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https://www.readbyqxmd.com/read/29336168/dementia-in-eastern-mediterranean-countries-a-systematic-review
#1
Sara Mahmoud Yaghmour, Ruth Bartlett, Tula Brannelly
Globally, there is an increase in the older population, whose lives are affected by local cultural norms. In Eastern Mediterranean countries, dementia is conventionally hidden from view with few dedicated services or recognition for diagnosis. The aim of this systematic review is to explore the limited literature on dementia and cognitive impairment among older people in Eastern Mediterranean countries to present an evaluation of current practices and to consolidate knowledge for future planning. Thirty-three studies were identified for inclusion in the review, and four themes were apparent...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29324089/development-and-content-validation-of-a-questionnaire-to-assess-moral-distress-among-social-workers-in-long-term-care-facilities
#2
Sagit Lev, Liat Ayalon
OBJECTIVE: Despite the significance of ethical issues faced by social workers, research on moral distress among social workers has been extremely limited. The aim of the current study is to describe the development and content validation of a unique questionnaire to measure moral distress among social workers in long-term care facilities for older adults in Israel. METHODS: The construction of the questionnaire was based on a secondary analysis of a qualitative study that addressed the moral dilemma of social workers in nursing homes in Israel...
January 11, 2018: Social Work in Health Care
https://www.readbyqxmd.com/read/29261248/investigating-the-impact-of-intervention-refusal-on-hospital-readmission
#3
Alexis Coulourides Kogan, Eileen Koons, Susan Enguidanos
OBJECTIVES: To identify characteristics and readmission risks associated with opting out of a social work-driven transition intervention. STUDY DESIGN: Secondary data analysis of a randomized controlled pilot study at a large nonprofit urban community hospital. METHODS: Hospitalized English-speaking, cognitively intact adults 65 years or older with expected discharge back to the community were eligible for enrollment. Additionally, patients met at least 1 of the 3 criteria: 1) 75 years or older, 2) taking 5 or more medications, or 3) had 1 or more prior inpatient stays or emergency department visits in the previous 6 months...
December 1, 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/29228293/providing-mental-health-care-for-the-complex-older-veteran-implications-for-social-work-practice
#4
Gayle Clark, Susan Rouse, Heather Spangler, Jennifer Moye
Mental health conditions are underdiagnosed and undertreated in older veterans, as with all older adults. Social workers bring an important perspective to the interdisciplinary team for the care of older veterans with mental health conditions. In this study authors assessed 50 older veterans referred for mental health treatment (mean age = 74.52 years, SD = 6.48) with standardized measures of depression, posttraumatic stress disorder (PTSD), and cognitive impairment. At initial assessment, 24 percent had moderate depression, 30 percent had PTSD, and 62 percent (n = 31) had (mostly mild) cognitive impairment based on cut scores...
December 8, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29214975/home-based-health-promotion-for-older-people-with-mild-frailty-the-homehealth-intervention-development-and-feasibility-rct
#5
Kate Walters, Rachael Frost, Kalpa Kharicha, Christina Avgerinou, Benjamin Gardner, Federico Ricciardi, Rachael Hunter, Ann Liljas, Jill Manthorpe, Vari Drennan, John Wood, Claire Goodman, Ana Jovicic, Steve Iliffe
BACKGROUND: Mild frailty or pre-frailty is common and yet is potentially reversible. Preventing progression to worsening frailty may benefit individuals and lower health/social care costs. However, we know little about effective approaches to preventing frailty progression. OBJECTIVES: (1) To develop an evidence- and theory-based home-based health promotion intervention for older people with mild frailty. (2) To assess feasibility, costs and acceptability of (i) the intervention and (ii) a full-scale clinical effectiveness and cost-effectiveness randomised controlled trial (RCT)...
December 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29181768/identification-and-feasibility-of-social-participation-initiatives-reducing-isolation-and-involving-rural-older-canadians-in-the-development-of-their-community
#6
Annie-Pier Clément, Dusica Djilas, Tanya Vinet, Ariane Aubin, Karine Demers, Mélanie Levasseur
BACKGROUND: Although some social participation initiatives exist to counter the isolation of older adults, none were identified and prioritized according to the needs of rural regional county municipalities (RCM), including in Canada. AIMS: To identify and prioritize social participation initiatives for older Canadians, and to document the feasibility of their implementation in a rural RCM. METHODS: An action research was used to identify, based on a review of scientific and grey literature, social participation initiatives, enriched and prioritized by the community...
November 27, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29050508/-doing-with-%C3%A2-rather-than-doing-for-%C3%A2-older-adults-rationale-and-content-of-the-stay-active-at-home-programme
#7
Silke F Metzelthin, Gertrud Ar Zijlstra, Erik van Rossum, Janneke M de Man-van Ginkel, Barbara Resnick, Gill Lewin, Matthew Parsons, Gertrudis Ijm Kempen
BACKGROUND: Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence...
November 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28961077/boomer-matters-responding-to-emotional-health-needs-in-an-aging-society
#8
Deborah O'Connor, Elizabeth Kelson
This study explores baby boomer-aged adults' experiences accessing an emotional health program (EHP) in a community-based seniors' center, examining differences between it and an older cohort of users. Data generation includes client-based surveys (n=118), in-depth qualitative interviews (n=20) with client users and professionally-trained counselors (n=2), and a focus group with peer support service worker (n=14). Key findings suggest EHPs as a preventative strategy to address familial abuse, the need for education and support on sexual health and dating, and the need to combat ageism to improve access...
September 29, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28954394/economic-activity-and-health-conditions-in-adults-aged-65-years-and-older-findings-of-the-korean-national-longitudinal-study-on-aging
#9
Chae-Bong Kim, Seok-Jun Yoon, Jesuk Ko
The population is aging because lifespans have continued to increase due to developments in modern medical science. The economic activity and health of the elderly are very important factors with reference to the problems of the aged. This cross-sectional study examined the association between the economic activity and health of the elderly. Subjects included 4226 elderly aged over 65 years among the adults who participated in the Fifth Korean National Longitudinal Study on Aging (KLoSA). Basic analysis, cross-analysis, binary logistic regression analysis, and multiple regression analysis were performed to fulfill each research purpose...
September 26, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28889043/photovoicing-the-neighbourhood-understanding-the-situated-meaning-of-intangible-places-for-ageing-in-place
#10
Susan van Hees, Klasien Horstman, Maria Jansen, Dirk Ruwaard
Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the southern part of the Netherlands. We conducted a photovoice study in which 18 older adults (70-85 years) living independently and 14 professionals (social workers, housing consultants, neighbourhood managers and community workers) were asked to photograph and discuss the places they consider important for ageing-in-place...
September 7, 2017: Health & Place
https://www.readbyqxmd.com/read/28845728/perceptions-of-the-meaningfulness-of-work-among-older-social-purpose-workers-an-ecological-momentary-assessment-study
#11
Christina Matz-Costa, Stephanie Cosner Berzin, Marcie Pitt-Catsouphes, Cal J Halvorsen
The ecological momentary assessment (EMA) method was used to examine the antecedents and correlates of older adults' in-the-moment perceptions of meaning at work. Data were collected six times per day for 7 days from 30 older adults who were mostly social entrepreneurs and who were engaged in purpose work (i.e., work that addresses a social problem or issue). We found concurrent effects of two types of affective states (i.e., relaxed and energetic) and generative work behaviors (i.e., sharing information about one's work and encouraging/inviting others into one's work) on three measures of perceptions of meaningful work (i...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28828738/can-burt-s-theory-of-structural-holes-be-applied-to-study-social-support-among-mid-age-female-sex-workers-a-multi-site-egocentric-network-study-in-china
#12
Hongjie Liu
The epidemic of HIV/AIDS continues to spread among older adults and mid-age female sex workers (FSWs) over 35 years old. We used egocentric network data collected from three study sites in China to examine the applicability of Burt's Theory of Social Holes to study social support among mid-age FSWs. Using respondent-driven sampling, 1245 eligible mid-age FSWs were interviewed. Network structural holes were measured by network constraint and effective size. Three types of social networks were identified: family networks, workplace networks, and non-FSW networks...
August 21, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28804393/ageism-among-physicians-nurses-and-social-workers-findings-from-a-qualitative-study
#13
Aya Ben-Harush, Sharon Shiovitz-Ezra, Israel Doron, Sara Alon, Arthur Leibovitz, Hava Golander, Yafa Haron, Liat Ayalon
This study investigated ageism among healthcare professionals in various therapeutic settings in Israel. Using a qualitative approach, the current study aimed to examine similarities and differences across healthcare disciplines. Three focus groups were conducted with physicians, nurses, and social workers. Data from each focus group were analyzed separately, and then commonalities and differences across the groups were evaluated. Three main themes relating to older adults emerged from the data. The first theme pertains to perceived difficulties that healthcare professionals experience in working with older adults and their family members; the second focuses on invisibility and discriminatory communication patterns; and the third theme relates to provision of inappropriate care to older adults...
March 2017: European Journal of Ageing
https://www.readbyqxmd.com/read/28789607/assessing-the-validity-of-the-triage-risk-screening-tool-in-a-third-world-setting
#14
Ravi Lalla, Ian Sammy, Joanne Paul, Paula Nunes, Vidya Ramcharitar Maharaj, Paula Robertson
Background Social risk is rarely evaluated in older emergency department (ED) patients, although its identification can reduce re-attendance. Objectives This study assessed the diagnostic accuracy of the Triage Risk Screening Tool (TRST) in the ED of a developing country. Methods The diagnostic accuracy of the TRST to detect elderly adults in need of social service intervention was compared with routine clinical evaluation, using comprehensive evaluation by an experienced social worker as the "gold standard"...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28735347/the-impact-of-eldercare-on-adult-children-s-health-and-employment-in-transitional-china
#15
Xiaomei Pei, Hao Luo, Zhiyong Lin, Norah Keating, Janet Fast
This paper explores the content and extent of the burden of caregiving for Chinese families in transition. It sets out to understand how Chinese families manage to balance family caregiving responsibilities with employment, the impact of the existing social institutions on family caregiving practices, and the risks that caregivers have to face. Data were collected from a sample of 214 workers from 14 manufacturing companies in an industrialized city in central China in 2013. Analysis revealed that common types of eldercare were assisting with activities of daily living and medical related care; middle aged employed respondents were most likely to be the caregivers to older family members; financial and time demands of care were challenging for caregivers, but women with more education and a secure job responded to the pressure of care giving better than those with less education and insecure jobs...
July 22, 2017: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/28696906/assessment-of-recent-hiv-testing-among-older-adults-in-the-united-states
#16
Yuqi Guo, Omar T Sims
Older adults are the fastest growing segment of people living with HIV, and unfortunately many are unaware of their HIV status. Many providers are reluctant to ask older adults about their sexual histories, evaluate their risk factors, and test for HIV, and older adults have low perception of HIV risk. Using data from the 2013 to 2014 National Health and Nutrition Examination Survey, this study assessed the prevalence of recent HIV testing among older adults in the United States (n = 1,056) and identified predictors and barriers to recent HIV testing...
July 11, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28696833/the-intersecting-cognitive-and-aging-needs-of-hiv-positive-older-adults-implications-for-social-work-practice
#17
Andrew David Eaton, Shelley L Craig, Robert Wallace
Cognitive impairment is a significant health concern for people aging with HIV/AIDS. Using a community-based participatory research (CBPR) framework, we surveyed (n = 108) and interviewed (n = 20) people living with HIV who were over age 50 about their cognitive concerns and recommendations for social work intervention development. Quantitative findings indicate that our sample was greatly engaged in their HIV care, yet participants had many cognitive concerns. Qualitative findings highlighted fear, shame, and uncertainty concerning HIV and aging alongside a need for increased social work support...
July 11, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28682456/how-hospital-clinicians-select-patients-for-skilled-nursing-facilities
#18
Robert E Burke, Emily Lawrence, Amy Ladebue, Roman Ayele, Brandi Lippmann, Ethan Cumbler, Rebecca Allyn, Jacqueline Jones
OBJECTIVE: To understand how hospital-based clinicians evaluate older adults in the hospital and decide who will be transferred to a skilled nursing facility (SNF) for postacute care. DESIGN: Semistructured interviews paired with a qualitative analytical approach informed by Social Constructivist theory. SETTING: Inpatient care units in three hospitals. Purposive sampling was used to maximize variability in hospitals, units within hospitals, and staff on those units...
November 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28660749/-making-the-best-of-what-we-have-the-lived-experiences-of-community-psychiatric-nurses-day-centre-managers-and-social-workers-supporting-clients-with-dementia-attending-a-generic-day-care-service
#19
Elizabeth A Laird, Phyllis McGurk, Bernie Reid, Assumpta Ryan
AIM AND OBJECTIVES: This study explored the experiences and perspectives of community psychiatric nurses, day centre managers and social workers about supporting clients living with and without dementia attending a generic day care service. The purpose of the study was to elucidate approaches that enable clients living with dementia to access and derive benefit from the service. BACKGROUND: In the light of international ageing demographics and strategy towards social inclusion, it is anticipated that demand for generic day care services for clients living with and without dementia will increase...
June 29, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28659201/-embrace-integrated-primary-care-for-older-adults
#20
R J Uittenbroek, H P H Kremer, S L W Spoorenberg, S A Reijneveld, K Wynia
OBJECTIVE: To examine the impact of Embrace (Dutch: SamenOud), a new primary care model for community-living people aged over 75 years on perceived quality of care. DESIGN: Randomized controlled trial in 15 general practices in the East Groningen region of the Netherlands. METHOD: In the period January 2012-March 2013, 1456 general practice patients aged 75 years and older were stratified on the basis of self-reporting into 3 risk profiles: 'robust', 'frail' and 'complex care needs', and then randomized to the intervention or the control arm...
2017: Nederlands Tijdschrift Voor Geneeskunde
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