Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 93-101).

Background: Little is known about the impact cardiac rehabilitation (CR) exercise programs have on daily functional abilities. The purpose of this study was to determine the impact of CR on elderly patients ability to perform common household tasks. Methodology: Twenty-two post myocardial infarction patients (10 female, 12 male; age 75 6.3 years) were studied. Patients were tested prior to entering and again after completion of a CR program (20 combined aerobic + strength training sessions over 8 to 10 weeks; 45 min/day). Physical function was assessed using the Continuous Scale Physical Function Performance 10 test battery (PFP-10). Results: Post-CR the global PFP-10 score increased significantly (59 + 14 vs. 52 17; p = 0.003). Prior to CR 7 patients scored above the threshold for independent living, as defined by a global score 57 units. Post-CR, 12 patients scored above the threshold. Conclusions: A 20 session exercise-based CR program significantly enhanced the physical function of elderly patients. More importantly, 55% of patients scored above the threshold for independence post-CR, suggesting that CR may enhance elderly patients ability to live independently. / Rehabilitation Science

The purpose of this research is to study the relationship between both the characteristic of the residents and the nursing home and the changes of the ADLs of the residents. Descriptive study was designed. 35 nursing homes and theirs residents in Kaoshiung City were be the sample and 34 questionnaires of the nursing home were returned. Residents¡¦ questionnaire were interviewed by trained personnel twice (pre and post), on June and December 2001 respectively. 310 residents including 141 male, 169 female, average age 72.94 were interviewed. Structural questionnaire was used as the tool, organization¡¦s questionnaire consists of the type of organization, size, admission rate , resignation rate. Resident¡¦s questionnaire including demographic data, Katz Index of ADLs, health status, pressure sore etc. Data analysis including descriptive analysis, T-test, Anova, Pearson relation analysis and linear regression analysis. The result shown that 86.2% of the residents¡¦ ADLs severely dependent on others help. T-Test shown that male has better ADLs than female, widow has better ADLs than couple ¡]P¡Õ0.05¡^. but shown no significant of changes of ADLs. Age, sickness and ADLs and changes of ADLs shown no significant results. On the other hand, the relationship between the characteristic the nursing home and the changes of the ADLs of the residents shown the government aided and ¤½¥ßor°]¹Îªk¤Hnursing home has better changes of ADLs¡]P¡Õ0.01¡^. The greater the size of the organization the better of the ADLs changes, private sector and affliated nursing home shown no significant results of the ADLs changes. Pressure sore is the important index of the quality care of the long term care organization, research sectors always take it as the routine surveillance. This study consisted of 31 cases of pressure sore (10%),¤½¥ßor°]¹Îªk¤Hnursing home has a low incidence of pressure sore, the higher the bed using rate, the worse of the ADLs changes, the higher of the high incidence of the pressure sore, but there is no difference between the resignation rate and the incidence of the pressure sore. The results of this study may help the clinical care-taker to design different care targets in order to help to recover and to improve the ability of ADLs by the characteristic of the residents. Moreover, study of the characteristic of nursing home and effects of the changes of the ADLs of the residents may act as suggestion to the manager and the administrator who may take the different characteristic of the organization into consideration when making policy to improve or to further investment and expansion of the organization.

No description available.

Bakgrund Förlust av förmågan att utföra självständig ADL är ett vanligt problem hos äldre i slutenvården. Detta leder till lidande och förlängda vårdtider. För att kunna utveckla omvårdnaden och för att motverka detta behövs ökad insikt om patienternas upplevelser vid minskad ADL-förmåga. Syfte Att beskriva äldre patienter med försämrad ADL-förmågas upplevelser av sin vård gällande utförande av ADL inom slutenvården. Metod Kvalitativ intervjustudie med åtta äldre patienter inneliggande på ett svenskt universitetssjukhus. Resultat Studiedeltagarna upplevde överlag att vården och personalen fungerade bra och att detta förbättrade deras upplevelse av att ha minskat i ADL-förmåga. Studiedeltagarna tyckte det var jobbigt att vara beroende av andra och få hjälp med personlig hygien. Vårdavdelningarnas rutiner och upplevelsen av att personalen var stressad gjorde att studiedeltagarna inte ville vara till besvär och ställa krav. Slutsats Resultaten visar att det finns ett behov av att utveckla ett mer personcentrerat förhållningsätt där riskpatienter identifieras och får möjlighet att vara delaktiga i arbetet för att stärka förmågan till självständigt utförande av ADL. / Background Loss of the ability to independently perform tasks of basic ADL is a common problem in the care of institutionalized elderly. Loss of ADL function is a source of suffering and prolonged institutionalization. It is necessary to effectively counter the risks and develop the care a deeper insight of the experiences from patients with losses in their ADL function. Purpose To describe experiences of performing of ADL in hospital as described by institutionalized elderly with a loss of ADL function. Methods Qualitative interviews with eight elderly patients institutionalized at a Swedish university hospital. Results The participants had in general a positive opinion of the care they received and they felt that it improved the feeling of having lost some ADL function. They felt troubled about being dependent of someone else and getting help with private hygiene on the basis of its personal nature. The routines and the experience of stressed staff made the participants reluctant to make demands or ask for help. Conclusion The results of the study showed that there is a need to develop a person centered approach where patients at risk are identified and given opportunity to participate in the work to strengthen their ability to perform ADL independently.

Thesis (M.S.)--University of Wisconsin-Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 49-52).

Thesis (Ph. D.)--University of Washington, 1992. / Vita. Includes bibliographical references (leaves [206]-221).

Thesis (M.S.)--East Carolina University, 2009. / Presented to the faculty the Department of Occupational Therapy. Advisor: Anne Dickerson. Assessing the Risk of IADL Tasks from the Perspective of Medically-at-risk Older Adults and their Caregivers. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 152-170).