Browsing by Author "Shrestha, KD"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Assessment of Functional Status and Comorbidities among Elderly Admitted in Sub-Regional Hospital, Parsa(Institute of Medicine, 2017) Shrestha, KD; Gautam, RAbstract Introduction: Functional decline may be the first sign of changing health status and the prevalence of co morbidity is high among elderly affecting their functional ability and increases need of hospitalizations. The functional assessment is one of the trademarks of the geriatric assessment that measures the outcome of the treatment, determinant of end of life medical costs and helps to plan for further care needed for elderly. Numerous studies have shown an association between aging and higher risks of functional dependence as well as a high prevalence of functional disability in the older adult population. Hence, this study is to assess the functional status and comorbidities among elderly patient. Method: A descriptive cross- sectional study was done among elderly patient admitted in different wards of the Narayani Sub-regional Hospital, Parsa. Data was collected through census method from 121 respondents by using interview schedule through interview method. Katz Index of Independence in Activities of Daily Living was used to assess the functional status of elderly. Descriptive and inferential statistics (chi square & odds ratio) were used for analysis. Results: The study reveals more than half of the respondents (62.8%) were dependent in basic activities of daily living (BADLs). Among them, 57.9% were severely dependent followed by 42.1% moderately dependent in BADLs. Respondents were dependent in bathing (68.6%), toileting (59.5%) and transferring (43.8%). Regarding comorbidities with physical problems, each respondent has average six comorbidities with minimum two comorbidities (Mean 1.71). Among them, 8.1% respondents had chronic cough, hypertension (21.5%), diabetes (8.3%), vision problem (34.7%) and 29.8% had hearing impairment. The study also reveals that hypertension, age and BMI significantly affect the functional status of the elderly. Conclusion: More than half of the respondents were dependent in BADLs especially in bathing, toileting and transferring. Each respondent had average two comorbidities. Hypertension, age and BMI significantly affect the functional status of the elderly. Therefore, functional status and comorbidities of the elderly must be assessed in regular basis to improve the quality of life. Key words: Functional status, Comorbidities, Katz index of independence in ADLPublication Pulmonary Rehabilitation in COPD-An Important Non-pharmacological Treatment(Institute of Medicine, 2017) Shrestha, KDAbstract Pulmonary rehabilitation (PR) is a non-pharmacological therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is an integral part of the clinical management and health maintenance of those patients with chronic respiratory disease who remain symptomatic or continue to have decreased function despite standard medical treatment. It aims to reduce symptoms, decrease disability, increase participation in physical and social activities, and improve the overall quality of life (QOL) for patients with chronic respiratory disease. Currently, the focus of treatment is appropriate bronchodilator therapy but much like bronchodilator therapy, non-pharmacological therapy provides symptomatic improvement and better quality of life. Pulmonary rehabilitation is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, self-management education, and psychosocial therapy delivered by an interdisciplinary team of therapists and it last for 6-8 weeks. The benefits of pulmonary rehabilitation as a non-pharmacological treatment include decreased dyspnoea, improved health-related quality of life, fewer days of hospitalization, and decreased health-care utilization. This article aims to highlight the pulmonary rehabilitation, its indication, contraindication, benefits, component of PR and health care providers’ role in successful PR.