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https://www.readbyqxmd.com/read/28635539/an-old-challenge-with-new-promises-a-systematic-review-on-comprehensive-geriatric-assessment-in-long-term-care-facilities
#1
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 the 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 the settings where the CGA is performed [i.e., hospital, post-hospital discharge/ long-term care facilities (LTCF), or community/home] as well as the specific clinical conditions of older frail individuals...
June 21, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28625085/enjoyable-company-in-sharing-stroke-experiences-lifestyle-groups-after-stroke
#2
Anne Lund, Mali Melhus, Unni Sveen
BACKGROUND: Even people with mild to moderate stroke will experience changes in their abilities to perform everyday occupations. Group interventions may be appropriate in late-stage rehabilitation. The aim of this study was to explore how the participants involved themselves in person-centered lifestyle groups after stroke in Norway. METHOD: Semi-structured interviews were performed with six older adults with mild-to-moderate stroke who had participated in lifestyle groups over a period of nine months...
June 19, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28623155/care-toward-the-end-of-life-in-older-populations-and-its-implementation-facilitators-and-barriers-a-scoping-review
#3
REVIEW
Diane Erin Threapleton, Roger Y Chung, Samuel Y S Wong, Eliza L Y Wong, Nicole Kiang, Patsy Y K Chau, Jean Woo, Vincent C H Chung, Eng Kiong Yeoh
PURPOSE: To inform health system improvements for care of elderly populations approaching the end of life (EOL) by identifying important elements of care and implementation barriers and facilitators. DESIGN: A scoping review was carried out to identify key themes in EOL care. Articles were identified from MEDLINE, the Cochrane Library, organizational websites, and internet searches. Eligible publications included reviews, reports, and policy documents published between 2005 and 2016...
June 13, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28621146/dissociation-of-executive-and-attentional-elements-of-the-digit-span-task-in-a-population-of-older-adults-a-latent-class-analysis
#4
Denise R LaBelle, Bern G Lee, Justin B Miller
The prevailing model for working memory proposes the existence of a "central executive" responsible for coordinating and prioritizing incoming information from sensory and association cortices. The Digit Span task is commonly used by clinicians to parse attentional and executive components of working memory; however, the interrelatedness of these constructs in the context of advanced age and neurodegenerative disease remains an area of active investigation. The current study details a procedure and rationale for the use of latent class analysis, a data-driven, person-centered method, in the investigation of older adults and dementia...
June 1, 2017: Assessment
https://www.readbyqxmd.com/read/28611875/patient-perspectives-on-accessing-acute-illness-care
#5
Mary K Finta, Amy Borkenhagen, Nicole E Werner, Joyce Duckles, Craig R Sellers, Sandhya Seshadri, Denise Lampo, Manish N Shah
INTRODUCTION: Older adults use the emergency department (ED) at high rates, including for illnesses that could be managed by their primary care providers (PCP). Policymakers have implemented barriers and incentives, often financial, to try to modify use patterns but with limited success. This study aims to understand the factors that influence older adults' decision to obtain acute illness care from the ED rather than from their PCPs. METHODS: We performed a qualitative study using a directed content analysis approach from February to October 2013...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28609690/what-do-we-know-about-child-abuse-and-neglect-patterns-of-co-occurrence-a-systematic-review-of-profiling-studies-and-recommendations-for-future-research
#6
REVIEW
Agata Debowska, Dominic Willmott, Daniel Boduszek, Adele D Jones
Latent class (LCA) and latent profile (LPA) analysis represent methodological approaches to identify subgroups of maltreated individuals. Although research examining child abuse and neglect (CAN) profiles is still rare, the application of person-centered techniques to clarify CAN types co-occurrence has substantially increased in recent years. Therefore, the aim of the present study was to provide a summary and critical evaluation of the findings of LCA/LPA child maltreatment research to: (a) systemize the current understanding of patterns of maltreatment across populations and (b) elucidate interactive effects of CAN types on psychosocial functioning...
June 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28608769/rights-based-and-person-centered-approaches-to-supporting-people-with-intellectual-disability-a-dialectical-model
#7
Stephen Glicksman, Chaim Goldberg, Corey Hamel, Ryan Shore, Avraham Wein, Daniel Wood, Joseph Zummo
Protecting human rights has increasingly become a focus of regulation regarding individuals with Intellectual Disability (ID). While this focus on rights has succeeded in protecting people with ID from many of the most insidious abuses of the past, an over-emphasis on the human rights of people with ID while ignoring other aspects of their personalities and environments can create challenges. This article proposes the use of a dialectical model to address challenges raised by the relationship between two equally valid but often unequally considered approaches, namely, rights-based and person-centered...
June 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28605167/older-adult-residents-perceptions-of-daily-lives-in-nursing-homes
#8
Eunhee Cho, Hyejin Kim, Jeongah Kim, Kyongeun Lee, Salimah H Meghani, Soo Jung Chang
PURPOSE: This study aimed to explore older adults' perceptions of their daily lives in South Korean nursing homes. DESIGN: We employed a qualitative descriptive study using semistructured interviews. METHODS: We conducted individual, semistructured interviews with 21 older adult residents from five nursing homes in South Korea and analyzed the data using thematic analysis. FINDINGS: Five themes related to older adults' perceptions of their daily lives in nursing homes emerged: enhanced comfort, aspiring to maintain physical and cognitive functions as human beings, desire for meaningful interpersonal relationships, feelings of confinement and limited autonomy, and acceptance of and adaptation to life in a facility...
June 12, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28586520/registered-nurses-and-nurse-assistants-responses-to-older-persons-expressions-of-emotional-needs-in-home-care
#9
Jessica Höglander, Jakob Håkansson Eklund, Hilde Eide, Inger K Holmström, Annelie J Sundler
AIM: This study aims to explore nurse assistants' and registered nurses' responses to older persons' expressions of emotional needs during home care visits. BACKGROUND: Communication is a central aspect of care. Older persons might express different emotions and needs during home care visits and such expressions can be challenging to respond to. Little is known about communication in home care or nursing staff responses to older persons' expressed emotional needs...
June 6, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28585054/the-effects-of-person-centered-or-other-supportive-interventions-in-older-women-with-osteoporotic-vertebral-compression-fractures-a-systematic-review-of-the-literature
#10
REVIEW
H K Svensson, L -E Olsson, T Hansson, J Karlsson, E Hansson-Olofsson
Vertebral compression fracture (VCF) is a common fragility fracture and the starting point of a lasting, painful, disabling condition. The aim was to summarize evidence of person-centered/non-medical interventions supporting women with VCF. Results show small numbers of studies with only probable effect on function, pain, QoL, fear of falling, and psychological symptoms. The vertebral compression fracture (VCF) caused by osteoporosis is the third most common fragility fracture worldwide. Previously, it was believed that the pain caused by VCF was self-subsiding within weeks or a few months post-fracture...
June 6, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28584892/coping-profiles-and-subjective-well-being-among-people-living-with-hiv-less-intensive-coping-corresponds-with-better-well-being
#11
Marcin Rzeszutek, Ewa Gruszczyńska, Ewa Firląg-Burkacka
PURPOSE: The aim of this study was to investigate the relationship between coping strategies and subjective well-being (SWB) among people living with HIV (PLWH) using the latent profile analysis (LPA) with control for socio-medical covariates. METHODS: The sample comprised five hundred and thirty people (N = 530) with a confirmed diagnosis of HIV+. The study was cross-sectional with SWB operationalized by satisfaction with life (Satisfaction with Life Scale) and positive and negative affect (PANAS-X)...
June 5, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28583385/person-centered-trajectories-of-cultural-values-and-behaviors-among-chinese-american-adolescents
#12
Moin Syed, Linda P Juang
This study examined change in acculturation values and behavior among 310 Chinese American adolescents, and how patterns of change were related to key demographic variables and indicators of positive youth development. Dual process group-based trajectory models of change in U.S. and Chinese values and behaviors indicated a six-group solution for each. The results showed that acculturation value patterns were not related to gender, nativity, or parent education, but were related to family cohesion, self-esteem, general and academic self-efficacy, and GPA...
June 2, 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28577358/sensitivity-of-alternative-measures-of-functioning-and-wellbeing-for-adults-with-sickle-cell-disease-comparison-of-promis%C3%A2-to-ascq-me%C3%A2
#13
San Keller, Manshu Yang, Marsha J Treadwell, Kathryn L Hassell
BACKGROUND: Sickle Cell Disease (SCD) causes profound suffering and decrements in daily functioning. Demand is growing for valid and reliable measures to systematically document these effects, particularly in adults. The Adult Sickle Cell Quality of Life Measurement System, ASCQ-Me℠, was developed for this purpose. ASCQ-Me℠ is one of four measurement systems housed within the Person-Centered Assessment Resource (PCAR), funded by the National Institutes of Health, to support clinical research...
June 2, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28575376/managing-person-centered-dementia-care-in-an-assisted-living-facility-staffing-and-time-considerations
#14
Sandra F Simmons, Chris S Coelho, Andrew Sandler, Avantika S Shah, John F Schnelle
Background and Objectives: To describe (a) the unlicensed staff time necessary to provide quality activities of daily living (ADL) care to residents receiving dementia care within an assisted living facility and (b) a staff management approach to maintain quality ADL care. Research Design and Methods: Supervisory staff used a standardized observational method to measure ADL care quality and the staff time to provide care during the morning and evening across 12 consecutive months...
June 2, 2017: Gerontologist
https://www.readbyqxmd.com/read/28573518/the-importance-of-family-history-in-breast-cancer-patients-in-primary-care-setting-a-cross-sectional-study
#15
Mehtap Kartal, Nilgun Ozcakar, Sehnaz Hatipoglu, Makbule Neslisah Tan, Azize Dilek Guldal
Screening recommendations of physicians are important for women to raise awareness about their risk factors and to promote appropriate screening behaviors. However, it seems challenging for primary care physicians (PCPs) to balance disease prevention and diagnosis, treatment. The objective of this study was to describe physicians' breast cancer consultancy practice including family history, cancer prevention issues for the women they care. This cross-sectional study included 577 women aged above 45 years, free of breast cancer, during their visits to their PCPs...
June 1, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28558738/understanding-knee-osteoarthritis-from-the-patients-perspective-a-qualitative-study
#16
Victoria Carmona-Terés, Jenny Moix-Queraltó, Enriqueta Pujol-Ribera, Iris Lumillo-Gutiérrez, Xavier Mas, Enrique Batlle-Gualda, Milena Gobbo-Montoya, Lina Jodar-Fernández, Anna Berenguera
BACKGROUND: No studies of Health Coach Interventions for knee OA sufferers that include patients' perspectives have been published. The study assesses current clinical practice and primary care professionals' advice from the patients' perspective, in order to obtain a participative design for a complex intervention based on coaching psychology. Moreover, wants to analyse the experiences, perceptions, cognitive evaluation, values, emotions, beliefs and coping strategies of patients with knee osteoarthritis, and secondly the impact of these factors in the Self-management of this condition...
May 30, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28557179/cancer-patients-perceptions-of-quality-of-care-attributes-associations-with-age-perceived-health-status-gender-and-education
#17
Riitta Suhonen, Minna Stolt, Agneta Berg, Jouko Katajisto, Chrysoula Lemonidou, Elisabeth Patiraki, Katarina Sjövall, Andreas Charalambous
AIM: The aim of this study was to explore the associations between patients' gender, education, health status in relation to: assessments of patient-centered quality and individuality in care and trust in nurses for those <65, (working age) and ≥65 years (older people). BACKGROUND: Patients' assessments of the quality of care they receive is essential for the development of the provision of patient care and services. Previous studies have revealed age of the patient is associated with their assessment of care quality attributes...
May 30, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28556870/person-centered-dementia-care-in-the-community-a-perspective-from-the-united-kingdom
#18
Murna Downs, Kathryn Lord
Dementia is a global concern. Although effort is being put toward finding a cure, many advances have been made in ensuring excellence in dementia care. In the United Kingdom, the concept of person-centered dementia care has transformed what is expected for individuals with dementia. Now embraced in national policy in the United Kingdom, it was pioneered by Thomas Kitwood and Kathleen Bredin and driven by a concern for the quality of care for individuals with dementia in care homes. The purpose of the current article is to describe key concepts of Kitwood's pioneering work in person-centered dementia care and to use them to inform current community-based supports and services for individuals with dementia in their own homes, whether alone or with family carers...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28539192/shared-decision-making-and-the-promise-of-a-respectful-and-equitable-healthcare-system-in-peru
#19
Germán Málaga, Zoila O Romero, Ariana S Málaga, Sofia Cuba-Fuentes
Peru has achieved sustained development in the last two decades. However, despite this achievement, it has not been matched with improvements in the quality of education and health; investment in both sectors is among the lowest in the region. This situation perpetuates huge gaps in infrastructure and also conditions a poor literacy level of the population specifically in health. Currently, there is a fragmented model of patient care, in which the systems are exclusive of each other. They do not cooperate or communicate with each other; and if there is no vertical communication within the system, preventing referral of patients directly from the basic level to the complex level of care when needed...
May 20, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28535476/examination-of-polytrauma-typologies-a-latent-class-analysis-approach
#20
Erin Sullivan, Ateka A Contractor, Monica M Gerber, Craig Neumann
Potentially traumatizing events (PTE) are highly prevalent, and are associated with detrimental effects on psychological health, including increased risk of posttraumatic stress disorder (PTSD). Multiple endorsed PTEs (polytraumatization) may have even greater effects on a person's health than the impact of a single index event. To better understand patterns of polytraumatization, person-centered analytic techniques such as Latent class analysis (LCA) are recommended. The current study used LCA to explore latent subgroupings of people based on their endorsement of PTEs, thus defining patterns in PTE exposure...
May 17, 2017: Psychiatry Research
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