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Postoperative rehabilitation after total knee joint replacement
49-50Views:91Objective:
The pilot study objective was to evaluate the effect of comprehensive post-operative physiotherapeutic treatment on the selected physiotherapeutic parameters as well as patients’ quality of life after a total knee joint replacement surgery.Results:
Thirty patients after total knee joint arthroplasty were enrolled into the pilot study. After completing the physiotherapeutic processes, we have observed among the patients who underwent a total knee replacement surgery, a significant increase in muscle strength as with the flexors as well as the extensors (p = 0.001), improvement in their range of motion in knee joint flexion, in comparison to its range before treatment (p = 0.001), knee pain reduction (p = 0.001) and post-operative swelling (p <0.001), respectively. After undergoing the physiotherapeutic procedures, we recorded a statistically significant improvement in the monitored physical components: dressing (p = 0.008) and toilet use (p = 0.001), transfer from bed to chair (p = 0.008), walking on flat surface (p = 0.001), climbing stairs (p = 0.001). Passing the physiotherapy significantly reduced the degree of dependence of operated patients (p = 0.001).Conclusion:
Early post-operative physiotherapy treatment positively affects patients’ general condition. In addition, it improves muscle strength, range of motion of the operated joint, eliminates postoperative pain and reduces swelling that improves patients’ self-sufficiency. Standard physiotherapy nowadays and in the next few years will take a unique place in patients’ management after total knee joint replacement.Contact:
PhDr. Mgr. Michal Vavro, PhD.
Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, n.o. Bratislava; FZaSP sv. Ladislava, ul. Slovenská 11, 940 34 Nové Zámky, Slovenská republika
+421 918531658
michalkotkd@gmail.com -
Emphasizing the role of AI and telehealth in improving treatment outcomes among elderly patients
82-83Views:50To establish the right diagnosis and treatment plan for a patient is at the core of any medical procedure but this is not without the need for utmost compliance of the patient. This is the case with the elderly when they do not understand their diagnosis, nor do they fully recognize the importance of adhering to the prescribed treatment plan. This study emphasizes the role of artificial intelligence and telehealth in achieving significant treatment compliance among elderly patients.
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Prelevance of falls in seniors hospitalized on gerontopsychiatric department, their risk factors and possibilities of preventive interventions
34-37Views:122Introduction:
Falls and associated injuries are a serious problem for seniors in the home as well as in the medical environment. The main goal was to approach the issue of falls in the elderly in hospital facilities with regard to gerontopsychiatric issues and psychiatric treatment.
Methodology:
We used a questionnaire to find out the prevalence of falls in the elderly, the use of preventive measures and their effectiveness. The questionnaire had three sections that focused on demographics, medication, fall during hospitalization, a "Simple Screening Tool for Risk Assessment," and questions for nurses about the use of preventative measures. The sample consisted of 113 seniors in the age category over 65 years hospitalized in the psychiatric hospital Hronovce.
Results:
Based on the data obtained, there were no significant differences in the incidence of falls when comparing the age category up to 75 years and over 75 years. We can state that gerontopsychiatric patients are at risk of falling, regardless of their age. Of all participating survey respondents 46.9% fell and 53.1% did not fall during the study period, with 31% of patients falling repeatedly and 15.9% of patients fell once. In the survey sample 100% of respondents were taking psychotropic drugs, 46.9% were taking risk medication - benzodiazepines, and these respondents had a fall at least once during their hospitalization. We found out that the risk of falling is increased by almost half in patients with nocturnal disorientation, sensory disorders and dementia. In the group of respondents (56.7%) who needed help with movement, falls occurred more often than in patients without restricted movement ability, but the differences were not significant. Problems with defecation led to a higher prevalence of falls. Among seniors who fell, there were 14.2% of them who did not have a problem with defecation compared to 32.7% who had a problem with defecation or suffered from incontinence. Nurses used the most frequently some environmental adjustments in 66.4%, increased supervision of high-risk patients in 52.2%, and nurses used multiple interventions in 67.3% of cases as preventive measures against falls in the observed group of patients. Nurses considered as proven interventions: increased supervision of high-risk patients (16.0%), use of compensatory aids when walking (5.0%), suitable footwear, (14.0%), adjustments of the environment (29%) rehabilitation exercises (13.0%), adherence to a drinking regime (7.0%).
Conclusion:
In seniors with mental illness there was a higher incidence of falls regardless of age, the use of psychopharmacological treatment, especially in the form of benzodiazepines, led to a higher incidence of falls. Nursing staff used multiple interventions. The adjustment of the environment and the use of suitable anti-slip footwear proved to be the most effective.
Contact:
doc. PhDr. Ľubica Libová PhD.
Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety,n.o. Bratislava; FZaSP sv. Ladislava, ul. Slovenská 11 940 52 Nové Zámky, Slovenská republika
+421 903169357
lubica.libova@gmail.comPREVALENCIA PÁDOV U SENIOROV HOSPITALIZOVANÝCH NA GERONTOPSYCHIATRICKOM ODDELENÍ, ICH RIZIKOVÉ FAKTORY A MOŽNOSTI PREVENTÍVNYCH INTERVENCIÍ
Kľúčové slová: Pády seniorov. Prevencia. Rizikové faktory.
Úvod:
Pády a s nimi spojené úrazy predstavujú závažný problém u seniorov v domácom ako aj v zdravotníckom prostredí. Hlavným cieľom bolo priblížiť problematiku pádov u seniorov v nemocničných zariadeniach z ohľadom na gerontopsychiatrickú problematiku a psychiatrickú liečbu.
Metodika:
Na zistenie prevalenciu pádov seniorov, používanie preventívnych opatrení a ich efektivitu sme použili protokol. Protokol mal tri časti, ktoré boli zamerané na demografické údaje, medikáciu, pád počas hospitalizácie, „Jednoduchý skríningový nástroj na posúdenie rizika“ a otázky pre sestry o používaní preventívnych opatrení. Výberový súbor tvorilo 113 seniorov vo vekovej kategórii nad 65 rokov hospitalizovaných v psychiatrickej nemocnici Hronovce.
Výsledky:
Na základe získaných údajov pri porovnaní vekovej kategórie do 75 rokov a nad 75 rokov neboli významné rozdiely vo výskyte pádu. Môžeme konštatovať, že gerontopsychiatrickí pacienti sú rizikový pre pád bez ohľadu na svoj vek. Zo všetkých zúčastnených respondentov prieskumu počas sledovaného obdobia spadlo 46,9 % a nespadlo 53,1 %, pričom 31 % pacientov spadlo opakovane, 15,9 % pacientov spadlo raz. V prieskumnej vzorke 100% respondentov užívalo psychofarmaká z nich 46,9% užívalo rizikovú medikáciu - benzodiazepíny a u týchto respondentov sa vyskytol pád počas hospitalizácie najmenej raz. Zistili sme, že riziko pádu sa zvyšuje takmer o polovicu u pacientov s nočnou dezorientáciou, zmyslovými poruchami a demenciou. V skupine respondentov (56,7%), ktorí potrebovali pomoc pri pohybe sa vyskytol pád častejšie ako u pacientov bez obmedzeného pohybu ale rozdiely neboli významné. Problémy s vyprázdňovaním viedli k vyššej miere prevalencie pádov. Spadlo 14,2 % seniorov, ktorí nemali problém s vyprázdňovaním oproti 32,7%, ktorí mali problém s vyprázdňovaním alebo trpeli inkontinenciou. Najčastejšie sestry používali ako preventívne opatrenia voči pádom v skúmanom súbore pacientov úpravu prostredia v 66,4 % , zvýšený dohľad nad rizikovými pacientmi v 52,2 %, viacnásobné intervencie používali v 67,3 % prípadov. Pričom ako osvedčené intervencie považovali sestry: zvýšený dohľad/dozor nad rizikovými pacientmi (16,0 %), používanie kompenzačných pomôcok pri chôdzi (5,0 %), vhodnú obuv, (14,0 %), úpravu prostredia ( 29%) rehabilitačné cvičenie (13,0 %), dodržiavanie pitného režimu (7,0 %).
Záver:
U seniorov s duševným ochorením bol vyšší výskyt pádov bez ohľadu na vek, užívanie psychofarmakologickej liečby najmä vo forme benzodiazepínov viedlo k väčšiemu výskytu pádov. Ošetrujúci personál používal viacnásobné intervencie. Ako najúčinnejšie sa osvedčilo upravenie prostredia a používanie vhodnej protišmykovej obuvi.
Korešpondujúci autor:
doc. PhDr. Ľubica Libová PhD.
Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety,n.o. Bratislava; FZaSP sv. Ladislava, ul. Slovenská 11 940 52 Nové Zámky, Slovenská republika
+421 903169357
lubica.libova@gmail.com
Zber dát prebiehal so súhlasom etickej komisie zdravotníckeho zariadenia a s informovaným súhlasom respondentov. -
Early recognition of dementia within the family
17-18Views:120The awareness of communities with dementia in Western Europe has moved closer to recognizing priority issues such as the environment or climate change. Dementia-friendly communities how have a history of 30 years and have achieved significant results through their work, both for those affected by the disease and those not directly affected. It probably affects many families, the topic is also getting into the spotlight in Hungary.
Without specific and detailed statistics and databases, dementia currently exists in the latent zone. The vast majority of the literature defines dementia as a diesease for which there is no treatment or cure. The effect of dementia is considered primarily as problems in the brain that negatively affect clear thinking, memory processes and result in additional emotional turbulence. Dementia is known as an age-related condition.
In general, dementia is identified as senility, incorrectly. Dementia can occur in different areas and at different levels in individual patients. As a result, families affected by the disease often face serious difficulties in identifying the disease. Without proper and detailed knowledge of the diagnosis, many families struggle with the situation of self care solutions at home. This personal involvement not only imposes a significant financial and emotional burden on the family but also often leads to separation and isolation, which can have additional negative effects on the disease itself and even on the mental health of the patient’s family members.
The global extent of dementia is generally known only to experts in the field, and to this day there is still a lack of adequate representation in the wider social dialogue. There is a unique and innovative incentive in Gyöngyös where Matralab’s integrated care centers offer day-care activities and solutions to support and provide experts advice to families with dementia. The project is implemented at the regional level, where 25 municipalities start monitoring the conditions and impacts of dementia in the region. As dementia is a prevalent and identifiable condition, affected families need help and support at the widest possible level.
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Interdisciplinary collaboration in geriatrics: implications for social work profession in Nigeria
68-70Views:44With age comes the rising demand for health care and even more peculiarities to care giving. In addition to biological changes are socioeconomic factors that impact the health and treatment of the elderly population. The dynamics involved in providing adequate care for the elderly population as seen in developed societies reveals that there is no watertight compartment to knowledge and the need for interdisciplinary collaborations.
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The effects of animal assisted activities to elderlys’ distress
78-91.Views:263Animal- assisted therapy (AAT), a type of therapy that involves animals as a means of treatment, has been discovered by the American psychologist Boris Levinson, 1960. The aim of this study was to determinate how animals can improve person’s emotional and physical well-being. The participants in this study were 111 people. Each participant was evaluated before and after the AAT intervention using objective psychological methods: Depression Anxiety Stress Scales (DASS, Lovibond, 1995, set of three self- report scales designed to measure the emotional states of depression, anxiety and stress). In summary we can report the following result which could be valuable in the field of psychological science, that animals may be used in therapy dealing with depression, anxiety and stress.
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Self-independence of oncological geriatric patients in the home environment
39-42Views:31Cancer is one of the most dreaded diseases in the world. Family plays an important role in managing this disease. It provides home care for the patient, helps to increase and maintain the patient's self-sufficiency. A number of factors influence the patient's self-sufficiency, such as the age of the patient, the type of illness, the method of treatment, the patient's psychological state, the environment in which the patient is located, etc. Self-sufficiency in patients contributes to their self-esteem and to a positive perception of themselves.
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Application of Hungarian version of Test Your Memory (TYM-HUN)
25-33.Views:1218The change in brain functions is a natural consequence of aging, e.g. difficult to recall names, to remember numbers, to learn new things. However, mental decline and dementia are not part of natural aging. Dementia is primarily a disease of the elderly. Neuropathology of Alheimer’s dementia starts long before the clinical symptoms of dementia, part of a mild cognitive impairment (MCI) might be due to this. At this stage, recognizing the cognitive dysfunction may give the opportunity to slow down the progression, respectively as soon as causal treatment becomes available, it could be used. The Hungarian version of "Test Your Memory" (TYM-HUN) is a suitable short self-test test for screening dementia and is also expected to be useful to detect MCI.
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Burnout syndrome in healthcare profession
20-21Views:41Burnout syndrome is a current topic. Helping professions are most at risk. We include the profession of nurse to these professions. The work is demanding, it requires mental endurance and physical fitness. Nursing profession is one of the most risky one in relation to burnout syndrome.
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A Sóstó-Gyógyfürdők Zrt. kínálata az idősödő generációknak
103-115Views:195Analyzing the age pyramid of Hungary, we can see that we live in an aging society, due to which the older generations are becoming more and more important in the medical tourism sector. The largest group of medical tourism is the elderly over the age of 60, who most often visit spas with musculoskeletal disorders. Szabolcs-Szatmár-Bereg county is especially rich in spas, the Sóstó Spa, which is our spa of international significance, also stands out. The aim of the Sóstó Spa is to play a role in maintaining and improving the health of health tourists, in developing a bathing culture, and in spending a pleasant and useful leisure time.
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A Review of the AGE Barometer 2023: EU Good Practices and Barriers in the Empowerment of Elderly in the Labour Market - The Case of Hungary
15-24Views:162The 2023 edition of the AGE Barometer was released by the Age Platform Europe, aimed at consolidating data from European statistics and national-level sources and enriched by feedback from 19 European countries, including Hungary. The publication aimed at empowering older people in the labour market and promoting sustainable and high-quality working lives for them. The Barometer revealed that the European Union (EU) is far from reaching its 78% employment target for adults aged 20 to 64 with its current state of just 62.3%. This could be due to various barriers to the integration of older people in the labour market, which include inadequate supportive policies, ageism, and unfavourable workplace conditions. Conversely, these are broadly stated in the context of the EU; hence, a deeper analysis of these results, with a special focus on the case of a single country, such as Hungary, is relevant to establish a clearer understanding of the national and local framework of these findings and in determining facilitating policies and programmes as well as gaps in promoting elderly inclusion in the labour sector. Using various methods such as critical analysis, desk and literature review, and thematic analysis, this article examined the Barometer report and other relevant publications. The Barometer 2023 effectively provided general issues and actionable areas in supporting older people in the labour market, combating ageism, and ensuring an age-friendly work environment in the EU landscape. Moreover, it revealed that Hungary performed better in employing older persons compared to the EU average, likely associated with a favourable environment for older workers through its legal protection systems, financial incentives, equal treatment policy, and initiatives such as pensioner cooperatives and information technology education. However, this still falls below the target, and based on the analysis and review of existing relevant publications, this could be associated with some unfavourable policies, gender disparities, a continuous rise in the ageing population, an increased number of migrant workers, technology challenges, ageism, political mayhems, cultural and traditional constraints, and other challenges that continue to threaten the marketability of older people, thereby resulting in consequences for their financial, physical, social, psychological, and environmental wellbeing. Moreover, the report also stated few good practices in promoting elderly employment in the county, contrary to numerous efforts implemented by both the Hungarian government, non-government organisations, and other institutions, which remained unrecognised, perhaps due to limited data availability and gaps in the reporting schemes. Finally, the Barometer 2023 report was realized to be included and used as a part of the technical working papers of the European Economic and Social Committee, being the EU advisory body that deals on the issues and opinions regarding this matter. The latest edition of the Barometer has the potential to spark positive changes among policymakers and decision-makers in acknowledging the economic potential of the elderly and in eliminating barriers that hinder elderly integration in the labour market. In the case of Hungary, substantial policies, programmes, and welfare services exist that facilitate elderly employment; however, challenges were also identified, hence the precise recommendations provided in the Barometer report must transform into reality, taking into consideration the unique national, local, and cultural peculiarities of Hungary and its local communities. It is also suggested that systematic data collection and good practice documentation must be facilitated in Hungary, and feedback from the other 18 countries in the Barometer report must be thoroughly reviewed or benchmarked for possible inspiration and replication. Lastly, the potentials of the Barometer 2023 to be used at all levels of decision-making must be maximized.