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Australasian Journal on Ageing

Esther Vance, Melanie K Farlie, Bridget Kool, Anne Tiedemann, Anna L Hatton, Catherine Sherrington, Daina L Sturnieks
OBJECTIVE: To determine the amount and nature of health professional education related to fall prevention for older adults in Australian and New Zealand universities. METHODS: Universities offering medicine, nursing and allied health courses were invited to complete an online survey enquiring about fall prevention course-related information: topics; delivery mode; and time dedicated. RESULTS: One hundred and five respondents, 11 disciplines and 43 universities completed the survey...
May 15, 2018: Australasian Journal on Ageing
Claudia Meyer, Arti Appannah, Sally McMillan, Colette Browning, Rajna Ogrin
OBJECTIVES: Typically, older people are viewed via a single health condition, yet health outcomes are likely impacted by the intersection of many individual characteristics. Promoting inclusive health care is underpinned by reducing bias, respectful communication and supporting individual needs and preferences. This study explores perspectives of community aged care workers on diversity training and implementing training into practice. METHODS: Ninety community aged care workers were telephone-interviewed three months after a one-day diversity training workshop...
May 13, 2018: Australasian Journal on Ageing
Judy A Lowthian, Glenn Arendts, Edward Strivens
OBJECTIVES: Management of older patients during acute illness or injury does not occur in isolation in emergency departments. We aimed to develop a collaborative Consensus Statement to enunciate principles of integrated emergency care. METHODS: Briefing notes, informed by research and evidence reviews, were developed and evaluated by a Consensus Working Party comprising cross-specialty representation from clinical experts, service providers, consumers and policymakers...
May 7, 2018: Australasian Journal on Ageing
Sunita R Jha, Julee McDonagh, Ros Prichard, Phillip J Newton, Louise D Hickman, Erik Fung, Peter S Macdonald, Caleb Ferguson
OBJECTIVES: The objectives of this short report are to: (i) explore #Frailty Twitter activity over a six-month period; and (ii) provide a snapshot Twitter content analysis of #Frailty usage. METHODS: A mixed-method study was conducted to explore Twitter data related to frailty. The primary search term was #Frailty. Objective 1: data were collected using Symplur analytics, including variables for total number of tweets, unique tweeters (users) and total number of impressions...
May 7, 2018: Australasian Journal on Ageing
Victoria Cornell
Initiatives to promote consumer choice are increasingly a feature of Australian welfare policies and programs. Consumer Directed Care (CDC) for older people and the National Disability Insurance Scheme for people younger than 65 years with a disability are two examples of this move towards consumer choice in policy and program development. The ability for service users to benefit from these programs is premised on the fact that their housing is stable and suitable. Yet, there is evidence that this is not the case, and many older people and people with disabilities experience significant housing challenges and stress...
May 2, 2018: Australasian Journal on Ageing
Christopher Sb Sia, Michelle R Ananda-Rajah, Nikki R Adler, Baey Yi-Wei, Danny Liew, Erica Y Tong, Ar Kar Aung
OBJECTIVE: To determine the incidence of acute kidney injury (AKI) in aged patients receiving empiric gentamicin therapy. METHODS: Patients aged ≥65 years receiving gentamicin upon admission between 2013 and 2015 at two Australian hospitals were retrospectively studied. AKI was defined as a rise in creatinine by ≥50% and/or ≥26.5 μmol/L. RESULTS: Most patients (95%) received a single dose of gentamicin. The incidence of AKI was 15% (36/242 patients)...
April 27, 2018: Australasian Journal on Ageing
Daniel Ky Chan, Cathie Sherrington, Vasi Naganathan, Ying Hua Xu, Jack Chen, Anita Ko, Ian Kneebone, Robert Cumming
Falls in hospital are common and up to 70% result in injury, leading to increased length of stay and accounting for 10% of patient safety-related deaths. Yet, high-quality evidence guiding best practice is lacking. Fall prevention strategies have worked in some trials but not in others. Differences in study setting (acute, subacute, rehabilitation) and sampling of patients (cognitively intact or impaired) may explain the difference in results. This article discusses these important issues and describes the strategies to prevent falls in the acute hospital setting we have studied, which engage the cognitively impaired who are more likely to fall...
April 20, 2018: Australasian Journal on Ageing
Deborah A Black, Kate O'Loughlin, Leigh A Wilson
OBJECTIVES: Due to the impact of climate change, mobile applications (apps) providing information about the external environment have the potential to improve the health of older people. The purpose of this research was to undertake a scoping review of the evidence on the usability, feasibility and effectiveness of mobile apps to encourage access to activities outside the home in older people. METHODS: A search of databases was undertaken with relevant keywords...
April 19, 2018: Australasian Journal on Ageing
Lee-Fay Low, Dina LoGiudice
OBJECTIVE: To describe the activity of daily living and behavioural and complex care needs of residents born in non-English-speaking countries in Australian aged care facilities. METHODS: De-identified cross-sectional data were provided by the Australian Institute of Health and Welfare for all residents in government-funded facilities on 30 June 2015. Analyses included t-tests, chi-squared tests and logistic regressions. RESULTS: A total of 33 168 (19%) residents were born in one of 188 non-English-speaking countries...
April 14, 2018: Australasian Journal on Ageing
Alessandra Lg Lucchetti, Oscarina da S Ezequiel, Alexander Moreira-Almeida, Giancarlo Lucchetti
OBJECTIVE: To compare instruments available for evaluating attitudes and knowledge about geriatrics and gerontology. METHODS: This cross-sectional study investigated 83 third-year Brazilian medical students (with exposure to geriatrics and gerontology) and 75 incoming students (with no exposure to this content). We used the University of California at Los Angeles Geriatrics Attitudes Scale, Palmore's Facts on Aging Quiz, modified Maxwell-Sullivan Attitude Survey, Aging Semantic Differential Scale and an instrument assessing their cognitive knowledge in geriatrics...
April 14, 2018: Australasian Journal on Ageing
Lara Vlietstra, Wendy Hendrickx, Debra L Waters
OBJECTIVE: To systematically assess the effects of exercise interventions on body composition and functional outcomes in older adults with sarcopenia. METHODS: PubMed/Medline, Embase and Cochrane Library were searched from 2006 to 2017 for exercise randomised controlled trials and controlled clinical trials in adults 60 years and older with sarcopenia. Preferred Reporting Items for Systematic Review and Meta-Analysis protocol (PRISMA-P) and Physiotherapy Evidence Database (PEDro) scale assessed internal validity...
April 11, 2018: Australasian Journal on Ageing
Michael Rose, Allan Yang, Martina Welz, Anna Masik, Margaret Staples
OBJECTIVES: The Reported Edmonton Frail Scale (REFS) uses clock drawing as a measure of cognition. However, many patients in the acute hospital setting present with an inability to clock-draw. We considered an alternative method for assessing cognition based on a history of cognitive impairment. METHODS: We created a modified version of the REFS (mod-REFS), utilising the same domains as the REFS, in which a screening question of cognition substitutes the clock-drawing task...
April 10, 2018: Australasian Journal on Ageing
Jessica Rochman-Fowler, Virginia Duarte Walsh, Jane Barratt
OBJECTIVES: To (i) improve scientific knowledge and understanding of the importance of adult vaccination within a public health framework; (ii) share an understanding of the principles of good practice that have improved adult vaccination uptake rates; (iii) appreciate the diverse nature of country-specific barriers; and (iv) reach consensus on principles of a call to action to increase adult vaccination uptake rates. METHODS: Non-governmental organisations, the International Federation on Ageing and Friends of International Federation on Ageing Japan, convened the Asia Pacific Adult Immunisation Meeting, herein referred to as the 'Asia Pacific Meeting'...
April 5, 2018: Australasian Journal on Ageing
Elizabeth Marsden, Alison Craswell, Andrea Taylor, Kaye Coates, Julia Crilly, Marc Broadbent, Amanda Glenwright, Colleen Johnston, Marianne Wallis
OBJECTIVES: This article describes the Care coordination through Emergency Department, Residential Aged Care and Primary Health Collaboration (CEDRiC) project. METHODS: CEDRiC is designed to improve the health outcomes for older people with an acute illness. It attempts this via enhanced primary care in residential aged care facilities, focused and streamlined care in the emergency department and enhanced intersectoral communication and referral. RESULTS: Implementing this approach has the potential to decrease inappropriate hospital admissions while improving care for older people in residential aged care and community settings...
April 3, 2018: Australasian Journal on Ageing
Sue Malta, Susan B Williams, Frances A Batchelor
OBJECTIVE: To record Victorian retirement village residents' experiences of dispute management and satisfaction levels related to dispute resolution processes. METHODS: Survey distributed to 6500 retirement village residents. RESULTS: Surveys returned from 1876 residents (29% return rate). Most residents rated life in retirement villages as positive (mean 7.9/10), with an association between life satisfaction and management's ability to resolve disputes (rs = 0...
April 3, 2018: Australasian Journal on Ageing
Nusrate Aziz, Belayet Hossain, Masum Emran
OBJECTIVE: The study investigates the macroeconomic determinants of co-residing arrangement between generations in selected developing countries with a focus on examining the effect of changing income level of the working generation. METHODS: A reduced form model is specified for co-residence between the older generation and altruistic working generation. The fixed- and random-effects models are applied in two waves of data for 22 countries. RESULTS: Estimated results indicate that the income of the altruistic working generation has a negative effect on co-residence, suggesting that if the income of the working generation increases, co-residence decreases...
March 30, 2018: Australasian Journal on Ageing
Eamonn Eeles, Hayley Gunn, Anna-Liisa Sutt, Donna Pinsker, Dylan Flaws, Paul Jarrett, India Lye, John F Fraser
OBJECTIVES: Delirium is common in the intensive care unit (ICU), often affecting older patients. A bedside electronic tool has the potential to revolutionise delirium screening. Our group describe a novel approach to the design and development of delirium screening questions for the express purpose of use within an electronic device. Preliminary results are presented. METHODS: Our group designed a series of tests which targeted the clinical criteria for delirium according to Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) criteria against predefined requirements, including applicability to older patients...
March 30, 2018: Australasian Journal on Ageing
Cherie Hugo, Marcia Dwonczyk, Jan Skinner, Liz Isenring
OBJECTIVE: Mealtimes directly impact the quality of life of residents in aged care. The objective of The Lantern Project is to improve the dining experience of aged care residents to reduce malnutrition risk through improving dietary intake, meal. METHODS: A transdisciplinary team of aged care professionals and resident advocates was formed as a collaboration collectively known as The Lantern Project. RESULTS: This paper outlines the journey and timeline of The Lantern Project collaboration since its inception and the interplay between the monthly stakeholder meetings and inter-related research projects demonstrating improved outcomes...
March 23, 2018: Australasian Journal on Ageing
Olivia A Pellicano, Erica Tong, Gary Yip, Louise Monk, Xiang Loh, Michelle Ananda-Rajah, Michael Dooley
OBJECTIVES: To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. METHODS: A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded...
March 23, 2018: Australasian Journal on Ageing
Erin L Caruana, Suzanne S Kuys, Sandra G Brauer
OBJECTIVES: To determine current Australian allied health rehabilitation weekend service provision and to identify perceived barriers to and facilitators of weekend service provision. METHODS: Senior physiotherapists from Australian rehabilitation units completed an online cross-sectional survey exploring current service provision, staffing, perceived outcomes, and barriers and facilitators to weekend service provision. RESULTS: A total of 179 (83%) eligible units responded, with 94 facilities (53%) providing weekend therapy...
March 23, 2018: Australasian Journal on Ageing
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