The 10th Edition of the National Symposium of GerontoPsychology took place on 2-3 november 2024 in the auditorium of the University of Bucharest - Faculty of Psychology. The theme of the 2024 edition was Tradition and innovation in GerontoPsychology: classical approaches and new interdisciplinary trends. The event was hybrid and included 60 participants, clinical psychologists and speech therapists, as well as experts in associated domains. Speakers included important names in psychology and psychiatry from Romania and from abroad.
UMFCD team presented two works on behalf of ROOMMATE Project. One was a synergic work, result of their research in more European projects: Enriched environments – benefits for older adults. Authors: Ileana Ciobanu, Mihaela Zamfir, Rozeta Draghici, Mihai Zamfir, Andreea Marin, Matei Teodorescu, Marius Popescu, Alina Iliescu, Petre Lucian Seiciu, Mihai Berteanu.
Human beings, regardless the age, are open systems acting, being influenced by and influencing whole ecosystems. In diverse activity contexts, as well as in several health conditions and in ageing, the size and quality content of the environment included in the personal action space changes. The manipulation of the content and of the environment can induce, through cognitive and emotional stimulation and through activity enticement, improvements in regards of cognitive and physical functioning, activity level, social participation and quality of life of healthy older adults. In post-stroke conditions, as well as in disabilities associated to other health conditions like dementia syndromes, material, virtual and mixed enriched environments can support and augment rehabilitation outcomes. Enrichment includes cognitive stimuli but also assistive technologies and adaptations.
Conclusion: The quality of the environment we live and act in is relevant for the content of our activity but also for our life-long development, functioning and wellbeing.
The other presentation was dedicated to stroke patients and regards dysphagia and interventions aimed to improve the condition: Therapeutical approach of patients with oro-pharyngeal dysphagia. Authors: Andreea Marin, Ileana Ciobanu, Rozeta Draghici, Mihai Zamfir, Mihaela Zamfir, Mihai Berteanu.
Dysphagia is the difficulty swallowing and can be seen in clinical practice in different degrees of severity, from an occasionally, mild difficulty, to severe cases in which swallowing is, almost, impossible. Its treatment depends on the ethiology, mechanism of production and the degree of severity. The classification of dysphagia according to the anatomical area involved includes esophageal dysphagia, characterized by impairment of swallowing at the level of the esophagus, and oropharyngeal dysphagia, characterized by impairment of swallowing at the level of the oropharyngeal area. Oropharyngeal dysphagia can occur at any age groups, with a significantly increased frequency in neurological patients, especially in those with associated neurodegenerative diseases. Once the oropharyngeal dysphagia is diagnosed, the intervention will focus on preventive measures and psycho-education including active training exercises for the phono-articulatory system, as well as compensatory strategies of interest.
Assessment and therapeutic intervention techniques mentioned in the specialized literature, taken up and implemented in clinical practice by the authors of this paper were used in therapeutic programs for patients with oropharyngeal dysphagia post stroke dysphagia and post severe neurocognitive disorder. Informative materials were generated for awareness of the deficit and for awareness of the long-term effects of dysphagia, as well as needed materials and worksheets in order to facilitate the continuing therapeutic process at home, post-discharge. The role of ergonomic furniture in the management of swallowing disorders is also noted, emphasizing safety, convenience and comfort, supporting correct posture.
Oropharyngeal dysphagia is a medical emergency, especially when are associated: severe swallowing discomfort, weight loss or dehydration. Such a diagnosis is associated with increased costs of care and significantly affects the person's quality of life. A multidisciplinary approach focused on early diagnosis, specific therapeutic intervention programs, with/without the necessity of the compensatory strategies, as well as environment adjustment to the needs of these individuals in order to optimize the hydration and nutrition functions is a, very important, first step in the correct management of the therapeutic intervention process for the swallowing disorders.