Learned helplessness among the institutionalized elderly: a pilot study.
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We carried out a questionnaire survey concerning urinary disturbances, among nursing home patients. The answers were obtained from 1,038 elderly including 355 males and 683 females. Ages, spanned 50-99, with an average age of 79.1. Of the 1,038 respondents which we obtained through our survey for management of urination, 35.8% of the total said that they are able to urinate without incontinence. Those able to urinate with incontinence accounted for 23.6% of the total. However, 40% of all patients required an adult diaper throughout the day to control their urinary functions. Patients suffering from neurological disorders accounted for 70% of respondents, and a correlation was seen between the extent of dementia and ADL, and excretory control. Urinary functioning in both men and women was found to grow increasingly difficult with age, and medical problems involving urinary difficulty appear to increase with the advance of the aging process. The representative groups for this survey were limited to elderly people in nursing homes, many of whom suffer from neurological disorders such as cerebral infarction. It was found that both male and female patients experience a variety of urinary disturbances.
The circumstances and factors related to falls among the elderly living in a nursing home were investigated. Information on falls was obtained from the fall assessment form recorded by the staff of the institution. During the 1-year study period, 65 (37%) of 174 subjects experienced at least one fall. Most falls occured in the subjects' own rooms and during the daytime. In the subsample of 52 elderly whose data on age, sex, gait, grip strength and standing on one leg at tha beginning of this study were available, week grip strength was significantly associated with increasing risk of falling by chi-square test. After adjusting for other factors, weak grip strength remained a significant and independent predictor of falls. Measuring of grip strength may be useful for screening elderly who are at a high risk of falling.
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The fatty acid composition of serum phospholipids of 277 persons, aged 63-97 y (average 78 y), was measured. Subjects had been living independently in a facility with full food service for 1 y or more. Eleven saturated and unsaturated fatty acids were detected in all the subjects. Stearic acid (18:0) was positively (p = 0.028) and dihomo-gamma-linolenic acid (20:3 n-6) was negatively (p = 0.012) related to age. Arachidonic acid (20:4 n-6) tended to decline with age (p = 0.063). In addition, the oleic acid (18:1 n-9)/18:0 ratio decreased significantly with age (p = 0.024). 18:0 and total saturated fatty acids were lower, and linoleic acid (18:2 n-6) and 20:4 n-6 and n-6 fatty acids were higher in males than in females. These results suggest deficits in n-6 essential fatty acids as age advances, particularly in females.
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