keyword
https://read.qxmd.com/read/38528739/cognitive-and-emotional-impairment-in-stroke-survivors-insights-from-a-multi-center-study-on-inpatient-rehabilitation-therapy
#1
JOURNAL ARTICLE
Lihua Jin, Ying Zhao, Ting Ye, Ying He, Liqing Yao
BACKGROUND: Individuals recovering from stroke often experience cognitive and emotional impairments, but rehab programs tend to focus on motor skills. The aim of this investigation is to systematically assess the change of magnitude of cognitive and emotional function subsequent to a conventional rehabilitative protocol administered to stroke survivors within a defined locale in China. METHODS: This is a multicenter study; a total of 1884 stroke survivors who received in-hospital rehabilitation therapy were assessed on admission (T0) and discharge (T1)...
March 25, 2024: Brain Injury
https://read.qxmd.com/read/38454372/prevalence-country-specific-prescribing-patterns-and-determinants-of-benzodiazepine-use-in-community-residing-older-adults-in-7-european-countries
#2
JOURNAL ARTICLE
Anna Lukačišinová, Jindra Reissigová, Maja Ortner-Hadžiabdić, Jovana Brkic, Betul Okuyan, Daisy Volmer, Ivana Tadić, Pilar Modamio, Eduardo L Mariño, Konstantine Tachkov, Rosa Liperotti, Graziano Onder, Harriet Finne-Soveri, Hein van Hout, Elizabeth P Howard, Daniela Fialová
BACKGROUND: The use of benzodiazepines (BZDs) in older population is often accompanied by drug-related complications. Inappropriate BZD use significantly alters older adults' clinical and functional status. This study compares the prevalence, prescribing patterns and factors associated with BZD use in community-dwelling older patients in 7 European countries. METHODS: International, cross-sectional study was conducted in community-dwelling older adults (65 +) in the Czech Republic, Serbia, Estonia, Bulgaria, Croatia, Turkey, and Spain between Feb2019 and Mar2020...
March 7, 2024: BMC Geriatrics
https://read.qxmd.com/read/38427473/social-activity-and-cognitive-decline-in-older-residents-of-long-term-care-facilities-a-cohort-study
#3
JOURNAL ARTICLE
Milou J Angevaare, Jack A Pieters, Jos W R Twisk, Hein P J van Hout
BACKGROUND: Cognitive decline is a major reason for dependence and resource use in long-term care. OBJECTIVE: We explored whether social activities may prevent cognitive decline of older residents of long-term care facilities. METHODS: In a routine care cohort, 3,603 residents of long-term care facilities were assessed on average 4.4 times using the interRAI-Long-Term-Care-Facilities instrument which includes frequency of participation in social activities of long standing interest over the last 30 days and the Cognitive Performance Scale...
February 29, 2024: Journal of Alzheimer's Disease: JAD
https://read.qxmd.com/read/38412786/classification-of-traumatic-life-events-and-substance-use-among-persons-admitted-to-inpatient-psychiatry-in-ontario-canada
#4
JOURNAL ARTICLE
Danielle Fearon, Christopher M Perlman, Scott Leatherdale, John P Hirdes, Joel Dubin
BACKGROUND: Trauma is commonly overlooked or undiagnosed in clinical care settings. Undetected trauma has been associated with elevated substance use highlighting the need to prioritize identifying individuals with undetected trauma through common characteristics. OBJECTIVE: The purpose of this study is to identify classifications of traumatic life experiences and substance use among persons admitted to inpatient psychiatry in Ontario and to identify covariates associated with classification membership...
February 2, 2024: Journal of Psychiatric Research
https://read.qxmd.com/read/38408785/estimated-mortality-risk-and-use-of-palliative-care-services-among-home-care-clients-during-the-last-6-months-of-life-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Maya Murmann, Douglas G Manuel, Peter Tanuseputro, Carol Bennett, Michael Pugliese, Wenshan Li, Rhiannon Roberts, Amy T Hsu
BACKGROUND: In Canada, only 15% of patients requiring palliative care receive such services in the year before death. We describe health care utilization patterns among home care users in their last 6 months of life to inform care planning for older people with varying mortality risks and evolving care needs as they decline. METHODS: Using population health administrative data from Ontario, we performed a retrospective cohort study involving home care clients aged 50 years and older who received at least 1 interRAI (Resident Assessment Instrument) Home Care assessment between April 2018 and September 2019...
February 25, 2024: Canadian Medical Association Journal: CMAJ
https://read.qxmd.com/read/38366918/functional-recovery-in-older-adults-with-schizophrenia-a-national-interrai-study
#6
JOURNAL ARTICLE
Yoram Barak, S Fatemeh Sajjadi, Linda Hobbs, Tess Patterson
BACKGROUND: The concept of recovery for people with schizophrenia (PwS) is still a matter of debate. Growing numbers of PwS living to older age calls for examination of their disease trajectories with a focus on recovery. AIM: To compare two groups of PwS (good wellbeing; poor wellbeing) on several psychosocial variables associated with social wellbeing to identify interventions that support functional recovery. METHOD: Data was drawn from participants from across New Zealand (NZ), who had received a formal diagnosis of Schizophrenia; were living independently in the community, and who had undergone their first International Resident Assessment Instrument (interRAI) assessment from 2012 to 2022...
February 17, 2024: International Journal of Social Psychiatry
https://read.qxmd.com/read/38317589/a-multistate-transition-model-of-changes-in-loneliness-and-carer-stress-among-community-dwelling-older-adults-in-aotearoa-new-zealand
#7
JOURNAL ARTICLE
Rebecca Abey-Nesbit, Hans Ulrich Bergler, Sally Keeling, Deb Gillon, Irihapeti Bullmore, Philip J Schluter, Hamish Jamieson
OBJECTIVES: To identify changes in loneliness and carer stress between two time points for older people of different ethnicities who had repeated interRAI home care assessments. METHODS: Participants consisted of community-dwelling older adults across New Zealand who received two interRAI-HC assessments between 5 July 2012 and 31 December 2019. Two multistate models were developed: the first model was not lonely versus lonely, and the second model was no carer stress versus carer stress...
February 5, 2024: Australasian Journal on Ageing
https://read.qxmd.com/read/38178110/comparing-quality-indicator-rates-for-home-care-clients-receiving-palliative-and-end-of-life-care-before-and-during-the-covid-19-pandemic
#8
JOURNAL ARTICLE
Julia Kruizinga, Kathryn Fisher, Dawn Guthrie, Melissa Northwood, Sharon Kaasalainen
BACKGROUND: The consensus among Canadians with regards to end-of-life preferences is that with adequate support the majority prefer to live and die at home. PURPOSE: To compare quality indicator (QI) rates for home care clients receiving palliative and end-of-life care prior to and after the onset of the COVID-19 pandemic. METHODS: A retrospective population-based cohort design was used. Sixteen QIs informed by existing literature and a preliminary set of QIs recently evaluated by a modified Delphi panel were compared...
January 5, 2024: BMC Palliative Care
https://read.qxmd.com/read/38131104/multistate-competing-risk-analysis-of-transition-back-to-the-community-among-long-term-care-home-ltc-destined-patients-a-brief-report
#9
JOURNAL ARTICLE
Bonaventure A Egbujie, Jake Tran, John P Hirdes
OBJECTIVE: The demand for long-term care in community and facilitybased settings in Canada is expected to increase with population growth. The Toronto Grace Health Center piloted an intervention program that aims to support return to the community of acute hospital patients designated for LTC placement. We investigated whether this program was effective in transitioning the program patients back to their homes in the community and the factors associated with transitioning patients to different destinations...
2023: Journal of Primary Care & Community Health
https://read.qxmd.com/read/38115611/continuous-laxative-use-and-its-relationship-to-defecation-among-residents-of-nursing-homes-a-longitudinal-observational-study-using-the-interrai
#10
JOURNAL ARTICLE
Manami Takaoka, Ayumi Igarashi, Ayako Ninomiya, Tomoaki Ishibashi, Noriko Yamamoto-Mitani
AIM: To clarify the association between constipation, diarrhea, and long-term laxative use in Japanese nursing home residents. METHODS: Data from 306 residents with chronic constipation aged over 75 years for basic characteristics, medication use, activities of daily living, and concurrent illness were collected via two consecutive 6-monthly surveys conducted using the Japanese interRAI assessment tool. We used bivariate and multivariate analyses to examine the associations between chronic constipation, diarrhea, and continuous laxative use...
December 19, 2023: Geriatrics & Gerontology International
https://read.qxmd.com/read/38104633/falls-risk-in-long-term-care-residents-with-cognitive-impairment-effects-of-covid-19-pandemic
#11
JOURNAL ARTICLE
Gary Cheung, Kebede Beyene, Amy Hai Yan Chan, Bradley Alan Drayton, Hamish Jamieson, Mataroria Lyndon, Joanna Hikaka, Etuini Ma'u, Brigette Meehan, Xaviour Walker, Claudia Rivera-Rodriguez
OBJECTIVES: The aim of this study was to investigate the impact of the COVID-19 pandemic on falls rates in long-term care residents with cognitive impairment. DESIGN: An observational study using routinely collected national interRAI data. SETTING AND PARTICIPANTS: Participants were from long-term care residents (age ≥60 years) who received an interRAI Long Term Care Facility assessment anywhere in New Zealand between August 17, 2018, and August 16, 2022...
December 14, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38081326/predicting-60-day-mortality-in-a-home-care-service-development-of-a-new-inter-rai-49-frailty-index-in-patients-with-chronic-disease-and-without-a-cancer-diagnosis
#12
JOURNAL ARTICLE
Alessandro Morandi, Antonella Zambon, Matteo Crippa, Massimo Re, Luca Riva, Fabio Lombardi, Paolo Mazzola, Gianlorenzo Scaccabarozzi, Giuseppe Bellelli
OBJECTIVE: Frailty Index (FI) is used to define the level of frailty in various clinical settings. Fifteen- and 26-item FIs have been demonstrated to predict 1-year mortality and intensity of care in home care (HC) and palliative home care (PHC). The objective of this study was to develop a new FI to predict the 60-day risk of death or transition to a PHC service after the initiation of an HC service in patients with chronic disease and without a cancer diagnosis. DESIGN: Retrospective cohort study...
December 8, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38041046/development-and-validation-of-risk-of-cps-decline-rcd-a-new-prediction-tool-for-worsening-cognitive-performance-among-home-care-clients-in-canada
#13
JOURNAL ARTICLE
Dawn M Guthrie, Nicole Williams, Hannah M O'Rourke, Joseph B Orange, Natalie Phillips, M Kathleen Pichora-Fuller, Marie Y Savundranayagam, Rinku Sutradhar
BACKGROUND: To develop and validate a prediction tool, or nomogram, for the risk of a decline in cognitive performance based on the interRAI Cognitive Performance Scale (CPS). METHODS: Retrospective, population-based, cohort study using Canadian Resident Assessment Instrument for Home Care (RAI-HC) data, collected between 2010 and 2018. Eligible home care clients, aged 18+, with at least two assessments were selected randomly for model derivation (75%) and validation (25%)...
December 1, 2023: BMC Geriatrics
https://read.qxmd.com/read/38037101/resource-utilization-groups-in-transitional-home-care-validating-the-rug-iii-hc-case-mix-system-in-hospital-to-home-care-programs
#14
JOURNAL ARTICLE
Clara Bolster-Foucault, Paul Holyoke
BACKGROUND: Transitional hospital-to-home care programs support safe and timely transition from acute care settings back into the community. Case-mix systems that classify transitional care clients into groups based on their resource utilization can assist with care planning, calculating reimbursement rates in bundled care funding models, and predicting health human resource needs. This study evaluated the fit and relevance of the Resource Utilization Groups version III for Home Care (RUG-III/HC) case-mix classification system in transitional care programs in Ontario, Canada...
November 30, 2023: BMC Health Services Research
https://read.qxmd.com/read/38009567/comparing-approaches-to-determining-poor-oral-health-among-older-adults-in-a-national-survey
#15
JOURNAL ARTICLE
Alice J Horncastle, Taylor D Gauld, Moira B Smith, W Murray Thomson
OBJECTIVES: To compare the clinical validity of the three approaches in residential care facility residents. BACKGROUND: In NZ residential care facilities, the interRAI assessment tool is used by trained registered nurses for assessing oral status when new residents are admitted, but its validity has been questioned. Although Locker's global oral health item has been used to measure oral health in surveys and health services research, it is not routinely used in care facilities, yet its clinical validity has been demonstrated in population-based samples...
November 27, 2023: Gerodontology
https://read.qxmd.com/read/37994229/implementation-leadership-of-the-resident-assessment-instrument-in-healthcare-services-for-older-people-an-interview-study-of-specialists
#16
JOURNAL ARTICLE
Suvi Kuha, Pia Vähäkangas, Outi Kanste
AIM: The aim was to explore implementation leadership of the Resident Assessment Instrument in healthcare services for older people from the perspective of specialists. DESIGN: A qualitative descriptive design was used. METHODS: Thematic interviews with 21 specialists were conducted between April 2022 and June 2022 in eight health and social, one educational and one research organization in Finland. The data were analysed with deductive-inductive content analysis using the Resident Assessment Instrument implementation leadership framework developed for this study...
November 23, 2023: Journal of Advanced Nursing
https://read.qxmd.com/read/37974144/mapping-a-comprehensive-assessment-tool-to-a-holistic-definition-of-health-for-person-centred-care-planning-in-home-care-a-modified-edelphi-study
#17
JOURNAL ARTICLE
A Fowokan, J L Giosa, M Saari, P Holyoke
BACKGROUND: Researchers in the Netherlands proposed the Pillars for Positive Health (PPH) as a broadly encompassing health definition to support more realistic and meaningful care planning for people living with chronic disease and other life-long health conditions. The PPH was subsequently converted to the My Positive Health (MPH) spider web visualization tool. This study sought to identify opportunities for more person-centred care planning at the point of care in home care, using the MPH tool as a framework to link comprehensive assessment and dialogue-based goal-setting...
November 16, 2023: BMC Health Services Research
https://read.qxmd.com/read/37879684/exploring-older-care-recipients-sleep-status-as-a-predictor-for-informal-carer-distress-evidence-from-new-zealand-s-interrai-home-care-assessment-data
#18
JOURNAL ARTICLE
Rosemary Gibson, Rebecca Abey-Nesbit, Philippa Gander, Matthew Parsons
OBJECTIVES: Understanding factors affecting informal carers' well-being is important to support healthy ageing at home. Sleep disturbances of care recipients are increasingly recognised as affecting the well-being of both parties. This research assesses the relationship between indicators of care recipients' sleep status and carer distress, as well as carer distress with subsequent admission to residential aged care, using prospectively collected Home Care International Residential Assessment Instrument (interRAI-HC) assessment data...
October 24, 2023: BMJ Open
https://read.qxmd.com/read/37839468/functional-decline-in-long-term-care-homes-in-the-first-wave-of-the-covid-19-pandemic-a-population-based-longitudinal-study-in-five-canadian-provinces
#19
JOURNAL ARTICLE
Bonaventure A Egbujie, Luke A Turcotte, George A Heckman, John N Morris, John P Hirdes
OBJECTIVE: We aimed to examine whether functional decline accelerated during the first wave of the COVID-19 pandemic (March to June 2020) for persons in long-term care facilities (LTCs) in Canada compared with the pre-pandemic period. DESIGN: We conducted a population-based longitudinal study of persons receiving care in LTC homes in Canadian provinces before and during the COVID-19 pandemic. SETTING AND PARTICIPANTS: Residents in 1326 LTC homes within the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Ontario, and Saskatchewan between January 31, 2019, and June 30, 2020, with activities of daily living Hierarchy scale less than 6 and so, who still have potential for decline (6 being the worst of the 0-6 scale)...
October 12, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/37823022/neighborhood-resources-and-risk-of-cognitive-decline-among-a-community-dwelling-long-term-care-population-in-the-u-s
#20
JOURNAL ARTICLE
Min Hee Kim, Ruth Dunkle, Philippa Clarke
OBJECTIVE: To examine the associations between neighborhood resources (i.e., number of restaurants, recreation centers, or social services for seniors and persons with disability per land area) and cognitive decline among a community-dwelling long-term care population and whether they differ by baseline cognition status. STUDY DESIGN: Prospective longitudinal cohort study. METHODS: We used a longitudinal dataset that assessed over a two-year period older adults receiving state-funded home- and community-based services in Michigan Metropolitan areas (N = 9,802) and applied nonlinear mixed models with a random intercept with Poisson distribution...
December 2023: Public health in practice
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