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https://www.readbyqxmd.com/read/29903645/the-impact-of-sarcopenia-on-incident-homebound-status-among-community-dwelling-older-adults-a-prospective-cohort-study
#1
Kazuki Uemura, Hyuma Makizako, Sangyoon Lee, Takehiko Doi, Sungchul Lee, Kota Tsutsumimoto, Hiroyuki Shimada
OBJECTIVES: Whether sarcopenia predicts incident homebound status remains unclear. This prospective cohort study aimed to determine the impact of sarcopenia on the incidence of homebound status in community-dwelling older adults. METHODS: The study included 3958 community-dwelling elderly people aged ≥65 years who were not homebound at baseline. Sarcopenia was defined as the presence of both poor muscle function (low physical performance or low muscle strength) and low muscle mass...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29898904/should-i-stay-or-should-i-go-copd-and-air-travel
#2
REVIEW
Begum Ergan, Metin Akgun, Angela Maria Grazia Pacilli, Stefano Nava
Chronic obstructive pulmonary disease (COPD) is a challenging respiratory problem throughout the world. Although survival is prolonged with new therapies and better management, the magnitude of the burden resulting from moderate-to-severe disease is increasing. One of the major aims of the disease management is to try to break the vicious cycle of patients being homebound and to promote an active lifestyle. A fundamental component of active daily life is, of course, travelling. Today, the world is getting smaller with the option of travelling by air...
June 30, 2018: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/29878967/home-based-nurse-practitioners-demonstrate-reductions-in-rehospitalizations-and-emergency-department-visits-in-a-clinically-complex-patient-population-through-an-academic-clinical-partnership
#3
Denise Coppa, Suzy Barcelos Winchester, Mary B Roberts
BACKGROUND AND PURPOSE: The purpose of this pilot study was to describe the impact of one aspect of an academic-clinical partnership that showed how assigning nurse practitioner faculty to deliver home-based primary care services to clinically complex patients would decrease rehospitalizations and emergency department visit rates. METHODS: Rehospitalizations and emergency department visits of a cohort of 82 patients were recorded from April 15, 2016 to August 25, 2016 and compared with the same cohort during the two pre-home care inception periods (6 months and 1 year) using insurance claims-based data...
June 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29765871/optimizing-medicine-use-for-people-who-are-homebound-an-evaluation-of-a-pilot-domiciliary-medicine-use-review-dmur-service-in-england
#4
Asam Latif, Baguiasri Mandane, Emma Anderson, Caroline Barraclough, Samantha Travis
Background: As global life expectancy increases, older people with chronic diseases are being required to manage multiple and complex medicine regimes. However, polypharmacy raises the risk of medicine-related problems and preventable hospital admissions. To improve medicine use, English community pharmacies are commissioned to deliver Medicines Use Reviews (MURs), which are typically delivered from the pharmacy. People who are homebound rarely receive the service. This paper describes the uptake and impact of a pilot project that seeks to provide domiciliary Medicines Use Reviews (dMURs)...
2018: Integrated Pharmacy Research and Practice
https://www.readbyqxmd.com/read/29736592/a-preliminary-report-on-dental-implant-condition-among-dependent-elderly-based-on-the-survey-among-japanese-dental-practitioners
#5
REVIEW
Yuji Sato, Shigeto Koyama, Chikahiro Ohkubo, Shin Ogura, Ryutaro Kamijo, Soh Sato, Jun Aida, Yuichi Izumi, Mihoko Atsumi, Akio Isobe, Shunsuke Baba, Noriharu Ikumi, Fumihiko Watanabe
BACKGROUND: The objective of this study was to ascertain the situation relevant to implants, the status of oral self-care, the status of aftercare provided by the dentist who placed the implant, and the usage status of the implant card, in homebound or institutionalized older adults who are receiving home-visit dental care due to the inability to visit a dental clinic on their own. METHODS: A survey questionnaire was sent by post mail to 2339 people who are representative members or dental specialists belonging to any of the following three academic societies: Japanese Society of Oral Implantology, Japanese Society of Gerodontology, and Japan Prosthodontic Society...
May 8, 2018: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/29630004/characteristics-of-older-adults-who-are-unable-to-perform-a-floor-transfer-considerations-for-clinical-decision-making
#6
Gunay Ardali, Rebecca A States, Lori T Brody, Ellen M Godwin
BACKGROUND AND PURPOSE: The ability to get down and up from the floor or to perform a floor transfer (FT) is a vital and useful skill for older adults at risk of falling. Little is known about the health-related factors that separate older adults who can perform FT independently from those who cannot. Therefore, the specific aims of this cross-sectional study are to (1) describe and compare health-related factors among older adults who were independent, assisted, or dependent in FT performance; and (2) establish the parallel reliability between self-reported and actual performance of FT...
April 6, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29622006/a-before-after-study-of-hospital-use-in-two-frail-populations-receiving-different-home-based-services-over-the-same-time-in-vancouver-canada
#7
Margaret J McGregor, Michelle B Cox, Jay M Slater, Jeff Poss, Kimberlyn M McGrail, Lisa A Ronald, John Sloan, Michael Schulzer
BACKGROUND: As individuals age, they are more likely to experience increasing frailty and more frequent use of hospital services. First, we explored whether initiating home-based primary care in a frail homebound cohort, influenced hospital use. Second, we explored whether initiating regular home care support for personal care with usual primary care, in a second somewhat less frail cohort, influenced hospital use. METHODS: This was a before-after retrospective cohort study of two frail populations in Vancouver, Canada using administrative data to assess the influence of two different services started in two different cohorts over the same time period...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29608779/interdisciplinary-home-visits-for-individuals-with-advanced-parkinson-s-disease-and-related-disorders
#8
Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano, Rebecca M Gilbert, Alessandro Di Rocco, Joshua Chodosh
Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults...
April 2, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29588167/rationale-and-design-of-a-randomized-controlled-trial-of-home-based-primary-care-versus-usual-care-for-high-risk-homebound-older-adults
#9
Jennifer M Reckrey, Abraham A Brody, Elizabeth T McCormick, Linda V DeCherrie, Carolyn W Zhu, Christine S Ritchie, Albert L Siu, Natalia N Egorova, Alex D Federman
No abstract text is available yet for this article.
May 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29505394/measuring-nutrition-related-unmet-needs-in-recently-hospital-discharged-homebound-older-adults
#10
Anna Vaudin, Hee-Jung Song, Mira Mehta, Nadine Sahyoun
Functional limitations in homebound older adults may cause difficulties with obtaining and preparing adequate healthy food. Services exist to help with these difficulties, however, not all individuals who could benefit receive them. This secondary analysis of observational data, obtained via questionnaires from homebound, recently hospital discharged older adults (n = 566), aimed to identify the prevalence and correlates of unmet need for such services, and to examine the disagreement between self-reported need for a service and functional limitation that could be addressed by that service...
January 2018: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29468928/the-work-of-childhood-understanding-school-functioning-in-youth-with-chronic-pain
#11
Kailyn Jones, David Nordstokke, Gabrielle Wilcox, Meadow Schroeder, Melanie Noel
School is often cited as the 'work of childhood' and serves as an important site for child and adolescent development. Frequent school absences in children and adolescents with chronic pain are well documented; however, variables that may explain school impairment are not understood. The potential consequences of school impairment are extensive, as these children and adolescents are at great risk for achieving poor grades and sometimes require full-time homebound instruction. This, in turn, can have adverse effects on occupational and social functioning well into adulthood...
March 2018: Pain Management
https://www.readbyqxmd.com/read/29409577/proper-antibiotic-use-in-a-home-based-primary-care-population-treated-for-urinary-tract-infections
#12
Megan E Gee, James Ford, Erin L Conway, Michael C Ott, John A Sellick, Kari A Mergenhagen
OBJECTIVE: To evaluate the trends associated with diagnosis and treatment of urinary tract infections (UTI) in a home-based primary care population of Veterans Health System patients from 2006 to 2015. DESIGN: Retrospective cohort study. SETTING: Veterans Healthcare System. PARTICIPANTS: Home-based primary care patients treated for UTI from 2006 to 2015. INTERVENTIONS: None. MAIN OUTCOME MEASURE: Appropriate therapy was determined based on the McGeer criteria...
February 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29405024/-travel-preparations-for-patients-receiving-peritoneal-dialysis
#13
Shu-Chi Lu, Wen-Chuan Lin
People who receive peritoneal dialysis (PD) have more freedom than those who are on hemodialysis. However, some PD patients have difficulty adapting to their new environment and thus remain largely homebound. When they work or travel abord, who cannot rely wholly on others, these patients must handle certain life problems alone. It is essential for nursing staff to help PD patients to prepare for overcoming typical inconveniences, improving quality of life, and handling unfamiliar environments. The present study assists patients to arrange domestic and foreign tourism and to participate in various activities...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29378023/the-bidirectional-relationship-between-depressive-symptoms-and-homebound-status-among-older-adults
#14
Xiaoling Xiang, Ruopeng An, Hyunsung Oh
Objectives: This study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults. Method: The study sample included 7,603 community-dwelling older adults from the National Health and Aging Trends Study. A bivariate latent state-trait model of depressive symptoms and homebound status was estimated via structural equation modeling. Results: The model fit the data well (Root Mean Square Error of Approximation = ...
January 25, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29374478/operation-and-challenges-of-home-based-medical-practices-in-the-us-findings-from-six-aggregated-case-studies
#15
Gregory J Norman, Kristann Orton, Amy Wade, Andrea M Morris, Jill C Slaboda
BACKGROUND: Home-based primary care (HBPC) is a multidisciplinary, ongoing care strategy that can provide cost-effective, in-home treatment to meet the needs of the approximately four million homebound, medically complex seniors in the U.S. Because there is no single model of HBPC that can be adopted across all types of health organizations and U.S. geographic regions, we conducted a six-site HBPC practice assessment to better understand different operation structures, common challenges, and approaches to delivering HBPC...
January 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29240371/meeting-the-needs-of-the-complex-older-adult-patient-with-urinary-retention-a-case-study
#16
Boss Goldstein, David S Goldfarb
This article presents a case study of how a homebound older adult patient with urinary retention is managed by a patient-centered medical home/transitional care model. A description of how a root cause analysis can effectively improve outcomes is also provided.
March 2017: Urologic Nursing
https://www.readbyqxmd.com/read/29224700/preventing-weakness-and-stiffness-a-top-priority-for-health-and-social-care
#17
REVIEW
Muir Gray, Kenny Butler
With growing evidence that sarcopenia, disability and frailty can be prevented with physical activity, people living with pain, stiffness and weakness due to a musculoskeletal condition should be offered physical activity as a preventive strategy. By changing beliefs and attitudes towards ageing and raising the value and importance of physical activity, disability can be avoided or delayed and the costly burden of social care lessened. The effects of ageing and the effects of muscle strength loss are often confused...
April 2017: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29180228/telehealth-and-telenursing-using-simulation-for-pre-licensure-usa-students
#18
M Lister, J Vaughn, J Brennan-Cook, M Molloy, M Kuszajewski, R J Shaw
An innovative simulation was used to teach pre-licensure USA nursing students about telenursing for screening, assessment, and patient education during a home visit. The students used telepresence technology to deliver nursing care to a homebound geriatric patient. After the simulation, students (N = 73) felt increased confidence with the skills needed to deliver telenursing care and in using telepresence technology. Students reported that they modified and improved their communication in order to adapt to perceived barriers posed by the new technology...
March 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29095335/teaching-home-based-primary-care
#19
Jennifer M Reckrey, Katherine A Ornstein, Ania Wajnberg, M Victoria Kopke, Linda V DeCherrie
Despite the growing homebound population and the development of innovative models of care that work to bring care to people in their homes, home visits are not a routine part of education for many healthcare providers. This manuscript describes the experience of Mount Sinai Visiting Doctors teaching home-based primary care to learners of various disciplines and reports the results of a survey performed to assess trainee experience. Mount Sinai Visiting Doctors is the largest academic home-based primary care program in the country and trainees of various disciplines have nearly 1,700 contact days annually of directly supervised clinical teaching...
November 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/29089914/development-and-evaluation-of-a-cognitive-training-game-for-older-people-a-design-based-approach
#20
Ming-Hsin Lu, Weijane Lin, Hsiu-Ping Yueh
In the research field of cognitive aging, games have gained attention as training interventions to remediate age-related deficits. Cognitive training games on computer, video and mobile platforms have shown ample and positive support. However, the generalized effects are not agreed upon unanimously, and the game tasks are usually simple and decontextualized due to the limitations of measurements. This study adopted a qualitative approach of design-based research (DBR) to systematically review and pragmatically examine the regime, presentation and feedback design of a cognitive training game for older adults...
2017: Frontiers in Psychology
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