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Hospital elder life program

M Pellizzari, D Hui, E Pinato, M Lisiero, S Serpentini, L Gubian, F Figoli, M Cancian, C De Chirico, E Ferroni, F Avossa, M Saugo
PURPOSE: The Veneto Region implemented a novel integrated home-based palliative cancer care (HPCC) program embedded in primary care. We examined the impact of timing and intensity of this program on the quality of end-of-life (EOL) care. METHODS: We selected adult cancer patients died in the Veneto Region between March and December 2013, excluding those died from haematological malignancies as well as the very elderly (85+ years). We retrieved the claim-based data on hospitalization and homecare visits, and defined two observation windows: 90 to 16 days before death to examine intensity of HPCC exposure, and the last 15 days of life to examine EOL outcomes, including hospital death, any hospital stay for medical reasons and hospital stay ≥7 days for medical reasons...
December 2, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Margarete L Zalon, Sonia Sandhaus, Mary Kovaleski, Paula Roe-Prior
Delirium, a life-threatening complication for hospitalized older adults associated with adverse outcomes, is often underrecognized and underreported. The purpose of the current study was to analyze delirium documentation for hospitalized older adults. Charts of 34 patients, aged 71 and older with documented delirium and referral to a Hospital Elder Life Program, were reviewed. With the exception of International Classification of Diseases-9 coding, delirium was only mentioned in 12 (35.3%) charts, although descriptors potentially indicative of delirium were usually recorded...
November 15, 2016: Journal of Gerontological Nursing
Nuruljannah Johari, Zahara Abdul Manaf, Norhayati Ibrahim, Suzana Shahar, Norlaila Mustafa
PURPOSE: Diabetes mellitus is prevalent among older adults, and affects their quality of life. Furthermore, the number is growing as the elderly population increases. Thus, this study aims to explore the predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge in Malaysia. METHODS: A total of 110 hospitalized geriatric patients aged 60 years and older were selected using convenience sampling method in a cross-sectional study...
2016: Clinical Interventions in Aging
Joshua Faucher, Jordan Rosedahl, Dawn Finnie, Amy Glasgow, Paul Takahashi
BACKGROUND: Transitional care programs are common interventions aimed at reducing medical complications and associated readmissions for patients recently discharged from the hospital. While organizations strive to reduce readmissions, another important related metric is patient quality of life (QoL). AIMS: To compare the relationship between QoL in patients enrolled in the Mayo Clinic Care Transitions (MCCT) program versus usual care, and to determine if QoL changed in MCCT participants between baseline and 1-year follow-up...
2016: Patient Preference and Adherence
L Jacobs, L Efremov, L Thijs, W-Y Yang, Z-Y Zhang, R Latini, S Masson, P Sever, C Delles, J Butler, T Kuznetsova, J A Staessen, F Zannad
OBJECTIVE: Heart failure (HF) is a syndrome that leads to a diminished quality of life and costly hospital admissions, affecting especially the elderly. The Heart 'Omics' in Ageing (HOMAGE) database (within the EU FP program 305507 was used as a resource to conduct a subject-level meta-analysis to identify risk factors associated with new-onset HF and to develop a risk score for HF. DESIGN AND METHOD: Two population-based studies (HealthABC and PREDICTOR) and two studies including patients at risk for cardiovascular disease (ASCOT and PROSPER) were included...
September 2016: Journal of Hypertension
B Steunenberg, R C van der Mast, M J Strijbos, S K Inouye, M J Schuurmans
The aim of this study was to investigate, using a mixed-methods design, the added value of a trained Hospital Elder Life Program (HELP) volunteer to the quality of hospital care in the Netherlands. The trained volunteers daily stimulate older patients, at risk of a delirium, to eat, to drink, and to exercise, and they provide walking assistance and cognitive stimulation. This study showed that each group appreciated the extra attention and service from the volunteers. The positive effect on feelings of loneliness during the hospital stay was an unexpected outcome...
July 26, 2016: Geriatric Nursing
Kelsey Huson, Paul Stolee, Nancy Pearce, Corrie Bradfield, George A Heckman
BACKGROUND: The Hospital Elder Life Program (HELP) has been shown to effectively prevent delirium and functional decline in older patients in acute care, but has not been examined in a rehabilitation setting. This pilot study examined potential successes and implementation factors of the HELP in a post-acute rehabilitation hospital setting. METHODS: A mixed methods (quantitative and qualitative) evaluation, incorporating a repeated measures design, was used. A total of 100 patients were enrolled; 58 on the pilot intervention unit and 42 on a usual care unit...
2016: BMC Geriatrics
Miranda J Meunier, Jeannine M Brant, Simmy Audet, Dustin Dickerson, Karen Gransbery, Elizabeth L Ciemins
BACKGROUND AND PURPOSE: Caring for frail older adults is a significant healthcare concern as the frailest 10% of the population account for over 70% of healthcare expenditures. Research reveals the use of comprehensive models, such as Program of All-Inclusive Care for the Elderly (PACE), leads to improved functional outcomes for participants and cost savings through decreased utilization. This study examines how closing a PACE program impacts health outcomes of previously enrolled participants...
November 2016: Journal of the American Association of Nurse Practitioners
Anthony P Marsh, William B Applegate, Jack M Guralnik, W Jack Rejeski, Timothy S Church, Roger A Fielding, Thomas M Gill, Abby C King, Stephen B Kritchevsky, Todd M Manini, Mary M McDermott, Anne B Newman, Cynthia L Stowe, Michael P Walkup, Marco Pahor, Michael E Miller
OBJECTIVES: To determine whether moderate-intensity physical activity (PA) and health education (HE) are differentially associated with categories of hospitalizations or subgroups of participants. DESIGN: Multicenter randomized controlled trial in which participants were randomized to a PA or HE program for an average of 2.6 years. SETTING: Eight field centers. PARTICIPANTS: Sedentary men and women aged 70-89 with lower extremity physical limitations but able to walk 400-m in 15 minutes or less (N = 1,635)...
May 2016: Journal of the American Geriatrics Society
(no author information available yet)
This final rule will amend the fire safety standards for Medicare and Medicaid participating hospitals, critical access hospitals (CAHs), long-term care facilities, intermediate care facilities for individuals with intellectual disabilities (ICF-IID), ambulatory surgery centers (ASCs), hospices which provide inpatient services, religious non-medical health care institutions (RNHCIs), and programs of all-inclusive care for the elderly (PACE) facilities. Further, this final rule will adopt the 2012 edition of the Life Safety Code (LSC) and eliminate references in our regulations to all earlier editions of the Life Safety Code...
May 4, 2016: Federal Register
Kenneth S Boockvar, Jeanne A Teresi, Sharon K Inouye
Nursing home (NH) residents have a high prevalence of delirium risk factors, experience two to four acute medical conditions (e.g., infections) each year, and have an incidence of delirium during these conditions similar to that of hospitalized older adults. Many NH residents with delirium do not return to their prior level of cognitive function. They are more likely to die, be hospitalized, and less likely to be discharged home than those without delirium. Research on the prevention or treatment of delirium in NHs is limited...
May 2016: Journal of the American Geriatrics Society
Victoria Ruiz-Romero, Nicola Lorusso, Sebastián Expósito García, José María Páez-Pinto, César Palmero-Palmero, Gema Caballero-Delgado, María José Zapico Moreno, Antonio Fernández-Moyano
OBJECTIVE: The avoidable hospital admissions for heart failure are a problem for health systems worldwide, as they waste resources, generate additional morbidities and high mortality. The objective of this study was to determine the risk factors in patients hospitalized for heart failure. METHODS: A group of medical from Hospital and Primary Care was established. We realized an audit of a sample of 110 patients from Aljarafe towns with highest hospital admissions for heart failure...
2016: Revista Española de Salud Pública
Judith A C Rietjens, Ida J Korfage, Lesley Dunleavy, Nancy J Preston, Lea J Jabbarian, Caroline Arnfeldt Christensen, Maja de Brito, Francesco Bulli, Glenys Caswell, Branka Červ, Johannes van Delden, Luc Deliens, Giuseppe Gorini, Mogens Groenvold, Dirk Houttekier, Francesca Ingravallo, Marijke C Kars, Urška Lunder, Guido Miccinesi, Alenka Mimić, Eugenio Paci, Sheila Payne, Suzanne Polinder, Kristian Pollock, Jane Seymour, Anja Simonič, Anna Thit Johnsen, Mariëtte N Verkissen, Esther de Vries, Andrew Wilcock, Marieke Zwakman, Agnes van der Heide Pl
BACKGROUND: Awareness of preferences regarding medical care should be a central component of the care of patients with advanced cancer. Open communication can facilitate this but can occur in an ad hoc or variable manner. Advance care planning (ACP) is a formalized process of communication between patients, relatives and professional caregivers about patients' values and care preferences. It raises awareness of the need to anticipate possible future deterioration of health. ACP has the potential to improve current and future healthcare decision-making, provide patients with a sense of control, and improve their quality of life...
2016: BMC Cancer
Deborah Carvalho Malta, Betine Pinto Moehlecke Iser, Patricia Sampaio Chueiri, Sheila Rizzato Stopa, Celia Landmann Szwarcwald, Maria Inês Schmidt, Bruce Bartholow Duncan
OBJECTIVE: To describe the care measurements provided to patients with self-reported diabetes mellitus in Brazil. METHODS: Data from the Brazilian National Health Survey (2013) were used. This is a cross-sectional population-based study in which the subjects with self-reported diabetes mellitus answered questions concerning their use of health services and access to medicine. RESULTS: The prevalence of self-reported diabetes mellitus was 6...
December 2015: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Michael Smaerup, Uffe Laessoe, Eric Grönvall, Jens-Jacob Henriksen, Else Marie Damsgaard
Objective. The purpose of this study was to evaluate whether elderly patients with vestibular dysfunction are able to preserve physical functional level, reduction in dizziness, and the patient's quality of life when assistive computer technology is used in comparison with printed instructions. Materials and Methods. Single-blind, randomized, controlled follow-up study. Fifty-seven elderly patients with chronic dizziness were randomly assigned to a computer-assisted home exercise program or to home exercises as described in printed instructions and followed for tree month after discharge from an outpatient clinic...
2016: Rehabilitation Research and Practice
Franca G H Ruikes, Sytse U Zuidema, Reinier P Akkermans, Willem J J Assendelft, Henk J Schers, Raymond T C M Koopmans
BACKGROUND: The increasing number of community-dwelling frail elderly people poses a challenge to general practice. We evaluated the effectiveness of a general practitioner-led extensive, multicomponent program integrating cure, care, and welfare for the prevention of functional decline. METHODS: We performed a cluster controlled trial in 12 general practices in Nijmegen, the Netherlands. Community-dwelling frail elderly people aged ≥70 years were identified with the EASY-Care two-step older persons screening instrument...
March 2016: Journal of the American Board of Family Medicine: JABFM
Clara Maestre-Miquel, Carmen Figueroa, Juana Santos, Paloma Astasio, Pedro Gil
OBJECTIVE: To establish the profile of elderly patients, and to assess current preventive actions in hospitals, geriatric residences, and different health-care centres in Spain. DESIGN: Cross-sectional descriptive study, based on a questionnaire to be answered by doctors who treat the elderly population in Spain (2013). SETTING: Health-care centres from different regions of Spain. PARTICIPANTS: A total of 420 practitioners from hospitals, residences and other community centres, with data from 840 geriatric clinics...
February 23, 2016: Atencion Primaria
Christine Ritchie, Robin Andersen, Jessica Eng, Sarah K Garrigues, Gina Intinarelli, Helen Kao, Suzanne Kawahara, Kanan Patel, Lisa Sapiro, Anne Thibault, Erika Tunick, Deborah E Barnes
INTRODUCTION: The Geriatric Resources for the Assessment and Care of Elders (GRACE) program has been shown to decrease acute care utilization and increase patient self-rated health in low-income seniors at community-based health centers. AIMS: To describe adaptation of the GRACE model to include adults of all ages (named Care Support) and to evaluate the process and impact of Care Support implementation at an urban academic medical center. SETTING: 152 high-risk patients (≥5 ED visits or ≥2 hospitalizations in the past 12 months) enrolled from four medical clinics from 4/29/2013 to 5/31/2014...
2016: PloS One
Thomas M Gill, Marco Pahor, Jack M Guralnik, Mary M McDermott, Abby C King, Thomas W Buford, Elsa S Strotmeyer, Miriam E Nelson, Kaycee M Sink, Jamehl L Demons, Susan S Kashaf, Michael P Walkup, Michael E Miller
OBJECTIVE: To test whether a long term, structured physical activity program compared with a health education program reduces the risk of serious fall injuries among sedentary older people with functional limitations. DESIGN: Multicenter, single blinded randomized trial (Lifestyle Interventions and Independence for Elders (LIFE) study). SETTING: Eight centers across the United States, February 2010 to December 2011. PARTICIPANTS: 1635 sedentary adults aged 70-89 years with functional limitations, defined as a short physical performance battery score ≤ 9, but who were able to walk 400 m...
2016: BMJ: British Medical Journal
J-L Rouvillain, F De Cazes, R Banydeen, K Rome, P Numéric, M De Bandt, C Derancourt
BACKGROUND: Although fractures of the proximal femur (FPF) are supposedly less frequent in Black populations (studies of incidence are rare) the life expectancy in Africa is low, which could partially explain this notion. There is only one retrospective study on the incidence of FPF in the islands of the Caribbean, thus we performed an incidence study in the insular, circumscribed, 90% Afro-Caribbean population of Martinique. The goals of this study were: (1) to estimate the incidence of FPF; (2) and to prospectively describe the main characteristics...
February 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
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