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Australasian Journal on Ageing

Lucio Naccarella, Clare Newton, Alan Pert, Kurt Seemann, Ruth Williams, Kate Sellick, Briony Dow
OBJECTIVES: This research explored residential aged care (RAC) workplace design features that influence how RAC staff feel valued, productive, safe, like they belong and connected. A secondary aim was to validate emerging themes about RAC design features with stakeholders. METHODS: A multistage qualitative study was conducted in one RAC facility with 100 residents in outer metropolitan Melbourne: (i) photo-elicitation - photographs were used to prompt discussions with RAC staff; (ii) individual interviews with RAC directors; and (iii) validity testing with the advisory committee occurred...
January 14, 2018: Australasian Journal on Ageing
Mark Ag Wilson, Susan E Kurrle, Ian Wilson
OBJECTIVE: The aim of this article was to review the literature around Australian medical student attitudes towards older people. METHODS: An Ovid cross-search and SCOPUS search were performed using keywords such as 'Attitude', 'Medical Student' and 'Aged or Older or Elderly'. RESULTS: Several recent studies have investigated the attitudes of Australian medical students towards older people. Baseline attitudes at two medical schools were positive...
January 14, 2018: Australasian Journal on Ageing
Mark Q Thompson, Olga Theou, Jonathon Karnon, Robert J Adams, Renuka Visvanathan
OBJECTIVE: To examine frailty prevalence in Australian older adults. METHODS: Frailty was measured using a modified Fried Frailty Phenotype (FFP) in a combined cohort of 8804 Australian adults aged ≥65 years (female 86%, median age 80 (79-82) years) from the Dynamic Analyses to Optimise Ageing Project and the North West Adelaide Health Study. RESULTS: Using the FFP, 21% of participants were frail while a further 48% were prefrail. Chi-squared testing of frailty among four age groups (65-69, 70-74, 75-79 and 80-84 years) for sex, and marital status revealed that frailty was significantly higher for women (approximately double that of men), increased significantly with advancing age for both sexes, and was significantly higher for women who were widowed, divorced or never married...
January 5, 2018: Australasian Journal on Ageing
Qiukui Hao, Xiaoyi Hu, Linlin Xie, Jing Chen, Jiaojiao Jiang, Birong Dong, Ming Yang
OBJECTIVE: To estimate the prevalence and factors associated with sarcopenia in a sample of older inpatients. METHODS: A cross-sectional study was conducted in three acute geriatric wards in 2012. Sarcopenia was defined according to the criteria of the Asian Working Group for Sarcopenia. RESULTS: We included 407 patients aged 81.0 ± 8.0 years. The prevalence of sarcopenia was 31% in the whole study population. Multiple logistic regression showed that being a female (odds ratio (OR) 4...
January 5, 2018: Australasian Journal on Ageing
Trish Tillson, Maheswaran Rohan, Peter J Larmer
OBJECTIVE: To investigate whether the discharge destination for older adults can be predicted using functional mobility as measured by the Modified Elderly Mobility Scale (MEMS), associated with demographic and primary reason for admission variables. METHODS: A retrospective cohort population audit of 257 patients admitted and discharged from four tertiary older adult rehabilitation wards in a three-month period. A number of predictor variables were considered alongside the discharge destination...
December 27, 2017: Australasian Journal on Ageing
Hamish A Jamieson, Helen M Gibson, Rebecca Abey-Nesbit, Annabel Ahuriri-Driscoll, Sally Keeling, Philip J Schluter
OBJECTIVE: To explore the patterns of living arrangements, ethnicity and loneliness amongst older adults (aged 65+ years) living at home. METHODS: National interRAI-HC (International Residential Assessment Instrument-Home Care) assessments conducted between 1 September 2012 and 31 January 2016 were analysed. Analysis focused on the associations between loneliness and both ethnic groups and living arrangements. RESULTS: There were 71 859 eligible participants, with average age 82...
December 12, 2017: Australasian Journal on Ageing
Bruce A Stevens, Rhonda Shaw, Peter Bewert, Mavis Salt, Rebecca Alexander, Brendan Loo Gee
OBJECTIVE: The care of older prisoners is a growing problem. This review examined aged care interventions in prisons. METHODS: A systematic review was conducted following preferred reporting items for systematic reviews and meta-analyses guidelines. A total of 1186 abstracts were screened for inclusion. Quantitative and qualitative studies were included. RESULTS: Two quantitative studies and five qualitative studies examined aged care interventions (n = 7)...
December 6, 2017: Australasian Journal on Ageing
Mark Q Thompson, Olga Theou, Solomon Yu, Robert J Adams, Graeme R Tucker, Renuka Visvanathan
OBJECTIVE: To determine the prevalence of frailty and associated factors in the North West Adelaide Health Study (2004-2006) using the Frailty Phenotype (FP) and Frailty Index (FI). METHODS: Frailty was measured in 909 community-dwelling participants aged ≥65 years using the FP and FI. RESULTS: The FP classified 18% of participants as frail and the FI 48%. The measures were strongly correlated (r = 0.76, P < 0.001) and had a kappa agreement of 0...
December 4, 2017: Australasian Journal on Ageing
Darshini Ayton, Penny O'Brien, Jonathan Treml, Sze-Ee Soh, Renata Morello, Anna Barker
OBJECTIVES: Safe and high-quality care for patients with dementia is a key priority area of the Australian Commission on Safety and Quality in Health Care; however, caring for patients with dementia in the acute hospital setting is perceived as challenging. The aim of this analysis was to explore nurses' perspectives regarding fall prevention for patients with dementia in an acute care setting. METHODS: Secondary analysis of focus group data. Focus groups were conducted with nurses (n = 96) across six hospitals in New South Wales and Victoria...
November 24, 2017: Australasian Journal on Ageing
Toby Commerford
In any particular region, determining an adequate, quantifiable geriatrician full-time equivalent required to run geriatric medicine services comprehensively - that is spanning both inpatient and outpatient settings - remains an imperfect science. Whilst workforce planning may be addressed through 'demand versus supply' simulations, 'specialist-to-patient ratios' (SPRs) may be a useful additional workforce metric. There has never been a yardstick SPR, which 'defines' a satisfactory level of geriatrician manpower in any particular Australian hospital catchment...
November 24, 2017: Australasian Journal on Ageing
Susan Nunan, Christine Brown Wilson, Timothy Henwood, Deborah Parker
OBJECTIVE: To conduct a systematic review of published fall risk assessment tools (FRATs) tested for predictive validity among older adults in long-term care (LTC). METHODS: A systematic search was conducted using five databases. Only studies reporting on sensitivity and specificity values, conducted in LTC on populations primarily aged over 60 years, were considered. RESULTS: Fifteen papers were included and three different categories of FRATs emerged: multifactorial assessment tools, functional mobility assessments and algorithms...
November 23, 2017: Australasian Journal on Ageing
Andrew P Couch, Kelvin Ho, Rosie Darwood, Jeremy M Hsu
OBJECTIVE: Frailty has been associated with worse outcomes in older trauma patients. Specifically, the utility of lean cross-sectional psoas muscle area (LPA) was examined as a potentially simple objective measure of frailty. METHODS: Five hundred and fifty-four patients over the age of 65 were admitted with trauma between 2011 and 2014. Two hundred and twenty-five of these had adequate computed tomography imaging available for analysis. Cross-sectional area of the psoas muscle at the inferior endplate of L4 was quantified...
November 23, 2017: Australasian Journal on Ageing
Juliet Butler
OBJECTIVE: To measure how care needs, health and length of stay in permanent residential aged care differs by assessed need for palliative care. METHODS: On entry into permanent residential aged care, people's care needs and health conditions are assessed on the Aged Care Funding Instrument. Data for the period 2008-2009 and 2015-2016 were analysed for trends in care needs, health conditions, length of stay and separation reason across assessed need for palliative care...
November 15, 2017: Australasian Journal on Ageing
Claire P Heppenstall, Hugh C Hanger, Timothy J Wilkinson, Michelle Dhanak
OBJECTIVE: To assess the use and acceptability to older participants and general practitioners (GPs) of telephone support postdischarge to reduce readmissions. METHODS: A prospective cohort study of older people after discharge from a specialist geriatric unit, and comparison with a previous cohort. Telephone follow-up calls were made fortnightly for three months. Structured questionnaires were used to obtain feedback from participants and GPs. RESULTS: Readmission rates were high, 40%, despite the intervention...
November 15, 2017: Australasian Journal on Ageing
Caroline Lukaszyk, Kylie Radford, Kim Delbaere, Rebecca Ivers, Kris Rogers, Catherine Sherrington, Anne Tiedemann, Julieann Coombes, Gail Daylight, Brian Draper, Tony Broe
OBJECTIVE: To examine associations between fall risk factors identified previously in other populations and falls among Aboriginal people aged 60 years and older, living in New South Wales, Australia. METHODS: Interviews were conducted with older Aboriginal people in five urban and regional communities. Associations between past falls and 22 fall predictor variables were examined using linear and multiple regression analyses. RESULTS: Of the 336 participants, 80 people (24%) reported at least one fall in the past year, and 34 (10%) reported two or more falls...
November 15, 2017: Australasian Journal on Ageing
A Stefanie Mikolaizak, Stephen R Lord, Anne Tiedemann, Paul Simpson, Gideon Caplan, Jason C Bendall, Kirsten Howard, Jacqueline Close
OBJECTIVE: To identify predictors and impact of adherence to a multifactorial fall-prevention program on falls and health service utilisation. METHODS: Randomised controlled trial with a priori subgroup analysis within intervention group according to adherence. Participants were community dwelling, (≥65 years), not transported to hospital following fall-related paramedic care. The Attitudes to Falls-Related Interventions Scale (AFRIS) was completed at baseline, adherence levels were measured (three-point scale) at six months, and falls and health service utilisation were recorded for 12 months...
November 15, 2017: Australasian Journal on Ageing
David S Brennan, Dominic Keuskamp, Madhan Balasubramanian, Najith Amarasena
OBJECTIVE: Our aim was to examine the associations between general health and well-being with living conditions, oral health and degree of dependency. METHODS: We surveyed people from a primary care service and collected data on sociodemographic characteristics, general health, health utility, well-being, activities, living conditions and oral health impact. RESULTS: Overall, 459 participated (78% response rate). Poor general health was associated with decreased instrumental activities of daily living scores (18% of those with poor general health were independent vs 60% with good general health)...
November 13, 2017: Australasian Journal on Ageing
Bridget Regan, Yvonne Wells
OBJECTIVE: To evaluate a new information resource developed for clients with mild cognitive impairment (MCI) or early dementia and their family supporters. METHODS: A controlled group trial was undertaken comparing 40 clients and family supporters who received 'service as usual' followed by 40 clients and family supporters who received 'service as usual' plus the new information resource. Telephone interviews comprising open questions, ratings and a quality-of-life questionnaire were undertaken two to four weeks after the client's final feedback session...
November 3, 2017: Australasian Journal on Ageing
Cathy Honge Gong, Hal Kendig
OBJECTIVE: To assess the changes in health, well-being and welfare dependency associated with yearly workforce transitions from working to not working among people aged 45-64 years. METHODS: Transition analysis of the nationally representative longitudinal data from the Household Incomes and Labour Dynamics in Australia survey 2002-2011. RESULTS: People who voluntarily left paid work had reasonable control over their situations, and their satisfaction remained relatively stable even with deteriorating health and increasing welfare dependency...
October 29, 2017: Australasian Journal on Ageing
Jeromey B Temple, Peter F McDonald
OBJECTIVE: To examine the role of variations in mature age labour force participation on labour force outcomes over Australia's recent past (2000-2015) and immediate future (to 2030). METHODS: To estimate the impact of rises in mature age participation on observed labour supply, we utilise demographic decomposition techniques. To examine future labour supply (to 2030), we simulate scenarios utilising a cohort-component projection model. RESULTS: Observed increases in mature age participation between 2000 and 2015 added approximately 786 000 mature age workers to the Australian labour force...
December 2017: Australasian Journal on Ageing
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