Ivanov S.V.
All-Russia Research Institute of Railway Hygiene, Moscow

Contacts: Sergei Ivanov, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Nowadays, an important problem of social science is socialization and socio-psychological adaptation of the elderly. Retirement and related changes in life and work is a high point for the older age groups determining the necessity to cope with the new life conditions.

The study purpose. To describe organization of perioperative eye care to the elderly and senile people.

Study results. Volumes and contents of major laboratory and instrumental examinations in patients of different age were the same. Exceptions included therapy and cardiology consultations. Both in older and senile ages cardiology consultations before surgery covered 99.6+0.1% patients which was statistically significantly higher (p<0.05) than in middle age patients – 82.0+2.2%. Furthermore, frequency of perioperative somatic complications was statistically significantly higher (p<0.05) in the elderly patients than in the middle age patients. For example, among complications and adverse reactions of the cardiovascular system, prevalence of hypertensive crises was higher by 9.2%, perioperative cardiac rhythm and conduction disturbances – by 8.2%; and perioperative myocardial ischemia – by 4.1%. Also, problems of barrier-free environment for the elderly patients remained unsolved.

Conclusions. Despite the existing differences in risks of care provision and differences in initial status, ophthalmology departments didn’t apply special geriatric approaches: for example, cognitive functions were estimated in only 38.8% of the elderly and senile patients; risk of falling wasn’t estimated, and intentional registration of falling during the hospital stay wasn’t implemented.

Scope of application. The obtained results can be used to develop training programs for doctors, nurses and medical technicians of ophthalmology departments to increase knowledge about care organization for the elderly.

Keywords: Ophthalmology care; older and senile age; perioperational preparation; organization of medical care; safety.

References

1. Arkhipova O.V. Obuchenie kak uslovie uspeshnoy adaptatsii pozhilykh lyudey v statsionarnykh usloviyakh [Training as a condition for successful adaptation of the elderly in inpatient care]. Aktual'nye problemy psikhologicheskogo znaniya 2011; (2): 99-105.
2. Alekseeva G.S., Trifonova N.Yu., Viryasov A.V., Livshits S.A. Obosnovanie organizatsii vozrast-orientirovannoy modeli okazaniya meditsinskoy pomoshchi zhenshchinam pozhilogo vozrasta s nederzhaniem mochi [Rationale for organization of age-based model for providing medical care to elderly women with urinary incontinence]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online]. 2014; 40(6). Available from: http://vestnik.mednet.ru/content/view/637/30/lang,ru/
3. Demin A.V., Gribanov A.V. Osobennosti postural'nogo balansa u rabotayushchikh i nerabotayushchikh pozhilykh muzhchin [Features of postural balance in working and non-working elderly men]. Vrach-Aspirant 2013; (1): 34–39.
4. Demin A.V., Gudkov A.B. Osobennosti postural'noy nestabil'nosti u muzhchin pozhilogo i starcheskogo vozrasta [Features of postural instability in elderly and old men]. Vrach-Aspirant 2011; (4): 570–575.
5. Demin A.V., Gudkov A.B., Gribanov A.V. Osobennosti postural'noy stabil'nosti u muzhchin pozhilogo i starcheskogo vozrasta [Features of postural stability in elderly and old men]. Ekologiya cheloveka 2010; (12): 50–54.
6. Lyubimova M.P., Lyubimov A.A. Pravila vzaimodeystviya soprovozhdayushchikh i soprovozhdaemykh lyudey s narusheniem zreniya v protsesse peredvizheniya [The rules of interaction between persons accompanying patients with visual impairment and those accompanied while their moving]. Vospitanie i obuchenie detey s narusheniyami razvitiya 2013; (6): 28 - 32.
7. Liberman L.M., Andronova A.N., Platikanova M.S. Obuchenie pozhilykh lyudey dlya podderzhaniya fizicheskoy aktivnosti i zdorovogo obraza zhizni [Training of the elderly for providing physical activity and healthy life style]. Perspektivy nauki 2013; (3): 189-190.
8. Popov E.V. Mery po sozdaniyu bezbar'ernoy sredy dlya invalidov v kurskoy oblasti i otsenka ikh effektivnosti [Measures for creating barrier-free environment for disabled persons in Kursk region and assessment of their efficiency]. Aktual'nye problemy sotsial'no-gumanitarnogo i nauchno-tekhnicheskogo znaniya 2014; (1): 67 - 71.
9. Timoshenko M.P. Problemy trudoustroystva i professional'nogo obucheniya invalidov v rossiyskoy federatsii [Problems of employment and professional training of the disabled in the Russian Federation]. Sovremennoe razvitie ekonomicheskikh i pravovykh otnosheniy 2014; (1): 313-321.

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