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InterRAI assessment instruments

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https://www.readbyqxmd.com/read/29130513/falls-and-hip-fractures-associated-with-urinary-incontinence-among-older-men-and-women-with-complex-needs-a-national-population-study
#1
Philip J Schluter, Edwin P Arnold, Hamish A Jamieson
AIMS: To determine if urinary incontinence (UI) was an independent risk factor for falls and hip fractures in community-dwelling older men and women with complex needs, after controlling for confounders. METHODS: Since 2012, all community care recipients in New Zealand have undergone standardized needs assessments using the Home Care International Residential Assessment Instrument (interRAI-HC). The interRAI-HC elicits information over multiple domains, including UI frequency and falls...
November 11, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29024219/the-determinants-of-service-complexity-in-children-with-intellectual-disabilities
#2
S L Stewart, K Falah Hassani, J Poss, J Hirdes
BACKGROUND: To date, little is known about the predictors of healthcare service utilisation in children with intellectual disability (ID). The aim of this study was to identify the factors associated with service complexity in children with ID in Ontario, Canada. METHODS: The population of this cross-sectional study consisted of 330 children with ID ages 4 to 18 years who accessed mental health services from November of 2012 to June of 2016 in four agencies. All participants completed the interRAI Child and Youth Mental Health and Developmental Disability Assessment Instrument, which is a semi-structured clinician-rated assessment that covers a range of common issues in children with ID...
November 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/28950742/evaluation-of-the-national-minimum-data-set-for-neurological-conditions-in-older-adults
#3
Sujita W Narayan, Hamish A Jamieson, Prasad S Nishtala
AIM: To evaluate the National Minimum Data Set (NMDS) against the International Resident Assessment Instrument-Home Care (interRAI-HC) in diagnosing dementia or Parkinson disease (PD). METHOD: The NMDS data were matched with interRAI-HC for all older individuals in New Zealand. Dementia or PD was compared within 90 and 180 days and 1 to 4 years preceding and subsequent to the date of diagnosis in interRAI-HC. Consistency was measured through sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), weighted kappa (κ), and McNemar test...
January 1, 2017: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/28943479/clinical-characteristics-and-patterns-of-health-deficits-of-centenarians-receiving-home-care-and-long-term-care-services
#4
Shannon Freeman, Joshua J Armstrong, Suzanne L Tyas, Eva Neufeld
Centenarians (persons aged 100years and older) are one of the fastest growing cohorts in countries across the world. With the increasing prevalence of centenarians and growing amount of clinical information in large administrative health databases, it is now possible to more fully characterize the health of this unique and heterogeneous population. This study described patterns of health deficits in the centenarian population receiving care from community-based home care services and long-term care facilities (LTCFs) in Ontario, Canada...
December 1, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28882127/derivation-of-a-frailty-index-from-the-resident-assessment-instrument-home-care-adapted-for-switzerland-a-study-based-on-retrospective-data-analysis
#5
Catherine Ludwig, Catherine Busnel
BACKGROUND: The screening of frail individuals at risk for functional health decline and adverse health outcomes lies in the evolving agenda of home care providers. Such a screening can be based on a frailty index (FI) derived from data collected with interRAI instruments used in clinical routines to define care plans. The objective of this study was to assess the feasibility of deriving an FI from the Resident Assessment Instrument - Home Care adapted for Switzerland (Swiss RAI-HC). METHODS: Data were collected by the Geneva Institution for Homecare and Assistance in clinical routines...
September 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28677869/an-epidemiological-profile-of-bipolar-disorder-among-older-adults-with-complex-needs-a-national-cross-sectional-study
#6
Philip J Schluter, Cameron Lacey, Richard J Porter, Hamish A Jamieson
OBJECTIVES: Research on bipolar disorder (BD) among community-living older adults is scant and often suffers from important methodological limitations. Using a national database, this study presents an epidemiological profile of BD in older community residents within New Zealand. METHODS: Since 2012, all New Zealand community care recipients have undergone a standardized needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC)...
August 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28635539/an-old-challenge-with-new-promises-a-systematic-review-on-comprehensive-geriatric-assessment-in-long-term-care-facilities
#7
Francesco Panza, Vincenzo Solfrizzi, Madia Lozupone, Maria Rosaria Barulli, Francesca D'Urso, Roberta Stallone, Vittorio Dibello, Alessia Noia, Cristina Di Dio, Antonio Daniele, Antonello Bellomo, Davide Seripa, Antonio Greco, Giancarlo Logroscino
Comprehensive geriatric assessment (CGA) is a multidimensional and multidisciplinary diagnostic process focused on determining the clinical profile, pathological risk, residual skills, short- and long-term prognosis, and personalized therapeutic and care plan of the functionally compromised and frail older subjects. Previous evidence suggested that the effectiveness of CGA programs may be influenced by settings where the CGA is performed [i.e., hospital, posthospital discharge/long-term care facilities (LTCFs), or community/home] as well as the specific clinical conditions of older frail individuals...
July 28, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28481817/the-revised-index-for-social-engagement-in-long-term-care-facilities-a-psychometric-study
#8
Ju Young Yoon, Hongsoo Kim
BACKGROUND: Social engagement is known to be an important factor that affects the quality of life and the psychological well-being of residents in long-term care settings. Few studies have examined social engagement in long-term care facilities in non-Western countries. PURPOSE: This study aimed to evaluate the validity and reliability of the revised index for social engagement (RISE), which was derived from the Korean version of the interRAI Long Term Care Facilities instrument...
June 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28374656/does-using-the-interrai-palliative-care-instrument-reduce-the-needs-and-symptoms-of-nursing-home-residents-receiving-palliative-care
#9
Kirsten Hermans, Johanna De Almeida Mello, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove, Anja Declercq
OBJECTIVE: This study aimed to evaluate whether using the interRAI Palliative Care instrument (the interRAI PC) in nursing homes is associated with reduced needs and symptoms in residents nearing the end of their lives. METHOD: A quasi-experimental pretest-posttest study using the Palliative care Outcome Scale (POS) was conducted to compare the needs and symptoms of residents nearing the end of their lives in the control and intervention nursing homes. Care professionals at the intervention nursing homes filled out the interRAI PC over the course of a year for all residents aged 65 years and older who were nearing the end of their lives...
April 4, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28277206/location-location-location-characteristics-and-services-of-long-stay-home-care-recipients-in-retirement-homes-compared-to-others-in-private-homes-and-long-term-care-homes
#10
Jeffrey W Poss, Chi-Ling Joanna Sinn, Galina Grinchenko, Jane Blums, Tom Peirce, John Hirdes
We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28129493/antipsychotic-drug-interactions-and-mortality-among-nursing-home-residents-with-cognitive-impairment
#11
Rosa Liperoti, Federica Sganga, Francesco Landi, Eva Topinkova, Michael D Denkinger, Henriëtte G van der Roest, Andrea D Foebel, Harriet Finne-Soveri, Roberto Bernabei, Graziano Onder
OBJECTIVE: Among elderly individuals with dementia, the use of antipsychotics has been associated with serious adverse events including ischemic stroke and death. Multiple medications can interact with antipsychotics and increase the risk of such adverse events. The purpose of this retrospective, longitudinal cohort study was to estimate the prevalence of potential antipsychotic drug interactions and their effect on increasing the risk of death among cognitively impaired elderly individuals treated with antipsychotics...
January 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28122563/the-child-and-youth-mental-health-assessment-chymh-an-examination-of-the-psychometric-properties-of-an-integrated-assessment-developed-for-clinically-referred-children-and-youth
#12
Shannon L Stewart, Chloe A Hamza
BACKGROUND: The Child and Youth Mental Health (ChYMH) assessment system was developed by interRAI (i.e., an international collective of researchers and clinicians from over thirty countries) in response to the unprecedented need for a coordinated approach to delivery of children's mental health care. Many interRAI instruments are used across Canada and internationally, but the ChYMH represents the first assessment specifically for children and youth. In the present paper, a short overview of the development process of the ChYMH is provided, and then the psychometric properties of several embedded scales on the ChYMH are examined...
January 26, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28077831/-effects-of-home-care-services-use-by-older-adults-on-family-caregiver-distress
#13
Jiyeon Kim, Hongsoo Kim
PURPOSE: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. METHODS: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea...
December 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/27813416/social-and-functional-health-of-home-care-clients-with-different-levels-of-cognitive-impairments
#14
Vjenka Garms-Homolová, Nanna Notthoff, Anja Declercq, Henriette G van der Roest, Graziano Onder, Pálmi Jónsson, Hein van Hout
OBJECTIVES: The ability to manage one's life with some degree of independence, to fulfill basic obligations, and to participate in social activities are social functions that delineate the core of 'social health'. We examine to what extent clients of community care in Europe (n = 2884) complete such activities despite their cognitive problems. We focus on mildly and moderately impaired people, aged 65+ years. METHODS: Data were collected using the interRAI HC-Assessment in IBenC-project...
January 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/27778373/urinary-incontinence-but-not-fecal-incontinence-is-a-risk-factor-for-admission-to-aged-residential-care-of-older-persons-in-new-zealand
#15
Philip J Schluter, Charlotte Ward, Edwin P Arnold, Richard Scrase, Hamish A Jamieson
AIMS: To determine if urinary incontinence (UI) and fecal incontinence (FI) were independent risk factors for aged resident care (ARC) admissions for older people, after controlling for confounders and applying apposite statistical methods. METHODS: Since 2012, all community care recipients in New Zealand have undergone a standardized needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC). The interRAI-HC instrument elicits information on 236 questions over 20 domains, including UI and FI frequency within the last 3 days...
August 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27647789/convergent-validity-concurrent-validity-and-diagnostic-accuracy-of-the-interrai-depression-rating-scale
#16
Katherine Penny, Alex Barron, Ann-Marie Higgins, Susan Gee, Matthew Croucher, Gary Cheung
AIMS: Depression Rating Scale (DRS) is one of the clinical outcome measures of the International Resident Assessment Instrument (interRAI) assessment. The primary aim of this study is to investigate the diagnostic accuracy and concurrent validity of the 3-day assessment window version of the DRS. METHODS: The performance of DRS was compared with a gold standard clinical diagnosis of depression in 92 patients (age ≥65) who had interRAI version 9.1 Home Care assessment completed within 30 days of discharge from psychogeriatric inpatient care or memory clinic assessment...
September 19, 2016: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/27590402/anticholinergic-medication-burden-and-5-year-risk-of-hospitalization-and-death-in-nursing-home-elderly-residents-with-coronary-artery-disease
#17
Davide L Vetrano, Domenico La Carpia, Giulia Grande, Paola Casucci, Tiziana Bacelli, Roberto Bernabei, Graziano Onder
OBJECTIVES: To assess the association of the anticholinergic medication burden with hospitalization and mortality in nursing home elderly patients and to investigate the role of coronary artery disease (CAD). DESIGN: Longitudinal (5-year) retrospective observational study. SETTING: Nursing homes in Italy. PARTICIPANTS: A total of 3761 nursing home older residents. MEASUREMENTS: A comprehensive clinical and functional assessment was carried out through the interRAI long-term care facility instrument...
August 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27561315/convergent-validity-of-the-interrai-hc-for-societal-costs-estimates-in-comparison-with-the-rud-lite-instrument-in-community-dwelling-older-adults
#18
Lisanne I van Lier, Henriëtte G van der Roest, Hein P J van Hout, Liza van Eenoo, Anja Declercq, Vjenka Garms-Homolová, Graziano Onder, Harriet Finne-Soveri, Pálmi V Jónsson, Cees M P M Hertogh, Judith E Bosmans
BACKGROUND: The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care and service needs, resource utilisation and health outcomes of community dwelling home care clients. Potentially, the interRAI-HC can also be used to calculate societal costs in economic evaluations. The purpose of this study was to assess the convergent validity of the interRAI-HC instrument in comparison with the RUD Lite instrument for the calculation of societal costs among care-dependent community dwelling older adults...
August 25, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27468117/usefulness-feasibility-and-face-validity-of-the-interrai-palliative-care-instrument-according-to-care-professionals-in-nursing-homes-a-qualitative-study
#19
Kirsten Hermans, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove, Anja Declercq
BACKGROUND: Nursing homes are important locations for palliative care. High quality palliative care requires an evaluation of the different care needs of the nursing home residents. The interRAI Palliative Care instrument is a comprehensive assessment that evaluates the needs and preferences of adults receiving palliative care. OBJECTIVES: This study aims to evaluate the usefulness, feasibility and face validity of the interRAI Palliative Care instrument. DESIGN: A qualitative study was conducted, based on the abductive reasoning approach...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27321613/validation-of-the-interrai-pressure-ulcer-risk-scale-in-acute-care-hospitals
#20
MULTICENTER STUDY
Haiyan Xie, Nancye M Peel, John P Hirdes, Jeff W Poss, Leonard C Gray
OBJECTIVES: To validate the Pressure Ulcer Risk Scale (PURS) to screen for pressure ulcer (PU) outcomes in the acute hospital setting. DESIGN: Secondary data analysis was undertaken using a combined dataset from three prospective cohort studies. SETTING: General medical, surgical, and orthopedic wards in 11 hospitals in two states of Australia. PARTICIPANTS: Individuals aged 70 and older admitted to the hospital for longer than 48 hours from July 2005 to May 2010 (N = 1418)...
June 2016: Journal of the American Geriatrics Society
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