994

The status of home care training for physician assistants.

Homebound individuals represent a medically underserved and rapidly growing population. Nonphysician practitioners--physician assistants and nurse practitioners--in the home care setting afford increased availability of and access to medical services by homebound patients.

Data Collection↗
PubMed1995

Fire and burn safety: important issues for caregivers.

Homebound older Americans have a fire fatality rate that is two to three times higher than the national average. An innovative community outreach program trains caregivers to familiarize their elderly patients with fire safety techniques.

Accidents, Home↗