ABSTRACT
En la medida en que el crecimiento poblacional continúe en aumento, la cantidad de adultos mayores que sufran patología oncológica será cada vez mayor. Esta población, por su heterogeneidad y su comorbilidad diferente de la del adulto joven, requiere un manejo más específico e individualizado. La realización de una valoración geriátrica integral y el trabajo multidisciplinario, colaborarán en la toma de decisiones con el fin de priorizar la calidad de vida de cada paciente en particular y optimizar el manejo de los pacientes vulnerables. (AU)
As the population grows, there will be more cancer diagnoses in the elderly population. This group, due to its heterogeneity and comorbidities different from those of young adults, requires a specific and individualized assessment. The geriatric assessment and multidisciplinary work, together, would help in decision-making in order to prioritize the quality of life of each patient and optimize management of the vulnerable patients.Key words: elderly, geriatric assessment, frailty, cancer, sarcopenia, abilities of daily living. (AU)
Subject(s)
Humans , Aged , Aged, 80 and over , Geriatric Assessment/methods , Sarcopenia/diagnosis , Frailty/diagnosis , Functional Status , Neoplasms , Quality of Life , Health of the Elderly , Risk Factors , Frail ElderlyABSTRACT
Objective To construct a grading nursing care system at public hospitals based on the severity of illness and activities of daily living ( ADL). Methods Multi-center stratified random sampling was used to investigate the general adult patients hospitalized in 12 wards of six tertiary-level hospitals in the eastern, central and western parts of China from January to December of 2016. The Barthel index and simple clinical score ( SCS) were used to evaluate their ADL and severity of illness, while a customized direct nursing hour scale was applied to record the direct nursing time needed by patients in 24 hours. Nursing grades were defined according to different conditions and ADL and to the difference of patient needs of 24 h direct nursing hours. Results 7 200 patients were investigated in total, and 7 073 effective questionnaires were collected (98. 24% ). Seven new grades of nursing care were defined based on patients′ severity of illness, ADL and different 24 h direct nursing time. These grades match the existing four grading nursing care levels to become refined sub-levels. Conclusions Patients can be graded according to their conditions, ADL and the 24 h direct nursing time needed. Such a new method is more objective, specific and quantitative than before, conducive to upgrading fine management level of nursing.
ABSTRACT
@#Objective To explore the effects of virtual reality technology on upper limbs function and activities of daily living (ADL) in stroke patients. Methods Form October, 2015 to May, 2016, 60 stroke patients were randomly divided into control group (n=30) and observation group (n=30). Both groups received conventional rehabilitation and acupuncture, while additional virtual reality technology was provided to the observation group, 20 minutes a day, 5 days a week for 4 weeks. Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel index (MBI) were used to assess the motor function of the upper limbs and hands, and ADL before and after treatment. Results There was no significant difference in the scores of FMA-UE and MBI between two groups before treatment (P>0.05). The scores improved in both groups after treatment (t>3.120, P<0.01), and were higher in the observation group than in the control group (t>2.510, P< 0.05). Conclusion Virtual reality technology could facilitate to improve the upper limbs function and ADL in stroke patients.