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https://www.readbyqxmd.com/read/27897466/homebound-patients-perspectives-on-technology-and-telemedicine-a-qualitative-analysis
#1
Kristin T L Huang, Tracy J Lu, Forootan Alizadeh, Arash Mostaghimi
Telemedicine holds promise in bridging the gap between homebound patients and high quality health care, but uptake of such technology remains limited. Qualitative interviews conducted with 17 homebound patients found two major barriers to telemedicine. First, participants who lack familiarity with technology are hesitant about telemedicine, as baseline use of technology in the home is limited, participants did not feel capable of learning, and the advantages of telemedicine were unclear. Second, homebound patients place a high value on in-office visits due to therapeutic benefit, face-to-face communication, and the social aspect of medical appointments...
November 29, 2016: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/27876403/characterizing-the-high-risk-homebound-patients-in-need-of-nurse-practitioner-co-management
#2
Masha G Jones, Katherine A Ornstein, David M Skovran, Theresa A Soriano, Linda V DeCherrie
By providing more frequent provider visits, prompt responses to acute issues, and care coordination, nurse practitioner (NP) co-management has been beneficial for the care of chronically ill older adults. This paper describes the homebound patients with high symptom burden and healthcare utilization who were referred to an NP co-management intervention and outlines key features of the intervention. We compared demographic, clinical, and healthcare utilization data of patients referred for NP co-management within a large home-based primary care (HBPC) program (n = 87) to patients in the HBPC program not referred for co-management (n = 1027)...
November 19, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27845703/older-swedish-adults-with-high-self-perceived-health-show-optimal-25-hydroxyvitamin-d-levels-whereas-vitamin-d-status-is-low-in-patients-with-high-disease-burden
#3
Martin Carlsson, Pär Wanby, Lars Brudin, Erik Lexne, Karin Mathold, Rebecca Nobin, Lisa Ericson, Ola Nordqvist, Göran Petersson
Controversy pervades the definition of adequate and optimal vitamin D status. The Institutes of Medicine have recommended serum 25(OH)D levels above 50 nmol/L based upon evidence related to bone health, but some experts, including the Endocrine Society and International Osteoporosis Foundation, suggest a minimum serum 25(OH)D level of 75 nmol/L to reduce the risk of falls and fractures in older adults. In a cross-sectional study, we compared vitamin D status in people ≥75 years selected from four groups with a frailty phenotype, combined with a control group free from serious illness, and who considered themselves completely healthy...
November 11, 2016: Nutrients
https://www.readbyqxmd.com/read/27798291/home-delivered-meals-and-risk-of-self-reported-falls-results-from-a-randomized-trial
#4
Kali S Thomas, Ravi B Parikh, Andrew R Zullo, David Dosa
The purpose of this study was to evaluate whether home-delivered meals, and the frequency of delivery, reduces self-reported falls among homebound older adults. Data come from a randomized parallel three-arm study of 371 older adults on seven Meals on Wheels programs' waiting lists. Participants were randomly assigned to receive (a) daily meal delivery (n = 139); (b) once weekly, frozen meal delivery (n = 106); or (c) control, remain on the waiting list for meals (n = 126). Participants were surveyed at baseline and 15 weeks post randomization...
October 25, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27787878/development-of-quality-indicators-to-address-abuse-and-neglect-in-home-based-primary-care-and-palliative-care
#5
Orla C Sheehan, Christine S Ritchie, Roya Fathi, Sarah K Garrigues, Debra Saliba, Bruce Leff
OBJECTIVES: To develop candidate quality indicators (QIs) for the quality standard of "addressing abuse and neglect" in the setting of home-based medical care. DESIGN: Systematic literature review of both the peer-reviewed and gray literature. SETTING: Home-based primary and palliative care practices. PARTICIPANTS: Homebound community-dwelling older adults. MEASUREMENTS: Articles were identified to inform the development of candidate indicators of the quality by which home-based primary and palliative care practices addressed abuse and neglect...
October 27, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27647092/determinants-of-unmet-needs-among-slovenian-old-population
#6
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
https://www.readbyqxmd.com/read/27642517/different-associations-of-premorbid-intelligence-vs-current-cognition-with-bmi-insulin-and-diabetes-in-the-homebound-elderly
#7
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
https://www.readbyqxmd.com/read/27641001/two-year-mortality-in-homebound-older-adults-an-analysis-of-the-national-health-and-aging-trends-study
#8
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
https://www.readbyqxmd.com/read/27598270/an-interprofessional-virtual-healthcare-neighborhood-effect-on-self-efficacy-and-sleep-among-caregivers-of-older-adults-with-dementia
#9
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
https://www.readbyqxmd.com/read/27554314/factors-associated-with-nutritional-risk-among-homebound-older-adults-with-depressive-symptoms
#10
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
https://www.readbyqxmd.com/read/27503964/geographic-concentration-of-home-based-medical-care-providers
#11
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
https://www.readbyqxmd.com/read/27478629/randomized-control-trials-on-otago-exercise-program-oep-to-reduce-falls-among-elderly-community-dwellers-in-shahroud-iran
#12
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
https://www.readbyqxmd.com/read/27461941/homebound-status-among-middle-aged-and-older-adults-with-disabilities-in-adls-and-its-associations-with-clinical-functional-and-environmental-factors
#13
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...
January 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/27422021/prevalence-of-and-factors-associated-with-homebound-status-among-adults-in-urban-and-rural-spanish-populations
#14
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
https://www.readbyqxmd.com/read/27384919/homebound-patient-and-caregiver-perceptions-of-quality-of-care-in-home-based-primary-care-a-qualitative-study
#15
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
https://www.readbyqxmd.com/read/27348029/depression-in-home-based-care-the-role-of-the-home-health-nurse
#16
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
https://www.readbyqxmd.com/read/27321611/relationship-between-perceived-risk-of-falling-and-adoption-of-precautions-to-reduce-fall-risk
#17
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
https://www.readbyqxmd.com/read/27298135/translating-knowledge-into-practice-through-an-academic-practice-partnership-for-exploring-barriers-that-impact-management-of-homebound-patients-with-heart-failure
#18
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
https://www.readbyqxmd.com/read/27295270/a-scoping-review-of-caregiver-burden-during-allogeneic-hsct-lessons-learned-and-future-directions
#19
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
https://www.readbyqxmd.com/read/27295247/a-compassionate-visitation-program-for-church-homebound-elders
#20
(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
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