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https://www.readbyqxmd.com/read/29240534/non-pharmacological-approaches-to-pain-management-in-residential-aged-care-a-pre-post-test-study
#1
Julie M Ellis, Yvonne Wells, June Su Ming Ong
OBJECTIVES: The project aimed to evaluate a pain management program (PMP) using non-pharmacological approaches at five residential aged care facilities (RACFs) in Australia. METHODS: The PMP involved a physiotherapist implementing four sessions per week of treatments (massage therapy, TENS, exercises and stretching, or combinations of these). Ninety-five participants were recruited (average age, 83 years; SD = 7.6; 38% men, 62% women; 56% with dementia). Sessions lasted approximately 10 minutes, and residents' levels of pain were recorded using a 5-point scale before and after each treatment...
November 17, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29237034/long-term-care-provision-and-the-well-being-of-spousal-caregivers-an-analysis-of-138-european-regions
#2
Melanie Wagner, Martina Brandt
Objectives: The individual burden of caring for one's relatives not only depends on care characteristics but is also related to contextual factors. The objective of this study is to determine whether regional formal long-term care provision is linked to the well-being of spousal caregivers introducing the concept of "control" as central pathway to explain this link. Method: We applied multilevel analysis using data from the Survey of Health, Ageing and Retirement in Europe (SHARE) from over 29,000 Europeans and 1,800 spousal caregivers located in 138 regions in 11 countries to analyze the effects of regional contexts on caregiver well-being...
December 11, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29236077/a-pilot-study-of-children-s-blood-lead-levels-in-mount-isa-queensland
#3
Donna Green, Marianne Sullivan, Nathan Cooper, Annika Dean, Cielo Marquez
Mount Isa, Queensland, is one of three Australian cities with significant lead emissions due to nonferrous mining and smelting. Unlike the two other cities with lead mines or smelters, Mount Isa currently has no system of annual, systematic, community-wide blood lead level testing; and testing rates among Indigenous children are low. In previous screenings, this group of children has been shown to have higher average blood lead levels than non-Indigenous children. The first aim of this study was to assess whether parents and children would participate in less invasive, rapid point-of-care capillary testing...
December 13, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29236062/measuring-activity-performance-of-older-adults-using-the-activpal-a-rapid-review
#4
REVIEW
Charice S Chan, Susan E Slaughter, C Allyson Jones, Carla Ickert, Adrian S Wagg
Current measures of physical activity and sedentary behaviors such as questionnaires and functional assessments are insufficient to provide comprehensive data on older adults. In response, the use of activity monitors has increased. The purpose of this review was to summarize and assess the quality of observational literature on activity measuring of older adults using the activPAL activity monitor. Seventeen databases and a bibliography, compiled by the activPAL creators, were searched. Articles were included if they were in English, were peer-reviewed, included people 65 years or older, measured activity using the activPAL and reported at least one of the following outcomes: step count, hours upright, hours sitting/lying, hours stepping, or hours standing...
December 13, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29232761/profile-of-ethnicity-living-arrangements-and-loneliness-amongst-older-adults-in-aotearoa-new-zealand-a-national-cross-sectional-study
#5
Hamish A Jamieson, Helen M Gibson, Rebecca Abey-Nesbit, Annabel Ahuriri-Driscoll, Sally Keeling, Philip J Schluter
OBJECTIVE: To explore the patterns of living arrangements, ethnicity and loneliness amongst older adults (aged 65+ years) living at home. METHODS: National interRAI-HC (International Residential Assessment Instrument-Home Care) assessments conducted between 1 September 2012 and 31 January 2016 were analysed. Analysis focused on the associations between loneliness and both ethnic groups and living arrangements. RESULTS: There were 71 859 eligible participants, with average age 82...
December 12, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29232085/use-of-paid-and-unpaid-personal-help-by-medicare-beneficiaries-needing-long-term-services-and-supports
#6
Amber Willink, Karen Davis, John Mulcahy, Jennifer L Wolff
Issue: Older adults who reside in communities, as opposed to nursing homes or other residential institutions, are largely dependent on family and unpaid caregivers for assistance with daily activities, like preparing meals or laundry, and self-care tasks like bathing or dressing. For low-income older adults, assistance with such activities, also known as long-term services and supports (LTSS), can also come from Medicaid. These sources of support will be increasingly inadequate as the population ages...
November 1, 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29226464/place-of-death-in-the-snowy-monaro-region-of-new-south-wales-a-study-of-residents-who-died-of-a-condition-amenable-to-palliative-care
#7
Suzanne Rainsford, Nicholas J Glasgow, Rod D MacLeod, Teresa Neeman, Christine B Phillips, Robert B Wiles
OBJECTIVE: To describe the place of death of residents in a rural region of New South Wales. DESIGN: Cross-sectional quantitative study using death data collected from local funeral directors (in person and websites), residential aged-care facilities, one multipurpose heath service and obituary notices in the local media (newspapers/radio). SETTING: Snowy Monaro region (NSW Australia). PARTICIPANTS: Residents, with advanced frailty or one of 10 conditions amenable to palliative care, who died between 1 February 2015 and 31 May 2016...
December 11, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29224708/the-effects-of-hearing-loss-on-person-centred-care-in-residential-aged-care-a-narrative-review
#8
Kristiana Ludlow, Virginia Mumford, Meredith Makeham, Jeffrey Braithwaite, David Greenfield
Person-centred care is achieved through strategies such as effective communication and shared decision-making. Hearing loss can lead to communication breakdown and social isolation in residential aged care. The review aimed to address how hearing loss affects person-centred care in residential aged care settings. Empirical literature was identified through a systematic search of academic databases. Articles were reviewed against an inclusion criteria and general inductive analysis was employed to identify recurring factors across included studies...
December 7, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/29223182/a-randomized-controlled-trial-examining-the-impact-of-aged-care-residents-written-life-stories-on-aged-care-staff-knowledge-and-attitudes
#9
Michelle Dennerstein, Sunil S Bhar, Jencie J Castles
BACKGROUND: The unprecedented increase in the number of older adults moving into aged care facilities has created a challenge for quality person-centered care service provision. This study examined the impact of written life-stories on knowledge and attitudes of care staff about the residents when compared to usual file notes. METHODS: A randomized controlled study was carried out with 40 staff working in an aged care residential facility. Staff were randomly assigned to a control condition, in which they read file notes (n = 21) or to an experimental condition, in which they read life stories (n = 19) about residents who they knew, and completed the Knowledge of Resident Scale (KRS) before and after their assigned reading...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29223175/the-assessment-of-anxiety-in-aged-care-residents-a-systematic-review-of-the-psychometric-properties-of-commonly-used-measures
#10
Alexandra S Creighton, Tanya E Davison, David W Kissane
BACKGROUND: Assessing anxiety among residential aged care facility (RACF) residents is challenging, and it cannot be assumed that valid and reliable measures used within the community are also appropriate for this setting. This review systematically examined the literature to identify which anxiety measures were most commonly used with older adults in RACFs, and determine whether psychometric data support their use within this population. METHODS: Using the PRISMA guidelines, five electronic databases were searched using key terms and subject headings...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29222222/inguinoscrotal-herniation-of-a-caecal-adenocarcinoma
#11
Sachin Krishan Sharma
An 84-year-old man with multiple comorbidities presented from a residential care home with a 1-month history of asthenia and moderate abdominal pain. On examination, he was found to have an irreducible right-sided inguinoscrotal hernia. Subsequent blood tests revealed a significant anaemia (haemoglobin 48 g/L), for which he was transfused. A CT scan of the abdomen and pelvis revealed a large caecal tumour, herniating through the right inguinal canal into the scrotum. The patient underwent an elective open right hemicolectomy with inguinal hernia defect repair, from which he recovered well...
December 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29220625/feasibility-of-training-and-delivering-compassionate-touch-in-long-term-care
#12
Areum Han, Mark E Kunik
OBJECTIVES: Limited evidence supports the use of therapeutic touch for people with dementia (PWD). Interventions incorporating a person-centered approach to touch delivered by staff may benefit PWD and staff in long-term care settings. The Compassionate Touch® (CT) program provides skilled human touch and a compassionate presence following a person-centered approach and touch protocol. The purpose of this study was to determine the feasibility of training and delivering CT. METHODS: An online survey was sent via email to 112 staff who attended the CT coach training...
September 19, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29217720/likelihood-of-death-among-hospital-inpatients-in-new-zealand-prevalent-cohort-study
#13
Merryn Gott, Joanna Broad, Xian Zhang, Lene Jarlbaek, David Clark
OBJECTIVES: (1) To establish the likelihood of dying within 12 months for a cohort of hospital inpatients in New Zealand (NZ) on a fixed census date; (2) to identify associations between likelihood of death and key sociodemographic, diagnostic and service-related factors and (3) to compare results with, and extend findings of, a Scottish study undertaken for the same time period and census date. National databases of hospitalisations and death registrations were used, linked by unique health identifier...
December 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/29214851/weight-and-veterans-environments-study-waves-i-and-ii-rationale-methods-and-cohort-characteristics
#14
Shannon N Zenk, Elizabeth Tarlov, Lisa M Powell, Coady Wing, Stephen A Matthews, Sandy Slater, Howard S Gordon, Michael Berbaum, Marian L Fitzgibbon
PURPOSE: To present the rationale, methods, and cohort characteristics for 2 complementary "big data" studies of residential environment contributions to body weight, metabolic risk, and weight management program participation and effectiveness. DESIGN: Retrospective cohort. SETTING: Continental United States. PARTICIPANTS: A total of 3 261 115 veterans who received Department of Veterans Affairs (VA) health care in 2009 to 2014, including 169 910 weight management program participants and a propensity score-derived comparison group...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29212568/decomposing-environmental-unpredictability-in-forecasting-adolescent-and-young-adult-development-a-two-sample-study
#15
Sarah Hartman, Sooyeon Sung, Jeffry A Simpson, Gabriel L Schlomer, Jay Belsky
To illuminate which features of an unpredictable environment early in life best forecast adolescent and adult functioning, data from two longitudinal studies were examined. After decomposing a composite unpredictability construct found to predict later development, results of both studies revealed that paternal transitions predicted outcomes more consistently and strongly than did residential or occupational changes across the first 5 years of a child's life. These results derive from analyses of the NICHD Study of Early Child Care and Youth Development, which included diverse families from 10 different sites in the United States, and from the Minnesota Longitudinal Study of Risk and Adaptation, whose participants came from one site, were disproportionately economically disadvantaged, and were enrolled 15 years earlier than the NICHD Study sample...
December 7, 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/29209380/health-care-utilization-and-expenditures-of-patients-with-diabetes-comorbid-with-depression-disorder-a-national-population-based-cohort-study
#16
Chun-Jen Huang, Hui-Min Hsieh, Herng-Chia Chiu, Peng-Wei Wang, Mei-Hsuan Lee, Chih-Yi Li, Ching-Hua Lin
Objective: The study investigated to compare health care utilization and expenditures between diabetic patients with and without depression in Taiwan. Methods: Health care utilization and expenditure among diabetic patients with and without depression disorder during 2000 and 2004 were examined using Taiwan's population-based National Health Insurance claims database. Health care utilization included outpatient visits and the use of inpatient services, and health expenditures were outpatient, inpatient, and total medical expenditures...
November 2017: Psychiatry Investigation
https://www.readbyqxmd.com/read/29208008/-i-just-feel-comfortable-out-here-there-s-something-about-the-place-staff-and-client-perceptions-of-a-remote-australian-aboriginal-drug-and-alcohol-rehabilitation-service
#17
Alice Munro, Julaine Allan, Anthony Shakeshaft, Courtney Breen
BACKGROUND: The need for effective, culturally safe residential rehabilitation services for Aboriginal people is widely acknowledged, however the combination of treatment components that is optimally effective, is not well defined. Most existing Aboriginal residential rehabilitation research has focused on describing client characteristics, and largely ignored the impact of treatment and service factors, such as the nature and quality of therapeutic components and relationships with staff...
December 6, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29204895/the-development-of-a-healing-model-of-care-for-an-indigenous-drug-and-alcohol-residential-rehabilitation-service-a-community-based-participatory-research-approach
#18
Alice Munro, Anthony Shakeshaft, Anton Clifford
BACKGROUND: Given the well-established evidence of disproportionately high rates of substance-related morbidity and mortality after release from incarceration for Indigenous Australians, access to comprehensive, effective and culturally safe residential rehabilitation treatment will likely assist in reducing recidivism to both prison and substance dependence for this population. In the absence of methodologically rigorous evidence, the delivery of Indigenous drug and alcohol residential rehabilitation services vary widely, and divergent views exist regarding the appropriateness and efficacy of different potential treatment components...
December 4, 2017: Health & Justice
https://www.readbyqxmd.com/read/29199920/consumers-understanding-and-expectations-of-a-community-based-recovery-oriented-mental-health-rehabilitation-unit-a-pragmatic-grounded-theory-analysis
#19
Stephen Parker, Frances Dark, Ellie Newman, Dominic Hanley, William McKinlay, Carla Meurk
AIMS: Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers' expectations of mental health services, and what they hope to achieve, provides an opportunity to examine the alignment between existing services and the priorities and preferences of the people who use them...
December 4, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29198225/a-pilot-study-exploring-staff-acceptability-of-a-socially-assistive-robot-in-a-residential-care-facility-that-accommodates-people-under-65-years-old
#20
Samantha M Loi, Alice Bennett, Marta Pearce, Khanh Nguyen, Nicola T Lautenschlager, Rajiv Khosla, Dennis Velakoulis
Socially assistive robots have successfully been trialed in residential care facilities (RCFs) for older adults. These robots may have potential for younger adults (i.e. under 65 years old) who also live in RCFs. However, it is important to investigate staff acceptability and ease-of-use of these robots. This pilot study used the Technology Acceptance Model to investigate how staff working in a specialized RCF for younger adults accept Betty, a socially assistive robot who was introduced in the facility for 12 weeks...
December 4, 2017: International Psychogeriatrics
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