The role of autobiographical story-telling during rehabilitation among hip-fracture geriatric patients

Abstract

Hip fracture is one of the most common health care problems among elderly people. Literature shows that high self-efficacy expectations and positive affect are some of the key issues in functional recovery after hip fracture. The present investigation tested whether self-narration of such life-breaking event influences self-efficacy and depression during the process of rehabilitation. We designed a Self-Narration Journey (SNJ) to be administered during the in-hospital rehabilitation. In Study 1, we investigated the influence of SNJ on depression and perceived self-efficacy. Study 2 aimed to explore the effect of SNJ, depression, and self-efficacy on functional recovery of independence to perform daily activities during the rehabilitation process. The data showed that the Self-Narration Journey proved effective in increasing the perceived self-efficacy and in lowering the level of depression. The present work highlights a significant effect of the SNJ on the functional recovery process.

Interobserver agreement in the singh classification and spotorno criteria, and its relevance in cementing stem decision making

“…In our study, of all the cases we found a mean age of 74.9 years, which is very close to the one reported by other authors. 2,3 Female sex was the most affected with 67%, leaving males sex with 33%, which agrees to some degree with other authors, but with a lesser percentage to that reported in other articles (80%). 2,3 73% of our patients had comorbidities, being Diabetes Mellitus the most common (34%), being followed by hypertension (26%).…”

“…2,3 Female sex was the most affected with 67%, leaving males sex with 33%, which agrees to some degree with other authors, but with a lesser percentage to that reported in other articles (80%). 2,3 73% of our patients had comorbidities, being Diabetes Mellitus the most common (34%), being followed by hypertension (26%). Of all the patients with hip fractures, an important number will require a hip arthroplasty as a definitive treatment, becoming necessary to take the decision of using a cemented or uncemented arthroplasty.…”

“…The vast majority of patients are women, accounting for approximately 80% of cases. 2,3 It has been observed that 50% of patients that were independent before a hip fracture won't be able to return to its previous life style, an 10% will be uncapable to return to their previous residence. 2 It has also been noted an increase in patient's morbidity, as well as an increase of 36% in mortality per year.…”

“…In the USA approximately 100,000 hip arthroplasties are performed due to hip fractures. 2,3 One of the controversial topics when performing a hip arthroplasty is the decision of using a cemented or uncemented stem.…”

Modern trends in the care of seniors in the residential facilities of the social services

“…They are spontaneously told memories (life story -telling one's life story). The purpose of such storytelling is to fill the seniors' leisure time, ensure social inclusion, stimulate cognitive functions and strengthen self-esteem (Iannello et al, 2018). Janečková and Vacková (2010) point out that the participants of group narrative therapies progress in opening themselves to other participants in addition to the personnel.…”