• Title/Summary/Keyword: early stage of elderly life

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Risk Factors for Falls in the Elderly by Life-cycle (노인생애주기에 따른 낙상요인)

  • Kim, Jong-Min;Suh, Hye-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.27 no.1
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    • pp.21-34
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    • 2010
  • Objectives: The objective of this study was to investigate risk factors for falls in the elderly by life-cycle. Methods: This study used the data on 435 male and female elderly generated from a survey taken at 21 Welfare Centers for the Elderly in Seoul. The incidence of demographic characteristics, physical changes brought about with ageing, health-related behavior, chronic diseases, and environmental characteristics on falls in the elderly was analyzed. Hierarchical Logistic Regression analysis was also conducted to investigate the incidence by life-cycle (early-mid-late stage) and the results were used for predicting falls. Results: The incidence of risk factors on falls varied across life-cycle. Among the elderly in the early (ages from 65 through 74), marital status, the existence of a companion, the quality of sleep, the chronic diseases, and the condition of the bathroom floor were found to be related to falls. Among those in the mid-stage (ages from 75 through 84), sex, marital status, the existence of a companion, hearing capacity, sense of balancing, chronic diseases, the exclusive use of rooms, and the side bar with bath tub were found to affect falls. Finally, for the elderly in their late stage (85 years of age and older), drinking and vision were found to be related to falls. Conclusion: The incidence of risk factors on falls was found to vary according the stage in the elderly. A key implication of this finding is that falls prevention programs and interventions must be catered to specific age sub-groups.

The Relationship between Socio-Familial Status and Health Problems among the Younger Elderly (초기노년기 건강문제의 가족사회 속성별 비교)

  • 이인수
    • Journal of Families and Better Life
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    • v.20 no.3
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    • pp.1-12
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    • 2002
  • This study was conducted to examine the relationship between socio-familial characteristics and health status in early stage of elderly life. In this study, a total of 252 Korean males and females aged 55 to 74 were interviewed to obtain information on various socio-familial characteristics such as age, gender, residence, marital status, education, religion, distance with children, household size, and living arrangements. They were also examined for self-perceived depression and diagnosed health problems. The analysis of the results show that marital status, gender, and living arrangement were major characteristics differentiating health status; widowed women living apart from their children are at lower level for most items of hea1th status such as emotional, circulatory, respiratory, digestive, and muscle and skeletal function. Based on this analysis, suggestions are made for efficient health management. First, widowed females living without children are encouraged to participate in regular health promotion programs in self-organized groups. Second, usual welfare service programs need to be segregated for each age group, so that relatively young elderly are not frustrated from being treated together with extremely frail older elderly. Third, low education group living in rural area are offered preventive medical services for muscular and skeletal related health problems.

Comparison about the Study of elderly housing in Korea , U.S.A. and Japan ( I ) -Focusing on Japan (노인주거관련연구의 한.미 .일 비교 ( I ) - 일본의 경우 -)

  • 신경주
    • Journal of the Korean housing association
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    • v.5 no.1
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    • pp.1-7
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    • 1994
  • The purpose of this study was to investigate the difference in the trend of the study of elderly housing for the suggestion of the direction in Korea. This study was the first series about the study of elderly housing and analysed the 164 pieces of researches in Japan. The data were analysed classification with contents first, then examined the class in chronological order, and suggest the trend in the study of elderly housing in Japan. 1. The study of elderly facilities was reported the highest interest and was completed in the latter half of the 1980s except the payment elderly home in Japan. 2. Their second interest was the study of general elderly housing. Rural elderly facilities as a local elderly housing were researched frequently. 3. The study of housing for three generation was studied much in early 1980s, but decreased concerns these days. The study of housing for the elderly was studied the latter of 1980s and concerns were sustained. 4. Trend of the study of elderly housing was classified as follows; 1950s was the stage of unconsciousness, 1960s was the stage of sprout, 1970s was the stage of blossom, 1980s was the stage in full bloom and then the study was peak in 1986 and slowly decrease the concern. 5. In 1990s the study of elderly housing was moved into elderly facilities in a consumer's view and older people's life their family relation.

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Qualitative Case Study on Psychological Difficulties Found In Each Divorce Decision Making Stage That Senescent Women Face in Their Early Stage of Elderly Life (초기노년기 여성이 경험한 이혼결정단계별 심리적 어려움에 관한 질적사례연구)

  • Moon, Jung Hwa;Kim, Mi Ra
    • Korean Journal of Family Social Work
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    • no.58
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    • pp.67-96
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    • 2017
  • The purpose of this study is to examine psychological difficulties that elderly women experience in each divorce decision making stage and they are shown by counselling cases made with elderly women who got divorced in their early stage of elderly life. For this purpose, total 18 counseling cases were collected from November 2012 to March 2013 and a qualitative analysis was made accordingly. The result of this study was made by analyzing meaningful subjects emerged in individual testimonies during a counseling process and it shows that the decision to divorce goes through stages such as , , , , , and . In addition, psychological difficulties experienced in a divorce decision process appear to be, , , , , , and . It is meaningful that this study provides counseling strategies for psychosocial support of the elderly women who go through difficulties in their divorce decision making process.

A Study on the Lower Body Shape and Life Status of Elderly Women according to the Progress Group of Varus (노년 여성의 내반슬 진행집단에 따른 하반신 형태 및 생활실태 분석)

  • Jang, Ji Hyeon;Lee, Jeong Ran
    • Fashion & Textile Research Journal
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    • v.21 no.3
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    • pp.326-335
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    • 2019
  • This study categorized 100 female subjects over 65 years of age into two groups. The first group is called 'early stage of varus', which is when the gap between the knees is less than 5 cm. The second group is called 'progressive varus', which is when the gap between knees is 5 cm (or more). We then analyzed their lower body shapes and life status. The results were as follows. The average gap between knees in the early stage group and the progressive group was 3.3 cm and 6.2 cm. Direct and indirect measurements of their lower bodies showed that subjects in the progressive group had longer legs than the other group because their legs were bent outwards. Most of the subjects were found to live in western housing conditions, but maintained sedentary lifestyles. A total of 60% of the subjects thought that they were in bad health conditions and said that they found it difficult to move their knees dynamically; in addition, 63.6% of the subjects in the early stage group and 73.5% of the subjects in the progressive group suffered from arthritis. Subjects in the progressive group were more aware than the other group that their legs were bent outwards. They also responded that bent legs do harm to their appearance and make their lives uncomfortable. Most senior females with varus did not seek medical treatment and did not buy clothes that can help change their varus. However, 95% of the subjects responded they were in need for clothes that could straighten the varus-type.

Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project (요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로)

  • Hwang, Yun Hee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.382-395
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    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

The Health and Caregiving Needs of Community-dwelling Elderly Individuals with Cognitive Impairment in Early and Late Stages -Using the 2020 National Survey of Older Koreans- (지역사회 인지저하 전·후기 노인의 건강 및 돌봄 요구 실태 -2020년 노인실태조사를 이용하여-)

  • Ji-On Kim
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.361-374
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    • 2023
  • This study was conducted using data from the '2020 National Survey of Older Koreans' to investigate the sociodemographic characteristics, health status, health management practices, and caregiving needs that influence cognitive impairment in early and late-stage elderly individuals. The research targeted 9,885 individuals aged 65 and above. Statistical analyses included descriptive statistics, Chi-square, t-tests, and logistic regression. The study found that cognitive decline in elderly individuals was influenced by age, education, income, location, health status, and depressive symptoms. Those with cognitive decline showed lower health management practices, functional status, and overall health and social satisfaction. There was a high demand for home residency services and assistance with daily activities among cognitively impaired individuals, indicating the need for diverse support and policies within local communities for safe caregiving in the future.

Stereotactic radiotherapy for early stage non-small cell lung cancer

  • Ricardi, Umberto;Badellino, Serena;Filippi, Andrea Riccardo
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.57-65
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    • 2015
  • Stereotactic body radiotherapy (SBRT) represents a consolidated treatment option for patients with medically inoperable early stage non-small cell lung cancer (NSCLC). The clinical evidence accumulated in the past decade supports its use as an alternative to surgery with comparable survival outcomes. Due to its limited toxicity, SBRT is also applicable to elderly patients with very poor baseline pulmonary function or other severe comorbidities. Recent comparative studies in operable patients raised the issue of the possible use of SBRT also for this subgroup, with quite promising results that still should be fully confirmed by prospective trials with long-term follow-up. Aim of this review is to summarize and discuss the major studies conducted over the years on SBRT and to provide data on the efficacy and toxicity of this radiotherapy technique for stage I NSCLC. Technical aspects and quality of life related issues are also discussed, with the goal to provide information on the current role and limitations of SBRT in clinical practice.

Main Reasons for Choosing to Stay in a Paid Elderly Residential Facility (유료 노인주거복지시설에 거주하게 된 이유에 관한 연구)

  • 이인수
    • Journal of the Korean housing association
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    • v.14 no.2
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    • pp.121-132
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    • 2003
  • This study has been performed to explore main reasons for staying in paid elderly residential care facilities among the residents. In this study, five males and seven females aged 65 to 82 were asked about main reasons for staying in the facilities. The answers of the qualitative interview were drawn as follows; first, some residents had suddenly decided to move into the facility due to critical life events such as bereavement, serious illness, or supporting problems. Second, some residents had taken a long period of considerations on whether staying home or in the facilities, because their health and family supports gradually diminished over the long life span. On the other hand, a few of them voluntarily chose to stay at the facilities, because they recognized supervised group activities, nutritionally well-planned meals, and health care as major inconveniences. In this study, suggestions were made as follows: first, guiding and settlement programs should be developed for the residents of the sudden events, particularly at early stage of admission. Second, intensive nursing care units should be in separation from healthy independent groups, so that the residents are relieved from stressful contacts with extremely ill patients in the residential area.

Palliative and end-of-life care for heart failure patients in an aging society

  • Okumura, Takahiro;Sawamura, Akinori;Murohara, Toyoaki
    • The Korean journal of internal medicine
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    • v.33 no.6
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    • pp.1039-1049
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    • 2018
  • The populations of Asian countries are expected to age rapidly in the near future, with a dramatic increase in the number of heart failure (HF) patients also anticipated. The need for palliative and end-of-life care for elderly patients with advanced HF is currently recognized in aging societies. However, palliative care and active treatment for HF are not mutually exclusive, and palliative care should be provided to reduce suffering occurring at any stage of symptomatic HF after the point of diagnosis. HF patients are at high risk of sudden cardiac death from the early stages of the disease onwards. The decision of whether to perform cardiopulmonary resuscitation in the event of an emergency is challenging, especially in elderly HF patients, because of the difficulty in accurately predicting the prognosis of the condition. Furthermore, advanced HF patients are often fitted with a device, and device deactivation at the end of life is a complicated process. Treatment strategies should thus be discussed by multi-disciplinary teams, including palliative experts, and should consider patient directives to address the problems discussed above. Open communication with the HF patient regarding the expected prognosis, course, and treatment options will serve to support the patient and aid in future planning.