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https://www.readbyqxmd.com/read/28295138/frequency-and-risk-factors-for-live-discharge-from-hospice
#1
David Russell, Eli L Diamond, Bonnie Lauder, Ritchell R Dignam, Dawn W Dowding, Timothy R Peng, Holly G Prigerson, Kathryn H Bowles
OBJECTIVES: To report frequencies and associated risk factors for 4 distinct causes of live discharge from hospice. DESIGN: Retrospective cohort study using electronic medical records of hospice patients who received care from a large urban not-for-profit hospice agency in New York City during a 3-year period between 2013 and 2015 (n = 9,190). RESULTS: Roughly one in five hospice patients were discharged alive (21%; n = 1911). Acute hospitalization was the most frequent reason for live discharge (42% of all live discharges; n = 802)...
March 13, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28179416/cohort-profile-for-the-nurture-observational-study-examining-associations-of-multiple-caregivers-on-infant-growth-in-the-southeastern-usa
#2
Sara E Benjamin Neelon, Truls Østbye, Gary G Bennett, Richard M Kravitz, Shayna M Clancy, Marissa Stroo, Edwin Iversen, Cathrine Hoyo
PURPOSE: Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. PARTICIPANTS: The Nurture Study is an observational birth cohort designed to assess longitudinal associations of childcare and the presence of multiple caregivers on infant adiposity and weight trajectories throughout the first year of life...
February 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28156578/piloting-survivorship-care-planning-with-the-metastatic-breast-cancer-patient
#3
Catherine Saiki, Jane Zorzi, Vered Stearns, Antonio C Wolff
146 Background: Emotional distress and poor symptom management are highly prevalent among patients with metastatic breast cancer (MBC). A high disease burden can further negatively impact these patients' quality of life. To address the evolving survivorship needs in their trajectory from initial diagnosis of advanced disease to end-of-life care, patients with MBC require prompt assessment, reevaluation, and specialized support services. Limited survivorship resources are devoted to this patient population and greater attention to their needs is warranted...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28093923/cultural-differences-in-young-adults-perceptions-of-the-probability-of-future-family-life-events
#4
Calandra Speirs, Vivian Huang, Candace Konnert
Most young adults are exposed to family caregiving; however, little is known about their perceptions of their future caregiving activities such as the probability of becoming a caregiver for their parents or providing assistance in relocating to a nursing home. This study examined the perceived probability of these events among 182 young adults and the following predictors of their probability ratings: gender, ethnicity, work or volunteer experience, experiences with caregiving and nursing homes, expectations about these transitions, and filial piety...
January 1, 2017: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/28060549/characterization-of-spirituality-in-maternal-child-caregivers
#5
Katherine Coughlin, Amy Mackley, Rachel Kwadu, Vanessa Shanks, Wendy Sturtz, David Munson, Ursula Guillen
OBJECTIVE: To characterize spiritual beliefs and support provided by maternal-child staff at three academic hospitals. BACKGROUND: Parents in neonatal intensive care units (NICUs) believe that addressing spirituality is important. The spiritual beliefs and the support provided by NICU staff are currently unknown. METHODS: This prospective study surveyed all maternal-child staff (NICU and Obstetrics): physicians, neonatal nurse practitioners, physician assistants, nurses, respiratory therapists, and social workers...
January 6, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28027858/culture-and-diet-among-chinese-american-children-aged-9-13%C3%A2-years-a-qualitative-study
#6
Cassandra S Diep, Randall Leung, Debbe I Thompson, Beverly J Gor, Tom Baranowski
OBJECTIVE: To examine Chinese American children's behaviors, food preferences, and cultural influences on their diet. DESIGN: Qualitative individual interviews using constructs from the proposed model of dietary acculturation. SETTING: Community centers and Chinese schools in Houston, TX. PARTICIPANTS: Twenty-five Chinese American children aged 9-13 years. PHENOMENON OF INTEREST: Diet, favorite restaurants, and parents' cooking and grocery shopping habits...
December 24, 2016: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/27969020/self-efficacy-and-depression-predicting-the-health-related-quality-of-life-of-outpatients-with-chronic-heart-failure-in-singapore
#7
Desmond Wai Yang Loo, Ying Jiang, Karen Wei Ling Koh, Fui Ping Lim, Wenru Wang
BACKGROUND: Chronic heart failure (CHF) remains as a debilitating disease that has high mortality among adults worldwide. CHF negatively impacts an individual's health-related quality of life (HRQoL), but only few studies have investigated such an impact in the Asian population. AIMS: This study aims to investigate the HRQoL of outpatients with CHF and identify its predictors among this group of patients in Singapore. METHODS: This was a cross-sectional, descriptive correlational study...
November 2016: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/27922142/prevalence-and-risk-factors-of-caregiver-dependence-among-older-adults-in-a-southeast-asian-population
#8
Louisa Picco, Edimansyah Abdin, Janhavi A Vaingankar, Shirlene Pang, Saleha Shafie, Rajeswari Sambasivam, Siow Ann Chong, Mythily Subramaniam
INTRODUCTION: Currently very little is known about the prevalence or magnitude of caregiver dependence in Singapore and thus, there is a need to fill this gap in this multiethnic ageing population. This study aims to determine the prevalence and risk factors of caregiver dependence among older adults in Singapore. MATERIALS AND METHODS: Data were used from the Well-being of the Singapore Elderly (WiSE) study, a nationally representative, cross-sectional survey among Singapore residents aged 60 years and above...
November 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27921339/perceptual-narrowing-towards-adult-faces-is-a-cross-cultural-phenomenon-in-infancy-a-behavioral-and-near-infrared-spectroscopy-study-with-japanese-infants
#9
Megumi Kobayashi, Viola Macchi Cassia, So Kanazawa, Masami K Yamaguchi, Ryusuke Kakigi
Recent data showed that, in Caucasian infants, perceptual narrowing occurs for own-race adult faces between 3 and 9 months of age, possibly as a consequence of the extensive amount of social and perceptual experience accumulated with caregivers and/or other adult individuals of the same race of the caregiver. The neural correlates of this developmental process remain unexplored, and it is currently unknown whether perceptual tuning towards adult faces can be extended to other cultures. To this end, in the current study we tested the ability of 3- and 9-month-old Japanese infants to discriminate among adult and infant Asian faces in a visual familiarization task (Experiment 1), and compared 9-month-olds' cerebral hemodynamic responses to adult and infant faces as measured by near-infrared spectroscopy (NIRS) (Experiment 2)...
December 5, 2016: Developmental Science
https://www.readbyqxmd.com/read/27898294/longitudinal-changes-in-and-modifiable-predictors-of-the-prevalence-of-severe-depressive-symptoms-for-family-caregivers-of-terminally-ill-cancer-patients-over-the-first-two-years-of-bereavement
#10
Su-Ching Kuo, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Ming-Chu Chiang, Ming-Mo Hou, Siew Tzuh Tang
BACKGROUND: Bereaved families endure tremendous grief. However, few studies have longitudinally investigated caregivers' bereavement grief for more than one year postloss and none is from family-oriented Asian countries. OBJECTIVES: We explored longitudinal changes in and modifiable predictors of severe depressive symptoms for Taiwanese family caregivers of terminally ill cancer patients over the first two years postloss. DESIGN: For this descriptive, longitudinal study, severe depressive symptoms (Center for Epidemiological Studies Depression Scale score ≥16) were measured 1, 3, 6, 13, 18, and 24 months postloss...
January 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27846052/clusters-of-midlife-women-by-physical-activity-and-their-racial-ethnic-differences
#11
Eun-Ok Im, Young Ko, Eunice Chee, Wonshik Chee, Jun James Mao
OBJECTIVE: The purpose of this study was to identify clusters of midlife women by physical activity and to determine racial/ethnic differences in physical activities in each cluster. METHODS: This was a secondary analysis of the data from 542 women (157 non-Hispanic [NH] Whites, 127 Hispanics, 135 NH African Americans, and 123 NH Asian) in a larger Internet study on midlife women's attitudes toward physical activity. The instruments included the Barriers to Health Activities Scale, the Physical Activity Assessment Inventory, the Questions on Attitudes toward Physical Activity, Subjective Norm, Perceived Behavioral Control, and Behavioral Intention, and the Kaiser Physical Activity Survey...
November 14, 2016: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/27759181/experiences-of-caring-for-a-sibling-with-schizophrenia-in-a-chinese-context-a-neglected-issue
#12
Cheng-I Yang, Min-Yun Hsieh, Li-Hung Lee, Shu-Ling Chen
Adult clients with schizophrenia are primarily cared for by their ageing parents. When the parents become ill or die, siblings are considered to be responsible for taking over the caregiving role. However, little is known about caregiving for a sibling with schizophrenia, and no studies have explored this phenomenon in an Asian context. The aim of the present descriptive, qualitative study was to understand the experiences of being the primary caregiver of a sibling with schizophrenia. Data were collected from 10 siblings of currently-hospitalized patients diagnosed with schizophrenia using semistructured, in-depth interviews...
October 19, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27703471/clinical-recommendations-for-the-use-of-donepezil-23-mg-in-moderate-to-severe-alzheimer-s-disease-in-the-asia-pacific-region
#13
REVIEW
Marwan Sabbagh, SeolHeui Han, SangYun Kim, Hae-Ri Na, Jae-Hong Lee, Nagaendran Kandiah, Kammant Phanthumchinda, Chuthamanee Suthisisang, Vorapun Senanarong, Ming-Chyi Pai, Diatri Narilastri, Ajit M Sowani, Encarnita Ampil, Amitabh Dash
BACKGROUND: The 'Asia-Pacific Expert Panel (APEX) for donepezil 23 mg' met in November 2015 to review evidence for the recently approved high dose of donepezil and to provide recommendations to help physicians in Asia make informed clinical decisions about using donepezil 23 mg in patients with moderate-to-severe Alzheimer's disease (AD). SUMMARY: In a global phase III study (study 326) in patients with moderate-to-severe AD, donepezil 23 mg/day demonstrated significantly greater cognitive benefits versus donepezil 10 mg/day, with a between-treatment difference in mean change in the Severe Impairment Battery score of 2...
September 2016: Dementia and Geriatric Cognitive Disorders Extra
https://www.readbyqxmd.com/read/27631311/-experience-keeps-a-dear-school-the-effects-of-ethnicity-and-caregiving-experience-on-hiring-a-healthcare-advocate
#14
Charles Van Liew, Maya Santoro, Dhwani Kothari, Jennalee Wooldridge, Terry A Cronan
In the present study, ethnic differences in evaluating the severity and associated needs of medical complications experienced by an elderly man and the likelihood of seeking professional assistance (i.e., hire a healthcare advocate [HCA]) to care for him, and for one's own family or parent should they become ill, as a function of previous caregiving experience, were investigated. The 974 participants were White, Black, Hispanic, or Asian/Pacific Islander. They read a hypothetical vignette about a 75-year-old man, Daryl, who was experiencing health problems...
December 2016: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/27506083/-newly-developed-nomenclature-neuroscience-based-nomenclature
#15
Hiroyuki Uchida, Shigeto Yamawaki
The current nomenclature is based on clinical indications; for example, drugs used for mania and psychosis are classified as "mood stabilizers" and "antipsychotic drugs", respectively. This discrepancy between their names and indications often confuses patients and their caregivers and sometimes leads to a misunderstanding of the effects of prescribed medications. In addition, up-to-date scientific knowledge on these drugs has not been reflected in the current nomenclature. To overcome these limitations of the current nomenclature, following an initiative of the European Congress of Neuropsychopharmacology (ECNP), a taskforce for psychotropic nomenclature was established with representatives from 5 international organizations, including the Asian College of Neuropsychopharmacology (AsCNP)...
June 2016: Nihon Shinkei Seishin Yakurigaku Zasshi, Japanese Journal of Psychopharmacology
https://www.readbyqxmd.com/read/27505267/impact-of-behavioral-symptoms-in-dementia-patients-on-depression-in-daughter-and-daughter-in-law-caregivers
#16
Juwon Lee, Bo Kyung Sohn, Hyunjoo Lee, Sujeong Seong, Soowon Park, Jun-Young Lee
BACKGROUND: One caregiver relationship that has been neglected in caregiver depression research is the daughter-in-law. Compared with Western countries, in which those who are closer in familial relationships such as the spouse or child usually take care of the patient, in many Asian countries, the daughter-in-law often assumes the caretaker role. However, not much research has been done on how this relationship may result in different caregiver outcomes. We sought to identify whether the association between patient characteristics and caregiver depressive symptoms differs according to the familial relationship between caregiver and patient...
January 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/27418347/usability-of-commercially-available-mobile-applications-for-diverse-patients
#17
Urmimala Sarkar, Gato I Gourley, Courtney R Lyles, Lina Tieu, Cassidy Clarity, Lisa Newmark, Karandeep Singh, David W Bates
BACKGROUND: Mobile applications or 'apps' intended to help people manage their health and chronic conditions are widespread and gaining in popularity. However, little is known about their acceptability and usability for low-income, racially/ethnically diverse populations who experience a disproportionate burden of chronic disease and its complications. OBJECTIVE: The objective of this study was to investigate the usability of existing mobile health applications ("apps") for diabetes, depression, and caregiving, in order to facilitate development and tailoring of patient-facing apps for diverse populations...
December 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27362293/negotiation-mediation-and-communication-between-cultures-end-of-life-care-for-south-asian-immigrants-in-canada-from-the-perspective-of-family-caregivers
#18
Swarna Weerasinghe, Victor Maddalena
In the present study, we explored family caregivers' experiences in providing end-of-life care for terminally ill South Asian immigrants. We employed qualitative methods and. in-depth interviews were conducted with seven family caregivers living in Nova Scotia, Canada. Interview data were validated, coded and organized for themes. Three major themes identified in the data illustrated (a) how South Asian caregivers experienced clashes between biomedical and ethno-cultural realms of care that led to cultural insensitivity, (b) how family members acted as mediators, and (c) how communication issues that challenged cultural sensitivity were handled...
June 30, 2016: Social Work in Public Health
https://www.readbyqxmd.com/read/27293889/modeling-age-friendly-environment-active-aging-and-social-connectedness-in-an-emerging-asian-economy
#19
Ming-Ming Lai, Shi-Ying Lein, Siok-Hwa Lau, Ming-Ling Lai
This paper empirically tested eight key features of WHO guidelines to age-friendly community by surveying 211 informal caregivers and 402 self-care adults (aged 45 to 85 and above) in Malaysia. We examined the associations of these eight features with active aging and social connectedness through exploratory and confirmatory factor analyses. A structural model with satisfactory goodness-of-fit indices (CMIN/df = 1.11, RMSEA = 0.02, NFI = 0.97, TLI = 1.00, CFI = 1.00, and GFI = 0.96) indicates that transportation and housing, community support and health services, and outdoor spaces and buildings are statistically significant in creating an age-friendly environment...
2016: Journal of Aging Research
https://www.readbyqxmd.com/read/27287330/impact-of-advance-care-planning-on-the-care-of-patients-with-heart-failure-study-protocol-for-a-randomized-controlled-trial
#20
Chetna Malhotra, David Kheng Leng Sim, Fazlur Jaufeerally, Nivedita Nadkarni Vikas, Genevieve Wong Cheng Sim, Boon Cheng Tan, Clarice Shu Hwa Ng, Pei Leng Tho, Jingfen Lim, Claire Ya-Ting Chuang, Florence Hui Mei Fong, Joy Liu, Eric A Finkelstein
BACKGROUND: Despite the promise and popularity of advance care planning, there is insufficient evidence that advance care planning helps patients to meet their end-of-life care preferences, especially in Asian settings. Thus, the proposed study aims to assess whether patients with advanced heart failure who are receiving advance care planning have a greater likelihood of receiving end-of-life care consistent with their preferences compared to patients receiving usual care. Secondary objectives are to compare differences in health care expenditures, quality of life, anxiety and depression, understanding of own illness, participation in decision-making and concordance with their caregiver's preferences for end-of-life care, between patients with advanced heart failure receiving advance care planning and usual care...
June 10, 2016: Trials
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