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https://www.readbyqxmd.com/read/28214234/reablement-reactivation-rehabilitation-and-restorative-interventions-with-older-adults-in-receipt-of-home-care-a-systematic-review
#1
REVIEW
Joanie Sims-Gould, Catherine E Tong, Lutetia Wallis-Mayer, Maureen C Ashe
OBJECTIVE: To systematically review the impact of reablement, reactivation, rehabilitation, and restorative (4R) programs for older adults in receipt of home care services. DESIGN: Systematic review. DATA SOURCES: We searched the following electronic bibliographic databases: MEDLINE, EMBASE, PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health), SPORTDiscus and The Cochrane Library and reference lists. STUDY SELECTION: Randomized controlled trials that describe original data on the impact of home-based rehabilitative care and were written in English...
February 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28209143/collaborative-leadership-and-the-implementation-of-community-based-fall-prevention-initiatives-a-multiple-case-study-of-public-health-practice-within-community-groups
#2
Maureen Markle-Reid, Cathy Dykeman, Jenny Ploeg, Caralyn Kelly Stradiotto, Angela Andrews, Susan Bonomo, Sarah Orr-Shaw, Niyati Salker
BACKGROUND: Falls among community-dwelling older adults are a serious public health concern. While evidence-based fall prevention strategies are available, their effective implementation requires broad cross-sector coordination that is beyond the capacity of any single institution or organization. Community groups comprised of diverse stakeholders that include public health, care providers from the public and private sectors and citizen volunteers are working to deliver locally-based fall prevention...
February 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28208748/neighborhood-factors-and-fall-related-injuries-among-older-adults-seen-by-emergency-medical-service-providers
#3
Sungmin Lee, Chanam Lee, Susan Rodiek
Falls are serious health problems among older adults, and are the leading cause of fatal and nonfatal injuries treated by emergency medical services (EMS). Although considerable research has examined the risk factors of falls at the individual level, relatively few studies have addressed the risk factors at the neighborhood level. This study examines the characteristics of neighborhood environments associated with fall injuries reported to EMS providers. A total of 13,163 EMS records from 2011 to 2014 involving adults aged 65 and older in the city of San Antonio (TX, USA) were analyzed at the census tract level (n = 264)...
February 8, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28208598/neighborhood-environment-and-falls-among-community-dwelling-older-adults
#4
Emily Joy Nicklett, Matthew C Lohman, Matthew Lee Smith
Background: Falls present a major challenge to active aging, but the relationship between neighborhood factors and falls is poorly understood. This study examined the relationship between fall events and neighborhood factors, including neighborhood social cohesion (sense of belonging, trust, friendliness, and helpfulness) and physical environment (vandalism/graffiti, rubbish, vacant/deserted houses, and perceived safety walking home at night). Methods: Data were analyzed from 9259 participants over four biennial waves (2006-2012) of the Health and Retirement Study (HRS), a nationally representative sample of adults aged 65 and older in the United States...
February 10, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28206931/a-comprehensive-investigation-of-comorbidities-mechanisms-injury-patterns-and-outcomes-in-geriatric-blunt-trauma-patients
#5
Carlos V R Brown, Kevin Rix, Amanda L Klein, Brent Ford, Pedro G R Teixeira, Jayson Aydelotte, Ben Coopwood, Sadia Ali
The geriatric population is growing and trauma providers are often tasked with caring for injuries in the elderly. There is limited information regarding injury patterns in geriatric trauma patients stratified by mechanism of injury. This study intends to investigate the comorbidities, mechanisms, injury patterns, and outcomes in geriatric blunt trauma patients. A retrospective study of the 2012 National Trauma Databank was performed. Adult blunt trauma patients were identified; geriatric (>/=65) patients were compared with younger (<65) patients regarding admission demographics and vital signs, mechanism and severity of injury, and comorbidities...
November 1, 2016: American Surgeon
https://www.readbyqxmd.com/read/28197085/anodal-transcranial-direct-current-stimulation-does-not-facilitate-dynamic-balance-task-learning-in-healthy-old-adults
#6
Elisabeth Kaminski, Maike Hoff, Viola Rjosk, Christopher J Steele, Christopher Gundlach, Bernhard Sehm, Arno Villringer, Patrick Ragert
Older adults frequently experience a decrease in balance control that leads to increased numbers of falls, injuries and hospitalization. Therefore, evaluating older adults' ability to maintain balance and examining new approaches to counteract age-related decline in balance control is of great importance for fall prevention and healthy aging. Non-invasive brain stimulation techniques such as transcranial direct current stimulation (tDCS) have been shown to beneficially influence motor behavior and motor learning...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28194924/constructing-definitions-of-safety-risks-while-nurses-care-for-hospitalised-older-people-secondary-analysis-of-qualitative-data
#7
Sherry Dahlke, Wendy A Hall, Jennifer Baumbusch
AIM: The aim of this secondary qualitative descriptive analysis was to examine how nurses construct a definition of older peoples' safety risks and provide care while working within organisational contexts that are focused on diminishing patient risks. BACKGROUND: Numbers of older patients are increasing in acute hospital contexts-contexts that place their focus on patient safety. Nurses need to manage tensions between older peoples' risks, evidence-informed practice decisions, limited resources and organisational emphases on patient falls...
February 14, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28188585/assessing-the-effects-of-interpersonal-and-intrapersonal-behavior-change-strategies-on-physical-activity-in-older-adults-a-factorial-experiment
#8
Siobhan K McMahon, Beth Lewis, J Michael Oakes, Jean F Wyman, Weihua Guan, Alexander J Rothman
BACKGROUND: Little is known about which behavior change strategies motivate older adults to increase their physical activity. PURPOSE: The purpose of this study was to assess the relative effects of two sets of behavior change strategies to motivate increased physical activity among older adults: interpersonal and intrapersonal. METHODS: Community-dwelling older adults (N = 102, mean age = 79) were randomized in a 2 × 2 factorial experiment to receive interpersonal (e...
February 10, 2017: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/28187009/older-adults-perceptions-of-and-preferences-for-a-fall-risk-assessment-system-exploring-stages-of-acceptance-model
#9
Colleen Galambos, Marilyn Rantz, Jessie Back, Jung Sim Jun, Marjorie Skubic, Steven J Miller
Aging in place is a preferred and cost-effective living option for older adults. Research indicates that technology can assist with this goal. Information on consumer preferences will help in technology development to assist older adults to age in place. The study aim was to explore the perceptions and preferences of older adults and their family members about a fall risk assessment system. Using a qualitative approach, this study examined the perceptions, attitudes, and preferences of 13 older adults and five family members about their experience living with the fall risk assessment system during five points in time...
February 9, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28182163/which-is-preferable-for-orthostatic-hypotension-diagnosis-in-older-adults-active-standing-test-or-head-up-tilt-table-test
#10
Ali Ekrem Aydin, Pinar Soysal, Ahmet Turan Isik
BACKGROUND: Correct evaluation of orthostatic hypotension (OH) is crucial in geriatric practice, since OH is associated with mortality and morbidity. The study aimed to determine the most appropriate method for measuring blood pressure in transition from supine to upright position in order to diagnose OH in older adults. METHODS: Active standing test (AST) and head-up tilt table (HUT) test as well as comprehensive geriatric assessment (CGA), including mini-mental state examination or the cognitive state test, mini-nutritional assessment, basic and instrumental activities of daily living, and Tinetti performance-oriented mobility assessment indexes, were performed in 290 geriatric patients...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28181867/marital-biography-social-security-receipt-and-poverty
#11
I-Fen Lin, Susan L Brown, Anna M Hammersmith
Increasingly, older adults are unmarried, which could mean a larger share is at risk of economic disadvantage. Using data from the 2010 Health and Retirement Study, we chart the diverse range of marital biographies, capturing marital sequences and timing, of adults who are age eligible for Social Security and examine three indicators of economic well-being: Social Security receipt, Social Security benefit levels, and poverty status. Partnereds are disproportionately likely to receive Social Security and they enjoy relatively high Social Security benefits and very low poverty levels...
January 2017: Research on Aging
https://www.readbyqxmd.com/read/28178773/postural-control-of-individuals-with-chronic-stroke-compared-to-healthy-participants-tug-frt-and-center-of-pressure-movement
#12
Sigal Portnoy, Shlomit Reif, Tom Mendelboim, Debbie Rand
BACKGROUND: Balance impairments are common following stroke, and may lead to loss of independent functional mobility and falls. Previous studies strived to come up with precise measures of postural control, which will provide a better prognostic power for the health status and safety of the individual. To date, the degree of difference in postural control measures between individuals with chronic stroke and healthy participants is not reported. Also there are no reported correlations between these measures and the Timed-Up-and-Go (TUG) and the Functional Reach Test (FRT)...
February 8, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28177542/reduced-prevalence-and-severity-of-wounds-following-implementation-of-the-champions-for-skin-integrity-model-to-facilitate-uptake-of-evidence-based-practice-in-aged-care
#13
Helen E Edwards, Anne M Chang, Michelle Gibb, Kathleen J Finlayson, Christina Parker, Maria O'Reilly, Jan McDowell, Patricia Shuter
AIMS: To evaluate the implementation of the Champions for Skin Integrity Model on facilitating uptake of evidence-based wound management and improving skin integrity in residents of aged care facilities BACKGROUND: The incidence of skin tears, pressure injuries and leg ulcers increases with age and such wounds can be a serious issue in aged care facilities. Older adults are not only at higher risk for wounds related to chronic disease, but also injuries related to falls and manual handling requirements...
February 8, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28176488/association-between-nighttime-sleep-duration-sleep-timing-and-falls-among-middle-aged-and-older-chinese-population-a-cross-sectional-analysis-from-the-dongfeng-tongji-cohort-study-china
#14
Yi Wang, Wending Li, Lijun Shen, Lulu Song, Hui Li, Bingqing Liu, Jing Yuan, Youjie Wang
AIM: To examine the association between nighttime sleep duration, sleep timing, and their interactive effect on falls among middle-aged and older Chinese adults. METHODS: The study sample of 35,465 (mean age 64.5 years) subjects were from the Dongfeng-Tongji cohort. All subjects completed baseline questionnaires and medical examinations. Participants were classified into five groups based on nighttime sleep duration: <7 h, 7- ≤ 8 h, 8- ≤ 9 h, 9- ≤ 10 h, ≥10 h, and three groups based on sleep timing: <21:00, 21:00- ≤ 23:00, ≥23:00...
February 8, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28174470/reliability-and-validity-of-the-sequential-weight-shifting-test-a-new-functional-approach-to-the-assessment-of-the-sitting-balance-of-older-adults
#15
Ken Y T Lee, Christina W Y Hui-Chan, William W N Tsang
[Purpose] The evaluation of sitting balance is important for the prevention of falls in older adults, especially those who have a disability involving the lower extremities. However, no studies have been designed to assess a patient's dynamic sitting balance using a sequential protocol. The objective of this study was to investigate the psychometric properties of the sequential weight-shifting (SWS) test. [Subjects and Methods] Twenty-three older adults who were physically dependent with regard to ambulation were recruited by convenience sampling...
December 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28174253/vitamin-d-induces-myogenic-differentiation-in-skeletal-muscle-derived-stem-cells
#16
Melissa Braga, Zena Simmons, Keith C Norris, Monica G Ferrini, Jorge N Artaza
Skeletal muscle wasting is a serious disorder associated with health conditions such as aging, chronic kidney disease, and AIDS. Vitamin D is most widely recognized for its regulation of calcium and phosphate homeostasis in relation to bone development and maintenance. Recently, Vitamin D supplementation has been shown to improve muscle performance and reduce the risk of falls in Vitamin D deficient older adults. However, little is known of the underlying molecular mechanism(s) or the role it plays in myogenic differentiation...
February 7, 2017: Endocrine Connections
https://www.readbyqxmd.com/read/28168394/understanding-falls-risk-and-impacts-in-chinese-american-older-patients-at-a-community-health-center
#17
Susan Huang, Thomas Duong, Liss Ieong, Thu Quach
While falls are highly prevalent and costly for older adults, little is known about falls for Asian Americans. Using a custom, evidence-based, bilingual fall risk assessment and management tool, our study examined the prevalence of falls among older Chinese-speaking patients at a community health center. We identified the risks for falls and explored an association of fall risk with emergency room (ER) and hospital use in this population. The setting was at a community health center in Oakland, CA. Participants included 839 older Asian American adults (ages 65-80 years) who spoke Cantonese/Mandarin...
February 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28167744/systematic-review-and-meta-analysis-tai-chi-for-preventing-falls-in-older-adults
#18
Zhi-Guan Huang, Yun-Hui Feng, Yu-He Li, Chang-Sheng Lv
OBJECTIVE: It remains unclear whether Tai Chi is effective for preventing falls in older adults. We undertook this systematic review to evaluate the preventive effect of Tai Chi by updating the latest trial evidence. DESIGN: Systematic review and meta-analysis. METHODS: The Cochrane Library, MEDLINE and EMBASE were searched up to February 2016 to identify randomised trials evaluating Tai Chi for preventing falls in older adults. We evaluated the risk of bias of included trials using the Cochrane Collaboration's tool...
February 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28166265/compliant-flooring-to-prevent-fall-related-injuries-in-older-adults-a-scoping-review-of-biomechanical-efficacy-clinical-effectiveness-cost-effectiveness-and-workplace-safety
#19
Chantelle C Lachance, Michal P Jurkowski, Ania C Dymarz, Stephen N Robinovitch, Fabio Feldman, Andrew C Laing, Dawn C Mackey
BACKGROUND: Compliant flooring, broadly defined as flooring systems or floor coverings with some level of shock absorbency, may reduce the incidence and severity of fall-related injuries in older adults; however, a lack of synthesized evidence may be limiting widespread uptake. METHODS: Informed by the Arksey and O'Malley framework and guided by a Research Advisory Panel of knowledge users, we conducted a scoping review to answer: what is presented about the biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety associated with compliant flooring systems that aim to prevent fall-related injuries in healthcare settings? We searched academic and grey literature databases...
2017: PloS One
https://www.readbyqxmd.com/read/28154941/the-association-between-sarcopenia-and-functional-outcomes-among-older-patients-with-hip-fracture-undergoing-in-hospital-rehabilitation
#20
F Landi, R Calvani, E Ortolani, S Salini, A M Martone, L Santoro, A Santoliquido, A Sisto, A Picca, E Marzetti
: This study evaluates the prevalence of sarcopenia among older people admitted to a rehabilitation unit after hip fracture and the association between sarcopenia and functional outcomes. The results show that sarcopenia had a negative impact on functional recovery. The assessment of sarcopenia among older adults receiving rehabilitation programs is crucial. INTRODUCTION: Sarcopenia is a highly prevalent geriatric syndrome associated with adverse outcomes, including falls, disability, institutionalization, and mortality...
February 2, 2017: Osteoporosis International
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