Assessment and physical activities of daily living among patients under long-term home care nursing
Journal Title: Progress in Health Sciences - Year 2015, Vol 5, Issue 1
Abstract
Purpose: To assess the degree of independence in physical activities of daily living for patients under long-term in-home nursing care; to evaluate any changes in physical activities of daily living at entry and after 90 days of in-home nursing care. Materials and methods: InterRAI-HC (Residental Assessment Instrument – Home Care) questionnaire was used as a tool according to the protocol and assessed patients at entry and again after 90 days. The participants consisted of 100 consecutive patients who were newly admitted to long-term in-home nursing care.Results: The analysis of total dependence showed that more than 50% of patients were entirely dependent in eight out of ten specified physical activities of daily living (except mobility in bed and food consumption). Intention to treat analysis was performed; the percentages of patients totally dependent in performing eating and mobility in bed actions increased significantly by the 90-day follow-up. Also a comparison of the mean value of independence for analyzed activities did not change significantly over the 90 days, with the only exception being the mean value of independence for dressing up the upper part of the body, which significantly improved after 90 days per protocol analysis. A high mortality rate is noted among these patients (15% by the 90 day follow-up). This probably resulted from the restrictive qualification criteria used in Poland for patients to receive this form of in-home healthcare service.Conclusions: The majority of patients who are under long-term in-home nursing care in Poland are entirely dependent when it comes to the physical activities of daily living.
Authors and Affiliations
W. Mojsa, S. Chlabicz
Keywords
Related Articles
- EP ID EP76665
- DOI -
- Views 106
- Downloads 0
Most common health problems of elderly in the opinion of health sciences students in Poland, Belarus and Greece
Introduction: Health is one of the most important and cherished values in the elderly. It has been estimated that among people over 65 years old 80% of people suffer from at least one physical illness. Purpose: To identi...
Oxidative stress – repair systems of oxidatively damaged biomolecules
Molecular oxygen (O2), constituting the basis of life on Earth, is classified as a substance with oxidizing properties. Reacting with organic compounds, it leads to their oxidation and at the same time participates in re...
Hospice workers’ and family of hospice patients’ perception of hospice care in Poland
Introduction: The history of palliative care dates back to the 1950s. Purpose: To examine the perceptions of hospice workers and family members of hospice patients related to hospice care in Podlaskie province in Poland....
Awareness of risk factors of malaria as an element of primary prophylaxis
Introduction: Malaria is the most common tropical infectious disease caused by parasitic protozoa, affecting every year about 220 million of people with about 1-3 million deaths. It is known that every 30 seconds one Afr...
Functional appliances: The activator and the functional regulator- A review
In this review of literature we are discussing the effects of functional appliances on the dentofacial structures in the treatment of Class II malocclusions. Despite recent questions on the effectiveness of early t...