The degree of functional capacity impairment in patients admitted to hospice care
Keywords:
functional capacity, palliative care, rehabilitationAbstract
Background. Despite advances in medicine, many patients still experience an unfavorable prognosis as to their health. The analysis conducted by the experts of the World Health Organization shows that by 2020, the average life expectancy will increase to 71.6 years. The projected increase in the number of elderly people increases the risk of developing cancer and other somatic disorders. Modern palliative care is fundamentally different from the care that was common in hospitals in the past. A range of treatment procedures has been introduced, based on the results of medical research relating to, among other things, improving the quality of life, functional capacity and psychophysical capacity in this group of patients.
Objective. The aim of this study was to assess the functional capacity impairment of persons admitted to hospice care.
Material and method. The test group consisted of 41 patients receiving hospice care and 41 persons in the control group. To evaluate the factors tested, Katz Scale (Index of Independence in Activities of Daily Living, ADL), Lawton Scale (Instrumental Activities of Daily Living, IADL) and Tinetti Scale have been used. The examination was performed at the time of admission of patients to hospice care.
Results. Based on statistical analysis of basic and complex activities of daily living a difference in the capacity level was observed, with the test group subjects receiving poorer results. The test group achieved worse results in terms of locomotor activity such as change of the position and gait. In 56% of the subjects from the test group there was a high and medium risk of falls; in the control group large and medium risk of falls was found in 24% of subjects.
Conclusions. 1. The majority of patients admitted to hospice care are characterized by severe and moderate dependence in terms of basic and complex activities of daily living and have limited locomotor capacity. 2. Lawton IADL Scale is the most sensitive one in the assessment of the loss of functional capacity. 3. Lawton scale results are comparable to the results obtained using Katz Scale and Tinetti Scale, which allows for the use of the scales interchangeably.
Downloads
References
de Walden-Gałuszko K., Majkowicz M.; Ocena jakości opieki paliatywnej w teorii i praktyce. Wyd. Akad. Med. w Gdańsku. Gdańsk 2000;3-12.
Przyłuska-Fiszer A., Wójcik A.; Problemy metodologiczne badań naukowych w opiece paliatywnej. Diametros 2009;19:119-131.
Grodzicki T., Kocemba J.,SkalskaA.; Geriatria z elementami gerontologii ogólnej. Via Medica Gdańsk 2006;123-133.
Galus K., Kocemba J.; MSD, Geriatria. Urban & Partner Wrocław 1999; 2:252-253.
Kocemba J., Grodzicki T.; Zarys gerontologii klinicznej. MCKP UJ Kraków 2000.
Pruszyński J., Cicha-Mikołajczyk A., Gębska-Kuczerowska A.; Ocena wydolności czynnościowej i sprawności motorycznej osób przyjmowanych do pielęgniarskiego domu opieki w Polsce. Przegl. Epidemiol. 2006;60:331-338.
Kozak-Szkopek E., Galus K.; Wpływ rehabilitacji ruchowej na sprawność psychofizyczną osób w podeszłym wieku. Gerontol. Pol. 2009;17, 2: 79-84.
Dziechciaż M., Płaszewska-Żywko L., Guty E.; Samodzielność osób starszych mieszkających na wsi w zakresie podstawowych i złożonych czynności życiowych. Zdr. Publ. 2010;120(4):346-350.
Płaszewska-Żywko Ł., Brzuzan P., Malinowska-Lipień I., Gabryś T.; Sprawność funkcjonalna u osób w wieku podeszłym w domach pomocy społecznej. Probl. Hig. Epidemiol. 2008;89(1):62-66.
Muszalik M., Kędziora-Kornatowska K., Sury M., Kornatowski T.; Ocena funkcjonalna pacjentów w starszym wieku w odniesieniu do jakości życia w świetle kwestionariusza Oceny Funkcjonalnej Przewlekle Chorych. Prob. Hig. Epidemiol. 2009;90(4): 569-576.
Dobrzyń D., Marcisz C.; Proste i złożone czynności dnia codziennego wśród osób starszych pod opieką pomocy społecznej na Śląsku. Prob. Hig. Epidemiol. 2007; 88 (suplement).
Seeman T., Merkin S., Crimmins E., Karlamangla A.; Disability trends among Older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004. Amer. Jour. of Public Health. 2010;100(1):100-107.
Biercewicz M. i wsp.; Wykorzystanie badania klinimetrycznego do oceny osób w starszym wieku. Ann. UMCS . 2005;vol.LX,suppl.XVI,31.
Muszalik M., Ćwikła A., Kędziora-Kornatowska K., Kornatowski T.; Ocena wpływu czynników socjodemograficznych i medycznych na poziom sprawności funkcjonalnej pacjentów geriatrycznych. Piel. XXI wieku. 2010;1-2,30-31.
Buss T.; Wybrane problemy jakości życia pacjentów z chorobą nowotworową w aspekcie zmęczenia, anoreksji i wyniszczenia. Med. Pal.2003;1,(3):7-18.
Wójcik A.; Rehabilitacja w opiece paliatywnej: W de Walden- Gałuszko K., Kopacz A. (Red.) Pielęgniarstwo w opiece paliatywnej i hospicyjnej. PZWL Warszawa 2008;183-193.
Santiago-Palma J., Payne R.; Palliative care and rehabilitation. Cancer 2001;8,15; 92 (4 suppl):1049-1052.
Kiwerski J.; Rehabilitacja w opiece długoterminowej - aspekty kliniczne i społeczne. Balneologia Polska 2009;4,322-326.
Jolliffe J., Bury T.; The effectiveness of physiotherapy in the palliative care of older People. The Char. Soc. of Physioth. 2002,4.
Pop T., Adamek J.; Dynamika aktywności ruchowej u pacjentów objętych opieką paliacyjną. Ortopedia Traumatologia Rehabilitacja 2010, 12(1):80-89.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2012 Medical Journal of the Rzeszow University and the National Medicines Institute, Warsaw
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.
