Tiredness as Determinant of Subsequent Use of Health and Social Services among Nondisabled Elderly People
To examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of incident hospitalization and use of home services 5 years later.
In all, 275 people participated in a prospective study in Glostrup, Denmark, when they were 75 and 80 years old. Four subgroups were created according to whether participants had been hospitalized or used home care in the year before the baseline study and whether or not they were disabled at the time. The key predictor variables were measured by two scales about tiredness in daily activities.
Nondisabled individuals who felt tired in their daily activities had about twice the risk of being hospitalized and of being users of home help 5 years later.
Because tiredness in daily activities is related to subsequent hospitalization and use of home help, it should be taken seriously in preventive services among elderly people.
Available from: Carmelinda Ruggiero
- "Fatigue is strongly associated with poor physical performance (Vestergaard et al., 2009), independently of age (Mänty et al., 2014), and with multiple negative outcomes in the elderly, including hospitalizations, increased use of healthcare services, incident disability, and mortality (Avlund et al., 2001; Hardy and Studenski, 2008a; Hardy and Studenski, 2008b; Schultz-Larsen and Avlund, 2007). Furthermore, fatigue is one of the main factors associated with reduced capacity to conduct regular physical activities among community-living older adults (Gill et al., 2001). "
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ABSTRACT: Frailty has been identified as a promising condition for distinguishing different degrees of vulnerability among older persons. Several operational definitions have proposed fatigue as one of the features characterizing the frailty syndrome. However, such a subjective symptom is still not yet sufficiently explored and understood. Fatigue is a common and distressing self-reported symptom perceived by the person while performing usual mental and physical activities, highly prevalent in older people, and strongly associated to negative health-related events. The understanding of fatigue is hampered by several issues, including the difficulty at objectively operationalizing, the controversial estimates of its prevalence, and the complex pathophysiological mechanisms underlying its manifestation. Despite such barriers, the study of fatigue is important and might be encouraged. Fatigue may be the marker of the depletion of the body's homeostatic reserves to a threshold leading to its psycho-physical functional impairment, mirroring the concept of frailty. Its subjective and symptomatic nature resembles that of other conditions (e.g., pain, depression), which equally affect the individual's quality of life, expose to negative outcomes, and severely burden healthcare expenditures. In the present paper, we present an overview of the current knowledge on fatigue in older persons in order to increase awareness about its clinical and research relevance. Future research on this topic should be encouraged and developed because it could potentially lead to novel interventions against this symptom as well as against frailty and age-related conditions.
Copyright © 2015. Published by Elsevier Inc.
Available from: Irene Albarran Lozano
- "However, people can acquire disabilities at any point in their lives (Jamoom et al., 2008). Disability increases the risk of need for home help (Avlund et al., 2001), hospitalization (Wolinsky et al., 1994, Avlund et al., 2001), nursing home admission (Laukkanen et al., 2000) and premature death (Jagger et al., 1993). According to self-reports by people, disabilities are placed among the most important determinants of reduction in quality of life. "
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ABSTRACT: It is usually considered that the proportion of handicapped people grows with age. Namely, the older the man/woman, the more the level of disability he/she suffers. However, empirical evidence shows that this assessment is not always true, or at least, it is not true in the Spanish population. The study tries to assess the impact of age on disability in Spain. Each gender has been treated separately because it can be shown that men and women have their own pattern of behaviour. Three different methods of estimation have been used to check the link between those variables. The results seem to support the idea that the relationship among age and the intensity of disability is not always direct. One of the concluding remarks in this analysis is that the method of estimation has a great incidence in the final results, especially in central ages between 20 and 80 years old.
Available from: Albert Westergren
- "Fatigue seems to be very common in old age and more so among those in pain, and could reduce people's ability to manage daily life as well as their QoL. A previous study has shown that non-disabled old people (n=275; 75-year-olds) who felt tired had twice the risk of being hospitalised and of being users of home help 5 years later (Avlund et al., 2001). In this study 60.4% of those in pain and 46.7% of those not in pain reported fatigue to some degree (Figure 1) and played a significant role for health-related QoL (Table 3). "
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ABSTRACT: The aim of the study was to investigate the quality of life and related factors among older people who are in pain and in need of help to manage daily living.
To intervene against the low quality of life in nursing care knowledge about factors affecting it is needed and this is especially important for vulnerable people such as those who suffer from pain and who are in need of help to manage daily living.
Five hundred and twenty-six people, aged 75-102 years participated in this study.
Those in pain reported a significantly higher degree of all complaints and lower quality of life in all measures compared with those not in pain. Overall quality of life was associated with mobility problems, sleeping problems and depressed mood, while health-related quality of life was associated with living in special accommodations, walking problems, mobility problems and fatigue.
Those in need of help to manage daily living and in pain seem to be at higher risk of lowered quality of life than those not in pain and the lower quality of life among those in pain is probably caused by the complex of complaints rather than pain per se.
Daily nursing care should identify and treat the complex of complaints related to pain as well as pain itself, to improve everyday life and quality of life for older people in pain.
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