Background: Maintaining optimal well-being of the elderly is now a major concern since their numbers are expected to swell in the next decades. Thus, there is a need to focus on the health and psychosocial status and needs of our older persons. Objective: To describe the biopsychosocial profile and needs of older persons in Davao City. Methodology: This study utilized secondary data obtained from the OPS 2009 survey after informed consent was sought from the DCOP-RG. The OPS 2009 survey was developed by a multidisciplinary group of professionals commissioned by the Davao City Sangguniang Panglungsod in order to create a basis for the implementing rules of the expanded senior citizen act for Davao City. It included 398 respondents age 60 and above who gave consent, representing the population of older persons from the different areas in Davao City. Data gathering was done by a team of trained interviewers. Anonymized gathered in OPS 2009 survey was utilized for this present study. Descriptive statistics were used to summarize the data. Results: There was an equal sex distribution among the respondents. Majority were married, widowed and Roman Catholics, 76.6% of the respondents believed that they were in good health. 60.1% of the respondents had previous admissions but even so, majority (87.9%) had someone to help take care of them during their admissions. Psychosocial status of the older persons was favorable in general. Majority (72.2%) still engage in recreational activities. Furthermore, the respondents have a happy disposition in life wherein majority have a perceived happy mood left contented and at peace. Almost all (98%) still feels needed by their kin and friends. Perceived health needs include better medical benefits while perceived psychosocial needs include financial and moral support. Conclusion: The study showed that older persons in Davao City perceived themselves to be happy, contented, calm, at peace and important to their families. However, since most were diagnosed with chronic illnesses such as hypertension, arthritis, diabetes, and asthma; health related needs and provision of better medical benefits topped their list. Financial support and psychosocial support from their families, government and non-government institutions were also listed as needs. In general, they envisioned Davao to be an older person friendly place with program that put elderly welfare, safety and protection at the forefront.
Aged 80 and over ; Aged ; FRAIL ELDERLY

No abstract available.
Aged ; Frail Elderly* ; Humans

In study series of author, the incidence of acute appendicitis in older patients is 8.57%. The classic symptoms such as pain, anorexia and nausea presented in older patients but are less pronounced than in younger adults. Pain in the right lower quadrant: 80.95%, localization occurs later than in younger patients. 42 (85%) patients have comorbidity. In older patients with appendicitis, the diagnosis is often delayed with 66.66% of cases have been perforated. The mortality rate is 3.57%. Rate of complications is 50%. The most common complication is infection, occurred in 38.09% of patients.
Appendicitis ; Frail Elderly ; aged

PURPOSE: The purposes of this study were to examine the amount of daily fluid intake among nursing home residents and to explore the caregiver's perceived barriers to elderly's fluid intake. METHOD: Data was collected from 111 nursing home residents and 64 caregiver's in 4 nursing homes. A random, non-consecutive three days of 24 hour fluid intake was measured and recorded. The caregiver's perceived barriers to elderly's fluid intake was assessed using a structured questionnaire. RESULTS: The average amount of daily fluid intake was 1,035(SD=359)ml with the range of 210ml to 2,050ml. About 52% (n=58) of the subjects had a less than adequate fluid intake. The amount of daily fluid intake was significantly associated with age, mental status, physical functioning, and the number of oral medications ordered. The most frequently mentioned caregiver's perceived barrier was elderly's concern about incontinence with increased fluid intake. CONCLUSION: Inadequate fluid intake among nursing home residents is prevalent. To enhance adequate hydration of nursing home residents, an institution wide nursing intervention is necessary.
Aged ; Aged, 80 and over ; Caregivers/*psychology ; *Drinking ; Female ; *Frail Elderly ; Humans ; Male ; *Nursing Homes ; Urinary Incontinence/psychology

BACKGROUND: Slow-motion training, an exercise marked by extremely slow movements, yields a training effect like that of a highly intense training, even when the applied load is small. This study evaluated the effects of low-intensity bodyweight training with slow movement on motor function in frail, elderly patients. METHODS: Ninety-seven elderly men and women aged 65 years or older, whose level of nursing care was classified as either support required (1 and 2) or long-term care required (care level 1 and 2), volunteered to participate. Two facilities were used. Participants in the first facility used low-intensity bodyweight training with slow movement (the LST group, n = 65), and participants in another facility used machine training (the control group, n = 31). Exercises were conducted for 3 months, once or twice a week, depending on the required level of nursing care. Changes in motor function were examined. RESULTS: Post-exercise measurements showed significant improvements from the pre-exercise levels after 3 months, based on the results of the Timed Up and Go test (p = 0.0263) and chair-stand test (p = 0.0016) in the low-intensity exercise with slow movement and tonic force generation (LST) group. Although the ability to stand on one leg with eyes open tended to improve, no significant change was found (p = 0.0964). CONCLUSIONS: We confirmed that carrying out LST bodyweight training for 3 months led to improvements in ambulatory function and lower-limb muscle strength. In this way, it is possible that LST training performed by holding a bar or by staying seated on a chair contributes to improved motor function in elderly patients within a short time. TRIAL REGISTRATION UMIN000030853 . Registered 17 January 2018. (retrospectively registered).
Aged ; Aged, 80 and over ; Female ; Frail Elderly ; Humans ; Long-Term Care ; Male ; Motor Activity ; Movement ; Prospective Studies ; Resistance Training ; methods

Public health strategies designed to accomodate the ever-increasing human lifespan are urgently required. A good clinical understanding of frailty, as well as knowledge regarding how to prevent it, will therefore be required in order to overcome this challenge. Sarcopenia is an important component of the frailty syndrome, and its association with osteoporosis can lead to fractures and incident disability. Therefore, this review examined the literatuire pertaining to the association of sarcopenia with osteoporosis in order to assess preventive strategies.
Aged ; Frail Elderly ; Humans ; Osteoporosis* ; Public Health ; Sarcopenia*

PURPOSE: The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people. METHODS: The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, chi2-test and GLM were used in the data analysis with SPSS/WIN 15.0. RESULTS: The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction. CONCLUSION: The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.
Aged ; Depression ; Frail Elderly ; Humans ; Research Design ; Statistics as Topic

PURPOSE: This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly. METHODS: A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0. RESULTS: The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=−2.21, p=.034) and gait speed (t=−2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group. CONCLUSION: The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.
Aged ; Ankle ; Ankle Joint ; Frail Elderly ; Gait ; Humans ; Joints ; Walking

Frail older adults often have multi-domain risk factors in terms of physical, psychological, and social health. Comprehensive geriatric assessment (CGA) is the process of identifying and quantifying frailty by examining various risky domains and body functions, which is the basis for geriatric medicine and research. CGA provides physicians with information on the reversible area of frailty and the leading cause of deterioration in frail older adults. Therefore frailty assessment based on understanding CGA and its relationship with frailty, can help establish treatment strategies and intervention in frail older adults. This review article summarizes the recent consensus and evidence of frailty and CGA.]]>
Aged ; Consensus ; Frail Elderly ; Geriatric Assessment ; Humans ; Risk Factors

The high incidence of dual sleep and frail disorders in the elderly people, often occurring together, seriously affects the physical and mental health of the older people, effective research on the dynamics of dual sleep and frail disorders is important for improving the quality of life for the older people and responding to global ageing trend. While trajectory studies provide a unique practical scientific perspective to grasp the dynamics of development, dual trajectories unite dual barriers provide an opportunity to study the dynamic dependence of both sleep and frailty simultaneously sleep trajectories and frailty trajectories in older people are interrelated and interacted through deeper mechanisms. Therefore, it is necessary for the study not only focus on the ongoing development of health problems, but also needs to consider multiple aspects and propose targeted intervention program.
Aged ; Humans ; Frail Elderly ; Frailty ; Quality of Life ; Aging ; Sleep