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https://www.readbyqxmd.com/read/28277206/location-location-location-characteristics-and-services-of-long-stay-home-care-recipients-in-retirement-homes-compared-to-others-in-private-homes-and-long-term-care-homes
#1
Jeffrey W Poss, Chi-Ling Joanna Sinn, Galina Grinchenko, Jane Blums, Tom Peirce, John Hirdes
We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28129493/antipsychotic-drug-interactions-and-mortality-among-nursing-home-residents-with-cognitive-impairment
#2
Rosa Liperoti, Federica Sganga, Francesco Landi, Eva Topinkova, Michael D Denkinger, Henriëtte G van der Roest, Andrea D Foebel, Harriet Finne-Soveri, Roberto Bernabei, Graziano Onder
OBJECTIVE: Among elderly individuals with dementia, the use of antipsychotics has been associated with serious adverse events including ischemic stroke and death. Multiple medications can interact with antipsychotics and increase the risk of such adverse events. The purpose of this retrospective, longitudinal cohort study was to estimate the prevalence of potential antipsychotic drug interactions and their effect on increasing the risk of death among cognitively impaired elderly individuals treated with antipsychotics...
January 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28122563/the-child-and-youth-mental-health-assessment-chymh-an-examination-of-the-psychometric-properties-of-an-integrated-assessment-developed-for-clinically-referred-children-and-youth
#3
Shannon L Stewart, Chloe A Hamza
BACKGROUND: The Child and Youth Mental Health (ChYMH) assessment system was developed by interRAI (i.e., an international collective of researchers and clinicians from over thirty countries) in response to the unprecedented need for a coordinated approach to delivery of children's mental health care. Many interRAI instruments are used across Canada and internationally, but the ChYMH represents the first assessment specifically for children and youth. In the present paper, a short overview of the development process of the ChYMH is provided, and then the psychometric properties of several embedded scales on the ChYMH are examined...
January 26, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28086754/making-the-most-of-mealtimes-m3-protocol-of-a-multi-centre-cross-sectional-study-of-food-intake-and-its-determinants-in-older-adults-living-in-long-term-care-homes
#4
Heather H Keller, Natalie Carrier, Susan Slaughter, Christina Lengyel, Catriona M Steele, Lisa Duizer, K Steve Brown, Habib Chaudhury, Minn N Yoon, Alison M Duncan, Veronique M Boscart, George Heckman, Lita Villalon
BACKGROUND: Older adults living in long term care (LTC) homes are nutritionally vulnerable, often consuming insufficient energy, macro- and micronutrients to sustain their health and function. Multiple factors are proposed to influence food intake, yet our understanding of these diverse factors and their interactions are limited. The purpose of this paper is to fully describe the protocol used to examine determinants of food and fluid intake among older adults participating in the Making the Most of Mealtimes (M3) study...
January 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28077831/-effects-of-home-care-services-use-by-older-adults-on-family-caregiver-distress
#5
Jiyeon Kim, Hongsoo Kim
PURPOSE: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. METHODS: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea...
December 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/27891520/short-term-lifestyle-strategies-for-sustaining-cognitive-status
#6
MULTICENTER STUDY
Elizabeth P Howard, John N Morris, Knight Steel, Kelley A Strout, Brant E Fries, Alice Moore, Vjenka Garms-Homolová
Cognitive decline impacts older adults, particularly their independence. The goal of this project was to increase understanding of how short-term, everyday lifestyle options, including physical activity, help an older adult sustain cognitive independence. Using a secondary analysis of lifestyle choices, we drew on a dataset of 4,620 community-dwelling elders in the US, assessed at baseline and one year later using 2 valid and reliable tools, the interRAI Community Health Assessment and the interRAI Wellness tool...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27871235/development-of-the-interrai-home-care-frailty-scale
#7
John N Morris, Elizabeth P Howard, Knight R Steel
BACKGROUND: The concept of frailty, a relative state of weakness reflecting multiple functional and health domains, continues to receive attention within the geriatrics field. It offers a summary of key personal characteristics, providing perspective on an individual's life course. There have been multiple attempts to measure frailty, some focusing on physiologic losses, others on specific diseases, disabilities or health deficits. Recently, multidimensional approaches to measuring frailty have included cognition, mood and social components...
November 21, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27859762/death-wishes-among-older-people-assessed-for-home-support-and-long-term-aged-residential-care
#8
Gary Cheung, Siobhan Edwards, Frederick Sundram
OBJECTIVE: Death wishes in older people are common and may progress to suicidal ideation and attempts. This study used routinely collected data from the interRAI Home Care assessment to examine the prevalence and clinical predictors of death wishes in older New Zealanders assessed for home support and long-term aged residential care. METHODS: Data were collected from 35 734 people aged over 65 during 2012-2014. Chi-squared analyses were used to determine significant relationships between the presence of death wishes and demographic factors, health and functional status, and emotional and psychosocial well-being...
November 17, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27813416/social-and-functional-health-of-home-care-clients-with-different-levels-of-cognitive-impairments
#9
Vjenka Garms-Homolová, Nanna Notthoff, Anja Declercq, Henriette G van der Roest, Graziano Onder, Pálmi Jónsson, Hein van Hout
OBJECTIVES: The ability to manage one's life with some degree of independence, to fulfill basic obligations, and to participate in social activities are social functions that delineate the core of 'social health'. We examine to what extent clients of community care in Europe (n = 2884) complete such activities despite their cognitive problems. We focus on mildly and moderately impaired people, aged 65+ years. METHODS: Data were collected using the interRAI HC-Assessment in IBenC-project...
January 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/27778373/urinary-incontinence-but-not-fecal-incontinence-is-a-risk-factor-for-admission-to-aged-residential-care-of-older-persons-in-new-zealand
#10
Philip J Schluter, Charlotte Ward, Edwin P Arnold, Richard Scrase, Hamish A Jamieson
AIMS: To determine if urinary incontinence (UI) and fecal incontinence (FI) were independent risk factors for aged resident care (ARC) admissions for older people, after controlling for confounders and applying apposite statistical methods. METHODS: Since 2012, all community care recipients in New Zealand have undergone a standardized needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC). The interRAI-HC instrument elicits information on 236 questions over 20 domains, including UI and FI frequency within the last 3 days...
October 24, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27676585/exploring-home-care-interventions-for-frail-older-people-in-belgium-a-comparative-effectiveness-study
#11
Johanna de Almeida Mello, Anja Declercq, Sophie Cès, Thérèse Van Durme, Chantal Van Audenhove, Jean Macq
OBJECTIVES: To examine the effects of home care interventions for frail older people in delaying permanent institutionalization during 6 months of follow-up. DESIGN: Longitudinal quasi-experimental research study, part of a larger study called Protocol 3. SETTING: Community care in Belgium. PARTICIPANTS: Frail older adults who received interventions (n = 4,607) and a comparison group of older adults who did not (n = 3,633)...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27647789/convergent-validity-concurrent-validity-and-diagnostic-accuracy-of-the-interrai-depression-rating-scale
#12
Katherine Penny, Alex Barron, Ann-Marie Higgins, Susan Gee, Matthew Croucher, Gary Cheung
AIMS: Depression Rating Scale (DRS) is one of the clinical outcome measures of the International Resident Assessment Instrument (interRAI) assessment. The primary aim of this study is to investigate the diagnostic accuracy and concurrent validity of the 3-day assessment window version of the DRS. METHODS: The performance of DRS was compared with a gold standard clinical diagnosis of depression in 92 patients (age ≥65) who had interRAI version 9.1 Home Care assessment completed within 30 days of discharge from psychogeriatric inpatient care or memory clinic assessment...
September 19, 2016: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/27591445/-the-prevalence-of-chronic-diseases-and-geriatric-problems-a-comparison-of-nursing-home-residents-in-the-skilled-and-nonskilled-long-term-care-facilities-in-poland
#13
COMPARATIVE STUDY
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
August 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27590650/-the-prevalence-of-chronic-diseases-and-geriatric-problems-a-comparison-of-nursing-home-residents-in-the-skilled-and-nonskilled-long-term-care-facilities-in-poland
#14
REVIEW
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
July 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27590402/anticholinergic-medication-burden-and-5-year-risk-of-hospitalization-and-death-in-nursing-home-elderly-residents-with-coronary-artery-disease
#15
Davide L Vetrano, Domenico La Carpia, Giulia Grande, Paola Casucci, Tiziana Bacelli, Roberto Bernabei, Graziano Onder
OBJECTIVES: To assess the association of the anticholinergic medication burden with hospitalization and mortality in nursing home elderly patients and to investigate the role of coronary artery disease (CAD). DESIGN: Longitudinal (5-year) retrospective observational study. SETTING: Nursing homes in Italy. PARTICIPANTS: A total of 3761 nursing home older residents. MEASUREMENTS: A comprehensive clinical and functional assessment was carried out through the interRAI long-term care facility instrument...
August 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27561315/convergent-validity-of-the-interrai-hc-for-societal-costs-estimates-in-comparison-with-the-rud-lite-instrument-in-community-dwelling-older-adults
#16
Lisanne I van Lier, Henriëtte G van der Roest, Hein P J van Hout, Liza van Eenoo, Anja Declercq, Vjenka Garms-Homolová, Graziano Onder, Harriet Finne-Soveri, Pálmi V Jónsson, Cees M P M Hertogh, Judith E Bosmans
BACKGROUND: The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care and service needs, resource utilisation and health outcomes of community dwelling home care clients. Potentially, the interRAI-HC can also be used to calculate societal costs in economic evaluations. The purpose of this study was to assess the convergent validity of the interRAI-HC instrument in comparison with the RUD Lite instrument for the calculation of societal costs among care-dependent community dwelling older adults...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27488562/comparison-of-10-single-and-stepped-methods-to-identify-frail-older-persons-in-primary-care-diagnostic-and-prognostic-accuracy
#17
Fleur L Sutorius, Emiel O Hoogendijk, Bernard A H Prins, Hein P J van Hout
BACKGROUND: Many instruments have been developed to identify frail older adults in primary care. A direct comparison of the accuracy and prevalence of identification methods is rare and most studies ignore the stepped selection typically employed in routine care practice. Also it is unclear whether the various methods select persons with different characteristics. We aimed to estimate the accuracy of 10 single and stepped methods to identify frailty in older adults and to predict adverse health outcomes...
August 3, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27468117/usefulness-feasibility-and-face-validity-of-the-interrai-palliative-care-instrument-according-to-care-professionals-in-nursing-homes-a-qualitative-study
#18
Kirsten Hermans, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove, Anja Declercq
BACKGROUND: Nursing homes are important locations for palliative care. High quality palliative care requires an evaluation of the different care needs of the nursing home residents. The interRAI Palliative Care instrument is a comprehensive assessment that evaluates the needs and preferences of adults receiving palliative care. OBJECTIVES: This study aims to evaluate the usefulness, feasibility and face validity of the interRAI Palliative Care instrument. DESIGN: A qualitative study was conducted, based on the abductive reasoning approach...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27396078/aged-care-national-interrai-service-to-be-established
#19
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Nursing New Zealand, Kai Tiaki
https://www.readbyqxmd.com/read/27373672/adverse-outcomes-in-relation-to-polypharmacy-in-robust-and-frail-older-hospital-patients
#20
Arjun Poudel, Nancye M Peel, Lisa M Nissen, Charles A Mitchell, Leonard C Gray, Ruth E Hubbard
OBJECTIVE: To explore the relationship between polypharmacy and adverse outcomes among older hospital inpatients stratified according to their frailty status. DESIGN AND SETTING: A prospective study of 1418 patients, aged 70 and older, admitted to 11 hospitals across Australia. MEASUREMENTS: The interRAI Acute Care (AC) assessment tool was used for all data collection, including the derivation of a frailty index calculated using the deficit accumulation method...
August 1, 2016: Journal of the American Medical Directors Association
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