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https://www.readbyqxmd.com/read/27901402/frailty-determinants-in-two-long-term-settings-assistant-living-facilities-and-home-and-community-based-programs
#1
Christine Tocchi, Ruth McCorkle, Jane Dixon
There is limited knowledge on differences in frailty among residents in assisted living facilities (ALF) and home and community-based services (HCBS). This study used a retrospective cross-sectional design to compare frailty determinants in two long-term care settings. The HCBS setting had a greater proportion of positive responses to 9 of 14 frailty indicators. The ALF setting had a greater proportion to only 2 or the 14 frailty indicators. The finding that the HCBS setting had a significantly greater proportion of participants with positive frailty indicators as compared to the ALF setting suggests the degree of frailty risk is different by health care setting...
November 30, 2016: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/27897609/a-video-based-intervention-on-and-evaluation-of-nursing-aides-therapeutic-communication-and-residents-agitation-during-mealtime-in-a-dementia-care-unit
#2
Lené Levy-Storms, Lesley M Harris, Xiao Chen
The researchers conducted a communication training intervention for certified nursing assistants (CNAs). The intervention aimed at improving CNAs' therapeutic techniques for relating to agitated residents during care. This study focused on an in-depth evaluation of mealtime interactions using videos. Sixteen CNAs and 16 residents living with dementia from one long-term care facility were videotaped during mealtime interactions before and after a therapeutic communication training program. Mixed-effect Poisson regression revealed no effect of the intervention as a whole on residents' refusals, but the intervention did improve CNAs' communication...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27895529/assessing-nursing-staff-s-competences-in-mobility-support-in-nursing-home-care-development-and-psychometric-testing-of-the-kinaesthetics-competence-kc-observation-instrument
#3
Heidrun Gattinger, Helena Leino-Kilpi, Virpi Hantikainen, Sascha Köpke, Stefan Ott, Beate Senn
BACKGROUND: Between 75 and 89% of residents living in long-term care facilities have limited mobility. Nurses as well as other licensed and unlicensed personnel directly involved in resident care are in a key position to promote and maintain the mobility of care-dependent persons. This requires a certain level of competence. Kinaesthetics is a training concept used to increase nursing staff's interaction and movement support skills for assisting care-dependent persons in their daily activities...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27883169/association-between-continuous-wearable-activity-monitoring-and-self-reported-functioning-in-assisted-living-facility-and-nursing-home-residents
#4
J Merilahti, I Korhonen
BACKGROUND: Physical functioning is a key factor in independent living, and its preclinical state assessment and monitoring during the subject's normal life would be beneficial. OBJECTIVES: The aim of the study is to analyse associations between ambulatory measured physical activity behaviour and sleep patterns (wrist actigraphy) and self-reported difficulties in performing activities of daily living. Participants, setting and design: 36 residents in assisted living facilities and nursing homes (average age=80...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27879293/living-with-the-animals-animal-or-robotic-companions-for-the-elderly-in-smart-homes
#5
Dirk Preuß, Friederike Legal
Although the use of pet robots in senior living facilities and day-care centres, particularly for individuals suffering from dementia, has been intensively researched, the question of introducing pet robots into domestic settings has been relatively neglected. Ambient assisted living (AAL) offers many interface opportunities for integrating motorised companions. There are diverse medical reasons, as well as arguments from animal ethics, that support the use of pet robots in contrast to living with live animals...
November 22, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27860170/variation-across-u-s-assisted-living-facilities-admissions-resident-care-needs-and-staffing
#6
Kihye Han, Alison M Trinkoff, Carla L Storr, Nancy Lerner, Bo Kyum Yang
PURPOSE: Though more people in the United States currently reside in assisted living facilities (ALFs) than nursing homes, little is known about ALF admission policies, resident care needs, and staffing characteristics. We therefore conducted this study using a nationwide sample of ALFs to examine these factors, along with comparison of ALFs by size. DESIGN: Cross-sectional secondary data analysis using data from the 2010 National Survey of Residential Care Facilities...
November 10, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27830567/prevalence%C3%A2-of-and-resident-and-facility-characteristics-associated-with-antipsychotic-use-in-assisted-living-vs-long-term-care-facilities-a-cross-sectional-analysis-from-alberta-canada
#7
Kathryn J Stock, Joseph E Amuah, Kate L Lapane, David B Hogan, Colleen J Maxwell
BACKGROUND: Potentially inappropriate antipsychotic use in long-term care (LTC) facilities has been the focus of significant policy and clinical attention over the past 20 years. However, most initiatives aimed at reducing the use of these medications have overlooked assisted living (AL) settings. OBJECTIVE: We sought to compare the prevalence of antipsychotic use (including potentially inappropriate use) among older AL and LTC residents and to explore the resident and facility-level factors associated with use in these two populations...
November 9, 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27824306/quality-of-life-for-diverse-older-adults-in-assisted-living-the-centrality-of-control
#8
Sharon D Koehn, Atiya N Mahmood, Sarah Stott-Eveneshen
This pilot project asked, how do ethnically diverse older adult residents of Assisted Living (AL) facilities in British Columbia (BC) experience quality of life? And, what role, if any, do organizational and physical environmental features play in influencing how quality of life is experienced? The study was conducted at three AL sites in BC: two ethnoculturally-targeted and one non-targeted. Environmental audits at each site captured descriptive data on policies, fees, rules, staffing, meals, and activities, and the built environment of the AL building and neighbourhood...
November 8, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27820597/a-methodology-to-identify-a-cohort-of-medicare-beneficiaries-residing-in-large-assisted-living-facilities-using-administrative-data
#9
Kali S Thomas, David Dosa, Pedro L Gozalo, David C Grabowski, Jennifer Nazareno, Rajesh Makineni, Vincent Mor
BACKGROUND: Assisted living is a popular option for housing and long-term care. OBJECTIVE: To develop and test a methodology to identify Medicare beneficiaries residing in assisted living facilities (ALFs). RESEARCH DESIGN: We compiled a finder file of 9-digit ZIP codes representing large ALFs (25+ beds) by matching Outcome and Assessment Information Set (OASIS) assessments and Medicare Part B Claims to the Medicare enrollment records and addresses of 11,751 ALFs...
November 4, 2016: Medical Care
https://www.readbyqxmd.com/read/27802364/is-an-engaging-or-soothing-environment-associated-with-the-psychological-well-being-of-people-with-dementia-in-long-term-care
#10
Kyung Hee Lee, Marie Boltz, Hana Lee, Donna L Algase
PURPOSE: To examine the relationship between environmental ambience and psychological well-being of persons with dementia. DESIGN: A secondary analysis was conducted using observational data with repeated measures. A total of 1,857 observations from 177 persons with dementia in 17 nursing homes and 6 assisted living facilities were included. METHODS: Psychological well-being was measured by observed displays of positive and negative emotional expressions...
November 1, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27801713/multiple-chronic-conditions-and-hospitalizations-among-recipients-of-long-term-services-and-supports
#11
Janet H Van Cleave, Brian L Egleston, Katherine M Abbott, Karen B Hirschman, Aditi Rao, Mary D Naylor
BACKGROUND: Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. OBJECTIVE: The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period following enrollment...
November 2016: Nursing Research
https://www.readbyqxmd.com/read/27799825/utilization-of-services-provided-by-village-based-ethnic-minority-midwives-in-mountainous-villages-of-vietnam
#12
Duong Thi Thuy Doan, Ha Thi Thu Bui, Thi Minh Le, Duc Minh Duong, Hong Thi Luu, Tuan Anh Dinh, Tolib Mirzoev
INTRODUCTION: Since 2011, the Vietnam's Ministry of Health implemented the ethnic minority midwives (EMMs) scheme in order to increase the utilization of maternal health services by women from ethnic minorities and those living in hard-to-reach mountainous areas. This paper analyzes the utilization of antenatal, delivery, and postpartum care provided by EMMs and reports the key determinants of utilization of EMM services as perceived by service users. METHODS: A structured questionnaire was administered in 2015 to all mothers (n=320) who gave birth to a live-born during a 1-year period in 31 villages which had EMM in two provinces, Dien Bien and Kon Tum...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27796773/mobility-impairment-social-engagement-and-life-satisfaction-among-the-older-population-in-china-a-structural-equation-modeling-analysis
#13
Linna Li, Becky P Y Loo
PURPOSE: Revealing the relationship between mobility impairment and life satisfaction can help to propose effective interventions to secure mobility and life satisfaction. However, the relationship remains unclear and lacks quantitative evidence in China. This study therefore assesses the association of mobility impairment, social engagement, and life satisfaction among the older population in China. METHODS: Based on the sample of China Health and Retirement Longitudinal Survey database in 2013, a structural equation modeling is established...
October 31, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27793728/an-alternative-technique-for-youth-risk-surveillance-outside-of-the-school-system
#14
Merrian J Brooks, Todd Bear, Karen Hacker, Edmund M Ricci, Abigail Foulds, Heather Anderson, Claire Raible, Elizabeth Miller
PURPOSE: When school districts choose not to participate in adolescent health behavior surveys, tracking adolescent health indicators can be challenging. We conducted a countywide youth behavior survey outside of the school system. Our purpose is to describe alternative methods used for gathering these data reliably and ethically. METHODS: We implemented two parallel surveys with youth ages 14-19 residing in a mid-sized county with urban, suburban, and rural neighborhoods...
October 25, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27765896/assistive-technologies-at-home-for-people-with-a-memory-disorder
#15
Laura Nauha, Niina S Keränen, Maarit Kangas, Timo Jämsä, Jarmo Reponen
The aim of this study was to assess in practice whether assistive technologies support and facilitate the work of a family caregiver or care staff, and whether these technologies support the independence of a person with a memory disorder. A comprehensive set of supportive devices and alarm systems were experimentally tested in the care of five test subjects in an assisted living facility by eight nurses, and in the care of four test subjects in a home environment by three family caregivers and one care team...
October 20, 2016: Dementia
https://www.readbyqxmd.com/read/27760543/risk-factors-for-possible-serious-bacterial-infection-in-a-rural-cohort-of-young-infants-in-central-india
#16
Marie E Wang, Archana B Patel, Nellie I Hansen, Lauren Arlington, Amber Prakash, Patricia L Hibberd
BACKGROUND: Possible serious bacterial infection (PBSI) is a major cause of neonatal mortality worldwide. We studied risk factors for PSBI in a large rural population in central India where facility deliveries have increased as a result of a government financial assistance program. METHODS: We studied 37,379 pregnant women and their singleton live born infants with birth weight ≥ 1.5 kg from 20 rural primary health centers around Nagpur, India, using data from the 2010-13 population-based Maternal and Newborn Health Registry supported by NICHD's Global Network for Women's and Children's Health Research...
October 19, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27752825/harnessing-technology-and-citizen-science-to-support-neighborhoods-that-promote-active-living-in-mexico
#17
Lisa G Rosas, Deborah Salvo, Sandra J Winter, David Cortes, Juan Rivera, Nicole M Rodriguez, Abby C King
Middle- and low-income countries bear 80 % of the global chronic disease burden. Population-level, multi-sectoral approaches to promoting healthful lifestyles that take into local physical, socioeconomic, and sociocultural characteristics of both the environment and the population are needed. The "Nuestra Voz (Our Voice)" is one such approach that involves neighborhood residents acting as "citizen scientists" to systematically gather information on the barriers and facilitators of physical activity in their neighborhoods and then use their data to collectively advocate for local environmental- and policy-level changes to support active living...
October 17, 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/27733660/pilot-study-for-implementing-an-osteoporosis-education-and-exercise-program-in-an-assisted-living-facility-and-senior-community
#18
Aparna P Nanduri, Sally Fullman, Lori Morell, Steve Buyske, Mary L Wagner
BACKGROUND: Project Healthy Bones (PHB) is a 24-week, peer-led exercise and education program for older adults at risk of osteoporosis. METHOD: Residents from an assisted living and senior community program were enrolled after medical clearance. Participant demographics, geriatric fitness assessments, exercise logs, quizzes, and surveys were collected at baseline and 24 weeks. Data were analyzed using paired t tests and ANOVA of change scores for the pooled data within the R statistical environment...
October 11, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27673575/knowledge-gaps-in-cardiovascular-care-of-older-adults-a-scientific-statement-from-the-american-heart-association-american-college-of-cardiology-and-american-geriatrics-society-executive-summary
#19
Michael W Rich, Deborah A Chyun, Adam H Skolnick, Karen P Alexander, Daniel E Forman, Dalane W Kitzman, Mathew S Maurer, James B McClurken, Barbara M Resnick, Win K Shen, David L Tirschwell
The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease (CVD) is the leading cause of death and major disability in adults aged 75 and older. Despite the effect of CVD on quality of life, morbidity, and mortality in older adults, individuals aged 75 and older have been markedly underrepresented in most major cardiovascular trials, and virtually all trials have excluded older adults with complex comorbidities, significant physical or cognitive disabilities, frailty, or residence in nursing homes and assisted living facilities...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27649470/determinants-of-the-rigor-of-state-protection-policies-for-persons-with-dementia-in-assisted-living
#20
Matthew C Nattinger, Brian Kaskie
Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect persons with dementia. Despite the important role these protection policies have in shaping the quality of life of persons with dementia residing in AL facilities, little is known about their formation...
September 20, 2016: Journal of Aging & Social Policy
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