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Naslov: FIZIOTERAPEVTSKA OBRAVNAVA STAREJŠIH ODRASLIH OSEB S KOGNITIVNIM UPADOM PO TOTALNI ENDOPROTEZI KOLKA Avtorji: ID Koban, Liljana (Avtor) ID Kresal, Friderika (Mentor) Več o mentorju... Datoteke: 2298$$diplomska_naloga_fizio_30.10._vis.pdf (1,16 MB) MD5: F4243511F521EFE026DFA0D8A2DE3704   Jezik: Slovenski jezik Vrsta gradiva: Diplomsko delo/naloga Tipologija: 2.11 - Diplomsko delo Organizacija: FIZIOTERAPEVTIKA - Visokošolski zavod Fizioterapevtika Opis: Življenjska doba se v razvitem svetu hitro podaljšuje, s tem pa nastaja vse več sprememb na telesnem in kognitivnem področju. Zaradi upada telesnih in kognitivnih sposobnosti starejših oseb prihaja do vse več padcev in posledično zlomov. Najbolj pogost je zlom kolčnega sklepa, ki običajno zahteva kirurško zdravljenje pri starejših osebah. Zlomljen kolk nadomestijo z umetnim oziroma totalno endoprotezo. Operacija po zlomu kolka poveča tveganje za zaplete pri zdravljenju, umrljivost in potreba po sami rehabilitaciji. Znano je, da skupek dejavnikov vpliva na sam potek in uspešnost rehabilitacijo, eden izmed dejavnikov tveganja je tudi kognitivni upad, ki povzroči zahtevnejšo obravnavo, saj je prizadeto dojemanje, razumevanje, mišljenje, sklepanje, spomin in pomnenje. Poleg kognitivnega upada, stanja prehranjenosti, funkcionalne ravni pred poškodbo, prisotnost depresije, nizek duševni status, višja starost, so negativni napovedniki uspešnosti rehabilitacije. Fizioterapevtska obravnava starejših oseb s kognitivnim upadom je zelo zahteven in dolgotrajen proces. Dokazano je, da zgodnja obravnava takšnih pacientov ter multidisciplinarni tim vpliva na samo uspešnost rehabilitacije. Pomembno je, da imajo ti pacienti možnost in dostopnost rehabilitacije ne glede na to ali so v domači oskrbi ali v institucionalnem varstvu. Velik pomen ima vloga fizioterapevta in drugih zdravstvenih delavcev ne samo pri rehabilitaciji pacientov, temveč tudi pri preprečevanju padcev in ohranjanju kognitivnih sposobnosti pri starejših osebah. Klinični primer je pritrdil raziskavam, da skupek negativnih dejavnikov, kot so kognitivni upad, visoka starost, prisotnost depresije, slaba prehranjenost, vplivajo na izid rehabilitacije in njeno uspešnost. S proučitvijo literature smo ugotovili, da je kognitivni upad le en dejavnik tveganja, ki napoveduje slabši izid rehabilitacije, zato z zagotovostjo zastavljene hipoteze ne moremo potrditi in ne v celoti zavreči, saj ni dovolj raziskav, ki bi to razmejile. Na tem področju je potrebno še veliko raziskovanja, da bi lahko prišli do zaključkov in priporočil za fizioterapevtsko obravnavo takšnih pacientov. Ključne besede: starejše odrasle osebe, kognitivni upad, demenca, zlom kolka, rehabilitacija Leto izida: 2024 PID: 20.500.12556/ReVIS-11140  COBISS.SI-ID: 219811843  Datum objave v ReVIS: 10.12.2024 Število ogledov: 427 Število prenosov: 19 Metapodatki:    Citiraj gradivo Navadno besedilo BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Kopiraj citat

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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	Physiotherapy treatment of an elderly person with cognitive decline after total hip endoprosthesis
Opis:	Life expectancy is increasing rapidly in the developed world, and with this, more and more changes are occurring in the physical and cognitive areas. Due to the decline in physical and cognitive abilities in older adults, there are more and more falls and, as a result, fractures. The most common is a hip fracture, which usually requires surgical treatment in older adults. A broken hip is replaced with an artificial or total endoprosthesis. As a result of surgery after a hip fracture, the risk of treatment complications increases, mortality increases, and the need for rehabilitation itself increases. It is known that a set of factors influence the course and success of rehabilitation. One of the risk factors is also cognitive decline, which causes more demanding treatment, as perception, understanding, thinking, reasoning, memory and memorization are affected. In addition to cognitive decline, nutritional status, functional level before the injury and the presence of depression, low mental status, older age are negative predictors of rehabilitation success. Physiotherapy treatment of older adults with cognitive decline is a very demanding and long-term process. It has been proven that early treatment of such patients and a multidisciplinary team influence the success of rehabilitation. Therefore, it is very important that such patients have the possibility and accessibility of rehabilitation, regardless of whether they are in home care or institutional care. The role of physiotherapists and other health workers is of great importance not only in the rehabilitation of patients but also in preventing falls and maintaining cognitive abilities in older adults. The clinical case confirmed research that a set of negative factors such as cognitive decline, old age, the presence of depression, and poor nutrition affect the outcome of rehabilitation and its success. By reviewing the literature, we found that cognitive decline is only one risk factor that predicts a worse outcome of rehabilitation, so we cannot confirm the hypothesis with certainty, nor completely discard it, as there is not enough research to delineate this. In this area, a lot of research by physiotherapists is still needed in order to reach conclusions and recommendations for the physiotherapeutic treatment of such patients.
Ključne besede:	Elderly person, cognitive deciline, dementia, hip fracture, rehabilitation

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