• 제목/요약/키워드: Geriatric clinic

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개에서 노년성 배뇨 실금으로 인한 부적절한 배뇨 일례 (A Case of Housesoiling Problem in a Dog with Geriatric Incontinence)

  • 김현희;황재민;구자민;이원익;손우진;정태성;장홍희;이주명;이효종
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.411-413
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    • 2001
  • A 14-year-old, spayed female Labrador Retriever breed dog with housesoiling problem was presented to the Animal Behavior Clinic, College of Veterinary Medicine, Gyeongsang National University. Housesoiling problem was diagnosed as geriatric incontinence based on the questionnaire and interview on the dog. Pharmacological treatment was recommended. Phenylpropanolamine was prescribed at a dosage of 1.19 mg/kg PO q48h for 3 weeks. Housesoiling problem caused by geriatric incontinence disappeared after the treatment.

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일부 농촌지역 노인의 건강관리 실태에 관한 고찰 (A Study on Health Care of the Old Aged People in a Rural Area)

  • 위자형
    • 농촌의학ㆍ지역보건
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    • 제15권1호
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    • pp.41-48
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    • 1990
  • In order to find out the status of health care of the old aged people (age of 65 and over) in a rural area, a study was carried out, through analyzing the data of health care clinic for 207 old aged people with geriatric diseases, and of questionnired survey for 84 old aged people with geriatric diseases in a rural community. Su Dong-Myun. Nam Yang Zu-Gun, Kyung Gi-Do, Korea, during the year of 1989. The following results were obtained. 1) The composition rate of population of age of 65 and over was 9.8% in total, and sex-specific composition rate was 9.3% in male and 10.4% in female. 2) Utilization rate of health care clinic for old aged people with geriatric diseases was the highest rate with 37.9%, through individual letters at the first time, and showed gradually decreasing tendency afterward. 3) In the means of utilization advices to health care clinic for the old aged people. the individual letters(37.9%) at the first time were more effective than public information of the old aged hall or/and Myun office(18.4%). 4) In opinion on utilization of health subcenter-health care clinic for the old aged people "will utilize"(59.5%) was the highest and "do not know"(26.2%) "be difficult to utilize" (9.5%) and "will not utilize"(4.8%) were in the next order. 5) Out of 84 respondents, the old aged people With geriatric diseases, 73.8%(about three-fourths) of them answered "their diseases to the aggravated" (29.8%) "not to be changed"(25.0%) and "to be unknown"(19.0%), and the others(26.2% of them) "to be changed for the better". 6) Out of 62 respondents(the old aged people), answered their geriatric diseases not to be changed for the better, "no curative effect" was the highest with 43.5% of them. "could not know" (33.9%), "would not treat"(19.4%) and "could not be treated"(4.8%) were in decreasing order. 7) The old aged people, responded their diseases to be changed for the better, answered that they(patients) should make themselves(68.2%) responsible for basic effort of health care. However the old aged people responded their diseases not to be changed for the better answered that they should impute the responsibility of basic effort for health care to medical facilities or other conditions(63.0%). 8) In the reason of failure that the old aged people responded their geriatric diseases not to have curative effect, mis-control of regular habits of daily life was the highest(57.1%), and failure of taking selected medicine steadily(28.6%), and abuse of medicines(14.3%) were in decreasing order. 9) The reason order of being changed for the better that the old aged people responded their diseases to have curative effect, was keeping and control of regular habits of daily life (46.7%), taking selected medicines steadily(33.3%) and others (20.2%) respectively. 10) The courses of geriatric diseases itself are so chronic, duplicate and uncertain, and the old aged people activities for disease control are so slow, various and uncertain that continuous health education in home or/and community unit must be essential factors for effective geriatric health care.

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Effect of diabetes, hypertension, and obesity management on visual acuity in geriatric cataract surgery patients

  • Cho, Seonahr
    • International Journal of Advanced Culture Technology
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    • 제9권3호
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    • pp.212-220
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    • 2021
  • Method : Using annual statistics of major surgeries provided by the National Health Insurance Corporation, it figured out what changes come in visual acuity by the number of cataract surgeries nationwide plus age, gender, and geriatric disease every 3 years from 2013 to 2019 through joint point regression for statistics. Objective : This study is intended to identify the relationship between geriatric diseases (diabetes, hypertension, obesity) and visual acuity in geriatric cataract surgery patients. Result : First, geriatric diseases of cataract surgery patients were closely related to diabetes, hypertension, obesity, smoking, and drinking. In particular, diabetes, hypertension, and smoking had a high prevalence rate. There was no difference in gender and age. Second, 72% of all geriatric cataract surgeries were performed at the clinic level, and intraocular lens that was used after geriatric cataract surgery accounted for the majority of monofocal intraocular lens as 96.6%. Third, the visual acuity in geriatric cataract surgery patients improved from an average of 0.40 before surgery to 0.06 after surgery, and visual acuity improvement was found in 95% of them. These results suggest that geriatric cataract patients can expect visual acuity stabilization and positive visual acuity improvement through early surgery.

노인요양병원 입원환자들의 삼킴기능이 삶의 질과 일상생활동작에 미치는 영향 (The Influences of Swallowing Function on Swallowing-Quality of Life and Activity of Daily Living of Inpatients in Geriatric Hospital)

  • 백지영;오근배
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.167-177
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    • 2013
  • This study was to evaluate the influences of swallowing function on quality of life and activity of daily living of inpatients in geriatric hospital. The subjects were consisted of elderly patients over the age of 65, 50 people in geriatric hospital of gwangju and jeonnam area. The results are as follows: First, swallowing function score of the subjects is $29.90{\pm}5.27$, SWAL-QOL score is $158.12{\pm}33.36$, ADL score is $80.40{\pm}22.91$. Second, swallowing function, SWAL-QOL details and ADL details of each other showed a statistically significant correlation. Third, the items of swallowing function affecting on quality of life are 'oral cavity in residue', 'to eat solid food', and 'phlegm obstructs the throat'. In conclusion, this study showed that swallowing function of inpatients in geriatric hospital is closely associated with the quality of life and the activity of daily living. Therefore, future development of programs for the improvement of swallowing function is required in order to improve the quality of life of inpatients in geriatric hospital.

일부 지역 노인 족부 건강 문제와 영향 요인 (Geriatric Foot Problems and Related Factors in Two Provinces of Korea)

  • 김신미;안재홍;최숙희;이윤정
    • 대한간호학회지
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    • 제40권2호
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    • pp.161-171
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    • 2010
  • Purpose: The purpose of the study was to identify the prevalence, risk factors and clinical meanings of geriatric foot problems and to suggest implications for the future. Methods: One hundred eighty nine elderly aged 60 and over from institution as well as community were investigated for their foot conditions by means of a questionnaire including general characteristics, self care capacity, risk factors, foot problem checklist, X-ray, podoscopy and foot scan. Descriptive statistics and $\chi^2$-test was performed as appropriate utilizing SPSS version 14. Less than .05 of p-value was adopted as statistical significance level. Results: All subjects had at least one kind of foot problem and the most prevalent ones were nail problems, foot deformities in order. Prevalence of foot pain and edema was relatively low. Conclusion: Foot problem in elderly is prevalent and geriatric foot is expected to emerge as one of the most important problems in the geriatric field. Therefore strategies to deal with geriatric foot should be developed and practiced for better quality of life in later life.

성공노화를 위한 포괄적 노인평가 패키지 개발 (Developing a Comprehensive Geriatric Assessment Package for Successful Aging)

  • 김선호;오두남
    • 한국콘텐츠학회논문지
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    • 제12권9호
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    • pp.257-269
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    • 2012
  • 본 연구는 다양한 건강상태에 놓여 있는 노인들의 성공노화를 실현하기 위한 통합적인 건강서비스 제공의 근간이 되는 포괄적 노인평가 패키지를 개발하기 위한 목적으로 시행된 방법론적 연구이다. 노인평가도구들에 대한 임상 및 지역사회에서의 사용 실례와 관련문헌 고찰을 통해, 총 9개 평가 영역으로 나누어 관련 평가항목과 평가도구들을 1차적으로 선정하였다. 이후 관련 전문가 3인의 자문 결과와 노인 15명을 대상으로 한 예비조사 실시 결과를 토대로 포괄적 노인평가의 영역과 항목들을 수정 보완하였다. 최종적으로 기본평가, 정신기능평가, 신체기능평가, 생활습관평가, 주관적 건강수준평가, 환경평가로 이루어진 6개의 평가영역에서 각 해당 항목의 수행지침이 포함된 29개 평가항목으로 구성된 포괄적 노인평가 패키지가 구축되었다.

Preconsent Video-Assisted Instruction Improves the Comprehension and Satisfaction in Elderly Patient Visiting Pain Clinic

  • Kim, Sung-Hoon;Koh, Won-Uk;Rhim, Jin-Ho;Karm, Myong-Hwan;Yu, Hye-Suk;Lee, Bo-Yoeng;Shin, Jin-Woo;Leem, Jeong-Gill
    • The Korean Journal of Pain
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    • 제25권4호
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    • pp.254-257
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    • 2012
  • Background: Elderly patients visiting pain clinic may be at greater risk of misunderstanding the explanation because of age-related cognitive decline. Video instruction may provide a consistent from of teaching in a visual and realistic manner. We evaluated the effect of educational video on the patient understanding and satisfaction in a group of geriatric patients visiting pain clinic. Methods: Ninety two patients aged more than 60 years old who were scheduled for transforaminal epidural block were recruited. After exposure to either video or paper instruction process, each patient was asked 5-item comprehension questions, overall satisfaction and preference question. During follow-up period, number of outpatient referral-line call for further explanation was counted. Results: We observed significantly better comprehension in the video education compared with paper instruction (P < 0.001). Patient satisfaction was also higher in the video group (P = 0.015), and patients visiting pain clinic were more preferred video instruction (P < 0.001). Proportion of referral-line call for further explanation were similar (P = 0.302). Conclusions: Video approach to instruction process before consent improves treatment comprehension in geriatric patient visiting pain clinic.

Perioperative Results and Complications after Posterior Lumbar Interbody Fusion for Spinal Stenosis in Geriatric Patients over than 70 Years Old

  • Choi, Jong Min;Choi, Man Kyu;Kim, Sung Bum
    • Journal of Korean Neurosurgical Society
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    • 제60권6호
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    • pp.684-690
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    • 2017
  • Objective : As increasing the size of the geriatric population, the number of elderly patients, who need the surgery for painful degenerative spinal stenosis has been increasing. The geriatric population may be relatively high complications, because of age and age-associated medical conditions. However, there is a lack of studies addressing the perioperative complications and outcomes in elderly patients with posterior lumbar inter body fusion with screw augmentation (PLIF). Methods : We retrospectively reviewed the medical records and radiographic studies of geriatric patients who had spine surgery of PLIF due to spinal stenosis for 11 years. We divided into 2 groups (A; 70-75 years, B; over then 76 years) according to the age. Surgical level of each groups, hospital day and postoperative day, co-morbidities, complications, clinical outcomes were analyzed. Operative reports, hospital and outpatient clinic charts, and radiographic studies were reviewed. Results : Group A was composed of 80 patients, their mean age was 72.21 and female dominant (n=46), and their mean surgically fused level was 1.52 level. Group B was 36 patients, their mean age was 78.83 and female dominant (n=20), and their mean surgically fused level was 1.36 level. Comparing between two groups, complications, postoperative hospital stay were slightly increase in group B and co-morbidity was statistically high in group B, however clinical outcomes were similar between two groups. Conclusion : Increasing age might be an important risk factor for complications in patients undergoing PLIF, however, we would like to recommend that if the situation of spine of extreme geriatric patients need PLIF, it should be in the surgeon's consideration after careful selection and clinical judgement.