• Title/Summary/Keyword: the Elderly In-patient

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Studies on Family Caregiving, Clothing and Nutrition of Disabled Elderly -(Part 3) Food Behavior and Nutrition of Elderly with Cerebrovascular Disease- (거동불편 노인의 가족관계와 의.식생활에 관한 연구 -(제3보) 뇌졸중 경험 노인의 식생활과 영양상태-)

  • 박명희
    • Journal of the Korean Home Economics Association
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    • v.29 no.3
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    • pp.85-98
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    • 1991
  • To investigate dietary habits and health and nutritional status of the elderly with cerebrovascular disease(CVD), 31 hospitalized patients and 28 old people who had experienced stroke and were living at home were interviewed for the dietary habits and drinking and smoking habits. Their blood pressure and triceps skinfold thickness were measured and biochemical assessment of blood samples were conducted. The results were compared with those from 30 healthy elderly. Ca Index reflecting ca intake and intake of dietary fiber were significantly lower in the patient elderly groups than in the healthy elderly. Cholesterol intakes were not significantly different among the groups. Although salt intakes were almost similar among the groups, patient elderly tended to like salty taste as compared to the healthy elderly. Systolic and diastolic blood pressures of the patient elderly were significantly higher than those of the healthy elderly. Triceps skinfold thickness and serum total protein and albumin were significantly lower in patient groups than the healthy elderly. Serum cholesterol and hemoglobin concentrations were not different among groups. Among the above variables only Ca index was inversely correlated with blood pressure significantly.

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A study on the architectural guideline of the patient room in the geriatric medical center (노인보건의료센터의 다인병실 건축계획에 관한 연구)

  • Yun, Wooyong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.3
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    • pp.17-26
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    • 2011
  • Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.

Factors to consider for surgical in elderly patients with oral cancer

  • Lee, Sung-Tak;Kim, Jin-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.5
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    • pp.388-393
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    • 2021
  • At present, in Korea, due to developments in medicine and technology and an increasing mean lifespan, the expected lifetime for elderly people is increasing (at 70 years, the expected additional lifespan is 14.8 years for males and 18.3 years for females). However, among all causes of death, malignant neoplasm is ranked first for all ages. Further, the incidence rate of oral cancer tends to increase with age. Thus, oral and maxillofacial surgeons have increased opportunity to experience the 'oldest old' patients with oral cancer. Elderly patients commonly have several comorbidities, poor general condition, limited socioeconomic support, fear of various postoperative complications, and perception of short for the rest of their life. In this situation, the patient, caregiver, and surgeon often choose undergraded treatment rather than standard treatment for oral squamous cell carcinoma owing to patient age. In elderly patients with oral cancer, ablation of tumor or reconstructive surgery is challenging for surgeons. Oral and maxillofacial surgeons must evaluate carefully the patient's medical condition and make a decision regarding treatment plans after sufficient discussion with patient and caregivers. We review the literature to consider the factors involved for deciding on a treatment plan regarding surgery in elderly patients with oral cancer.

A Study of the Attitudes of Nurses toward the Geriatric Nursing Care (노인간호에 대한 간호원의 태도조사연구)

  • 최경옥
    • Journal of Korean Academy of Nursing
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    • v.6 no.2
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    • pp.1-9
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    • 1976
  • Presently, there is increasing demand for geriatric nursing care because of increasing preparation of elderly population due to extended age. Of particular importance in determining the effectiveness of nursing care given to the elderly is the attitude of the nurse toward the elderly patient. Knowledge of the various changes that usually occur with aging will enable the nurse to help an aged Person maximize his potential in illness and in health. The objectives of this study were : 1. To delineate the attitudes of nurses toward the geriatric nursing care. 2. To learn the influencing factors affecting the attitudes of nurses toward the geriatric nursing care. The study population defined and randomly selected is 225 nurses at one general hospital, one private hospital, two national hospitals in Seoul during the period of October l0th -20th, 1975. The questionnaire method was used. Respondents were 140 nurses. X$^2$- test and t- test were employed in analyzing the data. The questionnaire form included 54 statements which concerned the attitudes of nurses to-ward geriatric nursing care. It was divided into five areas : 1) General characteristics of study population. 2) The nurse's concepts of elderly. 3) Care of the geriatric patient. 4) Interpersonal relationship with geriatric patient. 5) Teaching of the geriatric patient. Each of the 54 statements of the questionnaire was considered to be either Positive or Negative. A Positive response was assigned the value of+1 , and a Negative response or no response was assigned the value of O. The results of the study were as follows : 1. The Investigation of attitudes of nurses toward geriatric nursing care. a. Data indicated , respondents have negative attitudes in their. concepts of elderly (74.3%) b. Data indicated respondents have positive attitudes in care of geriatric patient (64.3%). c. Data indicated respondents have positive attitudes in interpersonal relationship with geriatric patient (85% ). 4. Data indicated respondents have positive attitudes in teaching of geriatric patient (89.3%). 2. The results of study regarding the five hypothesis were as follows : a There was significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and level of education of the nurse. b. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and clinical experience, but there was significant difference between care of the geriatric patient and clinical experience. c. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and shift most frequently worked, but there was significant difference between care of the geriatric patient and shift most frequently worked. d. There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and marital status, but there was significant difference in the mean scores between interpersonal relationship, teaching of geriatric patient and marital status. e, There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and experience with elderly, but there was significant difference in the mean scores between care of geriatric patient and experience with elderly.

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Utility of Brain SPECT in Diagnosis of Elderly Depressed Patient (노인 우울증 환자의 진단에서 뇌 SPECT의 효율성)

  • Kim, Young-Chul
    • Sleep Medicine and Psychophysiology
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    • v.1 no.2
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    • pp.193-196
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    • 1994
  • Primary depression with cognitive impairment, referred to as depressive pseudodementia, may be mistaken for a progressive degenerative dementia. Recognition of primary depression is clinically important because of its treatability. To differentiate depression from degenerative dementia, author used brain SPECT. By the result the regional cerebral blood flow(rCBF) in elderly depressed patient was decreased in the right frontal cortex. The pattern of rCBF was different from that of dementia which shows decreased rCBF in bifrontal cortex. By using brain SPECT in depressed elderly patient with cognitive impairment, the discrimination from dementia will be more effective and accurate.

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The Cost of Long-Term Care Alternatives for the Elderly (미국 노인환자들의 만성질환관리형태에 대한 비용분석)

  • Lee, Tae-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.351-361
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    • 1998
  • The purpose of this study was to explore whether there is a point within the range of physical impairment after which the cost of home care exceeds the cost of nursing home care among the elderly who require long-term care. The provision of long-term care for the elderly is a major health policy issue, in part due to the aging of the American population and dramatic increase in health care costs. The framework for this study was guided by Pollak's(1973)model of costs of alternative care settings for the elderly. This study used a retrospective, descriptive correlational design. Physical impairment was measured by the modified Index of Activities of Daily Living(Katz et al. 1963). Cost of care was measured by the average cost per patient per day. The sample for this study included 67 patients receiving long-term care at home from the Long-term Home Health Care Programs (LTHHCPs) and 67 patients receiving long-term care in nursing homes. Data were collected on patient characteristics. including activities of daily living and cognitive impairment. and on the number of physician visits. emergency room visits. and hospitalization from the patient records. For each patient. Medicaid cost data for home care services/or nursing home services were collected from the financial department of each home care agency or nursing home. The living costs and informal care costs were estimated for home care patients. The results indicated that the home care sample and the nursing home sample were similar in terms of gender. ethnic background. and marital status. The elderly patients in the home care sample were: however. younger and less physically impaired than those in the nursing home sample. The hypotheses of this study were supported: For elderly persons with physical impairment scores below 12(possible range of 0 to 14), cost of care was lower in home care than in the nursing home care setting. However, for elderly persons with physical impairment scores above 12. the cost of care was higher in home care than in the nursing home care setting. Thus. in this sample for elderly patients with extreme physical impairment, the cost of home care exceeded the cost of nursing home care.

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A Study on Nursing Students' Elderly Patient Simulation Experience (간호대학생에게 적용한 노인환자 유사체험에 관한 연구)

  • Oh, Hyun-Soo;Jeong, Hye-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3358-3367
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    • 2013
  • This study was conducted to examine the effects of the elderly patient's simulation experience on attitudes toward elderly and elderly patients, and empathy of elderly patients among nursing students. Study results showed that elderly patient's simulation experience did not have significant effects on attitudes toward elderly or elderly patients, whereas it had significant effect on enhancing the empathy on elderly patients. The subjects of experimental group indicated that the factors decreasing the effect of intervention are single event of experience, raising aging anxiety, lack of the reality of simulation clothing, and risk of accident during simulation experience, etc. In order to maximize the positive effects of the elderly patient's simulation program, it is necessary to find a way to improve those limiting factors identified from this study, and to continue to work on positive effects of elderly simulation applied for their curriculum.

A Case Report of Postpartum Disease Induced by Abortion in an Elderly Gravida (기허(氣虛)로 변증된 고령산모의 유산 후 유발된 질환 1례에 대한 임상 증례 보고)

  • Yi, Youn-Ju;Park, Hyun-Jae
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.4
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    • pp.217-224
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    • 2007
  • Purpose: The purpose of this study is to report the effect of oriental treatments for the postpartum disease caused by abortion in an elderly gravida. Methods: The patient in this case, 40 years-old female was admitted at You-Min oriental medicine hospital for 26days($3rd/Jan/2007{\sim}29th/Jan/2007$) due to postpartum disease caused by abortion. Her chief complains were chilling, vertigo, nausea, whole body pain, and sweating. This patient was treated with oriental treatment such as herb medication, acupuncture and moxibustion therapy. Results: After the oriental medical treatment, the patient was improved in the clinical symptom of postpartum disease caused by abortion and the aging process. Conclusion: This case study shows that the postpartum disease caused by abortion in an elderly gravida would be treated more carefully in oriental medicine considering women#s aging.

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Factors Influencing Compliance of Patient Role Behavior in Elderly Patients Receiving Hemodialysis (혈액투석을 받는 노인 환자의 환자역할행위이행에 영향을 미치는 요인)

  • Heo, Young-Kyu;Lee, Hyun-Ju
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.157-167
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    • 2023
  • Purpose: The purpose of this study was to measure the relationship among activities of daily living, ego integrity, social support and the compliance of patient-role behavior in elderly patients receiving hemodialysis, including the effect of these variables on the compliance of patient-role behavior. Methods: A descriptive survey was conducted with 150 elderly patients over 65 years of age who were also receiving hemodialysis. Data was collected from September 28 to November 13, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 26.0. Results: The results show that patient compliance had significant correlations with ego integrity (r=.63, p<.001) and social support (r=.28, p=.001). The other factors influencing patient compliance were the sub-domains of ego integrity, such as the acceptance of the past and the presence (β=.46, p<.001) and attitudes toward life (β=.26 p<.001), with an explanatory power of approximately 35.0% (F=17.21, p<.001). Conclusion: This study confirms that the ego integrity of elderly patients receiving hemodialysis has an effect on the compliance of patient role behavior. Nursing intervention programs that improve the ego integrity of elderly hemodialysis patients could help improve the compliance of patient-role behavior, which is an important factor in the disease management process.

Effects of Simulation Education on the Communication Competence, Academic Self-efficacy, and Attitude About the Elderly for Nursing Students: A learning approach based on an elderly-with-cognition-disorder scenario (인지장애 노인 시뮬레이션 교육이 간호대학생의 의사소통능력, 학업적 자기효능감, 노인에 대한 태도에 미치는 효과)

  • Kim, Jiyoung;Heo, Narae;Jeon, Hye Jin;Jung, Dukyoo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.54-64
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of simulation in nursing education based on caring for elderly cognition disorder patients. The education consisted of a caring program for patients that included a process of assessment of a patient's mental status, diagnosis of the patient's health condition, and intervention to address the problems by using therapeutic communication. Methods: A nonequivalent control group pretest-posttest design was used. A total of 69 subjects (undergraduate students) participated in the education and they were assigned to two groups: the experimental group (n=32) and the control group (n=37). Data-gathering structured questionnaires that included communication competence, academic self-efficacy, and attitudes about the elderly. The data were collected from October 2013 to December 2013, and statistical analyses were conducted with-test and t-test using the SPSS 21.0 program. Results: With respect to education, there was significant improvement in communication competence in the experiment group (t=2.41, p=.022) compared with in the control group (t=.69, p=.494). However, there was no statistically significant difference in academic self-efficacy and attitude about the elderly. Conclusion: Simulation-based education should continue to be developed further for better elderly-patient care. Integrated education in particular using a high-fidelity simulator will contribute to improvements in nursing competence in this area.