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  • Author: Branko Gabrovec x
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Abstract

Introduction

To deliver quality management of a frail individual, a clinician should understand the concept of frailty, be aware of its epidemiology and be able to screen for frailty and assess it when it is present, and, finally, to recommend successful interventions.

Methodology

A systematic literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published in the period from 2002 to 2017. From 67432 initial hits, 27 publications were selected.

Results

Useful interventions to address frailty are supplementation of vitamin D, proper nutrition, multicomponent training, home-based physiotherapy and comprehensive geriatric assessment, particularly when performed in geriatric wards.

Conclusion

Comprehensive geriatric assessment is an effective way to decrease frailty status especially when performed in geriatric wards. Multicomponent physical training and multidimensional interventions (physical training, nutrition, vitamin D supplementation and cognitive training) are effective measures to reduce frailty.

Abstract

Introduction

This paper aimed to review the effect of physical activity and exercise in frail older persons. As the process which leads to frailty and disability can be slowed down or even completely reversed, it can be appropriate for early interventions.

Methodology

A literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published from 2002 to 2017. From 620,043 initial hits, 25 publications were selected.

Results

Physical activity and exercise in frail elderly are effective and relatively safe and may reverse frailty.

Conclusion

Different exercise interventions in frail elderly persons can increase strength and power, improve balance and reduce fall incidence resulting in greater quality of life. From this perspective, physical exercise interventions should become daily routine in frail elderly persons.

Abstract

Introduction

The purpose of this research was to identify the prevalence of violence towards nursing staff in Slovenian nursing homes.

Methods

For the purpose of this study, a non-experimental sampling method was employed, using a structured questionnaire as a data collection instrument (n=527). The contents of the questionnaire proved valid and reliable, with a high enough degree of internal consistency (Cronbach Alpha minimum 0.82).

Results

The nursing staffs working in nursing homes for senior citizens are at high risk of violence. In the last year, the employees were most often faced with verbal violence (71.7%), physical violence (63.8%) and sexual violence (35.5%). 35.5% of employees suffered injuries at their working place. During aggressive outbursts of nursing home residents, employees particularly experience vulnerability, fear and insecurity.

Conclusion

There is a need for a comprehensive approach to tackle workplace violence. Some psychiatric health care facilities have already introduced certain measures in this field, and reduction of workplace violence proves that it is possible to reduce aggressive outbursts of patients. After conducting further quantitative research, which would expose detailed characteristics and the background of such violence, it would be sensible to develop similar measures in the field of health care in nursing homes.

Abstract

Introduction. Patients’ satisfaction has a very important role regarding reforms of the healthcare system, which aim at improvement of health and optimisation of costs. Informed patient is one of the factors which notably influences patients’ satisfaction.

Aim. To determine the level of satisfaction of Slovenian residents with the current healthcare system and how well informed they are about the draft law changes to the Healthcare and Health Insurance Act, debated in public in 2017.

Methods. A descriptive, non-experimental sampling method was used (snowball method). A structured questionnaire was used as a measurement tool. The number of 488 persons finished the entire online questionnaire. The data were analysed using the SPSS programme, version 21 (significance level p<0.05), and using descriptive statistics, correlation analysis, t-test and linear regression analysis.

Results. Slovenian residents are fairly (un)satisfied with the current healthcare system. Waiting lines affect satisfaction with the current health care system the most, followed by the level of trust in a doctor’s decision concerning treatment and the level of respectfulness in the communication of healthcare workers with patients. Although respondents are less informed about the proposed changes, they support the draft law changes to a high degree. They perceive the information provided on the proposed changes in healthcare as relatively understandable and evaluate them positively. Television is the most important source of information on law changes in healthcare.

Discussion and conclusions. Slovenian residents support the public healthcare system to a very high degree and are less in favour of private healthcare. In the future, more attention needs to be directed towards the related strategic communication and the choice of communication channels with the planned changes in healthcare.