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Australasian Journal on Ageing

Colette Dignam, Margaret Brown, Campbell H Thompson
OBJECTIVE: To compare 2011 and 2017 documentation of resuscitation decisions in older patients, including the frequency and clarity of documentation. METHODS: The clinical case notes of 130 patients aged 70 years and over were examined to identify how resuscitation decisions are discussed and documented at a major teaching hospital. Results were compared to 2011 data. RESULTS: The proportion of patients with a documented order significantly increased, from 34 to 63%, with a concurrent increased number of patients identified as Not For Cardiopulmonary Resuscitation (Not for CPR)...
September 21, 2018: Australasian Journal on Ageing
Olivia Farrer, Letizia Sasanelli, Louisa Matwiejczyk, Alison Yaxley, Michelle Miller
OBJECTIVE: This study aimed to explore how dietitians could work with cooks and chefs to contribute to best practice. METHODS: Data from interviews and focus groups comprising 38 chefs, cooks and food service managers were analysed. Inductive line-by-line coding of transcripts was conducted within a critical realist framework. Coding was completed independently by two authors before reaching consensus on themes. RESULTS: Four main themes emerged: (i) knowledge sharing; (ii) communication; (iii) collaboration; and (iv) accessibility...
September 17, 2018: Australasian Journal on Ageing
Suzanne M Dyer, Emmanuel S Gnanamanickam, Enwu Liu, Craig Whitehead, Maria Crotty
OBJECTIVE: To examine the cognitive status of Australians living in residential aged care facilities (RACFs) and whether or not a dementia diagnosis was recorded. METHODS: Cross-sectional study of 541 residents of 17 RACFs spanning four states. Examination of cognitive status by Psychogeriatric Assessment Scale Cognitive Impairment Scale (PAS-Cog) and dementia diagnosis from medical records. RESULTS: The study population included 65% of residents with a diagnosis of dementia recorded, and 83% had a PAS-Cog score of four or more indicating likely cognitive impairment...
September 6, 2018: Australasian Journal on Ageing
Raphael M Ritti-Dias, Gabriel Grizzo Cucato, Luciana Diniz Nagem Janot de Matos, Maysa Seabra Cendoroglo, Fabio Nasri, Nelson Wolosker, Maria Luiza Monteiro Costa, Fabio Gazelato de Mello Franco
OBJECTIVE: To analyse the factors associated with low health-related quality of life (HRQoL) in older people living in Brazil. METHODS: In this cross-sectional study of the Jewish community residing in Sao Paulo, Brazil, we extensively evaluated the characteristics - including clinical, functional and sociodemographic - of 496 older people. Quality of life was assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), while the Geriatric Depression Scale (GDS) was used to measure depressive symptoms...
August 31, 2018: Australasian Journal on Ageing
Jonine Jancey, Anne-Marie Holt, Andy H Lee, Deborah A Kerr, Ellen Hart, Suzanne Robinson, Annie S Anderson, Andrew P Hills, Peter Howat
OBJECTIVE: This process evaluation aimed to determine participants' perceptions of the strategies utilised in a six-month intervention that set out to improve physical activity and nutrition in retirement village (RV) residents. METHODS: Qualitative and quantitative data were collected from intervention participants residing in 17 RVs located in Perth, Western Australia, via self-report questionnaires (n = 139) and semi-structured interviews (n = 16). RESULTS: Intervention resources were moderately useful and suitable...
August 27, 2018: Australasian Journal on Ageing
Daniel W O'Connor, Kate Jackson, David Lie, Helen McGowan, Roderick McKay
OBJECTIVE: To map the provision of community, acute, non-acute and residential care-based state-funded mental health services to older people with severe, persistent behavioural symptoms of dementia. METHODS: An electronic survey was completed in 2015 by senior representatives of aged persons' mental health services across Australia's six states. RESULTS: Jurisdictions varied widely in the number, geographic spread and make-up of aged persons' mental health community teams when adjusted for aged population; their number of acute and non-acute beds, and especially in the provision of specialist residential beds or partnerships with non-government providers...
August 14, 2018: Australasian Journal on Ageing
Yiqi Tao, Zhonghua Gou, Stephen Siu-Yu Lau, Yi Lu, Jiayan Fu
OBJECTIVE: Focusing on Hong Kong Care and Attention homes which provide residential care, meals, personal care and limited nursing care for older people, this study aimed to understand the impact of floor plans' legibility (layout and complexity) on residents' wayfinding satisfaction and self-reported health status. METHODS: A questionnaire survey was conducted in nine Care and Attention homes. Space syntax, a well-established method, was used to evaluate the legibility of their floor plans via calculating the integration value...
August 11, 2018: Australasian Journal on Ageing
Emily Reeve, Allicia C Anthony, Lisa Kouladjian O'Donnell, Lee-Fay Low, Susan J Ogle, James E Glendenning, Catriona Eb Lorang, Sarah N Hilmer
OBJECTIVES: (i) To develop a version of the revised Patients' Attitude Towards Deprescribing (rPATD) questionnaire for people with mild cognitive impairment (MCI) and mild-to-moderate dementia (rPATDcog); and (ii) to capture the beliefs and attitudes of this population and their carers about deprescribing through a pilot study. METHODS: First, the rPATDcog was modified from the rPATD and tested in a small group of participants with MCI or mild dementia, and then, we conducted a pilot study of the rPATDcog and the carers' rPATD...
August 6, 2018: Australasian Journal on Ageing
(no author information available yet)
No abstract text is available yet for this article.
August 3, 2018: Australasian Journal on Ageing
Lisa Cannon, Hal Kendig
OBJECTIVE: To investigate the perceptions of intergenerational conflict and lifelong opportunities of the Millennial cohort. METHODS: Data were collected in the Attitudes to Ageing in Australia Study as part of the 2015-2017 national Australian Survey of Social Attitudes (n = 2049, aged 18 and older). Variations by age cohorts and individual characteristics were examined in descriptive analyses and binary logistic regressions. RESULTS: Overall, the majority of people at all ages thought opportunities were worse for younger people than for baby boomers, but few perceived strong conflict between younger and older people...
August 1, 2018: Australasian Journal on Ageing
Louise McHutchison, Anna Miles, David Spriggs, Sisira Jayathissa
OBJECTIVE: For patients with dysphagia, decisions must be made for provision of nutrition and hydration. This retrospective audit explored feeding decisions for patients with severe oropharyngeal dysphagia. METHODS: Fifty adult inpatients were identified across a 15-month period as requiring a feeding decision due to severe persisting oropharyngeal dysphagia. For each patient, all admissions (previous and subsequent admissions up to and including six months postrecruitment) where dysphagia or dysphagia-related complications were reported in the discharge summary were audited...
August 1, 2018: Australasian Journal on Ageing
Harriet Radermacher, Ying Li Toh, Deborah Western, Jan Coles, Dianne Goeman, Judy Lowthian
OBJECTIVE: The purpose of this rapid review was to explore how residential aged care staff conceptualise and identify elder abuse. METHODS: English-language publications, between 2000 and 2017, about elder abuse in residential aged care in developed countries were sought from three academic databases. Only perspectives on staff-to-resident and resident-to-resident abuse were included. RESULTS: Over 2000 articles were screened, and 19 journal articles were included in the review...
July 30, 2018: Australasian Journal on Ageing
Janani Thillainadesan, Lisa Ng, Ilona Cunningham, Nicole Wong Doo, Vasi Naganathan
OBJECTIVE: To characterise older inpatients in a haematology unit. METHODS: Hospital case-mix data of haematology separations of all ages (n = 7419) and more extensive data restricted to older patients (age ≥75 years, n = 1025) were evaluated. RESULTS: From 2000 to 2014, there was a 200% increase in those aged ≥85 years who were more likely to have a geriatric syndrome as the principal diagnosis (P < 0.05), have delirium (P < 0.05), receive less intensive treatment (P < 0...
July 10, 2018: Australasian Journal on Ageing
Banu Ünver, Eda Akbaş
OBJECTIVE: The aim of this study was to investigate the association of regional plantar tactile sensitivity with balance and mobility in community-dwelling older people. METHODS: Fifty-five older adults (39 women and 16 men) mean age 73.5 ± 6.5 years participated in the study. Plantar tactile sensitivity was assessed at nine regions of the foot using Semmes-Weinstein monofilaments. Balance and mobility of the subjects were evaluated with Berg Balance Scale and Rivermead Mobility Index, respectively...
July 6, 2018: Australasian Journal on Ageing
Aye Su Mon, Chrys Pulle, Jack Bell
OBJECTIVES: Malnutrition after hip fracture is recognised as the co-morbidity most likely to impact hospital length of stay and cost. Despite this, the role of enteral tube feeding in hip fracture patients remains unclear. METHODS: A modified Delphi process was used to establish consensus for an enteral tube feeding decision support tool. Three rounds of the Delphi survey were administered to a purposeful sample of twenty multidisciplinary clinicians from the Australian and New Zealand Hip Fracture Registry...
September 2018: Australasian Journal on Ageing
Keryn Curtis
No abstract text is available yet for this article.
September 2018: Australasian Journal on Ageing
Ying Ma, Zhi Hu, Xia Qin, Ruoling Chen, Yanfei Zhou
OBJECTIVE: To measure the prevalence of insomnia and identify the socio-economic correlates of insomnia among older people of Anhui Province of China. METHODS: A cross-sectional study was conducted among 3045 randomly selected consenting residents aged 60 and older from Anhui Province during 2013. Insomnia was assessed using the Athens Insomnia Scale (AIS). Data collected included: (i) demographics; (ii) socio-economic status; (iii) social support; (iv) social contact; and (v) social capital...
September 2018: Australasian Journal on Ageing
Jane Sims
No abstract text is available yet for this article.
September 2018: Australasian Journal on Ageing
Hal Kendig
No abstract text is available yet for this article.
September 2018: Australasian Journal on Ageing
Mi Sook Kim, Dong-Soo Shin, SookNyeo Kim
OBJECTIVES: Older Korean people's admission to long-term care (LTC) hospitals is increasing. This study aimed to investigate one-year mortality and related factors among older patients admitted to a LTC hospital. METHODS: Medical records of 330 patients admitted to a LTC hospital in 2014 were reviewed. Factors related to death were identified using the Cox proportional hazards model. RESULTS: About 35% of the patients died within a year, and their average length of survival was 42...
September 2018: Australasian Journal on Ageing
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