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https://www.readbyqxmd.com/read/28389998/psychotropic-drug-related-fall-incidents-in-nursing-home-residents-living-in-the-eastern-part-of-the-netherlands
#1
Sarah I M Janus, Gezinus H Reinders, Jeannette G van Manen, Sytse U Zuidema, Maarten J IJzerman
BACKGROUND: Older people are more susceptible to falls than younger people. Therefore, as the Dutch population ages, the total number of falls and costs associated with them will rise. The use of psychotropic drugs is associated with an increased risk of falling. To create tailored fall-prevention programmes, information on the magnitude of the association between fall incidents and specific psychotropic drugs or drug classes is needed. OBJECTIVE: The goal of this study was to delineate the associations between fall incidents and specific psychotropic drugs or drug classes...
April 8, 2017: Drugs in R&D
https://www.readbyqxmd.com/read/28125977/supporting-clinical-rules-engine-in-the-adjustment-of-medication-scream-protocol-of-a-multicentre-prospective-randomised-study
#2
Carlota Mestres Gonzalvo, Hugo A J M de Wit, Brigit P C van Oijen, Kim P G M Hurkens, Rob Janknegt, Jos M G A Schols, Wubbo J Mulder, Frans R Verhey, Bjorn Winkens, Paul-Hugo M van der Kuy
BACKGROUND: In the nursing home population, it is estimated that 1 in every 3 patients is polymedicated and given their considerable frailty, these patients are especially prone to adverse drug reactions. Clinical pharmacist-led medication reviews are considered successful interventions to improve medication safety in the inpatient setting. Due to the limited available evidence concerning the benefits of medication reviews performed in the nursing home setting, we propose a study aiming to demonstrate a positive effect that a clinical decision support system, as a health care intervention, may have on the target population...
January 26, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28103856/relationship-between-the-presence-of-baccalaureate-educated-rns-and-quality-of-care-a-cross-sectional-study-in-dutch-long-term-care-facilities
#3
Ramona Backhaus, Erik van Rossum, Hilde Verbeek, Ruud J G Halfens, Frans E S Tan, Elizabeth Capezuti, Jan P H Hamers
BACKGROUND: Recent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28095944/applications-of-the-propensity-score-weighting-method-in-psychogeriatric-research-correcting-selection-bias-and-adjusting-for-confounders
#4
Chung-Chou H Chang
The propensity score (PS) weighting method is an analytic technique that has been applied in multiple fields for a number of purposes. Here, we discuss two common applications, which are (1) to correct for selection bias and (2) to adjust for confounding variables when estimating the effect of an exposure variable on the outcome of interest.
January 18, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28088168/do-nursing-staff-encourage-functional-activity-among-nursing-home-residents-a-cross-sectional-study-of-nursing-staff-perceived-behaviors-and-associated-factors
#5
Nienke O Kuk, Mirre den Ouden, G A Rixt Zijlstra, Jan P H Hamers, Gertrudis I J M Kempen, Gerrie J J W Bours
BACKGROUND: Nursing home residents are mainly inactive. Nursing staff can encourage residents to perform functional activities during daily care activities. This study examines 1) the extent to which nursing staff perceive that they encourage functional activity in nursing home residents and 2) the associations between these nursing behaviors and professional characteristics, contextual factors, and information-seeking behaviors. METHODS: In this cross-sectional study, 368 registered nurses and certified nurse assistants, working in somatic and psychogeriatric wards of forty-one nursing homes throughout the Netherlands participated...
January 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28051894/can-depression-in-psychogeriatric-inpatients-at-one-year-follow-up-be-explained-by-locus-of-control-and-coping-strategies
#6
Guro Hanevold Bjørkløf, Knut Engedal, Geir Selbæk, Deborah Bezerra Maia, Tom Borza, Jūratė Šaltytė Benth, Anne-Sofie Helvik
OBJECTIVES: Treatment of depression (in late life) is good. The short-term, but not long-term prognosis after treatment of depression in late life is good. To identify modifiable factors, we wanted to examine whether coping in terms of locus of control and coping strategies in depressed patients were associated with the prognosis of depression at follow-up, adjusted for sociodemographic information and health variables. METHOD: In total, 122 patients (mean age 75...
January 4, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/27940368/work-environment-characteristics-associated-with-quality-of-care-in-dutch-nursing-homes-a-cross-sectional-study
#7
Ramona Backhaus, Erik van Rossum, Hilde Verbeek, Ruud J G Halfens, Frans E S Tan, Elizabeth Capezuti, Jan P H Hamers
BACKGROUND: A lack of relationship between direct care staffing levels and quality of care, as found in prior studies, underscores the importance of considering the quality of the work environment instead of only considering staff ratios. Only a few studies, however, have combined direct care staffing with work environment characteristics when assessing the relationship with quality of care in nursing homes. OBJECTIVES: To examine the relationship between direct care staffing levels, work environment characteristics and perceived quality of care in Dutch nursing homes...
December 6, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27916393/changes-in-frailty-status-and-risk-of-depression-results-from-the-progetto-veneto-anziani-longitudinal-study
#8
Marina De Rui, Nicola Veronese, Caterina Trevisan, Sara Carraro, Linda Berton, Stefania Maggi, Sabina Zambon, Maria Chiara Corti, Giovannella Baggio, Brendon Stubbs, Egle Perissinotto, Gaetano Crepaldi, Enzo Manzato, Giuseppe Sergi
OBJECTIVE: To evaluate whether prefrailty was associated with the risk of developing depression and if longitudinal changes in frailty status corresponded to changes in incident depression during follow up. METHODS: A population-based, prospective cohort study was conducted for 4.4 years in two separate geographic areas near the city of Padua in the Veneto Region of Northern Italy. In 891 nondepressed, nonfrail, community-dwelling Italian subjects aged ≥ 65 (46...
February 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27842720/-study-of-engagement-in-a-group-of-people-with-dementia-in-traditional-care-settings-and-a-group-with-person-centred-care
#9
Álvaro García-Soler, Pura Díaz-Veiga, Nerea Suárez Pérez de Eulate, Gabriela Mondragón, Mayte Sancho
INTRODUCTION: People with dementia in the residential care setting have a high level of apathy and disengagement. The lack of stimulation and customised activities, a common aspect in residential centres, could be contextual elements that promote these behaviours. The person-centred care model (PCCM) promotes the participation of people in their daily activities in relation to their resources, interests, and needs. The aim of this study is to compare the frequency of engagement behaviours in the daily activities in two groups of users residing in Psychogeriatric Units, one receiving a traditional care model and the other assisted under PCCM...
March 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/27835718/low-hemoglobin-levels-and-risk-of-developing-depression-in-the-elderly-results-from-the-prospective-pro-v-a-study
#10
Caterina Trevisan, Nicola Veronese, Francesco Bolzetta, Marina De Rui, Christoph U Correll, Sabina Zambon, Estella Musacchio, Leonardo Sartori, Egle Perissinotto, Gaetano Crepaldi, Marco Solmi, Enzo Manzato, Giuseppe Sergi
OBJECTIVE: Low hemoglobin negatively affects health in the elderly, but research about the association with risk for depression is limited. We investigated the association between baseline hemoglobin concentrations and incident depression in a cohort of nondepressed elderly individuals. METHODS: As part of the Northern Italian Progetto Veneto Anziani (PRO.V.A.) study, randomly drawn, community-dwelling subjects aged ≥ 65 years underwent prospective clinical and laboratory assessments between October 1995 and December 2002...
December 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27833221/profile-of-patients-attending-psychogeriatric-clinic-in-a-tertiary-care-setting
#11
Suresh Neethu, P V Indu, Prabhakaran Anil
BACKGROUND: Proportion of elderly is increasing among the total population of Kerala, and mental health problems of this group are unique. OBJECTIVES: To assess the clinical and sociodemographic profile of patients attending Psychogeriatric Clinic in a tertiary care center and to study the correlation of sociodemographic and clinical variables with psychiatric diagnoses in this population. MATERIALS AND METHODS: A retrospective chart review of patients, who attended the Psychogeriatric Clinic of a tertiary care center over a period of 1 year, was done...
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27745561/do-interventions-with-staff-in-long-term-residential-facilities-improve-quality-of-care-or-quality-of-life-for-people-with-dementia-a-systematic-review-of-the-evidence
#12
Nancy A Hodgson
The review by Bird and colleagues (2016), published in this issue of International Psychogeriatrics, is notable for jointly examining the effect of dementia care interventions on both staff and resident quality outcomes. This is an important contribution to improving dementia care because it recognizes the dynamic and dyadic relationship between residents and their caregivers in residential settings. While evidence exists on the dyadic effect of family caregiver intervention on dementia patient outcomes (Gitlin and Hodgson, 2015), less attention has been given to formal caregivers in institutional settings (Dellefield et al...
October 17, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27664361/-pain-in-mental-health-in-the-elderly
#13
REVIEW
Cyril Hazif-Thomas
Consideration of pain in mental health proves fundamental in psychiatry, a fortiori psychogeriatrics. The elderly person is often confronted with a painful existential situation and the experience of physical pain that go unheard. This algic component of somatic origin is still, like moral pain, too trivialized, because of becoming elderly too fast. The culture of the fight against pain needs to be developed further as well as the practical training of doctors and caregivers.
September 2016: Soins. Gérontologie
https://www.readbyqxmd.com/read/27647789/convergent-validity-concurrent-validity-and-diagnostic-accuracy-of-the-interrai-depression-rating-scale
#14
Katherine Penny, Alex Barron, Ann-Marie Higgins, Susan Gee, Matthew Croucher, Gary Cheung
AIMS: Depression Rating Scale (DRS) is one of the clinical outcome measures of the International Resident Assessment Instrument (interRAI) assessment. The primary aim of this study is to investigate the diagnostic accuracy and concurrent validity of the 3-day assessment window version of the DRS. METHODS: The performance of DRS was compared with a gold standard clinical diagnosis of depression in 92 patients (age ≥65) who had interRAI version 9.1 Home Care assessment completed within 30 days of discharge from psychogeriatric inpatient care or memory clinic assessment...
September 19, 2016: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/27450155/development-and-validation-of-clinical-profiles-of-patients-hospitalized-due-to-behavioral-and-psychological-symptoms-of-dementia
#15
Claudia Ortoleva Bucher, Nicole Dubuc, Armin von Gunten, Lise Trottier, Diane Morin
BACKGROUND: Patients hospitalized on acute psychogeriatric wards are a heterogeneous population. Cluster analysis is a useful statistical method for partitioning a sample of patients into well separated groups of patients who present common characteristics. Several patient profile studies exist, but they are not adapted to acutely hospitalized psychogeriatric patients with cognitive impairment. The present study aims to partition patients hospitalized due to behavioral and psychological symptoms of dementia into profiles based on a global evaluation of mental health using cluster analysis...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27443322/evaluation-of-the-delirium-early-monitoring-system-dems
#16
Daniel Rippon, Koen Milisen, Elke Detroyer, Elizabeta Mukaetova-Ladinska, Beth Harrison, Marieke Schuurmans, Claire Pryor, Andrew Teodorczuk
BACKGROUND: Despite awareness of the negative health and financial outcomes of delirium, systems to routinely assess and manage the condition are absent in clinical practice. We report the development and pilot evaluation of a Delirium Early Monitoring System (DEMS), designed to be completed by non-medical staff to influence clinical processes within inpatient settings. Two versions of the DEMS are described based on a modified Confusion Assessment Method (DEMS-CAM) and Delirium Observation Screening Scale (DEMS-DOSS)...
July 22, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27405572/-heart-failure-in-nursing-home-residents
#17
M A M J Daamen, J P H Hamers, H P Brunner-la Rocca, J M G A Schols
OBJECTIVE: To determine the prevalence of heart failure (HF) in nursing home residents and to gain insight into the clinical characteristics of residents with heart failure. DESIGN: Multi-centre, observational, cross-sectional study. METHOD: 501 nursing home residents aged 65 years and over, in a department for chronic somatic diseases or a psychogeriatric department, participated in this study. The diagnosis of HF and the related characteristics were based on data collected from clinical examinations for heart failure (including history, physical examination, ECG, cardiac markers and echocardiography), patient records and questionnaires...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27388445/health-related-quality-of-life-in-older-depressed-psychogeriatric-patients-one-year-follow-up
#18
Anne-Sofie Helvik, Kirsten Corazzini, Geir Selbæk, Guro Hanevold Bjørkløf, Jerson Laks, Jūratė Šaltytė Benth, Truls Østbye, Knut Engedal
BACKGROUND: Knowledge about long-term change in health related quality of life (HQoL) among older adults after hospitalization for treatment of depression has clinical relevance. The aim was firstly to describe the change of HQoL one year after admission for treatment of depression, secondly to explore if improved HQoL was associated with remission of depression at follow-up and lastly to study how HQoL in patients with remission from depression were compared to a reference group of older persons without depression...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27328891/prevalence-and-concordance-between-the-clinical-and-the-post-mortem-diagnosis-of-dementia-in-a-psychogeriatric-clinic
#19
B Grandal Leiros, L I Pérez Méndez, M V Zelaya Huerta, L Moreno Eguinoa, F García-Bragado, T Tuñón Álvarez, J J Roldán Larreta
INTRODUCTION: The aim of our study is to describe the types of dementia found in a series of patients and to estimate the level of agreement between the clinical diagnosis and post-mortem diagnosis. MATERIAL AND METHODS: We conducted a descriptive analysis of the prevalence of the types of dementia found in our series and we established the level of concordance between the clinical and the post-mortem diagnoses. The diagnosis was made based on current diagnostic criteria...
June 18, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/27321604/comparison-of-effect-of-two-exercise-programs-on-activities-of-daily-living-in-individuals-with-dementia-a-9-week-randomized-controlled-trial
#20
Willem J R Bossers, Lucas H V van der Woude, Froukje Boersma, Tibor Hortobágyi, Erik J A Scherder, Marieke J G van Heuvelen
OBJECTIVES: To compare the effects of two exercise programs on proxy- and performance-based measures of activities of daily living (ADLs) and to explore potential motor and cognitive mediators underlying ADL improvements in individuals with dementia. DESIGN: A parallel, three-group, single-blind, randomized, controlled trial. SETTING: Psychogeriatric wards. PARTICIPANTS: Individuals with dementia (mean age 85.6 ± 5...
June 2016: Journal of the American Geriatrics Society
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