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Valentina Hlebec, Andrej Srakar, Boris Majcen
BACKGROUND: Population ageing has significant effects on societies. The organization of care for dependent old people is one of the key issues for ageing societies. The majority of care for homebound dependent old people in Slovenia is still performed by informal carers, even though the use of formal services has been increasing over the last 20 years. The proportion and characteristics of people with unmet needs are important for the development of long term care social policy. METHOD: The SHARE (Survey of Health, Ageing and Retirement in Europe) survey was used to assess the determinants of care arrangements and of unmet needs of the aging population in Slovenia...
March 2016: Zdravstveno Varstvo
Mkaya Mwamburi, Wei Qiao Qiu
Premorbid intelligence does not decline through life even at the early stages of Alzheimer's disease (AD). However, other cognitive measures such as Mini Mental State Examination (MMSE) decline with aging and severely with dementia. In this study, we examine the associations of premorbid intelligence vs. current cognition with body mass index (BMI), insulin and diabetes in elderly adults. Using a cross-sectional, population-based study, we assessed BMI, plasma insulin and the evidence of diabetes in homebound elders...
2016: Integrative Molecular Medicine
Tacara Soones, Alex Federman, Bruce Leff, Albert L Siu, Katherine Ornstein
OBJECTIVES: To determine the association between homebound status and mortality. DESIGN: Cross-sectional. SETTING: Annual, in-person interviews. PARTICIPANTS: A nationally representative sample of community-dwelling, Medicare beneficiaries aged 65 and older enrolled in the National Health and Aging Trends Study between 2011 and 2013 (N = 6,400). MEASUREMENTS: Two-year mortality and prevalence of homebound status in the year before death are described using three categories of homebound status: homebound (never or rarely left home in the last month), semihomebound (left home with assistance, needed help or had difficulty), and nonhomebound (left home without help or difficulty)...
September 19, 2016: Journal of the American Geriatrics Society
Christianne Nesbitt Fowler, Karen Kott, Mona Newsome Wicks, Carolyn Rutledge
An Interprofessional Virtual Healthcare Neighborhood (VHN) was designed to deliver information, peer support, and professional guidance to caregivers of individuals with dementia. The VHN was also enhanced with an actigraphy band to monitor caregivers' sleep. The study sample comprised two groups (N = 28): caregivers participating in the VHN and those receiving usual care. Measures of sleep quality and quantity, using an actigraphy band; general self-efficacy, using the General Self-Efficacy Scale; and insomnia, using the Insomnia Severity Index, were measured pre- and postintervention for the intervention and comparison groups...
September 6, 2016: Journal of Gerontological Nursing
A P Greenfield, S Banerjee, A DePasquale, N Weiss, J Sirey
OBJECTIVES: This study used the Evans model of public health determinants to identify factors associated with nutritional risk in older adults. DESIGN: The Evans model domains (physical and mental well-being, social/environmental statuses, individual choice, and economic security) were measured in a sample of homebound older adults. Regularized logistic regression analysis with LASSO penalty function was used to determine the strongest domain of the Evans model...
2016: Journal of Frailty & Aging
Nengliang Yao, Christine Ritchie, Fabian Camacho, Bruce Leff
The United States faces a shortage of providers who care for homebound patients. About 5,000 primary care providers made 1.7 million home visits to Medicare fee-for-service beneficiaries in 2013, accounting for 70 percent of all home-based medical visits. Nine percent of these providers performed 44 percent of visits. However, most homebound people live more than thirty miles from a high-volume provider.
August 1, 2016: Health Affairs
Ali Dadgari, Tengku Aizan Hamid, Mohammad Nazrul Hakim, Reza Chaman, Seyed Abbas Mousavi, Lim Poh Hin, Leila Dadvar
BACKGROUND: Fall is a worldwide health problem among elderly people and a known leading cause of disabilities. Fall prevention programs have been implemented in various forms. The Otago exercise program (OEP) is one of the most recent home-base exercise training program. OBJECTIVES: This study was conducted to examine the effectiveness of OEP to reduce falls among elderly people in Shahroud, IR Iran. MATERIALS AND METHODS: This randomised control trial was conducted among the elderly community dwellers in Shahroud city of the Semnan province, IR Iran, with experience of falls in the last 12 months...
May 2016: Iranian Red Crescent Medical Journal
Iván De-Rosende Celeiro, Sergio Santos-Del-Riego, Javier Muñiz García
BACKGROUND: Homebound status is associated with poor health, comorbidity, and mortality and represents a major challenge for health systems. However, its prevalence among people with disabilities in the basic activities of daily living (ADLs) is unknown. OBJECTIVES: The objectives were to: (1) examine the prevalence of the homebound status among middle-aged and older adults with disabilities in ADLs, and (2) identify its clinical, functional, and environmental determinants...
June 29, 2016: Disability and Health Journal
Laureano Negrón-Blanco, Jesús de Pedro-Cuesta, Javier Almazán, Carmen Rodríguez-Blázquez, Esther Franco, Javier Damián
BACKGROUND: There is a marked growth in the number of homebound older adults, due mainly to increased life expectancy. Although this group has special characteristics and needs, it has not been properly studied. This study thus aimed to measure the prevalence of homebound status in a community-dwelling population, and its association with both socio-demographic, medical and functional characteristics and the use of health care and social services. METHODS: We used instruments coming under the WHO International Classification of Functioning (ICF) framework to carry out a cross-sectional study on populations aged 50 years and over in the province of Zaragoza (Spain), covering a total of 1622 participants...
2016: BMC Public Health
Adi Shafir, Sarah K Garrigues, Yael Schenker, Bruce Leff, Jessica Neil, Christine Ritchie
OBJECTIVES: To assess patient and caregiver perceptions of what constitutes quality care in home-based primary care (HBPC). DESIGN: Cross-sectional qualitative design; semistructured interview study. SETTING: Academic home-based primary care program. PARTICIPANTS: Homebound patients (n = 13) and 10 caregivers (n = 10) receiving HBPC. MEASUREMENTS: Semistructured interviews explored experiences with a HBPC program and perceptions of quality care...
August 2016: Journal of the American Geriatrics Society
Carla J Groh, Manuel S Dumlao
Depression is a major health issue among older adults receiving home-based services yet is underdiagnosed and undertreated, which can result in negative health outcomes. Despite the recognized need for improved mental health services, significant gaps and barriers exist that contribute to less than optimal home-based depression management interventions. Home healthcare clinicians are well positioned to drive this effort for improving depression care with enhanced learning. Thus, the purpose of this article is to provide guidelines on improving depression care in homebound older adults based on four clinical functions central to home healthcare: screening, assessment, medication management, and patient/family education...
July 2016: Home Healthcare Now
Susan J Blalock, Paula L Gildner, Jennifer L Jones, James M Bowling, Carri H Casteel
OBJECTIVES: To better understand the relationship between perceived risk of falling and awareness and adoption of four specific precautions that older adults have taken to reduce this risk. DESIGN: Cross-sectional. SETTING: Data were collected in in-person interviews conducted in the homes of study participants. Interviews conducted between March 2011 and September 2013 and lasted an average of 60-90 minutes. PARTICIPANTS: A stratified sampling strategy designed to enroll an equal number of homebound and nonhomebound participants was used...
June 2016: Journal of the American Geriatrics Society
Mercedes Echevarria
A knowledge translation project involving an academic-practice partnership and guided by action-oriented research was used for exploring barriers that impact management of homebound heart failure patients. The intervention process followed an action research model of interaction, self-reflection, response, and change in direction. External facilitators (academia) and internal facilitators (practice) worked with clinicians to identify a topic for improvement, explore barriers, locate the evidence compare current practice against evidence-based practice recommendations, introduce strategies to "close the gap" between actual practice and the desired practice, develop audit criteria, and reevaluate the impact...
2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
A J Applebaum, M Bevans, T Son, K Evans, M Hernandez, S Giralt, K DuHamel
The extant literature documents burden among caregivers of patients undergoing a hematopoietic stem cell transplantation (HSCT), but little is known about the burden of caregivers of patients receiving outpatient and homebound HSCTs. This scoping study sought to evaluate what is known about the burden of the increasing number of adult caregivers of patients receiving outpatient HSCTs and to create practice guidelines for how to best support this vulnerable group. Online databases were searched for studies that evaluated caregiver burden in adult caregivers of HSCT patients since 2010 (the publication date of the most recent systematic review on HSCT caregiver burden)...
June 13, 2016: Bone Marrow Transplantation
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Julia Quiring Emblen
Homebound elders are vulnerable to decreased quality of life, related to their social and emotional isolation. This article discusses development of a Compassionate Visitation Program in the faith community, including recruitment and training of visitors, assessment of visitees and their environment, and structure and record-keeping of visits.
July 2016: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Åke Grundberg, Anna Hansson, Pernilla Hillerås, Dorota Religa
AIMS AND OBJECTIVES: To describe district nurses' perspectives on detecting mental health problems and promoting mental health among homebound older people with multimorbidity. BACKGROUND: Mental health problems among older people with multiple chronic conditions, that is, multimorbidity, are challenging issues. These patients' homes often serve as arenas in which district nurses can promote health. Mental health promotion must be studied in greater depth within primary care because older people with multimorbidity are particularly prone to developing poor mental health, which can go undetected and untreated...
September 2016: Journal of Clinical Nursing
David N Figlio, Jonathan Guryan, Krzysztof Karbownik, Jeffrey Roth
IMPORTANCE: Late-term gestation (defined as the 41st week of pregnancy) is associated with increased risk of perinatal health complications. It is not known to what extent late-term gestation is associated with long-term cognitive and physical outcomes. Information about long-term outcomes may influence physician and patient decisions regarding optimal pregnancy length. OBJECTIVE: To compare the cognitive and physical outcomes of school-aged children who were born full term or late term...
August 1, 2016: JAMA Pediatrics
Nicole Cook, Sandra L Winkler
BACKGROUND: Virtual worlds allow users to communicate and interact across various environments, scenarios, and platforms. Virtual worlds present opportunities in health care to reduce the burden of illness and disability by supporting education, rehabilitation, self-management, and social networking. The application of virtual worlds to older adults who bear the burden and cost of health conditions associated with age has not been evaluated. OBJECTIVE: The aim of this study is to explore the usability, ease of use, and enjoyment of a virtual world by older adults, the types of virtual world activities that older adults may engage in, and the perceptions of older adults regarding the application of virtual worlds in health care...
2016: JMIR Research Protocols
Roya Fathi, Orla C Sheehan, Sarah K Garrigues, Debra Saliba, Bruce Leff, Christine S Ritchie
BACKGROUND: The unique needs of homebound adults receiving home-based medical care (HBMC) (ie, home-based primary care and home-based palliative care services) are ideally provided by interdisciplinary care teams (IDTs) that provide coordinated care. The composition of team members from an array of organizations and the unique dimension of providing care in the home present specific challenges to timely access and communication of patient care information. The objective of this work was to develop a conceptual framework and corresponding quality indicators (QIs) that assess how IDT members for HBMC practices access and communicate key patient information with each other...
August 1, 2016: Journal of the American Medical Directors Association
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