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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Occupational physical demands in eldercare workers: a systematic scoping review of studies reporting quantitative
Nestor Lögdal1, Jennie A Jackson2, Svend Erik Mathiassen2
1Department of Occupational Health, Psychology, and Sports Sciences, University of Gavle, Gävle, Sweden. nestor.logdal@hig.se.
Eldercare work is physically demanding, with high spinal loads and workers on their feet much of the day, but low cardiovascular strain. More research is needed on temporary workers' physical exposure.
Area of Science:
- Occupational Health
- Biomechanics
- Gerontology
Background:
- Eldercare roles involve significant physical demands, impacting worker health.
- Quantitative data on these physical demands are crucial for understanding occupational risks.
Purpose of the Study:
- To review quantitative measures of physical demands in eldercare.
- To compare demands between temporary and permanent eldercare workers.
- To identify research gaps in physiological studies.
Main Methods:
- Systematic literature search of Scopus, Web of Science, and PubMed.
- Included English and Swedish peer-reviewed studies on eldercare physical demands.
- Assessed risk of bias and extracted descriptive data.
Main Results:
- 37 studies used self-report, biomechanical modeling, or direct measurement.
- Workers reported high physical demands (40-98%); models showed high spinal loads (up to 5092 N).
- Direct measures indicated prolonged standing (50-66% of day) and moderate cardiovascular load (HR 89-107 bpm).
Conclusions:
- Eldercare work is perceived as demanding with high spinal loads but low cardiovascular strain.
- Findings support further research into physiological impacts and interventions.
- Future studies should differentiate between settings and worker types (permanent/temporary).
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