Science & practice
RATING of OPPORTUNITIES
of VITAL NEEDS SATISFACTION BY the PATIENT of ELDERLY AGE
Tarnovskaya I. I.
Moscow Medical College
Position of the elderly man in a modern society is not separable from general social, political and economic processes occurring in it.
In a context of WHO definition of concept of health as complete physical, mental and social well-being, the elderly people on one parameter cannot be considered healthy.
The quality of life of the elderly man is an integrated parameter reflecting not only an expressiveness of signs of diseases, but also functional status of the patient, his psychological status, social activity, satisfaction by medical help, sensation of own health, physical and mental well-being.
The main kinds of daily activity are: walking, bathing, reception of nutrition, departure of natural needs. It is well-known, that in elderly age it is more difficult to carry out daily activity without assistance. It is one of the reasons of drop of quality of life.
The purpose of our research - rating of a degree of satisfaction of ten vital needs of the patients in conditions of some Moscow hospitals (various departmental subordination), and also patients served by a domestic care service of Red Cross Society.
The rating was carried out on a sheet of a nursing rating of a patient status being component of the documentation to nursing process used by us in educational process. 250 patients were interrogated, including 63 - in the age of 60-69 years, 134 - 70-79 years, 53 - 80 years and are more senior.
Most serious problems were connected with dissatisfaction of need for a feed and drink. So, at 71,6 % of the patients mass of a body exceeded ideal, at 9,2 % - was below ideal, down to an attrition; 78 % - had no opportunity independently to buy, to prepare to themselves nutrition, 28 % - were at a loss independently to take nutrition which is taking place in a package (for example: milk) or jar; 4 % - could not independently accept nutrition; at 43,6 % - the problems in usage by tableware’s (by virtue of available contractions have appeared, and also fear to be cut or to prick); 48 % of the patients preferred to use less liquids, as the visiting of a toilet, use of a vessel, urinal and other auxiliary agents was accompanied for them by serious difficulties in connection with complete or partial dependence on other people.
Thus, the results of the rating of opportunities of satisfaction this and others 9 needs connected to daily life allow to make unfavorable conclusions:
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Сестринское обозрение (Nursing Review)