Uwarunkowania występowania zaburzeń funkcji poznawczych u pacjentów w wieku geriatrycznym  hospitalizowanych w oddziale chorób wewnętrznych

Kózka, Maria; Gibadło, Ewelina; Padykuła, Marlena

doi:10.20883/pielpol.2018.34

Cited by 4 publications

(4 citation statements)

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“…The results of this observation are reflected in the literature, where many authors emphasise that acute illness in the elderly is very often associated with greater dependence on basic activities of daily living [15][16][17]. Hospitalisation of the elderly due to disease exacerbations or life-threatening conditions results in decreased motor and cognitive function, especially impaired memory processes, attention processes, information processing speed, and performance of target tasks [18]. The results presented in this study suggest an absolute need to make an early prediction of loss of independence during and after emergency hospitalisation.…”

Section: Discussionmentioning

confidence: 85%

The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland

et al. 2021

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The COVID-19 pandemic has forced numerous changes in medical care. The monitoring of current needs and problems among the elderly in health care facilities seems to be essential. This study aims to assess the difference in terms of the use of medical and non-medical services before planned or emergency hospitalisation by the older population during the strict lockdown period due to the SARS-CoV-2 pandemic in Poland. The study used the FIMA (Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter) questionnaire. Patients admitted on a planned basis (n = 61) were on average 4 years younger, self-administered the questionnaire more frequently and used the services of different types of therapists. Patients admitted on an emergency basis (n = 60) were more likely to visit general practitioners and other specialists and used the carer’s allowance benefits. In the case of the elderly, emergency hospitalisation during the pandemic is more frequently preceded by seeking outpatient care in specialists in various fields, covered by insurance. The chronically ill use the services of various therapists while awaiting hospitalisation, usually not covered by health insurance. For both groups, the age > 73 years is critical for the use of assisting means and completing the self-administered questionnaire, which can be used in planning the health care in these patients.

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Section: Discussionmentioning

confidence: 85%

The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland

et al. 2021

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“…Aging progressively deteriorates the function of all systems and outcomes of the human body, including its cognitive functions. Additionally, when elderly individuals experience depression symptoms, poorer cognitive functioning may be observed [41]. Reduced cognitive functioning within domains of perception, memory, and attention can produce non-adherent behavior (e.g., forgetting to take medications regularly).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Frailty Syndrome and Adherence to Recommendations in Elderly Patients with Hypertension

Pobrotyn¹,

Pasieczna

Diakowska

et al. 2021

JCM

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Frailty syndrome (FS) often coexists with many diseases of the elderly, including arterial hypertension, and may affect the disease course and adherence to therapeutic recommendations. This study aimed to evaluate the relationship between frailty and adherence to therapeutic recommendations in elderly hypertensive patients. The study included 259 patients hospitalized between January 2019 and November 2020 due to exacerbation of hypertension symptoms. Medical records were used to obtain basic sociodemographic and clinical data. The study was based on the Tilburg Frailty Indicator (TFI) and the Hill–Bone Scale (HBCS). The obtained data were analyzed within a cross-sectional design. The mean frailty score indicated by the TFI questionnaire was 7.09 ± 3.73. The most prominent FS component was associated with the physical domain (4.24 ± 2.54). The mean overall adherence measured with the HBCS was 20.51 ± 3.72. The linear regression model testing the Hill–Bone “reduced sodium intake” score against the TFI domains showed no relationships between the variables. Another regression model for the Hill–Bone “appointment-keeping” subscale indicated significant predictors for physical and social TFI domains (p = 0.002 and p < 0.0001, respectively). For the Hill–Bone “taking antihypertensive drugs” variable, the regression model found significant relationships with all TFI domains: physical (p < 0.0001), psychological (p = 0.003) and social (p < 0.0001). Our study suggests that frailty in patients with arterial hypertension can negatively impact their adherence to therapeutic recommendations.

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“…Also, patients provide little information and their speech appears chaotic. An important element in comprehensive patient care is the inclusion of family/caregivers to improve the care process [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Experience of pain among patients with cognitive disorders

Repka,

Mental,

Puto

et al. 2023

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Introduction: Cancer pain is the most prevalent symptom among patients diagnosed with oncological disease. Pain complaints can occur at any stage of the disease, significantly impacting patient functioning. An additional challenge that arises when trying to assess the severity of pain is the cognitive impairment that can occur in palliative patients. Pain control is a key component of palliative treatment, and effective assessment is a cornerstone of planned therapy. The purpose of this study was to assess pain among patients with cognitive impairment hospitalized in an inpatient palliative medicine unit and examine its impact on their functional status. Material and methods:The method used in the study is a diagnostic survey with purposive group selection. The techniques that were used are a questionnaire and analysis of medical records. Standardized tools including the Doloplus-2 pain assessment questionnaire, the Behavioural Rating Scale, the Critical Care Pain Observation Tool questionnaire, and the Abbreviated Mental Test score (for qualifying patients) were used to conduct the survey. Results:The study revealed statistically significant correlations between the functional status of patients with cognitive impairment and the presence of pain. However, no correlations were observed between gender, age, primary tumour location, and pain complaints. Conclusions:Patients who score higher on functional performance scales are patients who experience pain. The Doloplus-2 scale is a more effective tool for assessing pain occurrence in palliative patients.

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Uwarunkowania występowania zaburzeń funkcji poznawczych u pacjentów w wieku geriatrycznym hospitalizowanych w oddziale chorób wewnętrznych

Cited by 4 publications

References 0 publications

The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland

The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland

Evaluation of Frailty Syndrome and Adherence to Recommendations in Elderly Patients with Hypertension

Experience of pain among patients with cognitive disorders

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