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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)...
September 27, 2016: Journal of the American Geriatrics Society
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
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
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
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
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
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...
2016: BMC Family Practice
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
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No abstract text is available yet for this article.
May 2016: Nursing New Zealand, Kai Tiaki
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
Katarzyna Szczerbińska, Eva Topinková, Piotr Brzyski, Henriette G van der Roest, Tomáš Richter, Harriet Finne-Soveri, Michael D Denkinger, Jacob Gindin, Graziano Onder, Roberto Bernabei
OBJECTIVES: To describe health care and preventive service provision to nursing home (NH) residents with diabetes mellitus (DM) and to analyze factors determining use of selected services. DESIGN: In the period between 2009 and 2011, the Services and Health for Elderly in Long TERm care (SHELTER) project, a 12-month prospective cohort study, was conducted to assess 4037 NH residents aged 60 years and older residing in 59 NHs in 7 European countries and Israel. METHODS: The InterRAI tool for long-term care facilities was used to assess care needs and provided health care services...
September 1, 2016: Journal of the American Medical Directors Association
Leonard C Gray, Farhad Fatehi, Melinda Martin-Khan, Nancye M Peel, Anthony C Smith
Small rural hospitals admit and manage older adults who, in city hospitals, would usually be offered geriatrician-supported comprehensive geriatric assessment and coordinated subacute care if required. Distance and diseconomies of scale prohibit access to the conventional in-person approach. A telegeriatric service model involving a geriatrician consulting remotely using wireless, mobile, high-definition videoconferencing; a trained host nurse at the rural site; structured geriatric assessment configured on a web-based clinical decision support system; routine weekly virtual rounds; and support from a local multidisciplinary team was established to overcome these barriers...
June 2016: Journal of the American Geriatrics Society
Haiyan Xie, Nancye M Peel, John P Hirdes, Jeff W Poss, Leonard C Gray
OBJECTIVES: To validate the Pressure Ulcer Risk Scale (PURS) to screen for pressure ulcer (PU) outcomes in the acute hospital setting. DESIGN: Secondary data analysis was undertaken using a combined dataset from three prospective cohort studies. SETTING: General medical, surgical, and orthopedic wards in 11 hospitals in two states of Australia. PARTICIPANTS: Individuals aged 70 and older admitted to the hospital for longer than 48 hours from July 2005 to May 2010 (N = 1418)...
June 2016: Journal of the American Geriatrics Society
Philip J Schluter, Annabel Ahuriri-Driscoll, Tim J Anderson, Paul Beere, Jennifer Brown, John Dalrymple-Alford, Timothy David, Andrea Davidson, Deborah A Gillon, John Hirdes, Sally Keeling, Simon Kingham, Cameron Lacey, Andrea K Menclova, Nigel Millar, Vince Mor, Hamish A Jamieson
OBJECTIVE: Since 2012, all community care recipients in New Zealand have undergone a standardised needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC). This study describes the national interRAI-HC population, assesses its data quality and evaluates its ability to be matched. METHODS: The interRAI-HC instrument elicits information on 236 questions over 20 domains; conducted by 1,800+ trained health professionals. Assessments between 1 July 2012 and 30 June 2014 are reported here...
August 2016: Australian and New Zealand Journal of Public Health
Dawn M Guthrie, Anja Declercq, Harriet Finne-Soveri, Brant E Fries, John P Hirdes
OBJECTIVES: Dual sensory impairment (DSI) is a combination of vision and hearing impairments that represents a unique disability affecting all aspects of a person's life. The rates of DSI are expected to increase due to population aging, yet little is known about DSI among older adults (65+). The prevalence of DSI and client characteristics were examined among two groups, namely, older adults receiving home care services or those residing in a long-term care (LTC) facility in four countries (Canada, US, Finland, Belgium)...
2016: PloS One
Shannon Freeman, John P Hirdes, Paul Stolee, John Garcia
This study examined the association between dyspnea and distress as experienced by both palliative home care clients and their informal caregivers as a unit of care. Cross-sectional analysis was conducted using the interRAI Palliative Care Assessment database. Responses from 6,655 individual palliative home care clients across six regional jurisdictions in Ontario, Canada were included. This study found that clients experiencing dyspnea were more likely to show overall signs of distress; report one or more signs of self-reported distress; and be at risk for depression when compared to clients who do not experience dyspnea...
January 2016: Journal of Social Work in End-of-life & Palliative Care
Jenna Armiento, Chloe A Hamza, Shannon L Stewart, Alan Leschied
BACKGROUND: Although exposure to direct forms of childhood maltreatment is among the most widely studied risk factors for nonsuicidal self-injury (NSSI), research on NSSI has largely overlooked the role of exposure to indirect forms of child maltreatment (i.e., witnessing domestic violence). To address this gap in the literature, the present study examined associations among both direct and indirect forms of child maltreatment and NSSI among clinically-referred children and youth. METHODS: Data was collected using the interRAI Child and Youth Mental Health Assessment (ChYMH) at ten mental health agencies...
August 2016: Journal of Affective Disorders
John N Morris, Elizabeth P Howard, Knight Steel, Katherine Berg, Achille Tchalla, Amy Munankarmi, Daniel David
BACKGROUND: According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e...
2016: BMC Geriatrics
Jean-Eric Tarride, Natasha Burke, William D Leslie, Suzanne N Morin, Jonathan D Adachi, Alexandra Papaioannou, Louis Bessette, Jacques P Brown, Louisa Pericleous, Sergei Muratov, Robert B Hopkins
BACKGROUND: To estimate the long-term change in health related quality of life (HRQoL) following low-trauma fractures among individuals receiving home care (HC) services or living in long-term care (LTC) facilities using linked healthcare administrative data from Ontario, Canada. METHODS: HRQoL was estimated using the Health Utility Index (HUI-2) with the InterRai Minimum Data Set (MDS), a mandatory questionnaire for LTC and HC in the province of Ontario (population 14 million)...
2016: BMC Geriatrics
Ju Young Yoon, Hongsoo Kim
BACKGROUND: Social engagement is known to be an important factor that affects the quality of life and the psychological well-being of residents in long-term care settings. Few studies have examined social engagement in long-term care facilities in non-Western countries. PURPOSE: This study aimed to evaluate the validity and reliability of the revised index for social engagement (RISE), which was derived from the Korean version of the interRAI Long Term Care Facilities instrument...
April 12, 2016: Journal of Nursing Research: JNR
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