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Assessment and physical activities of daily living among patients under long-term home care nursing

100%

Mojsa W. , Chlabicz S.

Progress in Health Sciences

2015

tom 5

nr 1

56-62

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.

Measurement of functional independence level and falls-risk in individuals with ungiagnosed phenylketonuria

72%

Mazur A. , Jarochowicz S. , Oltarzewski M. , Sykut-Cegielska J. , Kwolek A. , O'Malley G.

Acta Biochimica Polonica

2009

tom 56

nr 4

613-618

The aim of the study was to determine the level of functional independence in adult patients with previously undiagnosed or untreated phenylketonuria (PKU). The study was conducted among 400 intellectually impaired adult residents of Social Welfare Homes in South-Eastern Poland born prior to the introduction of neonatal PKU screening programs. PKU was screened by filter paper test using tandem mass spectrometry methods, and confirmed by gas chromatography-mass spectrometric analysis of PKU organic acids in urine. Degree of functional independence included the assessment of activities of daily living (Barthel Index) and measures of balance and gait (Tinetti scale). Eleven individuals with previously untreated PKU were identified whereby eight presented with moderate disability and three with mild disability. Six had a high risk of falls and five had a moderate risk of falls. This study indicates that there is considerable number of undiagnosed PKU patients within the Polish population who require assessment and management in order to reduce the impact of the neurological and neuropsychiatric problems associated with the condition. Appropriate therapy for those with undiagnosed PKU should, in particular, address the risk of falls.

Cyclical nocturnal oxygen desaturation and impact on activities of daily living in elderly patients

72%

Frohnhofen H. , Heuer H. C. , Pfundner N. , Orth G.

Journal of Physiology and Pharmacology. Supplement

2007

tom 58

nr 5

Influence of type of treatment for sleep apnea on activities of daily living in a sample of elderly patients with severe sleep apnea

58%

Frohnhofen H. , Heuer H. C. , Kanzia A. , Firat A.

Journal of Physiology and Pharmacology. Supplement

2009

tom 60

nr 5