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Nursing home predictors

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https://www.readbyqxmd.com/read/29150758/predictors-for-achieving-adequate-protein-and-energy-intake-in-nursing-home-rehabilitation-patients
#1
J I van Zwienen-Pot, M Visser, H M Kruizenga
BACKGROUND: Adequate energy and protein intake could be essential for contributing significantly to the rehabilitations process. Data on the actual nutritional intake of older nursing home rehabilitation patients have not yet been investigated. AIMS: To investigate the nutritional intake and predictors for achieving protein and energy requirements on the 14th day of admission in nursing home rehabilitation patients. METHODS: Fifty-nine patients aged 65+ years newly admitted to nursing home rehabilitation wards were included...
November 17, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29149796/effectiveness-of-treatment-in-wards-for-patients-with-dementia-and-issues-associated-with-this-treatment-a-prospective-analysis
#2
Shogo Taniguchi, Teruyuki Matsuoka, Takeshi Hikawa, Atsushi Machihara, Keisuke Shibata, Hideki Miki, Hiroshi Shimizu, Jin Narumoto
In order to optimize the treatment in wards for patients with dementia, we investigated predictors of the length of stay in the ward for patients with dementia. A prospective analysis of 72 patients with dementia was conducted in two wards for patients with dementia. Severity of dementia was assessed by the Clinical Dementia Rating, basic activities of daily living were evaluated using the Physical Self-Maintenance Scale, and severity of behavioral and psychological symptoms of dementia and caregiver distress were determined with the Nursing Home version of the Neuropsychiatric Inventory...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/29148592/oral-anticoagulants-in-german-nursing-home-residents-drug-use-patterns-and-predictors-for-treatment-choice
#3
Kathrin Jobski, Falk Hoffmann, Stefan Herget-Rosenthal, Michael Dörks
AIMS: Information on utilization of oral anticoagulants (OACs) in nursing homes is scarce. This study aimed to (i) describe OAC use in German nursing home residents, (ii) examine factors influencing whether treatment is initiated with vitamin K antagonists (VKAs) or non-VKA oral anticoagulants (NOACs) and (iii) assess which conditions predict switching to NOAC instead of continuing VKA. METHODS: Using claims data (2010-2014), we studied a cohort of new nursing home residents aged ≥ 65 years receiving OAC...
November 17, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29146222/nursing-staff-distress-associated-with-neuropsychiatric-symptoms-in-young-onset-dementia-and-late-onset-dementia
#4
Jeannette C L van Duinen-van den IJssel, Ans J M J Mulders, Martin Smalbrugge, Sandra A Zwijsen, Britt Appelhof, Syste U Zuidema, Marjolein E de Vugt, Frans R J Verhey, Christian Bakker, Raymond T C M Koopmans
OBJECTIVE: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). DESIGN/SETTING: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study...
November 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29139197/survival-prediction-among-nursing-home-residents-a-longitudinal-study
#5
Claudia Kam Yuk Lai, Lily Yuen Wah Ho, Kenny Chi Wing Chin, Enid Wai Yung Kwong
AIM: To determine the survival time and predictors of survival of residents in a nursing home. METHODS: Nursing home residents admitted from June 2008 (when the nursing home started operating) to December 2012 (n = 230) to a new nursing home in Hong Kong were prospectively followed. The predictors of survival in the residents were assessed annually, with the exception of those who did not want to continue with the study, or were hospitalized, discharged from the nursing home or died, to compare changes occurring from 2008 to 2012...
November 15, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29130416/prevalence-incidence-and-associated-factors-of-pressure-ulcers-in-home-palliative-care-patients-a-retrospective-chart-review
#6
Marco Artico, Angelo Dante, Daniela D'Angelo, Luciano Lamarca, Chiara Mastroianni, Tommasangelo Petitti, Michela Piredda, Maria Grazia De Marinis
BACKGROUND: Terminally ill patients are at high risk of pressure ulcers, which have a negative impact on quality of life. Data about pressure ulcers' prevalence, incidence and associated factors are largely insufficient. AIM: To document the point prevalence at admission and the cumulative incidence of pressure ulcers in terminally ill patients admitted to an Italian home palliative care unit, and to analyse the patients' and caregivers' characteristics associated with their occurrence...
October 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29122376/explaining-regional-variation-in-home-care-use-by-demand-and-supply-variables
#7
Olivier van Noort, Fredo Schotanus, Joris van de Klundert, Jan Telgen
In the Netherlands, home care services like district nursing and personal assistance are provided by private service provider organizations and covered by private health insurance companies which bear legal responsibility for purchasing these services. To improve value for money, their procurement increasingly replaces fee-for-service payments with population based budgets. Setting appropriate population budgets requires adaptation to the legitimate needs of the population, whereas historical costs are likely to be influenced by supply factors as well, not all of which are necessarily legitimate...
May 26, 2017: Health Policy
https://www.readbyqxmd.com/read/29115867/outcomes-in-knowledge-attitudes-and-confidence-of-nursing-staff-working-in-nursing-and-residential-care-homes-following-a-dementia-training-programme
#8
Anthony Scerri, Charles Scerri
OBJECTIVES: Dementia training programmes for staff working in long-term care settings have been found to be effective in improving staff outcomes. This study investigated the impact of a dementia training programme for all Maltese nursing staff working in public nursing/residential homes on their knowledge, attitudes and confidence. Additionally, we identified the predictors of these domains before and after the programme. METHOD: A 14-hour training programme focusing on dementia management, care and policy was developed for all nursing staff working in public nursing and residential homes in Malta...
November 8, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29112226/new-institutionalization-in-long-term-care-after-hospital-discharge-to-skilled-nursing-facility
#9
Addie Middleton, Shuang Li, Yong-Fang Kuo, Kenneth J Ottenbacher, James S Goodwin
BACKGROUND/OBJECTIVES: Approximately half of individuals newly admitted to long-term care (LTC) nursing homes (NHs) experienced a prior hospitalization followed by discharge to a skilled nursing facility (SNF). The objective was to examine characteristics associated with new institutionalizations of older adults on this care trajectory. DESIGN: Retrospective cohort study. SETTING: SNFs and LTC NHs. PATIENTS: Medicare fee-for-service beneficiaries admitted to 7,442 SNFs in 2013 (N = 597,986)...
November 7, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29103674/functional-outcomes-after-inpatient-rehabilitation-for-trauma-improved-but-unable-to-return-home
#10
Catherine W Lancaster, Charles DiMaggio, Gary Marshall, Stephen Wall, Patricia Ayoung-Chee
BACKGROUND: Twenty-five percent of trauma patients are discharged to postacute care, indicating a loss of physical function and need for rehabilitation. The purpose of this study was to quantify the functional improvements in trauma patients discharged from inpatient rehabilitation facility (IRF) and identify predictors of improvement. MATERIALS AND METHODS: A retrospective cohort study of trauma patients aged ≥ 18 years were admitted to an IRF after discharge from a level-1 trauma center...
November 2, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29099906/effects-of-mobility-and-cognition-on-maintenance-of-independence-and-survival-among-women-in-late-life
#11
Susan J Diem, Lui Li-Yung, Lisa Langsetmo, Brent Taylor, Peggy M Cawthon, Jane A Cauley, Kristine E Ensrud
Background: We examined the effects of mobility and cognition on maintenance of independence among women in late life. Methods: Prospective 5-year study of 1,010 independent community-dwelling women (mean age 88.0 years) participating in the Study of Osteoporotic Fractures Year 20 examination (2006-2008). Mobility, ascertained by walk speed, was categorized as good (≥0.9 m/s), intermediate (>0.6 m/s to <0.9 m/s), or poor (≤0.6 m/s). Cognitive status, adjudicated based on neuropsychological tests, was classified as normal or impaired (mild cognitive impairment or dementia)...
November 1, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29096573/drug-related-problems-and-changes-in-drug-utilization-after-medication-reviews-in-nursing-homes-in-oslo-norway
#12
Amura Francesca Fog, Gunnar Kvalvaag, Knut Engedal, Jørund Straand
OBJECTIVE: We describe the drug-related problems (DRPs) identified during medication reviews (MRs) and the changes in drug utilization after MRs at nursing homes in Oslo, Norway. We explored predictors for the observed changes. DESIGN: Observational before-after study. SETTING: Forty-one nursing homes. INTERVENTION: MRs performed by multidisciplinary teams during November 2011 to February 2014. SUBJECTS: In all, 2465 long-term care patients...
November 2, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29058632/implementation-and-effects-of-movement-oriented-restorative-care-in-a-nursing-home-a-quasi-experimental-study
#13
Marinda Henskens, Ilse M Nauta, Erik J A Scherder, Frits G J Oosterveld, Susan Vrijkotte
BACKGROUND: The prevalence of dementia is expected to increase rapidly, and institutionalization is a common consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalization and a determinant for the quality of life (QoL). A promising method to increase functional independence in nursing homes is a restorative care or function focused care (FFC) approach. Movement-oriented restorative care (MRC) is derived from the concept of FFC and restorative care and focuses on the integration of physical activity in the daily lives of nursing home residents with dementia using a multidisciplinary approach...
October 23, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29052282/nursing-staff-intentions-towards-managing-deteriorating-health-in-nursing-homes-a-convergent-parallel-mixed-methods-study-using-the-theory-of-planned-behaviour
#14
Barbara J O'Neill, Trudy Dwyer, Kerry Reid-Searl, Lynne Parkinson
AIMS AND OBJECTIVES: To predict the factors that are most important in explaining nursing staff intentions towards early detection of the deteriorating health of a resident and providing subacute care in the nursing home setting. BACKGROUND: Nursing staff play a pivotal role in managing the deteriorating resident and determining whether the resident needs to be transferred to hospital or remain in the nursing home; however, there is a dearth of literature that explains the factors that influence their intentions...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29030310/dysphagia-in-nursing-homes-results-from-the-nutritionday-project
#15
Melanie Streicher, Rainer Wirth, Karin Schindler, Cornel Christian Sieber, Michael Hiesmayr, Dorothee Volkert
OBJECTIVES: Dysphagia is a major healthcare problem as it increases the risk of malnutrition, dehydration, aspiration pneumonia, and death. The aims of this analysis of data from nursing homes (NHs) worldwide were to examine prevalence rates of dysphagia, to identify characteristics of residents with dysphagia, and to describe which type of nutrition residents with dysphagia receive. DESIGN: One-day cross-sectional study, repeated in yearly intervals since 2007...
October 10, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29017462/vitamin-d-deficiency-was-common-among-nursing-home-residents-and-associated-with-dementia-a-cross-sectional-study-of-545-swedish-nursing-home-residents
#16
Rebeka Arnljots, Jörgen Thorn, Marie Elm, Michael Moore, Pär-Daniel Sundvall
BACKGROUND: Residents of nursing homes may have low 25-hydroxyvitamin D (25OHD) concentrations. Associations between vitamin D and cognitive performance, dementia and susceptibility to infections are not clearly established. The aim of this study was to investigate the prevalence of vitamin D deficiency and to identify associated factors among residents of nursing homes for elderly. METHODS: In this cross-sectional study blood samples for analysis of 25OHD were collected from all participating residents of Swedish nursing homes for the elderly from January to March 2012...
October 10, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28993049/prestroke-mobility-and-dementia-as-predictors-of-stroke-outcomes-in-patients-over-65%C3%A2-years-of-age-a-cohort-study-from-the-swedish-dementia-and-stroke-registries
#17
Sara Garcia-Ptacek, Beatriz Contreras Escamez, Eva Zupanic, Dorota Religa, Lena von Koch, Kristina Johnell, Mia von Euler, Ingemar Kåreholt, Maria Eriksdotter
OBJECTIVES: To explore the association between prestroke mobility dependency and dementia on functioning and mortality outcomes after stroke in patients>65 years of age. DESIGN: Longitudinal cohort study based on SveDem, the Swedish Dementia Registry and Riksstroke, the Swedish Stroke Registry. PARTICIPANTS: A total of 1689 patients with dementia >65 years of age registered in SveDem and suffering a first stroke between 2007 and 2014 were matched with 7973 controls without dementia with stroke...
October 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28990884/psychosocial-predictors-of-anxiety-in-nursing-home-staff
#18
Laura Gallego-Alberto, Andrés Losada, Carlos Vara, Javier Olazarán, Ruben Muñiz, Karl Pillemer
OBJECTIVES: Although research shows that nursing home staff experience significant levels of stress and burnout, studies analyzing the relationship of psychosocial variables on their feelings of anxiety are scarce. This study aims to analyze the relationship between psychosocial variables and levels of anxiety among staff. METHOD: Participants were 101 nursing home professionals. In addition to anxiety, socio-demographic variables, depersonalization, burden, relationship with families of the residents, and guilt about the care offered to the residents were assessed...
August 23, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28988552/change-in-psychotropic-drug-use-in-norwegian-nursing-homes-between-2004-and-2011
#19
G Selbæk, S I M Janus, S Bergh, K Engedal, S Ruths, A S Helvik, J Šaltyte Benth, S U Zuidema
BACKGROUND: We aimed to assess whether there were any changes in the use of psychotropic drugs in Norwegian nursing homes between 2004 and 2011. Also, we investigated whether the predictors of use of specific psychotropic drug groups have changed. METHODS: We conducted a secondary analysis of two cohort studies of two Norwegian nursing home samples (2004/05 and 2010/11). Multivariate models were applied. RESULTS: We found a significant decrease in the prescription of antipsychotic drugs between 2004 and 2011 (0...
October 9, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28988350/predictors-of-30-and-90-day-readmission-following-craniotomy-for-malignant-brain-tumors-analysis-of-nationwide-data
#20
Daniel A Donoho, Timothy Wen, Robin M Babadjouni, William Schwartzman, Ian A Buchanan, Steven Y Cen, Gabriel Zada, William J Mack, Frank J Attenello
Hospital readmissions are a major contributor to increased health care costs and are associated with worse patient outcomes after neurosurgery. We used the newly released Nationwide Readmissions Database (NRD) to describe the association between patient, hospital and payer factors with 30- and 90-day readmission following craniotomy for malignant brain tumor. All adult inpatients undergoing craniotomy for primary and secondary malignant brain tumors in the NRD from 2013 to 2014 were included. We identified all cause readmissions within 30- and 90-days following craniotomy for tumor, excluding scheduled chemotherapeutic procedures...
October 7, 2017: Journal of Neuro-oncology
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