Abstract:The 68 original participants expressed feelings of loneliness and marginalization, but these experiences were not noted in their personal records. Most subjects presented psychiatric symptoms and cognitive decline. After 6 months, the clinical condition of the sample, particularly the females, had worsened, with a 33% mortality rate. This suggests that moving to a nursing home did not bring about improvement or stabilization; rather, psychiatric symptoms worsened and quality of life was perceived more poorly.
“…24 Thirdly, long-term LTCF placement has been shown to be a stressor for older people, which is related to poorer quality of life in terms of physical health compared to entry. 25 The majority (64.5%) of our study subjects had been institutionalized for more than 5 years and under such circumstances, the impact of any particular condition on quality of life may become less significant because the general health perception is low and those with the condition have learned to cope with it, minimizing its impact.…”
Poorer physical function, poorer cognitive status and depressive symptoms were all statistically significant independent risk factors for UI. However, SocE score (proxy indicator of quality of life) did not differ between subjects with and without UI. Further investigations are needed to evaluate the impact of UI on quality of life among oldest old institutionalized Chinese men in Taiwan.
“…24 Thirdly, long-term LTCF placement has been shown to be a stressor for older people, which is related to poorer quality of life in terms of physical health compared to entry. 25 The majority (64.5%) of our study subjects had been institutionalized for more than 5 years and under such circumstances, the impact of any particular condition on quality of life may become less significant because the general health perception is low and those with the condition have learned to cope with it, minimizing its impact.…”
Poorer physical function, poorer cognitive status and depressive symptoms were all statistically significant independent risk factors for UI. However, SocE score (proxy indicator of quality of life) did not differ between subjects with and without UI. Further investigations are needed to evaluate the impact of UI on quality of life among oldest old institutionalized Chinese men in Taiwan.
“…One of the biggest reasons why families
choose institutionalization is that they are concerned about their elderly relative living
alone due to fears regarding social isolation and the difficulty of maintaining
independence67 ) . It is believed that in
a long stay institution, the elderly share fellowship with their peers, which helps reduce
loneliness.…”
[Purpose] A significant increase in the number of oldest old has occurred worldwide. The
aim of this study was to characterize the functional capacity of the oldest old residents
in a long-stay institution in Rio de Janeiro, Brazil. [Subjects and Methods] All
participants were evaluated according to the following metrics: anthropometry, body
composition (bioelectrical impedance), handgrip strength, balance (Berg scale and
stabilometry), ankle mobility (electrogoniometry), physical capacity (six-minute walk
test), quality of life (WHOQOL-OLD), and dietary habits (questionnaire). [Results] Twenty
elderly subjects with a mean age of 85.75 ± 5.22 years and a mean fat percentage of 39.02
± 5.49% participated in the study. The group at risk of falls (n = 8) had a lower handgrip
strength and walked a shorter distance over the course of six minutes compared with the
group not at risk of falls. The obese group (n = 15) had higher values for stabilometric
variables than the nonobese group. There was a positive and significant correlation
between ankle joint mobility and physical capacity (r = 0.47). [Conclusion] High values
for obesity and low values for handgrip strength and physical capacity were associated
with worse body balance. Low values for ankle mobility were also associated with worse
physical capacity in this population.
“…When people move into a nursing home, they experience diffi culty maintaining their social relationships with friends (Barkay and Tabak , 2002 ;Drageset , 2004 ) and new friendships with other residents remain scarce and superfi cial (Buckley and McCarthy , 2009 ). More than half of the residents with or without dementia experience loneliness (Scocco et al , 2006 ;Drageset et al , 2010 ). High frequencies of social contact with family and friends from outside the institution is important to reduce residents feelings of loneliness (Drageset , 2004 ;Buckley and McCarthy , 2009 ).…”
Animals living in an impoverished environment, i.e., without the possibility of physical and social activity, perform worse on cognitive tests compared to animals in an enriched environment. The same cognitive difference is also observed in humans. However, it is not clear whether this difference is caused by a decrease in cognition due to an impoverished environment or an increase due to an enriched environment. This review discusses the impact of an impoverished environment on cognition in animal experimental studies and human experimental studies with community-dwelling and institutionalized older people. Results show that the cognitive functioning of old rats is more affected by an impoverished environment than young rats. Similarly, sedentary and lonely people (impoverished environment) have worse cognitive functioning and show a faster cognitive decline than physically and socially active people. Institutionalization further aggravates cognitive decline, probably due to the impoverished environment of nursing homes. In institutions, residents spend an unnecessary and excessive amount of time in bed; out of bed they show mainly sedentary or completely passive behavior. In conclusion, older people, especially those that have been institutionalized, have poor levels of physical and social activity, which in turn has a negative impact on cognitive functioning.
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