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InterRAI assessment instruments

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https://www.readbyqxmd.com/read/27813416/social-and-functional-health-of-home-care-clients-with-different-levels-of-cognitive-impairments
#1
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...
November 4, 2016: 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
#2
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...
October 24, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27647789/convergent-validity-concurrent-validity-and-diagnostic-accuracy-of-the-interrai-depression-rating-scale
#3
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
#4
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
#5
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...
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
#6
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
#7
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
https://www.readbyqxmd.com/read/27197797/comprehensive-clinical-assessment-of-home-based-older-persons-within-new-zealand-an-epidemiological-profile-of-a-national-cross-section
#8
Philip J Schluter, Annabel Ahuriri-Driscoll, Tim J Anderson, Paul Beere, Jennifer Brown, John Dalrymple-Alford, Timothy David, Andrea Davidson, Deborah A Gillon, John Hirdes, Sally Keeling, Simon Kingham, Cameron Lacey, Andrea K Menclova, Nigel Millar, Vince Mor, Hamish A Jamieson
OBJECTIVE: Since 2012, all community care recipients in New Zealand have undergone a standardised needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC). This study describes the national interRAI-HC population, assesses its data quality and evaluates its ability to be matched. METHODS: The interRAI-HC instrument elicits information on 236 questions over 20 domains; conducted by 1,800+ trained health professionals. Assessments between 1 July 2012 and 30 June 2014 are reported here...
August 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27093957/loss-of-health-related-quality-of-life-following-low-trauma-fractures-in-the-elderly
#9
Jean-Eric Tarride, Natasha Burke, William D Leslie, Suzanne N Morin, Jonathan D Adachi, Alexandra Papaioannou, Louis Bessette, Jacques P Brown, Louisa Pericleous, Sergei Muratov, Robert B Hopkins
BACKGROUND: To estimate the long-term change in health related quality of life (HRQoL) following low-trauma fractures among individuals receiving home care (HC) services or living in long-term care (LTC) facilities using linked healthcare administrative data from Ontario, Canada. METHODS: HRQoL was estimated using the Health Utility Index (HUI-2) with the InterRai Minimum Data Set (MDS), a mandatory questionnaire for LTC and HC in the province of Ontario (population 14 million)...
April 19, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27075272/the-revised-index-for-social-engagement-in-long-term-care-facilities-a-psychometric-study
#10
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...
April 12, 2016: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/27044526/the-use-of-a-brief-mental-health-screener-to-enhance-the-ability-of-police-officers-to-identify-persons-with-serious-mental-disorders
#11
Ron Hoffman, John Hirdes, Gregory P Brown, Joel A Dubin, Howard Barbaree
Police agencies in Canada and elsewhere have received much criticism over how they respond to persons with serious mental disorders. The adequacy of training provided to police officers on mental health issues and in particular on recognizing indicators of serious mental disorders has been a major concern. This paper describes the process that led to the development of a new brief mental health screener (interRAI Brief Mental Health Screener, BMHS) designed to assist police officers to better identify persons with serious mental disorders...
July 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/26953895/exercise-a-new-drug-for-elderly-patients-with-chronic-heart-failure
#12
Roberto Antonicelli, Liana Spazzafumo, Simonetta Scalvini, Fabiola Olivieri, Maria Vittoria Matassini, Gianfranco Parati, Donatella Del Sindaco, Raffaella Gallo, Fabrizia Lattanzio
Patients with chronic heart failure (CHF) experience progressive deterioration of functional capacity and quality of life (QoL). This prospective, randomized, controlled trial assesses the effect of exercise training (ET) protocol on functional capacity, rehospitalization, and QoL in CHF patients older than 70 years compared with a control group. A total of 343 elderly patients with stable CHF (age, 76.90±5.67, men, 195, 56.9%) were randomized to ET (TCG, n=170) or usual care (UCG, n=173). The ET protocol involved supervised training sessions for 3 months in the hospital followed by home-telemonitored sessions for 3 months...
May 2016: Aging
https://www.readbyqxmd.com/read/26924601/the-wish-to-die-among-palliative-home-care-clients-in-ontario-canada-a-cross-sectional-study
#13
Shannon Freeman, Trevor Frise Smith, Eva Neufeld, Kathy Fisher, Satoru Ebihara
BACKGROUND: In the pursuit to provide the highest quality of person centered palliative care, client preferences, needs, and wishes surrounding end of life should be used to inform the plan of care. During a clinical assessment for care services, clients may voluntarily express a 'wish to die' either directly to the clinician or it may be indirectly reported second-hand to the clinician through an informal caregiver or family member. This is the first study using data gathered from the interRAI Palliative Care Assessment instrument (interRAI PC) to examine socio-demographic, clinical, and psycho-social factors of palliative home care clients with the voluntary expression of a 'wish to die now'...
February 29, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/26884751/constipation-and-laxative-use-among-nursing-home-patients-prevalence-and-associations-derived-from-the-residents-assessment-instrument-for-long-term-care-facilities-interrai-ltcf
#14
Lene Elisabeth Blekken, Sigrid Nakrem, Anne Guttormsen Vinsnes, Christine Norton, Siv Mørkved, Øyvind Salvesen, Kari Hanne Gjeilo
Introduction. Constipation is a common, bothersome, and potentially dangerous condition among nursing home (NH) patients. Between 50 and 74% of NH patients use laxatives. Objective. To study prevalence and associations of laxative use and constipation using the comprehensive Norwegian version of the Resident Assessment Instrument for Long-Term Care Facilities. Methods. Cross-sectional study. Patients from 20 NH units were included. Logistic regression was used to analyze the results. Data collected in NHs might be clustered...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/26572734/quality-of-care-in-european-home-care-programs-using-the-second-generation-interrai-home-care-quality-indicators-hcqis
#15
Andrea D Foebel, Hein P van Hout, Henriëtte G van der Roest, Eva Topinkova, Vjenka Garms-Homolova, Dinnus Frijters, Harriet Finne-Soveri, Pálmi V Jónsson, John P Hirdes, Roberto Bernabei, Graziano Onder
BACKGROUND: Evaluating the quality of care provided to older individuals is a key step to ensure that needs are being met and to target interventions to improve care. To this aim, interRAI's second-generation home care quality indicators (HCQIs) were developed in 2013. This study assesses the quality of home care services in six European countries using these HCQIs as well as the two derived summary scales. METHODS: Data for this study were derived from the Aged in Home Care (AdHOC) study - a cohort study that examined different models of community care in European countries...
2015: BMC Geriatrics
https://www.readbyqxmd.com/read/26453354/opinion-versus-practice-regarding-the-use-of-rehabilitation-services-in-home-care-an-investigation-using-machine-learning-algorithms
#16
Lu Cheng, Mu Zhu, Jeffrey W Poss, John P Hirdes, Christine Glenny, Paul Stolee
BACKGROUND: Resources for home care rehabilitation are limited, and many home care clients who could benefit do not receive rehabilitation therapy. The interRAI Contact Assessment (CA) is a new screening instrument comprised of a subset of interRAI Home Care (HC) items, designed to be used as a preliminary assessment to identify which potential home care clients should be referred for a full assessment, or for services such as rehabilitation. We investigated which client characteristics are most relevant in predicting rehabilitation use in the full interRAI HC assessment...
October 9, 2015: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/26401100/the-interrai-pediatric-home-care-peds-hc-assessment-evaluating-the-long-term-community-based-service-and-support-needs-of-children-facing-special-healthcare-challenges
#17
Charles D Phillips, Catherine Hawes
The vast majority of assessment instruments developed to assess children facing special healthcare challenges were constructed to assess children within a limited age range or children who face specific conditions or impairments. In contrast, the interRAI Pediatric Home Care (PEDS HC) Assessment Form was specifically designed to assess the long-term community-based service and support needs of children and youth aged from four to 20 years who face a wide range of chronic physical or behavioral health challenges...
2015: Health Services Insights
https://www.readbyqxmd.com/read/26367102/comparing-the-characteristics-of-people-living-with-and-without-hiv-in-long-term-care-and-home-care-in-ontario-canada
#18
Andrea D Foebel, John P Hirdes, Rita Lemick, Justin Wei-Yu Tai
Population aging and successful drug therapy in human immunodeficiency virus (HIV) management mean that more people are living longer with HIV. As these individuals age, they become more at risk of developing other chronic health conditions which will have many implications for disease management and choice of care setting. As people living with HIV turn to home care and long-term care (LTC) settings for care, understanding the particular needs of this population is becoming increasingly important. This study sought to describe the sociodemographic, clinical, and social attributes of people living with HIV in the home care and institutional environments...
2015: AIDS Care
https://www.readbyqxmd.com/read/26297850/correlates-and-predictors-of-changes-in-dyspnea-symptoms-over-time-among-community-dwelling-palliative-home-care-clients
#19
Shannon Freeman, John P Hirdes, Paul Stolee, John Garcia, Trevor Frise Smith
CONTEXT: Dyspnea is a frequently reported and highly distressing symptom for persons nearing end of life, affecting the quality of living and dying. OBJECTIVES: This study described health and clinical characteristics of persons experiencing dyspnea who receive palliative home care services and identified factors affecting change in dyspnea over time. METHODS: Anonymized assessments (N = 6655 baseline; 959 follow-up) from the interRAI palliative care assessment instrument (interRAI PC) were collected during pilot implementation (2006-2011)...
December 2015: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/26148943/predictors-of-long-term-care-facility-residents-self-reported-quality-of-life-with-individual-and-facility-characteristics-in-canada
#20
Vahe Kehyayan, John P Hirdes, Suzanne L Tyas, Paul Stolee
OBJECTIVE: Identify predictors of long-term care (LTC) facility residents' self-reported quality of life (QoL). METHOD: QoL of a convenience sample of 928 residents from 48 volunteer LTC facilities across six Canadian provinces was assessed using the inter-Resident Assessment Instrument (interRAI) Self-Report Nursing Home Quality of Life Survey. Multivariate regression models were used to identify predictors. RESULTS: In logistic regression modeling, residents who were religious and socially engaged, had a positive global disposition, or resided in rural, private, or municipal facilities were less likely to report low QoL...
April 2016: Journal of Aging and Health
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