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Nursing home predictors

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https://www.readbyqxmd.com/read/28718797/socioeconomic-differences-in-and-predictors-of-home-based-palliative-care-health-service-use-in-ontario-canada
#1
Jiaoli Cai, Denise N Guerriere, Hongzhong Zhao, Peter C Coyte
The use of health services may vary across people with different socioeconomic statuses, and may be determined by many factors. The purposes of this study were (i) to examine the socioeconomic differences in the propensity and intensity of use for three main home-based health services, that is, home-based palliative care physician visits, nurse visits and personal support worker (PSW) hours; and (ii) to explore the determinants of the use of home-based palliative care services. A prospective cohort study was employed...
July 18, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28716451/multidrug-resistant-pseudomonas-aeruginosa-lower-respiratory-tract-infections-in-the-intensive-care-unit-prevalence-and-risk-factors
#2
Trang D Trinh, Evan J Zasowski, Kimberly C Claeys, Abdalhamid M Lagnf, Shravya Kidambi, Susan L Davis, Michael J Rybak
Intensive care unit (ICU) admission is a risk for multidrug-resistant (MDR) Pseudomonas aeruginosa, but factors specific to critically ill pneumonia patients are not fully characterized. Objective was to determine risk factors associated with MDR P. aeruginosa pneumonia among ICU patients. This was a retrospective case-control study of P. aeruginosa pneumonia in the ICU; cystic fibrosis and colonizers were excluded. Risk factors included comorbid conditions and prior healthcare exposure (anti-pseudomonal antibiotics, hospitalizations, nursing home, P...
June 19, 2017: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/28715287/outcome-measures-correlated-with-falls-in-nursing-home-residents-a-pilot-study
#3
Heidi S Moyer, Jeffrey Gale, Stephen Severe, Heather J Braden, Scott Hasson
Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate...
July 17, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28697432/racial-and-ethnic-disparities-in-the-healing-of-pressure-ulcers-present-at-nursing-home-admission
#4
Donna Z Bliss, Olga Gurvich, Kay Savik, Lynn E Eberly, Susan Harms, Christine Mueller, Judith Garrard, Kristen Cunanan, Kjerstie Wiltzen
BACKGROUND: Pressure ulcers increase the risk of costly hospitalization and mortality of nursing home residents, so timely healing is important. Disparities in healthcare have been identified in the nursing home population but little is known about disparities in the healing of pressure ulcers. PURPOSE: To assess racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Multi-levels predictors, at the individual resident, nursing home, and community/Census tract level, were examined in three large data sets...
June 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28688963/continuous-interscalene-brachial-plexus-blockade-is-associated-with-reduced-length-of-stay-after-shoulder-arthroplasty
#5
Peter N Chalmers, Dane Salazar, Mitchell E Fingerman, Jay D Keener, Aaron Chamberlain
BACKGROUND: Catheter-delivered continuous interscaleneanesthesia has demonstrated improved pain control in randomized clinical trials.The purpose of this study is to determine whether the introduction of continuous catheteranesthesia was associated with a change in length of stay (LOS), readmission, rates of discharge home without home health or nursing services, or opioid administration. We hypothesized that the introduction of continuous catheter anesthesia would be associated with a decrease in LOS, readmission, non-home discharge, and opioid administration...
July 5, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28687182/consistency-of-priorities-for-quality-improvement-for-nursing-homes-in-italy-and-canada-a-comparison-of-optimization-models-of-resident-satisfaction
#6
REVIEW
Sara Barsanti, Kevin Walker, Chiara Seghieri, Antonella Rosa, Walter P Wodchis
The paper seeks to identify aspects of care that may be easily modified to yield a desired level of improvement in residents' overall satisfaction with nursing homes, comparing data across Canada and Italy. Using a structured questionnaire, 681 and 1116 nursing home residents were surveyed in Ontario in 2009 and in Tuscany in 2012, respectively. Fourteen items were common to the surveys, including willingness to recommend (WTR), which was used as the dependent variable and measure of global satisfaction. The other analogous items were entered as covariates in ordinal logistic regression models predicting residents' WTR in each jurisdiction separately...
June 23, 2017: Health Policy
https://www.readbyqxmd.com/read/28668663/prevalence-and-determinants-of-poor-food-intake-of-residents-living-in-long-term-care
#7
Heather H Keller, Natalie Carrier, Susan E Slaughter, Christina Lengyel, Catriona M Steele, Lisa Duizer, Jill Morrison, K Stephen Brown, Habib Chaudhury, Minn N Yoon, Alison M Duncan, Veronique Boscart, George Heckman, Lita Villalon
OBJECTIVE: Poor food intake is known to lead to malnutrition in long-term care homes (LTCH), yet multilevel determinants of food intake are not fully understood, hampering development of interventions that can maintain the nutritional status of residents. This study measures energy and protein intake of LTCH residents, describes prevalence of diverse covariates, and the association of covariates with food intake. DESIGN: Multisite cross-sectional study. SETTING: Thirty-two nursing homes from 4 provinces in Canada...
June 28, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28665781/how-often-is-end-of-life-care-in-the-united-states-inconsistent-with-patients-goals-of-care
#8
Nita Khandelwal, J Randall Curtis, Vicki A Freedman, Judith D Kasper, Pedro Gozalo, Ruth A Engelberg, Joan M Teno
BACKGROUND: Despite its importance, little is known about the prevalence of, and factors associated with, end-of-life care that is consistent with patients' wishes. OBJECTIVE: To document the proportion of bereaved respondents who reported care inconsistent with patients' wishes and characterize the predictors of end-of-life care associated with inconsistent care. DESIGN: Retrospective analysis of nationally representative survey data of persons aged >65 years...
June 30, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28649855/quality-of-life-and-its-factors-in-korean-elderly-with-mild-cognitive-impairment
#9
Younhee Kang, Eliza Lee
Based on the secondary data analysis, this study aimed to identify quality of life and factors that affect quality of life among Korean elderly with mild cognitive impairment. Demographic characteristics, physical factors, and psychosocial factors as well as quality of life of the elderly with mild cognitive impairment were comprehensively measured. The research subjects consisted of 348 home-resident elderly and their quality of life scores were relatively high at 29.86. Their quality of life varied according to education and gender, and instrumental activities of daily living (actual, latent), somatic symptoms, sleep quality, depression, and social support affected their quality of life...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28641599/association-between-level-of-exposure-to-death-and-dying-and-professional-quality-of-life-among-palliative-care-workers
#10
Tali Samson, Pesach Shvartzman
BACKGROUND: Exposure to the death and dying of others is an anxiety-provoking condition that can contribute to psychological stress. However, the results of empirical studies that evaluated work-related outcomes among physicians and nurses with repeated exposure to dying patients are not consistent. OBJECTIVE: Our aim was to evaluate whether a high level of exposure to death and dying (LED) can increase the risk for poor professional quality of life (ProQoL) in most healthcare workers, but it can also improve ProQoL in a subset of healthcare workers with specific characteristics...
June 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28638844/predictors-of-unplanned-hospitalization-in-patients-receiving-outpatient-parenteral-antimicrobial-therapy-across-a-large-integrated-healthcare-network
#11
Monica Schmidt, Bevin Hearn, Michael Gabriel, Melanie D Spencer, Lewis McCurdy
BACKGROUND: Outpatient parenteral antimicrobial therapy (OPAT) prescribing has increased along with the trend toward early discharge of hospitalized patients who have infections. There is limited literature that assesses unplanned hospitalizations during OPAT. This study aims to elucidate the predictors of unplanned hospitalization in OPAT patients after discharge from acute-care facilities within Carolinas HealthCare System (CHS). Understanding these predictors may inform future interventions to improve treatment efficacy and patient outcomes...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28634926/aging-effect-on-the-instrumented-timed-up-and-go-test-variables-in-nursing-home-women-aged-80-93%C3%A2-years
#12
Ryszard Zarzeczny, Agnieszka Nawrat-Szołtysik, Anna Polak, Jakub Maliszewski, Adam Kiełtyka, Beata Matyja, Magdalena Dudek, Joanna Zborowska, Adam Wajdman
Although the total "Timed-Up-and Go" test (TUG) performance time can characterize an age-related decline of general mobility, this result alone doesn't give any detailed information about the test subtasks. The primary objective of the study was to identify in nursing home women a variable extracted from instrumented TUG (iTUG) that is the best predictor of age. The secondary objective was to assess whether this variable is associated with the results of the isometric knee extension peak torque (IKEPT); lower limb strength measured by the 30-s chair stand test (30sCST), and walking capacity measured by the 6-min walk test (6MWT)...
June 20, 2017: Biogerontology
https://www.readbyqxmd.com/read/28610846/-frequent-attenders-in-primary-health-care-centres-and-frequent-attenders-in-emergency-departments
#13
Cesáreo Fernández Alonso, Juan Mariano Aguilar Mulet, Rodolfo Romero Pareja, Arístides Rivas García, Manuel Enrique Fuentes Ferrer, Juan Jorge González Armengol
OBJECTIVE: To identify predictors of frequent attenders (HF) in Primary Health Care (PHC) centres in a sample of frequent attenders (HF) in Emergency Departments (ED). DESIGN: This was an observational, retrospective, multicentre cohort study. PARTICIPANTS: The HF patients were selected from patients seen in the ED between January 1 and December 31, 2013. Setting Patients were recruited from 17 public hospitals of the Community of Madrid, Spain...
June 10, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28600579/road-crashes-in-older-persons-and-the-use-of-comorbidity-polypharmacy-score-in-an-asian-population
#14
Mui Teng Chua, Keshav Bhandari, Victor Yk Ong, Win Sen Kuan
INTRODUCTION: Age-related physiological changes predispose older road users to higher mortality from traffic crashes. We aimed to describe the injury epidemiology of these patients, and explore the association between the comorbidity polypharmacy score (CPS) and outcomes. MATERIALS AND METHODS: This retrospective study utilised data from the Trauma Registry in the National University Hospital, Singapore, between January 2011 and December 2014. Patients involved in traffic crashes aged 45 years and above with injury severity scores (ISS) of 9 and higher were included...
May 2017: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/28595018/predictors-of-physical-activity-levels-in-community-dwelling-older-adults-a-multivariate-approach-based-on-a-socio-ecological-framework
#15
Koren L Fisher, Elizabeth L Harrison, Brenda G Bruner, Joshua A Lawson, Bruce A Reeder, Nigel L Ashworth, M Suzanne Sheppard, Karen E Chad
OBJECTIVES: To explore cross-sectional relationships between self-reported physical activity (PA) and personal, social and environmental factors in community-dwelling adults aged 50 years and older. METHODS: Accounting for clustering by neighborhood, generalized estimating equations were used to examine associations between selected correlates and the Physical Activity Scale for the Elderly (PASE) score while adjusting for confounders. RESULTS: Data for 601 participants were analyzed: 79% female, 37% married, mean age 76...
May 22, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28588424/the-use-of-life-stories-and-its-influence-on-persons-with-dementia-their-relatives-and-staff-a-systematic-mixed-studies-review
#16
Vigdis Abrahamsen Grøndahl, Mona Persenius, Carina Bååth, Ann Karin Helgesen
BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28587716/-predictive-factors-of-functional-decline-at-hospital-discharge-in-elderly-patients-hospitalised-due-to-acute-illness
#17
Patricia Ysabel Condorhuamán-Alvarado, Rocío Menéndez-Colino, Coro Mauleón-Ladrero, Jesús Díez-Sebastián, Teresa Alarcón, Juan Ignacio González-Montalvo
OBJECTIVE: To compare baseline characteristics and those found during hospitalisation as predictors of functional decline at discharge (FDd) in elderly patients hospitalised due to acute illness. MATERIAL AND METHOD: A review was made of the computerized records of patients admitted to a Geriatric Acute Unit of a tertiary hospital over a 10 year period. A record was made of demographic, clinical, functional and health-care variables. Functional decline at discharge (FDd) was defined by the difference between the previous Barthel Index (pBI) and the discharge Barthel Index (dBI)...
June 3, 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/28583738/predictors-of-mortality-in-nursing-home-residents-with-pneumonia-a-multicenter-study
#18
Marco Falcone, Alessandro Russo, Flaminia Gentiloni Silverj, Daniela Marzorati, Renzo Bagarolo, Massimo Monti, Rosella Velleca, Roberto D'Angelo, Antonino Frustaglia, Ginetto Carlo Zuccarelli, Roberto Prina, Marco Vignati, Maria Grazia Marnati, Mario Venditti, Marco Tinelli
OBJECTIVES: To evaluate predictors of mortality in patients residing in nursing-homes (NHs) or long-term care facilities (LTCFs) with diagnosis of NH-acquired pneumonia (NHAP). METHODS: We conducted an observational, prospective study (December 2013-December 2015) of patients residing in 9 NHs/LTCFs of Central and Northern Italy with diagnosis of NHAP. Data on demographics, comorbidities, microbiology, and therapies were entered in an electronic database. To identify risk factors associated with 30-day mortality, we performed univariable and multivariable analyses, and predictors were internally validated using a bootstrap resampling procedure...
June 2, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28561895/knowledge-and-self-care-behaviors-among-patients-with-heart-failure-in-jordan
#19
Loai I Tawalbeh, Mohammad Al Qadire, Muayyad M Ahmad, Sami Aloush, Yasmeen Abu Sumaqa, Marawa Halabi
Knowledge is known to affect self-care behaviors. However, little is known about the factors that influence self-care behaviors among patients with heart failure in Jordan. A cross-sectional descriptive-correlational design was used to describe the associations between knowledge, sociodemographics, and self-care behaviors. In a convenience sample of 226 patients with heart failure, the Dutch Heart Failure Scale and Self-Care of Heart Failure Index (SCHFI) version 6.2 were used to measure knowledge and self-care behaviors, respectively...
May 31, 2017: Research in Nursing & Health
https://www.readbyqxmd.com/read/28545361/applying-melanopic-lux-to-measure-biological-light-effects-on-melatonin-suppression-and-subjective-sleepiness
#20
Claudia Nowozin, Amely Wahnschaffe, Andrea Rodenbeck, Jan de Zeeuw, Sven Hädel, Ruslan Kozakov, Heinz Schöpp, Mirjam Münch, Dieter Kunz
In the beginning of this century a novel photopigment, melanopsin, was discovered in a sub-class of retinal ganglion cells and its action spectrum was described. Shortly after, it became clear that melanopsin is one major contributor to non-visual eye-mediated effects of light on e.g. the circadian, neuroendocrine and neurobehavioral systems. First applied studies pointed out that these non-visual effects of light are relevant for wellbeing, performance and general health. A standardized measurement quantity for these non-visual effects does not exist, but would ease application...
May 22, 2017: Current Alzheimer Research
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