• Title/Summary/Keyword: Impaired Elderly

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Differences of Prevalence and Associated Factors of Falls in Community-Dwelling Older People with Hypertension (고혈압이 있는 재가노인의 낙상발생의 차이 및 영향요인)

  • Jang, Gun-Ja;Jeon, Eun-Young;Kwon, Byung-Hyun
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.302-310
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    • 2010
  • Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

Development of Wearable Device for Hearing Impaired people Using Arduino

  • Jeon, An-Gyoon;Jeong, Dong-won;Lee, Sang-Hyun
    • International journal of advanced smart convergence
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    • v.8 no.4
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    • pp.214-220
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    • 2019
  • Hearing impaired people are apt to be in danger because they can't detect danger with sound. Hearing impaired people have less risk-detection ability than non-disabled people because of lack of hearing. There are many devices to help the hearing impaired, such as hearing aids. A hearing aids can be helpful, but it may not be available depending on the degree or type of hearing loss for example, to the hearing-impaired people with little remaining hearing of high frequencies, ordinary hearing aids are not very useful for understanding the high frequency consonants and it requires a high cost, from thousands to tens of thousands of dollars. Also, it is difficult for the underprivileged, such as the low-income bracket and the elderly, to use them because they are difficult to manage. Therefore, this paper describes the development of low-cost wearable device to assistant a hearing-impaired people using Arduino. Also, it accepts values from switches or sensors and can control external electronic devices such as LEDs and motors to create objects that can interact with the environment. In this is paper, through sound sensors, the ambient sound was taken as an analogue value and transmitted to the aduino board, and the vibration motor was operated when the noise was generated, so that the user could be aware of the occurrence of danger.

The effect of oral glucose tolerance testing on changes in arterial stiffness and blood pressure in elderly women with hypertension and relationships between the stage of diabetes and physical fitness levels

  • Lee, Jaesong;Park, Wonil;Sung, Eunsook;Kim, Bokbeom;Kim, Nahyun;Park, Saejong;Shin, Chulho;Park, Jonghoon
    • Korean Journal of Exercise Nutrition
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    • v.24 no.4
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    • pp.34-43
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    • 2020
  • [Purpose] The purpose of this study was to assess changes in blood glucose level, blood pressure, and arterial stiffness after a 75 g oral glucose tolerance test (OGTT) in elderly women aged over 65 years with hypertension and either normal glycemic control, impaired fasting glucose tolerance, or diabetes mellitus. We also wished to investigate the relationship between stages of diabetes and physical fitness. [Methods] A total of 24 elderly women with hypertension were assigned to a control group (CON; n=7), impaired fasting glucose group (IFG; n=9), and diabetes mellitus group (DM; n=8). In each group, blood glucose level, brachial ankle pulse wave velocity (PWV), and blood pressure were measured at baseline as well as 60 and 120 minutes after a 75 g OGTT. Physical fitness factors such as hand grip strength, balance test, 4 m gait speed test, chair stand test, short physical performance battery, and 6-minute walking test were subsequently assessed. [Results] In all three groups, blood glucose levels were significantly increased at 60 and 120 minutes after a 75 g OGTT. In the DM group, blood glucose levels were significantly higher before and after a 75 g OGTT than in the CON group. In the CON group, PWV was significantly increased at 60 minutes after a 75 g OGTT; however, there were no changes in other groups after glucose ingestion. In the CON group, systolic and diastolic blood pressures were significantly decreased at 60 and 120 minutes after a 75 g OGTT compared to baseline. However, there was no change in blood pressure after ingestion in the DM group. The IFG group had greater grip strength than the CON group; however, there were no differences in other variables between the groups. [Conclusion] After a 75 g OGTT, elderly women with hypertension and diabetes maintain higher blood glucose levels compared to those with hypertension alone. Unlike elderly women with hypertension alone, those with hypertension and diabetes did not show changes in arterial stiffness and blood pressure after a 75 g OGTT. Therefore, elderly women with hypertension and diabetes may not be able to control their blood vessels following a 75 g OGTT due to impaired vascular endothelial function. Moreover, there was no association between diabetes stage and physical fitness in elderly women with hypertension.

Effects of aerobic exercise training on the risk factors for liver diseases in elderly women with obesity and impaired fasting glucose: A pilot study

  • Park, Jae Ho;Kim, Hee-jae;Han, Aleum;Kang, Deuk-mo;Park, Sok
    • Korean Journal of Exercise Nutrition
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    • v.23 no.1
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    • pp.21-27
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    • 2019
  • [Purpose] In the present pilot study, we aimed to investigate the effects of the Silverrobics exercise program, which is similar to aerobic dance, on the factors related to glucose metabolism and liver enzymes. [Methods] Eight elderly women with obesity and impaired fasting glucose participated in the Silverrobics exercise program (60 minutes per session for five times a week for 8 weeks). The program was conducted at 50-60% of the heart rate reserve at 1 to 2 weeks and at 60-80% of the heart rate reserve at 3 to 8 weeks. To verify the effect of this 8-week exercise program on glucose metabolism and liver enzymes, blood analysis at pre- and post-training was performed. [Results] After the Silverrobics exercise program, there were significant decreases in the glucose (p<0.05), glycated hemoglobin A1c (p<0.05), 1,5-anhydroglucitol (p<0.05), and insulin levels (p<0.01) and homeostatic model assessment of insulin resistance score (p<0.05). However, there were no significant effects on the liver enzymes, except for alkaline phosphatase. The alkaline phosphatase level increased after the Silverrobics exercise program (p<0.05). [Conclusion] Although the Silverrobics exercise program had no beneficial effects on the liver enzymes, it may play an important role in preventing liver diseases considering the effects on glucose metabolism.

THE DEFINITION OF THE ELDERLY WITH DISABILITIES AND GENERAL AND DENTAL CHARACTERISTICS (고령장애인의 정의와 일반적, 치과적 특징)

  • Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.2
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    • pp.127-132
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    • 2011
  • In Korea, the elderly is defined as the person aged over 65 and the disabled is defined as the person who is registered with Ministry of Health and Welfare. In 2008, the elderly with disabilities was about 770,000. Korea was already poised for an aging society in 2000 and is ahead of and aged society in 2018 and a super aged society in 2026. So, the number of the elderly with disabilities will continue to grow. Various oral diseases can be seen in the elderly with disabilities due to the systemic disease and impaired self oral care, in addition to the physiological aging. Particularly, we should be care for the aspiration pneumonia, which is the major cause of the death of the elderly. As a professional for the special care dentistry, we should understand the general and dental, individual characteristics of the elderly with disabilities and do proper oral care and treatment. Thereby, the quality of life of the patients might be improved.

Gender Differences in Factors Affecting Caregiver Burden for Spouse Caregiving in Korea (배우자부양자의 부양부담에 영향을 미치는 요인: 성별차이를 중심으로)

  • Lee, Jeong-Seo
    • The Korean Journal of Community Living Science
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    • v.21 no.4
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    • pp.469-479
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    • 2010
  • Using data from the 2001 National Long-Term Care Survey database, this study analyzed gender differences in factors affecting caregiver burdens of spouse caregivers in Korea. Multiple regression was used to estimate factors influencing caregiver burdens of caregiving wives and caregiving husbands respectively. The results showed that there was a significant variability in predictors of caregiver burdens of spouses who take care of the impaired elderly. ADL functional status of care recipients and social support were significant for both the caregiving wives model and caregiving husbands model in influencing caregiving burdens. It was noticeable to report that a caregiver's self-rated health status, monthly caregiving expenses, a care recipient's self-rated health status were unique predictors for the caregiving wives model. These findings suggest that it is vital for planners and providers to take gender differences in spousal caregiving into account when designing and formulating community-based long-term care service programs.

Exterior Environments for the Elderly with Dementia in the U.S.A. (치매노인을 위한 시설의 옥외공간에 관한 연구 -미국의 사례를 중심으로-)

  • 곽인숙
    • Journal of Families and Better Life
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    • v.21 no.3
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    • pp.1-13
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    • 2003
  • The purpose of this study is to understand the importance of exterior environments and to identify the design guidelines for the therapeutic garden for cognitively impaired seniors with Alzheimer's disease and related dementias. The data was collected from 4 Adult Day Care Centers, 2 Nursing Homes, & 1 Assisted living in the U.S.A. from 2001 to 2002 by interview and the floor plan about the outdoor space. Although some may believe that patients with Alzheimer's disease and related disorders are unresponsive to environment, evidence shows that environments especially designed for cognitively impaired seniors can maintain or increase their level of functioning. The use of specially designed exterior environments nay have in reducing incidents of aggressive behavior, and contributing significantly to a wanderer management program. The checklist includes 6 dimensions: safety environment, various sensual stimulations, social interactions, wandering, privacy, and support orientation and reality. The results indicated that the exterior environment have to support wandering behavior, orientation and reality.

The Needs to Improve the Accessibility about the Usability of Bidets for the Elderly and Disabled Persons (고령자 및 장애인의 비데활용에 대한 접근성 향상을 위한 니즈)

  • Lee, Jin-Hyuk;Min, Hong-Ki
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.173-177
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    • 2017
  • Bidet is widely used and is being developed for multipurpose. However, use of this bidet varies by the elderly and disabled people. Therefore, this research compares and analyze need of bidet for elderly and disabled people and by many different types. This survey was conducted targeting 39 elderly and 120 disabled people. This survey is consist of questions that varies by bidet companies and includes questions like UI cognitive abilities, automatic water flushing, position of control box and necessary of embossment for icons. As a result, elderly and disabled people showed similar in result but for visually impaired person, the ratio of preference showed 1:9 which is opposite. As for visually impaired person, the ratio of preference showed 1:9 which is pretty high.

A Study on Pain, Physical Function, Cognitive Function, Depression and Agitation in Elderly Women with Dementia (여성 치매 노인의 통증, 신체적 기능, 인지적 기능, 우울, 초조에 관한 연구)

  • Kim, Sung Ja;Ryoo, Eon Na;Park, Kyung Sook
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.401-412
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    • 2007
  • Purpose: The purpose of this study was to determine the relationship between assessed pain, functional status, and emotional status in elderly women with dementia. Methods: The method was a descriptive correlational design. Subjects were sampled from 75 elderly women with dementia who were resident in nursing home. and their pain, functional status(physical function, cognitive function), emotional status(depression, agitation) were measured. The collected data were analyzed for correlations between pain and functional status and for emotional status using the SPSS 11.0 statistical program. Results: The pain degree of the aged women in dementia were as follows; between 0 and 27 points, average 4.04 points, which was a possible point extent. Looking at the grades in detail items, the wry face expression was shown highest, an average of 0.84 points. The relation with cognitive function was(r=-.259, p<.025) a minus relation. And the relation with physical function was (r=.406, p<.001) a plus one. The relation with depression was (r=.462, p<.001), plus one. And (r=.592, p<.001) a plus relation was found with agitation. Conclusion: Pain is associated with impaired functional and emotional status. Major efforts are needed to improve nursing assessment and management of pain in this cognitive impaired population.

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The Effects of Self-Care Activities on the Physical and Mental Health of Primary Caregivers of Functionally Impaired Elderly (기능손상 노인을 돌보는 주보호자의 자기 돌봄 활동이 자신의 신체·정신건강에 미치는 영향)

  • Kim, Jeong Eun;Choi, Hae Kyung
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.157-188
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    • 2017
  • The purpose of this study was to examine the effects of self-care activities on physical and mental health of primary caregivers of functionally impaired elderly. Data were collected from 185 primary caregivers who were caring for their spouses or parents with functional impairment at home in Daejon. SPSS 21.0 software was used for descriptive analysis and hierarchical regression analysis. The results showed that (1) primary caregivers reported their physical health status as poor (2) the domains of health responsibility, physical activity in their self-care activities were significant predictors of their physical health level (3) primary caregivers reported very high level of depression (4) their mental health was significantly influenced by spiritual growth among self-care activities. Based on these findings, social work intervention and policy suggestions were discussed.