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https://www.readbyqxmd.com/read/29684891/considering-high-alcohol-and-violence-neighborhood-context-using-daily-diaries-and-gps-a-pilot-study-among-people-living-with-hiv
#1
Katherine P Theall, Erica Felker-Kantor, Maeve Wallace, Xiao Zhang, Christopher N Morrison, Douglas J Wiebe
Our understanding of how community-level context impacts care of persons living with HIV (PLWH), including antiretroviral therapy (ART) adherence and retention in care, is limited. The objective of this study was to characterize the activity spaces of PLWH from an urban area in Southeastern U.S., where the epidemic is among the nation's highest, and to examine how such activity spaces are associated with daily mood and health behaviors. In this small, pilot study, 11 participants were tracked with a global positioning system (GPS)-enabled application on their smartphones for 2 weeks...
April 10, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29683204/oral-status-cognitive-function-and-dependency-among-new-zealand-nursing-home-residents
#2
William M Thomson, Moira B Smith, Catherine Anna Ferguson, Ngaire M Kerse, Kathryn Peri, Barry Gribben
OBJECTIVES: To investigate clinical oral disease and its association with cognitive function and dependency among older New Zealanders in residential aged care. MATERIAL AND METHODS: National survey of oral health in aged residential care throughout New Zealand. We classified residents into 1 of 3 levels of care: "low dependency care (or assisted living)"; "high dependency care"; or "specialist dementia care/psychogeriatric care." The Abbreviated Mental Test characterised cognitive function as "unimpaired" (scores of 7-10), "moderately impaired" (4-6) or "severely impaired" (0-3)...
April 23, 2018: Gerodontology
https://www.readbyqxmd.com/read/29683028/the-factors-associated-with-anxiety-symptom-severity-in-older-adults-living-in-nursing-homes-and-other-residential-aged-care-facilities
#3
Alexandra S Creighton, Tanya E Davison, David W Kissane
OBJECTIVE: This study aimed to identify the biopsychosocial factors associated with anxiety among a residential aged care sample. METHOD: A total of 178 residents ( M age = 85.4 years, SD = 7.4 years) with mild cognitive impairment or normal cognition participated. Participants completed the Geriatric Anxiety Inventory (GAI) and a set of measures assessing cognition, depression, self-perceived health, mastery, attachment, perceived social support, social engagement, functional status, the experience of a fall, and other negative life events...
April 1, 2018: Journal of Aging and Health
https://www.readbyqxmd.com/read/29682784/promoting-oral-health-care-among-people-living-in-residential-aged-care-facilities-perceptions-of-care-staff
#4
Amy R Villarosa, Sally Clark, Ariana C Villarosa, Tiffany Patterson Norrie, Susan Macdonald, Jennifer Anlezark, Ravi Srinivas, Ajesh George
OBJECTIVE: This study aimed to look at the practices and perspectives of residential aged care facility (RACF) care staff regarding the provision of oral health care in RACFs. BACKGROUND: Emphasis has been placed on the provision of adequate oral health care in RACFs through the Better Oral Health in Residential Aged Care programme. Endorsed by the Australian government, this programme provided oral health education and training for aged care staff. However, recent evidence suggests that nearly five years after the implementation of this programme, the provision of oral care in RACFs in NSW remains inadequate...
April 23, 2018: Gerodontology
https://www.readbyqxmd.com/read/29679459/exploring-the-meaning-of-home-and-its-implications-for-the-care-of-older-people
#5
Michele Board, Brendan McCormack
AIMS AND OBJECTIVES: To explore the meaning of home for six baby boomers and consider how this insight can be used when caring for older people in hospital or residential settings. BACKGROUND: Feeling at home is important to help retain a sense of autonomy, security and well-being, but home is a complex concept to understand. The baby boomers are a large cohort entering later life and understanding their sense of home is not only an example of anticipatory gerontology but it could also provide the tools to explore home with the current older population, who may be in a variety of care settings...
April 20, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29676243/the-funding-of-long-term-care-in-canada-what-do-we-know-what-should-we-know
#6
Michel Grignon, Byron G Spencer
ABSTRACTLong-term care is a growing component of health care spending but how much is spent or who bears the cost is uncertain, and the measures vary depending on the source used. We drew on regularly published series and ad hoc publications to compile preferred estimates of the share of long-term care spending in total health care spending, the private share of long-term care spending, and the share of residential care within long-term care. For each series, we compared estimates obtainable from published sources (CIHI [Canadian Institute for Health Information] and OECD [Organization for Economic Cooperation and Development]) with our preferred estimates...
June 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29672239/revising-the-lubben-social-network-scale-for-use-in-residential-long-term-care-settings
#7
Jean Munn, Melissa Radey, Kristin Brown, Hyejin Kim
PURPOSES: We revised the Lubben Social Network Scale (LSNS) to develop a measure of social support specific to residential long-term care (LTC) settings, the LSNS-LTC with five domains (i.e., family, friends, residents, volunteers, and staff). METHODS: The authors modified the LSNS-18 to capture sources of social support specific to LTC, specifically relationships with residents, volunteers, and staff. We piloted the resultant 28-item measure with 64 LTC residents...
April 19, 2018: Journal of Evidence-informed Social Work
https://www.readbyqxmd.com/read/29672192/palliative-care-experiences-and-needs-of-direct-care-workers
#8
Jinsook Kim, Jennifer A Gray
BACKGROUND: As people with intellectual and developmental disabilities (PWIDD) are living longer and experience chronic health conditions, there is greater likelihood that direct care workers (DCWs) will need to provide palliative care services. OBJECTIVE: The purpose of this study was to explore DCWs' experience with palliative care and challenges they faced. DESIGN: This study was an exploratory, descriptive study using qualitative methods...
April 19, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29668737/evicted-children-and-subsequent-placement-in-out-of-home-care-a-cohort-study
#9
Lisa Berg, Lars Brännström
BACKGROUND: Evictions may have serious consequences for individuals' health and wellbeing. Even though an eviction may be experienced as a significant crisis for the family, there is little previous knowledge on consequences for evicted children. This study represents the first attempt to examine to what extent children from evicted households were separated from their parents and placed in out-of-home care (foster family or residential care) using population-based data, net of observed confounding factors related to the socioeconomic and psychosocial circumstances of their parents...
2018: PloS One
https://www.readbyqxmd.com/read/29663658/understanding-consumers-initial-expectations-of-community-based-residential-mental-health-rehabilitation-in-the-context-of-past-experiences-of-care-a-mixed-methods-pragmatic-grounded-theory-analysis
#10
Stephen Parker, Carla Meurk, Ellie Newman, Clayton Fletcher, Isabella Swinson, Frances Dark
This study explores how consumers expect community-based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved service engagement and outcomes. A mixed-methods research design taking a pragmatic approach to grounded theory guided the analysis of 24 semi-structured interviews with consumers on commencement at three Community Care Units (CCUs) in Australia...
April 16, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29661136/effects-of-a-community-health-promotion-program-on-social-factors-in-a-vulnerable-older-adult-population-residing-in-social-housing
#11
Gina Agarwal, Madison Brydges
BACKGROUND: Supporting older adults' health and wellbeing in the community is an important policy goal that can be supported by health promotion. Despite widespread acceptance of the biopsychosocial model of health and its relation to health, many health promotion programs fail to realize this model in program design. Further, there is limited evidence to support program design targeting social determinants of health such as social isolation or connectedness. To fill this gap, we aimed to understand older adult's experiences participating in cardiovascular health promotion program in a subsidized residential building to capture unintended 'spin-off' psychosocial effects...
April 16, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29660771/integrated-approach-to-oral-health-in-aged-care-facilities-using-oral-health-practitioners-and-teledentistry-in-rural-queensland
#12
Anna Tynan, Lisa Deeth, Debra McKenzie, Carolyn Bourke, Shayne Stenhouse, Jacinta Pitt, Helen Linneman
PROBLEM: Residents of residential aged care facilities are at very high risk of developing complex oral diseases and dental problems. Key barriers exist in delivering oral health services to residential aged care facilities, particularly in regional and rural areas. DESIGN: A quality improvement study incorporating pre- and post chart audits and pre- and post consultation with key stakeholders, including staff and residents, expert opinion on cost estimates and field notes were used...
April 16, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29660576/built-spaces-and-features-associated-with-user-satisfaction-in-maternity-waiting-homes-in-malawi
#13
Nathalie McIntosh, Patricia Gruits, Eva Oppel, Amie Shao
OBJECTIVE: To assess satisfaction with maternity waiting home built spaces and features in women who are at risk for underutilizing maternity waiting homes (i.e. residential facilities that temporarily house near-term pregnant mothers close to healthcare facilities that provide obstetrical care). Specifically we wanted to answer the questions: (1) Are built spaces and features associated with maternity waiting home user satisfaction? (2) Can built spaces and features designed to improve hygiene, comfort, privacy and function improve maternity waiting home user satisfaction? And (3) Which built spaces and features are most important for maternity waiting home user satisfaction? DESIGN: A cross-sectional study comparing satisfaction with standard and non-standard maternity waiting home designs...
April 3, 2018: Midwifery
https://www.readbyqxmd.com/read/29659597/measuring-movement-into-residential-care-institutions-in-haiti-after-hurricane-matthew-a-pilot-study
#14
Beth L Rubenstein, Matthew MacFarlane, Celina Jensen, Lindsay Stark
BACKGROUND: Governments have an ethical imperative to safeguard children in residential care institutions at all times, including in the aftermath of an emergency. Yet, a lack of accurate data about how the magnitude and characteristics of this population may change due to an emergency impedes leaders' ability to formulate responsive policies and services, mobilize resources and foster accountability. The purpose of this study was therefore to determine the feasibility of evaluating movement of children into residential care following an emergency...
2018: PloS One
https://www.readbyqxmd.com/read/29652770/psychiatric-services-and-the-homeless-changing-the-paradigm
#15
Ira D Glick, Mark Olfson
Given the changes in our society and worldwide massive migrations across borders, this article argues that we need to change the paradigm of how we think about "the homeless," that is, to rethink our approach to not only those who cannot afford housing, the "economically homeless," but especially important also the larger group-those with chronic, serious medical-psychiatric-addictive disorders, the "medically/mentally ill homeless." We must place a greater emphasis on providing mental health services along with housing, legal, general medical, employment, and other services...
May 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29650212/the-experience-of-older-people-living-in-an-elderly-residential-home-panti-sosial-tresna-werdha-a-phenomenology
#16
Septirina Rahayu, Novy Helena Catharina Daulima, Yossie Susanti Eka Putri
OBJECTIVE: The aim of this study was to gain an overview of the experiences of older people living in an elderly residential home (Panti Sosial Tresna Werdha [PSTW]). METHOD: The study used qualitative method with the descriptive phenomenology approach. The participants consisted of six older people who live in institutions. Data were collected through in-depth interviews in accordance with the purpose of the research, and an analysis of the data from the interviews was performed using the analysis stage by Collaizi...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29644911/perceived-doctor-patient-relationship-and-satisfaction-with-general-practitioner-care-in-older-persons-in-residential-homes
#17
Claudia S de Waard, Antonius J Poot, Wendy P J den Elzen, Annet W Wind, Monique A A Caljouw, Jacobijn Gussekloo
OBJECTIVE: Understanding patient satisfaction from the perspective of older adults is important to improve quality of their care. Since patient and care variables which can be influenced are of specific interest, this study examines the relation between patient satisfaction and the perceived doctor-patient relationship in older persons and their general practitioners (GPs). DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: Older persons (n = 653, median age 87 years; 69...
April 12, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29643165/reoperation-after-breast-conserving-surgery-for-cancer-in-australia-statewide-cohort-study-of-linked-hospital-data
#18
Marina T van Leeuwen, Michael O Falster, Claire M Vajdic, Philip J Crowe, Sanja Lujic, Elizabeth Klaes, Louisa Jorm, Art Sedrakyan
OBJECTIVES: To investigate between-hospital variation in the probability of reoperation within 90 days of initial breast-conserving surgery (BCS), and the contribution of health system-level and other factors. DESIGN: Population-based, retrospective cohort study. SETTING: New South Wales (NSW), Australia. PARTICIPANTS: Linked administrative hospitalisation data were used to define a cohort of adult women undergoing initial BCS for breast cancer in NSW between 1 July 2002 and 31 December 2013...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29642656/socio-economic-disparities-and-difficulties-to-access-to-healthcare-services-among-canadian-children-with-neurodevelopmental-disorders-and-disabilities
#19
Sana Raouafi, Sofiane Achiche, Maxime Raison
Objectives: The aim of this study is to identify the association between levels of severity of nurodevelopmental disorders and disabilities (NDD/D) in children, their household socio-economic status (SES), and the frequency of visits to a healthcare provider; and (2) to examine how the severity of disability differs with these determinants among NDD/D subgroups, to make a social policy change and improve access to health care system. Methods: The data from the 2006 Participation and Activity Limitation Survey (PALS) on children (5-14y), collected by Statistics Canada, was analyzed (n= 7,072 and weighted n = 340,340)...
March 29, 2018: Epidemiology and Health
https://www.readbyqxmd.com/read/29642460/turning-the-co-production-corner-methodological-reflections-from-an-action-research-project-to-promote-lgbt-inclusion-in-care-homes-for-older-people
#20
Paul Willis, Kathryn Almack, Trish Hafford-Letchfield, Paul Simpson, Barbara Billings, Naresh Mall
Background : Older lesbian, gay, bisexual and trans (LGBT) residents are often invisible in long-term care settings. This article presents findings from a community-based action research project, which attempted to address this invisibility through co-produced research with LGBT community members. Particular Question: What conditions enable co-produced research to emerge in long-term residential care settings for older people? Aims of Project: To analyse outcomes and challenges of action-oriented, co-produced research in the given context...
April 7, 2018: International Journal of Environmental Research and Public Health
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