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Australasian Journal on Ageing

Andrew Bonney, Simon Morgan, Amanda Tapley, Kim Henderson, Elizabeth Holliday, Andrew Davey, Mieke van Driel, Neil Spike, Cathy Regan, Jean Ball, Parker Magin
OBJECTIVE: To investigate older patients' encounters with general practice registrars (GPRs) to inform training and clinical practice. METHOD: Cross-sectional analysis of data from GPR consultations across five regional training providers in Australia. Data were analysed using simple and multiple logistic regression models. RESULTS: Our analysis included details of 118 831 consultations, 20 555 (17.6%, 95% CI 17.4-17.8) with patients aged ≥65 years...
November 22, 2016: Australasian Journal on Ageing
Sabrina Kohler, Sze Ming Loh
OBJECTIVE: To explore the relationship between resilience and rehabilitation outcomes in older orthopaedic patients. METHODS: Geriatric rehabilitation patients admitted to a general metropolitan hospital following a fracture were interviewed face-to-face. Their resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC), and rehabilitation outcomes were assessed according to functional independence measure (FIM) gain, length of stay, discharge destination and mortality rate...
November 20, 2016: Australasian Journal on Ageing
Stephen J Bright, Cylie M Williams
OBJECTIVES: The rate of older Australians at risk of experiencing alcohol-related harm increased by 31% over the past 10 years, yet there are no Australian age-specific early interventions. We describe the development of Australia's first age-specific early intervention protocol. METHODS: Through examining effective overseas older adult-specific interventions, in addition to other relevant literature, an early intervention protocol was developed. RESULTS: The Older Wiser Lifestyles (OWL) early intervention protocol extends protocols that have been developed overseas through providing: (i) interventions that are tailored to the person's readiness to change, including the provision of harm reduction strategies for people who are precontemplative; and (ii) individualised psychoeducational materials regarding medical conditions and medications...
November 14, 2016: Australasian Journal on Ageing
Joanna B Broad, Kim Dunstan, Annabelle Claridge, Roger Harris
OBJECTIVE: Prognostication is important in clinical decision-making, especially for older people. The aim was to present estimates of life expectancy for older people in New Zealand. METHOD: Statistics New Zealand age-sex-specific death rates were used to derive quartiles of expected years of life remaining in people aged over 65 years. RESULTS: Given current patterns and trends in New Zealand death rates, 50% of women reaching age 80 years in 2016 can expect to live at least another 10...
October 27, 2016: Australasian Journal on Ageing
Amber Mills, Anne Walker, Michele Levinson, Alison M Hutchinson, Gemma Stephenson, Anthea Gellie, George Heriot, Harvey Newnham, Megan Robertson
OBJECTIVE: To determine the prevalence of resuscitation orders and Advance Care Plans, and the relationship with Medical Emergency Team (MET) calls. METHOD: A point prevalence review of patient records at five Victorian hospital services. RESULTS: One thousand nine hundred and thirty-four patient records were reviewed, and 230 resuscitation orders and 15 Advance Care Plans found. Significantly, more resuscitation orders were found at public hospitals...
October 19, 2016: Australasian Journal on Ageing
Victoria Kostadinov, Ann Roche
OBJECTIVE: To examine the prevalence and predictors of cannabis use among older Australians and discuss implications for service provision. METHOD: Secondary analyses were conducted on the 2004 and 2013 National Drug Strategy Household Survey, a large and nationally representative data set. Frequency analyses explored the distribution of demographic characteristics and cannabis use. Logistic regression explored the predictors of cannabis use. RESULTS: Cannabis use among Australians aged 50 years and over increased significantly (P < 0...
October 12, 2016: Australasian Journal on Ageing
Birgit Maria Wurzer, Debra Lynn Waters, Linda Robertson, Beatrice Hale, Leigh Anne Hale
OBJECTIVE: Assess feasibility and impact of adding a long-term condition self-management program (Living a Healthy Life, LHL) into Steady as You Go (SAYGO) fall prevention exercise classes. METHOD: Four-day LHL leader training workshop to deliver six weekly program. Focus groups explored feasibility and acceptability. Chronic disease self-efficacy, balance confidence, health behaviours and status were measured at 6 weeks, 3, 6 and 12 months. RESULTS: Four leaders and 17 participants volunteered...
October 12, 2016: Australasian Journal on Ageing
Carole Rushton, Julia Crilly, Adeniyi Adeleye, Laurie Grealish, Mandy Beylacq, Mark Forbes
OBJECTIVES: To explore current knowledge of medical assessment units (MAUs) with specific reference to older people with complex needs and to stimulate new topics and questions for future policy, research and practice. METHODS: A scoping review was conducted using an integrated-latent thematic approach. RESULTS: This review provides a unique perspective on MAUs and older people which is framed using four themes: efficiency, effectiveness, equity and time...
September 23, 2016: Australasian Journal on Ageing
Andrew Vanlint, Khai Loon Tam, Solomon Yu, Renuka Visvanathan
OBJECTIVES: An Observed Structured Clinical Examination (OSCE) was integrated into the assessment for senior medical students undertaking a 4.5-week geriatric medicine teaching block at one campus. The feasibility and acceptability of an OSCE were examined. METHODS: Students completed eight questions regarding the OSCE using a 6-point Likert scale and two additional questions, using free text, highlighting the strengths and potential areas for improvement. Changes were made every 6 months over a two-year period in response to student evaluation...
September 19, 2016: Australasian Journal on Ageing
Sarah Bernard, Charles Inderjeeth, Warren Raymond
OBJECTIVE: To assess the effect of age-adjusted Charlson Comorbidity Index (CCI) score on Functional Independence Measure (FIM) score gain in older rehabilitation patients. METHODS: This prospective cohort study observed 306 older rehabilitation patients admitted to a secondary hospital between February and April 2015. Groups were compared using CCI score cut-offs of ≤4, 5-6 and ≥ 7. RESULTS: Complete FIM data were available for 280 patients...
September 12, 2016: Australasian Journal on Ageing
Julie Byles
No abstract text is available yet for this article.
September 2016: Australasian Journal on Ageing
Jane Sims
No abstract text is available yet for this article.
September 2016: Australasian Journal on Ageing
Bruce Allen Stevens
Research indicates that the religious faith of people in aged care contributes to their well-being. A more general spirituality, involving no established religion, is also likely to be of benefit, but will require new forms of expression that appeal to the next generation, many of whom reject established religions. The practice of mindfulness also has research support as a contributor to well-being and may be a suitable and easily accepted form of spirituality for non-religious people.
September 2016: Australasian Journal on Ageing
Edwin Ck Tan, Renuka Visvanathan, Sarah N Hilmer, Agnes Vitry, Tina Emery, Leonie Robson, Kaisu Pitkälä, Jenni Ilomäki, J Simon Bell
AIM: To investigate analgesic use and pain in people with and without dementia in Australian residential aged are facilities. METHODS: A cross-sectional study of 383 residents of six residential aged are facilities was conducted. Nurses assessed self-reported and clinician-observed pain. Analgesic use data were extracted from medication charts. Logistic regression was used to investigate factors associated with analgesic use. RESULTS: Analgesics were administered to 291 (76...
September 2016: Australasian Journal on Ageing
Taylor Arndt Scott, Alexander Beveridge, Danielle Ní Chrónín
AIM: Osteoporosis is underdiagnosed and undertreated in Australia, especially in hospitalised patients. We aimed to improve bone health management in geriatric inpatients by introducing a mnemonic into discharge summaries. METHODS: A retrospective review of patients discharged from our geriatric unit was performed before and after intervention. Outcomes assessed were as follows: vitamin D measurement, bone protection medication and communication to general practitioners...
September 2016: Australasian Journal on Ageing
Maggie Jamieson, Laurie Grealish
OBJECTIVE: The objective of this study was to describe the partnership mechanisms that supported teaching and research in aged care, in one of the 16 funded projects under the auspices of the Teaching and Research in Aged Care Service project. Located in ACT and southern NSW, the Co-operative for Healthy Ageing Research and Teaching (CHART) was comprised of eleven partners from the residential care sector, higher education, and hospital and non-government sectors. METHODS: A descriptive study of the project engagement and partnership processes and outcomes using documentation review and stakeholder interviews...
September 2016: Australasian Journal on Ageing
Yodi Christiani, Julie E Byles, Meredith Tavener, Paul Dugdale
AIM: To explore the implementation of poslansia, a community-based integrated health service implemented across Indonesia to improve the health status of older people through health promotion and disease prevention. METHODS: Data analysis of 307 poslansia surveyed in the 4th wave of Indonesia Family Life Survey (IFLS-4). We examined the services provided in the programme, resources and perceived problems. RESULTS: The services provided by poslansia focused mostly on risk factor screening and treatment for minor illness, and less on health promotion activities...
September 2016: Australasian Journal on Ageing
Helen Walker, Penelope Paliadelis
AIM: The objectives of the study were to investigate the lived experience of older people in residential aged care facilities (RACFs) in Australia, to explore their perceptions of their lives in RACFs and how care might be improved. METHODS: This qualitative study used a phenomenological approach to explore the lived experience of older persons in RACFs across two Australian states. In-depth interviews regarding independence, dignity, autonomy, communication and relationships were conducted with 18 participants...
September 2016: Australasian Journal on Ageing
Fiona Kent, Francis Lai, Bronwyn Beovich, Miodrag Dodic
The aim of this study was to determine the usefulness of student-led interprofessional consultations within residential aged care in augmenting patient care and enhancing student education. Volunteer fourth and final year health-care students conducted interprofessional consultations. In a mixed methods design, residents' health-care changes and perspectives were collected prospectively, and student and educator perceptions were measured by survey and interview. Sixteen aged care residents were consulted by interprofessional teams...
September 2016: Australasian Journal on Ageing
Karen Smith, Susan Gee, Tal Sharrock, Matthew Croucher
AIM: Christchurch, New Zealand has a unique opportunity to potentially rebuild as a dementia-friendly city in the wake of the 2010 and 2011 earthquakes. The present study gathered insights from people with dementia about what would make it possible for them to live better in Christchurch. METHODS: Twenty-six older people living with dementia were interviewed using a semi-structured questionnaire. Interviews were transcribed for thematic analysis. RESULTS: Participants talked about the importance of being connected and engaged; of accommodation from service providers and others in the community and raising awareness of dementia, and attributes of the physical environment requiring consideration in the rebuild...
September 2016: Australasian Journal on Ageing
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