Identifying the Needs of Older Adults Associated with Daily Activities: A Qualitative Study

Background: Cardiopulmonary resuscitation (CPR) is considered an essential intervention in unanticipated cardiac arrest, but in the out-of-hospital setting it is often the default treatment for many patients dying of chronic and incurable disease who experience this. The Clinical Frailty Scale (CFS) can predict an individual's vulnerability to adverse health outcomes and might be a useful tool in prognostication in the prehospital setting. Aims: The primary aim was to assess if the CFS can be used for prognostication in cardiac arrest and whether UK paramedics would be able to use the CFS in the context of an out-of-hospital cardiac arrest. Methods: A rapid review of the literature was undertaken to identify research relating to frailty's influence on cardiac arrest outcomes. Five primary research articles were identified and were included. Findings: All the primary research focused on in-hospital cardiac arrest and demonstrated that an higher clinical frailty score was associated with increased mortality following cardiac arrest, with a significant reduction in survival at CFS ≥6. Conclusion: Research could assess whether these findings would be replicated in the out-of-hospital cardiac arrest context and whether paramedics could use the CFS to aid in prognostication in this situation.

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Ways of Adaption a Social Support System to People’s of the Retirement Age Needs

HOREMYKINA,

DIDKIVSKA

2023

Demogr. soc. ekon.

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Ukraine, as a socially oriented state, is building its own social support system, within which pensioners are a significant part of recipients of social benefits and consumers of social services. In this regard, a number of issues related to identifying retired people’s needs, adapting the social support system to them, and its real capabilities to meet these needs are relevant. Therefore, this article is devoted to the problems of retired citizens’ needs and the ability of Ukrainian social support system to meet these needs. The purpose of the article is to study the specifics of the needs for providing effective social support and improving the quality of life of the elderly, especially in the conditions of increasing risks of social vulnerability and narrowing financial capacity of social protection. The authors have analyzed the specificity of emotional, physiological, physical, cultural, and intellectual needs caused by the retired people’s age characteristics. It has been established that retired people’s needs are generally characterized by subjectivity, which is formed by four main factors: 1) their age; 2) their state of health; 3) their financial well-being; 4) having the relatives who can provide assistance if it is needed. The ways of adapting the social support system to the needs of the elderly, which are represented by both traditional and innovative social practices existing in the country, are outlined. Traditional practices include: 1) financial support, including pensions and financial assistance; 2) support in the form of food, fuel, medicines, hygiene products, providing hot meals, etc.; 3) social services at home and in residential institutions; 4) psychological and social support in the form of various consultations, organization of cultural leisure, etc. At the same time, it is concluded that in the future the role of innovative practices of social work with the elderly will increase, including socio-psychological counseling, the organization of new type of residential care facilities to eliminate social isolation and promote their active participation in social life, integrated social services, and the functioning of mutual aid groups. Thus, the scientific novelty of this article lies in the improvement of approaches to determining the retired people’s subjective needs and the development of ways of adapting the social support system to the needs of these citizens by presenting a scheme of establishing connections between characteristics, needs, and policies. The authors used the following methods of scientific research: analysis and synthesis, logical generalization, graphic method.

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Identifying the Needs of Older Adults Associated with Daily Activities: A Qualitative Study

Cited by 4 publications

References 33 publications

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Can the Clinical Frailty Scale predict futility in out-of-hospital cardiac arrest?

Ways of Adaption a Social Support System to People’s of the Retirement Age Needs

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