To identify predictive factors for hospitalized and institutionalized care-giving among a group of aged patients with diabetes mellitus in Japan, retrospective chart review was performed in 288 diabetic subjects aged 65 years or older. Independent variables, based on the chart review, were age, sex, diagnosis, diabetic control and complications. Comprehensive geriatric assessment was performed ...

A crucial aspect in the design of navigational aids for the blind is the transmission of information to the user. Vibrotactile stimulation is a preferred means, as opposed to auditory stimuli that may interfere with the use of environmental auditory cues for situational awareness. Conveying directional information is of particular importance and has traditionally be achieved with several tactor...

OBJECTIVES To introduce a health-related quality of life measure for home care and institutional long-term care settings based on the Minimum Data Set (MDS) and the Health Utilities Index Mark 2 (HUI2). METHODS Health attributes of Health Related Quality of Life (HRQOL) were identified, and suitable constructs were determined. Items from the MDS were mapped to the HUI2. Scores for the Minimum...

Only one empirical study, the one by Zingmark, Norberg and Sandman published in 1995, explicitly focuses on at-homeness, the feeling of being metaphorically at-home, as a particular aspect of wellness. However, other studies reveal aspects of at-homeness, but if or how such aspects of at-homeness are related to each other is unclear. For this reason, the aim was to review Scandinavian nursing r...

BACKGROUND For older persons with complex care needs, accounting for the variability and interdependency in how health dimensions manifest themselves is necessary to understand the dynamic of health status. Our objective is to test the hypothesis that a latent classification can capture this heterogeneity in a population of frail elderly persons living in the community. Based on a person-center...

The application of game elements a in non-gaming context offers a great potential regarding the engagement of senior citizens with information systems. In this paper, we suggest the application of gamification to routine tasks and leisure activities, namely physical and cognitive therapy, the gamification of real-life activities which are no longer accessible due to age-related changes and the ...

RATIONALE, AIM AND OBJECTIVES This paper describes the results of the process evaluation of a physical activity programme for people with intellectual disabilities (ID), including information about the concepts 'fidelity', 'dose delivered', 'satisfaction' and 'context'. METHODS Qualitative and quantitative methods among participants and programme leaders were used. RESULTS The programme was...

BACKGROUND To formulate sustainable long-term care policies, it is critical first to understand the relationship between informal care and formal care expenditure. The aim of this paper is to examine to what extent informal care reduces public expenditure on elderly care. METHODS Data from a geriatric rehabilitation program conducted in Finland (Age Study, n = 732) were used to estimate the a...

Cite this article: Soto R B. Dynamometer Measurements of Grip Strength in Frail Elderly Inpatients. J J Intern Medicine. 2016, 2(1): 018. Sarcopenia and frailty are two clinical entities that generate loss of independence. Sarcopenia is characterized by loss of skeletal muscle mass and strength and is a risk factor for fraility and physical disabilities [1]. To diagnose fragility must is necess...

Achieving high-quality, cost-effective medical care remains an elusive goal of the US health care system, but there is widespread agreement that patientcentered care will be a key ingredient.1 Yet for frail elders and patients with advanced illness, many of whomhavemultiple chronic diseases, patient-centered care is impossible without caregiver involvement. Although advocacy groups such as the ...