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Canadian Journal on Aging, la Revue Canadienne du Vieillissement

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https://www.readbyqxmd.com/read/30404681/hospital-discharge-decisions-concerning-older-patients-understanding-the-underlying-process
#1
Pierre Koskas, Cécile Pons-Peyneau, Mouna Romdhani, Nadège Houenou-Quenum, Sandrine Galleron, Olivier Drunat
ABSTRACTWe aimed to understand clinical decision-making processes that influence the orientation of older patients after hospital discharge. We compared discharge decisions (i.e., discharge home, or nursing home stay) of the hospital team with those of an expert panel. Both panel and hospital team made their decisions independently. The blind study included 102 patients (mean age: 83.13 ± 6.74). There is a statistically significant difference between expert and hospital team decisions (p < .001; kappa coefficient: 0...
November 8, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30404676/innovative-exercise-as-an-intervention-for-older-adults-with-knee-osteoarthritis-a-pilot-feasibility-study
#2
Erin M Shellington, Dawn P Gill, Ryosuke Shigematsu, Robert J Petrella
ABSTRACTExercise has potential to mitigate morbidity in knee osteoarthritis (OA). Participants with knee OA were randomized to a Square-stepping Exercise (SSE) group (2x/week for 24 weeks) or a control group. We assessed the feasibility of SSE and its effectiveness on symptoms (WOMAC), balance (Fullerton), mobility, and walking speed at 12 and 24 weeks. The SSE group had a 49.3% attendance rate and trended toward improvement in the 30-second chair stand at 12 (F = 1.8, p = .12, ηp2 = 0.16), and 24 weeks, (F = 3...
November 8, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30404674/we-are-caregivers-social-identity-is-associated-with-lower-perceived-stress-among-rural-informal-caregivers
#3
Lisa Carroll, Jessica Chippior, Shazya Karmali, Deepika Sriram, Renate Ysseldyk
ABSTRACTInformal caregivers often experience high stress levels with little support, especially in rural settings. With a mixed-methods approach, this research explored experiences of rural informal caregivers, including how social identification as a caregiver, social interactions, and formal and informal coping support related to perceived stress. Major focus group themes (n = 8) included lacking available services, balancing challenges, unmet practical needs, and strong community identity. Survey data (n = 22) revealed that perceived coping support (e...
November 8, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30370883/first-order-affective-theory-of-mind-in-persons-with-alzheimer-s-disease-and-in-healthy-older-adults
#4
Alina-Alexandra Sava, Floriane Delphin-Combe, Pierre Krolak-Salmon, George A Michael, Hanna Chainay
ABSTRACT"Theory of Mind" (ToM) is the capacity to deduce other persons' cognitive and emotional states. Studies investigating affective ToM in healthy older adults and in persons with Alzheimer's disease have reported contradictory results, although evidence indicates that advanced age (Ruffman, Henry, Livingstone, & Phillips, 2008) and Alzheimer's disease (Elferink, van Tilborg, & Kessels, 2015) do not affect the ability to identify or infer different emotions to the same extent. To evaluate affective ToM abilities in these populations, we asked 63 individuals (17 with Alzheimer's disease) to infer the emotional states of characters presented without facial details in emotional situations...
October 29, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30370881/the-unbearable-lightness-of-being-retired
#5
Michelle Pannor Silver
ABSTRACTIn this qualitative study, I followed an approach to examine perceptions about retirement, using an interview guide informed by the life course perspective, among 26 men and women who had retired from positions as chief executive officers. Three key themes emerged: (1) the importance of productivity and networking as participants rose up the corporate ladder; (2) the sense of having a "best before" date and experiencing societal pressures to retire; and (3) struggles with feeling insignificant in retirement while desiring personal fulfillment through continued engagement in paid work...
October 29, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30298797/who-is-still-looking-after-mom-and-dad-few-improvements-in-care-aides-quality-of-work-life
#6
Stephanie A Chamberlain, Matthias Hoben, Janet E Squires, Greta G Cummings, Peter Norton, Carole A Estabrooks
ABSTRACTUnregulated care aides provide most of the direct care to nursing home residents. We previously reported the first demographic profile of care aides in Western Canada through the Translating Research in Elder Care (TREC) longitudinal research program (2007-2022) in applied health services. Here we describe demographic, health, and work life characteristics of aides from 91 nursing homes in Western Canada. Demographics and work life varied significantly across health regions and facility owner-operator models...
October 9, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30378533/exploring-rural-family-physicians-challenges-in-providing-dementia-care-a-qualitative-study
#7
Adina Constantinescu, Hui Li, Jennifer Yu, Cassandra Hoggard, Jayna Holroyd-Leduc
ABSTRACTCurrently, 564,000 Canadians are living with dementia. This number will continue to rise as the population ages. Family physicians play an integral role in the diagnosis and management of dementia patients. Although studies have looked at family physician perspectives on dementia care in the urban setting, much less is known about challenges in rural areas. This study aimed to explore rural family physicians' experiences in caring for patients with dementia in rural Alberta, Canada. We conducted three semi-structured focus groups with 16 family physicians to evaluate barriers and facilitators to providing care to persons with dementia in three rural communities...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30378532/muscled-by-the-system-informal-caregivers-experiences-of-transitioning-an-older-adult-into-long-term-care
#8
Christy Konietzny, Sharon Kaasalainen, Vanina Dal-Bello Haas, Cristina Merla, Alyssa Te, Emily Di Sante, Luke Kalfleish, Thomas Hadjistavropoulos
ABSTRACTThis study explored informal caregivers' experiences of transitioning an older adult into long-term care (LTC). Qualitative description guided our analysis of semi-structured interviews with 13 informal caregivers of older adults from three LTC homes in southern Ontario. Our findings illustrate that caregivers experience chronic worry and burden before deciding on, or requiring to apply for, LTC. A sense of lack of control was a prominent theme, especially when caregivers were applying for LTC beds...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30198450/examining-the-attitudes-and-knowledge-of-social-work-and-nursing-students-on-later-life-sexuality
#9
Ateret Gewirtz-Meydan, Ahuva Even-Zohar, Shoshi Werner
ABSTRACTWe examined ageist beliefs, attitudes, and knowledge towards sexuality in later life among 148 nursing students and 137 social work students in their first year of studies. The students completed the Fraboni Scale of Ageism, the Attitudes and Knowledge towards Older Adults' Sexuality Scale, and questionnaires regarding contact with older adults, prior sexual education, and socio-demographics. The results indicated that nursing students have more conservative attitudes towards older adults' sexuality...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30187839/senior-centres-in-canada-and-the-united-states-a-scoping-review
#10
Laura Kadowaki, Atiya Mahmood
ABSTRACTSenior centres have been identified as a "focal point" for delivering services to the rapidly growing older adult populations in Canada and the United States. Despite this important role, academic research studying senior centres has been limited. This scoping review identified English-language empirical research studies focusing on senior centres that were published in an academic journal in 2000 or later. A total of 58 studies were identified (n = 51 American and n = 7 Canadian). The majority of the articles focused on themes related to the participation of individuals at senior centres; a smaller number focused on themes related to the senior centre environment...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30182862/adaptation-transculturelle-en-fran%C3%A3-ais-du-edinburgh-feeding-evaluation-in-dementia-edfed-scale-un-questionnaire-pour-%C3%A3-valuer-les-difficult%C3%A3-s-%C3%A3-s-alimenter-de-personnes-%C3%A3-g%C3%A3-es-pr%C3%A3-sentant-des-troubles-cognitifs-en-centre-d-h%C3%A3-bergement
#11
Claudia Côté, Cynthia Gagnon, Hélène Payette
ABSTRACTThe Edinburgh Feeding Evaluation in Dementia (EdFED) Scale was designed to identify feeding difficulties for people with moderate to severe dementia. Its Canadian-French cross-cultural adaptation was carried out, as part of an experimental study, whose secondary objective was to document its construct validity. A back-translation method was followed. The EdFED-f was used during a meal with 26 elderly residents who had cognitive disorders. There was a significant correlation between EdFED-f scores and energy intakes calculated using a visual estimation of plate wash method (r=-0,50, p=0,009)...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30176954/no-place-like-home-a-systematic-review-of-home-care-for-older-adults-in-canada
#12
Shanthi Johnson, Juanita Bacsu, Hasanthi Abeykoon, Tom McIntosh, Bonnie Jeffery, Nuelle Novik
ABSTRACTGiven Canada's aging population, the demand for home care is expected to increase significantly. To date, little is known about home care for older adults in Canada such as characteristics of home care recipients, gaps in services, or interventions designed to support home care client needs. Consequently, we conducted a systematic review of seven electronic databases for the years 2000-2016 to examine the current knowledge of home care services for Canada's older adults. This synthesis examined four main themes in the literature: older adult client-level predictors; unmet care needs; interventions; and issues and challenges in home care...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30176953/fall-prevention-mobile-clinic-a-novel-fall-prevention-program-for-community-dwelling-older-adults
#13
Sonia Singh, Ashley Kwon, David G T Whitehurst, Kathleen Friesen, Vicky Scott, Samar Hejazi, Fabio Feldman
ABSTRACTCauses of falls in older adults are common, multifactorial, and can lead to significant injury. This before-and-after study evaluated the benefits of a Fall Prevention Mobile Clinic (FPMC) in reducing the risk of falling in older adults in British Columbia, Canada. Four hundred seventy-six participants (average age of 83.6 years) enrolled in the study and were followed for 12 months after attending the FPMC. At 12-month follow-up, the mean percentage uptake of fall prevention recommendations was 48...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30157977/nursing-homes-without-walls-for-aging-in-place
#14
Suzanne Dupuis-Blanchard, Odette N Gould
ABSTRACTGiven the urgency of finding cost-effective and innovative solutions to providing community services for aging in place, novel solutions that take advantage of existing infrastructure are clearly needed. In this sequential mixed-method study, we chose to explore the role that nursing homes could play in offering services to a non-traditional target population, namely seniors with loss of independence living in the community. Forty-two (n = 42) nursing homes in the province of New Brunswick completed an online survey, and 10 agreed to participate in face-to-face interviews...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30157974/retirement-transitions-among-baby-boomers-findings-from-an-online-qualitative-study
#15
M Rebecca Genoe, Toni Liechty, Hannah R Marston
ABSTRACTCanadian baby boomers began turning 65 - traditional retirement age - in 2011. How this generation perceives and experiences retirement may differ from preceding generations. In this online, grounded-theory study, 25 baby boomers who were approaching retirement or had recently retired participated in a multi-author blog about their retirement experiences and processes. We collected additional data via subsequent focus groups and participant interviews. Participants retired in several ways, including ceasing work, adopting casual or part-time work, and adopting new types of work...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30012228/%C3%A3-valuation-de-marche-vers-le-futur-un-programme-novateur-de-pr%C3%A3-vention-des-chutes-offert-par-videoconference
#16
Jacinthe Savard, Sophie Labossière, Dominique Cardinal, Bernard Pinet, Caroline Borris
ABSTRACTSeveral fall prevention programs have been implemented to reduce falls among seniors. In some rural areas or in French-speaking minority communities, the availability of such programs is limited. The objectives of this paper are to: (a) describe the Fall Prevention Program Marche vers le futur, offered in French, by videoconference; and (b) present the results of the evaluation of the program objectives. Results demonstrate that participants have improved their physical abilities, gained knowledge, adopted new behaviors and lifestyle habits...
December 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30058523/enoch-senior-s-college-for-korean-immigrant-seniors-quality-of-life-effects
#17
H Elisha Jo, Jungsun S Jo, Kari K Veblen, Patrick J Potter
ABSTRACTA community-based program is increasingly recognized as promoting health and active social participation in one's life, yet information is lacking about the use and impact of such programs among immigrant visible minority seniors. This mixed-method research evaluated the impact of a cultural community program for Korean immigrant seniors by examining participants' health-related quality of life (HR-QOL) benefits and overall well-being. In this study, 79 participants completed the SF-36v2 questionnaire twice to assess the impact of Canada Enoch Senior's College (CESC) program on their HR-QOL and well-being...
September 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30001761/marital-status-and-problem-gambling-among-older-adults-an-examination-of-social-context-and-social-motivations
#18
Tara Elton-Marshall, Rochelle Wijesingha, Taryn Sendzik, Steven E Mock, Mark van der Maas, John McCready, Robert E Mann, Nigel E Turner
ABSTRACTOlder adults represent the highest proportion of gamblers (Ontario Lottery and Gaming Corporation [OLG], 2012). Unpartnered older adults may be more socially isolated and lonely (Dykstra & de Jong Gierveld, 2004), thus more likely to be at risk for problem gambling (McQuade & Gill, 2012). We examined whether gambling to socialize or from loneliness and going to the casino with friends/family mediate the relation between marital status and problem gambling. Data from a random sample of older adults at gambling venues across Southwestern Ontario indicated that gambling with family/friends and gambling due to loneliness mediated the relationship between marital status and problem gambling...
September 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/30001754/leisure-activities-and-motivational-profiles-in-adaptation-to-nursing-homes
#19
Emin Altintas, Alain Guerrien, Bruno Vivicorsi, Evelyne Clément, Robert J Vallerand
ABSTRACTBased on self-determination theory, this study examined the relationship between leisure activities, motivation, and adjustment to institutional living by older adults who live in nursing homes. We hypothesized that motivational profiles with higher levels of self-determined motivation represent the optimal profiles regarding participation in leisure activities, adaptation to nursing home living, and satisfaction with life. Participants completed questionnaires assessing motivation, leisure activity participation, life satisfaction, and adaptation to the nursing home...
September 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29983127/characteristics-and-outcomes-of-patients-in-rehabilitation-with-hip-fracture-a-retrospective-chart-review
#20
Erica Anders, Wendy Laskey, Catherine Milne-Gibson, Brendan Pynenburg, Chelsea Wong, Anna Berall, Nancy Jones, Debbie Mendelson, Susan Jaglal
ABSTRACTHip fracture rehabilitation has two streams: high tolerance short duration (HTSD) and low tolerance long duration (LTLD). This study examined patient characteristics and outcomes in HTSD and LTLD associated with length of stay (LOS) and discharge destination. We retrospectively examined patients' medical charts following hip fracture surgery and collected demographic, functional, and health characteristics. A statistical analysis was done to describe the differences between HTSD (n = 73) and LTLD (n = 57) patient characteristics and their relationship with LOS and discharge destination...
September 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
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