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Residential homes

Charles Antaki, Rebecca J Crompton, Chris Walton, W M L Finlay
Using video records of everyday life in a residential home, we report on what interactional practices are used by people with severe and profound intellectual disabilities to initiate encounters. There were very few initiations, and all presented difficulties to the interlocutor (support staff; the recording researcher); one (which we call 'blank recipiency') gave the interlocutor virtually no information at all on which to base a response. Only when the initiation was of a new phase in an interaction already under way (for example, the initiation of an alternative trajectory of a proposed physical move) was it likely to be successfully sustained...
October 20, 2016: Sociology of Health & Illness
John M Hudson, Petra Mj Pollux
The Cognitive Daisy is an innovative assessment system created to provide healthcare staff with an instant snapshot of the cognitive status of older adults in residential care. The Cognitive Daisy comprises a flower head consisting of 15 colour coded petals depicting information about: visual-spatial perception, comprehension, communication, memory and attention. This study confirmed the practicality of the Cognitive Daisy protocol for assessing cognition in a sample of 33 older adults living in residential care and endorsed the use of the Cognitive Daisy as a tool for recognising the cognitive status of care home residents...
October 7, 2016: Dementia
Erin L Abner, Pamela B Teaster, Marta S Mendiondo, Holly Ramsey-Klawsnik, Jennifer L Marcum, Tim N Crawford, Tenzin Wangmo
The purpose of this study was to identify characteristics of investigations of sexual abuse concerning vulnerable adults residing in facility settings that were associated with case substantiation. Data on 410 reports of sexual abuse were collected prospectively from Adult Protective Services (APS) and state licensure agency staff in New Hampshire, Oregon, Tennessee, Texas, and Wisconsin over a six-month period. Specifically, we examined differences between reports that were substantiated and those that were not by comparing characteristics of alleged victims, alleged perpetrators, and aspects of investigation using logistic regression...
October 17, 2016: Journal of Interpersonal Violence
Rachel Lynn Wood, Stephen J Teach, Alexandra Rucker, Ambika Lall, James M Chamberlain, Leticia Manning Ryan
OBJECTIVES: Risk factors for residential fire death (young age, minority race/ethnicity, and low socioeconomic status) are common among urban pediatric emergency department (ED) patients. Community-based resources are available in our region to provide free smoke detector installation. The objective of our study was to describe awareness of these resources and home fire safety practices in this vulnerable population. METHODS: In this cross-sectional study, a brief survey was administered to a convenience sample of caregivers accompanying patients 19 years of age or younger in an urban pediatric ED in Washington, DC...
October 8, 2016: Pediatric Emergency Care
Alexandra S Creighton, Tanya E Davison, David W Kissane
OBJECTIVE: To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care. METHODS: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years...
October 17, 2016: International Journal of Geriatric Psychiatry
Michael D Caggiano, Wade T Tinkham, Chad Hoffman, Antony S Cheng, Todd J Hawbaker
The wildland-urban interface (WUI), the area where human development encroaches on undeveloped land, is expanding throughout the western United States resulting in increased wildfire risk to homes and communities. Although census based mapping efforts have provided insights into the pattern of development and expansion of the WUI at regional and national scales, these approaches do not provide sufficient detail for fine-scale fire and emergency management planning, which requires maps of individual building locations...
October 2016: Heliyon
Canan Ziylan, Annemien Haveman-Nies, Stefanie Kremer, Lisette C P G M de Groot
OBJECTIVES: Sufficient protein intake can decrease undernutrition risk among community-dwelling older adults. This study aimed to increase community-dwelling older adults' daily protein intake with acceptable and applicable protein-enriched bread and readymade meals at home. DESIGN: Double-blind randomized controlled trial of 2 weeks. SETTING: Senior residential center in the Netherlands. PARTICIPANTS: Forty-two community-dwelling elderly residents (≥65 years) participated, with a mean age of 74...
October 14, 2016: Journal of the American Medical Directors Association
Gülsüm İclal Bayhan, Kaan Demiören, Hüseyin Güdücüoğlu
AIM: Hepatitis E virus is an etiological agent of hepatitis which is transmitted enterically and may lead to water-born outbreaks. Although it is mainly transmitted by the fecal-oral route, it is estimated that many cases are associated with zoonotic transmission in developing countries. In this study, we aimed to investigate the seroprevalence of hepatitis E in the childhood age group in the province of Van and to demonstrate the relationship between seroprevalence and demographic properties, residential house/region, water supply used at home, dealing with livestock and history of surgery...
September 2016: Türk Pediatri Arşivi
Antonius J Poot, Monique A A Caljouw, Claudia S de Waard, Annet W Wind, Jacobijn Gussekloo
BACKGROUND: Integrated care for older persons with complex care needs is widely advocated. Particularly professionals and policy makers have positive expectations. Care outcome results are ambiguous. Receiver and provider satisfaction is relevant but still poorly understood. METHODS: During implementation of integrated care in residential homes (The MOVIT project), we compared general satisfaction and satisfaction with specific aspects of General Practitioner (GP) care in older persons and GPs before (cohort I) and after at least 12 months of implementation (cohort II)...
2016: PloS One
Hayley Danielle Quinn, Heidi Zeeman, Elizabeth Kendall
It is important to consider the nature of home in more detail when thinking about living environments for vulnerable groups of people, especially as it has been found that the nature of home can impact on the quality of life. The aim of this study was to understand the "lived experience" of home for a group of young people with complex disabilities who had recently relocated to a specially designed residential apartment building. Multiple domains of home, as they were experienced over time, were examined through a series of semi-structured interviews conducted with seven residents at their apartments...
October 2016: Journal of Prevention & Intervention in the Community
Maria Carmen Saucedo Figueredo, Juan Carlos Morilla Herrera, Roberto Ramos Gil, Maria Nieves Arjona Gómez, Felicisima García Dillana, Javier Martínez Blanco, Jose Miguel Morales Asencio
AIM: The aim of this study was to obtain a Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale version, to assess its reliability for use by medical staff and caregivers at residential care homes, to evaluate by confirmatory methods its construct validity. A further aim was to determine the criterion validity with respect to biochemical markers of malnutrition such as serum albumin, transferrin, cholesterol and lymphocytes, the body mass index and the mini nutritional assessment...
October 2016: Nurs Open
Eilish King, Theresa Okodogbe, Eilish Burke, Mary McCarron, Philip McCallion, Mary Ann O'Donovan
BACKGROUND: As adults with intellectual disability (ID) in Ireland move to the community from residential settings, the changed environment is intended to increase opportunities for occupational engagement, autonomy and social relationships. It is important to consider how increased resources and opportunities available within the community can be optimized to promote engagement and quality of life. AIMS: This paper investigates if and how ADL and IADL performance of people ageing with ID is related to place of residence...
October 5, 2016: Scandinavian Journal of Occupational Therapy
Lei Zhou, Ruiqi Ren, Jianming Ou, Min Kang, Xiaoxiao Wang, Fiona Havers, Xiang Huo, Xiaoqing Liu, Qianlai Sun, Yongchao He, Bo Liu, Shenggen Wu, Yali Wang, Haitian Sui, Yongjie Zhang, Shaopei Tang, Caiyun Chang, Lunhui Xiang, Dong Wang, Shiguang Zhao, Suizan Zhou, Tao Chen, Nijuan Xiang, Carolyn M Greene, Yanping Zhang, Yuelong Shu, Zijian Feng, Qun Li
Background.  Human infections with avian influenza A(H7N9) virus have been associated with exposure to poultry and live poultry markets (LPMs). We conducted a case-control study to identify additional and more specific risk factors. Methods.  Cases were laboratory-confirmed A(H7N9) infections in persons in China reported from October 1, 2014 to April 30, 2015. Poultry workers, those with insufficient data, and those refusing participation were excluded. We matched up to 4 controls per case by sex, age, and residential community...
September 2016: Open Forum Infectious Diseases
Kristen Moeller-Saxone, Louise McCutcheon, Stephen Halperin, Helen Herrman, Andrew M Chanen
BACKGROUND: Young people in out-of-home care, especially those with a history of multiple placements, typically have numerous and complex health needs, and worse health outcomes than their peers who grow up within a family of origin. A significant proportion of this can be attributed to policy failures and poor interagency communication. OBJECTIVE: The objective of this article is to describe the factors that contribute to the health needs of young people in out-of-home care and the tools available to support general practitioners (GPs) to provide care...
October 2016: Australian Family Physician
Diana T F Lee, Doris S F Yu, Margaret Ip, Jennifer Y M Tang
To evaluate the implementation of respiratory protection measures for and by visitors of residential care homes for the elderly in Hong Kong, a territory-wide cross-sectional survey was conducted. A total of 87 infection control officers, 1,763 health care workers, and 520 visitors from 87 homes completed the questionnaires. Rules on respiratory protection for visitors were found to vary across residential care homes for the elderly. Uncooperative visitors and inadequate resources were identified as major barriers in the implementation of such measures for visitors...
September 28, 2016: American Journal of Infection Control
Champa Ranasinghe, Aisling Fleury, Nancye M Peel, Ruth E Hubbard
BACKGROUND: A consequence of pressure on hospitals to accommodate care needs of older patients is "boarding" or out-lying from their home ward. This may have greater adverse effects on older inpatients who are frail. METHODS: A retrospective matched cohort study was conducted in an outer metropolitan general hospital. Randomly selected patients hospitalized between July 2012 and June 2013 under the care of an Older Person Evaluation Review and Assessment (OPERA) team (n = 300) were age and sex matched with patients under the care of general physicians (n = 300)...
October 3, 2016: International Psychogeriatrics
Lisa M McKenzie, William B Allshouse, Troy Burke, Benjamin D Blair, John L Adgate
We evaluated population size and factors influencing environmental justice near oil and gas (O&G) wells. We mapped nearest O&G well to residential properties to evaluate population size, temporal relationships between housing and O&G development, and 2012 housing market value distributions in three major Colorado O&G basins. We reviewed land use, building, real estate, and state O&G regulations to evaluate distributive and participatory justice. We found that by 2012 at least 378,000 Coloradans lived within 1 mile of an active O&G well, and this population was growing at a faster rate than the overall population...
October 13, 2016: Environmental Science & Technology
Mona Diegelmann, Hans-Werner Wahl, Oliver K Schilling, Carl-Philipp Jansen, Katrin Classen, Klaus Hauer
BACKGROUND: Depressive symptoms are highly prevalent in nursing home (NH) residents. The relationship between depressive symptoms and everyday competence in terms of basic (BaCo) and expanded everyday competence (ExCo; see Baltes et al., 2001) in the NH setting is, however, not clear. Applying Lewinsohn's depression model, we examined how residents' BaCo and ExCo relate to their depressive symptoms. Furthermore, we investigated the mediating role of perceived control. METHODS: Cross-sectional data from 196 residents (M age = 83...
September 29, 2016: International Psychogeriatrics
Erin Dean
Care home nurses need more access to training in personal care and dementia because they are being poorly prepared by undergraduate courses, a study has concluded.
September 29, 2016: Nursing Older People
Jenny Davis, Jessica Shute, Amee Morgans
BACKGROUND: The concept of a 'good death' involves end-of-life care in an appropriate setting and in keeping with the person's preferences. Limited research has examined the circumstances and place of death for older people living in residential aged care. OBJECTIVE: This exploratory study investigated the nature of health service use and place of death of older people living in aged care to identify factors that lead to transfer of end-of-life care to other settings and poorer outcomes...
September 2, 2016: International Journal of Palliative Nursing
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