Assesment of Disabled Geriatric Health Council Reports

Abstract

ÖzetAmaç: Bu çalışmada, 65 yaş ve üzeri, özürlü sağlık kuruluna başvuran olguların değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışmada, özürlü kuruluna başvuran, 3112 olgu retrospektif tarandı, 601 olguya ait dosyalar değer-lendirildi. Bulgular: Başvuruların %53,1'i erkek, %46,9'u kadındır. Ortalama yaş 60 (59± 18,35)'dir. En sık başvuru sebebi, sosyal hizmetler %45,6, özürlü-lük oranının tespiti %21,6'dir. 65 yaş ve üzerinde, hipertansiyon %21,6; diyabet %12,6; kronik obstruktif akciğer hastalığı ve dilate kardiyomyopati %3,7 ile ilk sıralardadır (p<0.05). Malignensi 65 yaş ve üzerinde %1,8'di (p>0.05).Dahili özürlülük oranı istatistiksel anlamlı değilken, toplam özürlülük oranı 65 yaş ve üzerinde anlamlıdır (p<0.05). Ek branş patolojileri 65 yaş ve üzerin-de anlamlıdır (p<0.05). Tartışma: Beklenen yaşam süresinin uzaması ve toplumdaki yaşlı bireylerin sayısındaki artış ile, özürlü yaşlı bireylerin sayısında bir artış olmaktadır. Kronik hastalık tanısı almak, geriatrik hasta populasyonu için, hayatın sonu olmamalıdır. Geriatrik populasyonun ruh hali, sosyal yaşa-mı, genel sağlık ve zihinsel sağlık düzeyleri en üst düzeyde tutulmalıdır. Yaşlı hastaların, özel ihtiyaçlarına, özel önem verilerek, imkanların daha geniş kullanımı sağlanmalıdır. Anahtar KelimelerKronik Hastalıklar; Engellilik Değerlendirmesi; Yaşlılar; Muğla; Turkiye Abstract Aim: In this study it is aimed to evaluate geriatric patients who apply to health council. Material and Method: The study retrospectively assessed 3112 patients admitted to the disability ward, of which 601 patients were included in the study. Results: Of the 601 patients, 53.1% were men and 46.9% were women. The mean age of these patients was 60 (std ± 18.35) years. Some of the reasons for admission in the hospital were need for social services (45.6%) and determination of disability rate (21.6%). Most common diseases in patients aged ≥65 years were hypertension (21.6%), diabetes (12.6%), and chronic obstructive lung disease and dilated cardiomyopathy (3.7%; p < 0.05). Malignancy was detected in 1.8% patients aged ≥65 years; however, its prevalence was not statistically significant (p > 0.05). Internal disability rate was not statistically significant (p > 0.05), but total disability was statistically significant (p < 0.05). Moreover, prevalence of additional conditions was statistically significant (p < 0.05) in patients aged ≥65 years. Discussion: Rapid increases in life expectancy and number of older people has increased the prevalence of disabilities among older people. Being diagnosed with chronic diseases should not be the end of life for geriatric populations. Their mood, social life, general health, and mental profile should progress. Sufficient attention should be paid to the special needs of older patients thereby leading to a wider use of facilities.

Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study

“…Previous studies from Turkey reported that most frequent reason of application to HBRD was to receive a special education report for Individual Education Plans (IEPs) (8,(10)(11)(12)(13). However, the most common reason of application in our study was procuring financial aids (i.e.…”

“…Severe disability was significantly more common among children younger than 8 years while permanent disability was common among children >3 years. In the Turkish literature, studies related to health board reports for disabled (HBRD) examined the sociodemographic characteristics and frequency of disability of the patients in general, but no study was (8). Another study found that most frequent diagnoses were MR/IDD (36.1%), learning disorders (20.2%) and ASDs (11.1%) among its sample of HBRD applications (10).…”

“…According to the 2010 TURKSTAT data, the most common reason for applying for HBRDs is mental disorders (17). When the frequency of diagnosis was determined from other areas except psychiatry, it was found that the diagnosis was most related to neurological problems (cerebral palsy 18.6%, epilepsy 12.4%, (8).…”

“…Factors affecting odds of severe disability the factors affecting severe and permanent disability decisions in HBRD. Previous studies from Turkey reported that male children and those with psychopathologies were significantly more frequent among HBRD applications(7)(8)(9). Another study involving 1112 children reported that most common diagnoses were global developmental delay (61.1%) and ASDs (15.0%) for the <6 years, while most common diagnoses were MR/IDD (61.9%) and learning disorders (2.8%) for >6 years…”

Heyet Raporu Değerlendirme Sürecinde Çocuk ve Ergen Psikiyatristlerin Yaşadıkları Zorluklar

“…18, The WHO reported that as much as 20% of children and adolescents have a disabling mental disorder worldwide and Intellectual disability is the most common mental disorder evaluated within the scope of disability. 3,[19][20][21] Intellectual Disability begins in childhood and is characterized by impairments in both intelligence and adaptive functioning, with varying severity. Developmental disability is used to describe intellectual and adaptive impairment in infants and preschool children.…”