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https://www.readbyqxmd.com/read/29450736/health-and-quality-of-life-differ-between-community-living-older-people-with-and-without-remaining-teeth-who-recently-received-formal-home-care-a-cross-sectional-study
#1
A R Hoeksema, L L Peters, G M Raghoebar, H J A Meijer, A Vissink, A Visser
OBJECTIVE: To assess oral health, health, and quality of life (QoL) of care-dependent community-living older people with and without remaining teeth who recently received formal home care. MATERIALS AND METHODS: For this cross-sectional observational study, community-living older people (≥ 65 years), who recently (< 6 months) received formal home care, were interviewed with validated questionnaires and underwent an oral examination. Oral health, general health, medicines usage, frailty (Groningen Frailty Indicator), cognition (Minimal Mental State Examination), QoL (RAND 36), and oral health-related QoL (Oral Health Impact Profile-14) were assessed...
February 15, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29446115/iatrogenic-risk-factors-associated-with-hospital-readmission-of-elderly-patients-a-matched-case-control-study-using-a-clinical-data-warehouse
#2
C Schwab, V Korb-Savoldelli, J B Escudie, C Fernandez, P Durieux, O Saint-Jean, B Sabatier
WHAT IS KNOWN: Hospital readmission within 30 days of patient discharge has become a standard to judge the quality of hospitalizations. It is estimated that 14% of the elderly, people over 75 years old or those over 65 with comorbidities, are at risk of readmission, of which 23% are avoidable. It may be possible to identify elderly patients at risk of readmission and implement steps to reduce avoidable readmissions. OBJECTIVE: The aim of this study was to identify iatrogenic risk factors for readmission...
February 14, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29426793/-widowhood-loneliness-and-health-in-old-age
#3
Juan López Doblas, María Del Pilar Díaz Conde
INTRODUCTION: Elderly people are one of the most vulnerable groups in the population as regards loneliness, especially among those living alone. This paper aims to assess the impact of the feeling of loneliness on the elderly, taking into account that the loss of a spouse is the main reason that triggers this feeling. MATERIAL AND METHODS: Findings are presented from a qualitative study conducted in Spain. Data were gathered using a focus group approach (8 focus groups, differentiated by gender and place of residence)...
February 6, 2018: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/29405015/-role-of-visiting-nursing-care-in-japanese-home-healthcare
#4
Sang-Ju Yu
Taiwan's rapidly aging society is expected to make it a super-aged society in 2026. By 2060, people aged 65 or older will account for 40% of the population, a ratio that will approximate that in Japan. In Japan, the elderly population was 27.3% in 2016. By 2025, when the baby-boomers become 75 years old in Japan, issues of long-term care and end-of-life care will be more important and challenging. Since 1976, more Japanese have died in hospital settings than in home settings. Although the percentage of people dying at home increased slightly to 12...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29405014/-sharing-perspectives-on-home-healthcare
#5
Pi-Shan Hsu, Jui-An Chen, Yu-Tso Chen, Han-Ming Wu, Szu-Ying Lee, Chung-Liang Lai
The baby boom after World War II, coupled with the rapid advances in medical technology and public health, has led to the current rapid aging in the world's population. Countries in Asia are experiencing a faster rate of aging than most other countries around the world. Taiwan is expected to advance from an aged society to a super-aged society in the next 7~10 years. Consequently, the demand for long-term care is increasing. The focus of healthcare has changed from acute to chronic, from disease-oriented to function-oriented and from cure to care...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29402648/treatment-of-cardiovascular-diseases-among-elderly-residents-of-long-term-care-facilities
#6
Anna Kańtoch, Barbara Gryglewska, Jadwiga Wójkowska-Mach, Piotr Heczko, Tomasz Grodzicki
BACKGROUND: The prevalence of cardiovascular diseases among nursing home residents is high but little is known whether pharmacologic therapy recommended by actual medication guidelines is followed by facility's staff. AIM: To evaluate the adherence to actual guidelines for treatment of cardiovascular diseases among older adult residents of long-term care (LTC) facilities. MATERIAL AND METHODS: The cross-sectional study was performed from December 2009 to November 2010 among 189 elderly residents aged ≥60 years in 3 LTC facilities in Poland: 1 long-term care hospital (LTCH) and 2 nursing homes (NHs)...
February 2, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29393807/health-care-service-use-among-elderly-seasonal-migrators
#7
Molly Moore Jeffery, Julian Wolfson, Sarah K Meier, Bryan E Dowd, Jean M Abraham, Robert L Kane
Elderly seasonal migrators share time between homes in different states, presenting challenges for care coordination and patient attribution methods. Medicare has prioritized alternative payment models, putting health care providers at risk for quality and value of services delivered to their attributed patients, regardless of the location of care. Little research is available to guide providers and payers on the service use of seasonal migrators. The authors use claims data on fee-for-service (FFS) Medicare beneficiaries' locations throughout the year to (1) identify seasonal migrators and (2) describe the care they receive in each seasonal home, focusing on primary care and emergency department (ED) visits and the relationships between the two...
February 2, 2018: Population Health Management
https://www.readbyqxmd.com/read/29392865/improving-nutritional-discharge-planning-and-follow-up-in-older-medical-inpatients-hospital-to-home-outreach-for-malnourished-elders
#8
Adrienne M Young, Alison M Mudge, Merrilyn D Banks, Lauren Rogers, Kristen Demedio, Elisabeth Isenring
AIM: Nutritional decline during and after acute hospitalisation is common amongst older people. This quality improvement initiative aimed to introduce a dietitian-led discharge planning and follow-up program (Hospital to Home Outreach for Malnourished Elders, HHOME) at two hospitals within usual resources to improve nutritional and functional recovery. METHODS: Prospective pre-post evaluation design was used. Medical patients aged 65+ years at-risk of malnutrition and discharged to independent living were eligible...
February 2, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29386027/the-effect-of-informal-caregiver-support-on-utilization-of-acute-health-services-among-home-care-clients-a-prospective-observational-study
#9
Robert Abtan, Nooshin Khobzi Rotondi, Alison Macpherson, Michael Anthony Rotondi
BACKGROUND: Emergency department visits and hospitalizations (EDVH) place a large burden on patients and the health care system. The presence of informal caregivers may be beneficial for reducing EDVH among patients with specific diagnoses. Our objective was to determine whether the presence of an informal caregiver was associated with the occurrence of an EDVH among clients 50 years of age or older. METHODS: Using a database accessed through the Toronto Central Community Care Access Centre (CCAC), we identified 479 adults over 50 years of age who received home care in Toronto, Canada...
January 31, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29384296/-design-an-educational-intervention-to-prevent-falls-of-older-people-in-social-housing-description-of-a-research-method
#10
Frédérique Trevidy, Jacques Wolfrom, Georges Sebbane, Guillaume Brugidou, Denis Bonnetin, Rémi Gagnayre
INTRODUCTION: In a social environment in which prevention of falls in older people has become a public health issue, adaptation of housing for older people is particularly important. Based on the home-identity concept, the objective of this research was to design an educational model specifically adapted to the context of a Social Housing Company (SHC), focussing on elderly tenants who have experienced a fall in order to allow them to adapt their lodgings and avoid subsequent falls. METHOD: This article describes design-based research (DBR), which enabled the research committee (composed of professionals, tenants, and researchers) to construct the educational intervention based on analysis of the SHC context...
December 5, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29373187/the-use-of-preventable-hospitalization-for-monitoring-the-performance-of-local-health-authorities-in-long-term-care
#11
Andelija Arandelovic, Anna Acampora, Bruno Federico, Francesco Profili, Paolo Francesconi, Walter Ricciardi, Gianfranco Damiani
OBJECTIVE: The objective of the study was to examine whether there are differences in the performance of long-term care programs between local health authorities, using preventable hospitalization as an indicator. METHODS: A retrospective cohort study compared the rate of preventable hospitalization for local health authorities in Tuscany (Italy) between January 2012 and September 2016. Several administrative datasets for the patients in long-term care programs were linked at the individual (patient) level...
January 12, 2018: Health Policy
https://www.readbyqxmd.com/read/29372056/home-exercise-improves-the-quality-of-sleep-and-daytime-sleepiness-of-elderlies-a-randomized-controlled-trial
#12
Glauber Sá Brandão, Glaucia Sá Brandão Freitas Gomes, Glaudson Sá Brandão, Antônia A Callou Sampaio, Claudio F Donner, Luis V F Oliveira, Aquiles Assunção Camelier
Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29369963/comparison-of-cardiopulmonary-resuscitation-quality-between-standard-versus-telephone-basic-life-support-training-program-in-middle-aged-and-elderly-housewives-a-randomized-simulation-study
#13
Tae Han Kim, Yu Jin Lee, Eui Jung Lee, Young Sun Ro, KyungWon Lee, Hyeona Lee, Dayea Beatrice Jang, Kyoung Jun Song, Sang Do Shin, Helge Myklebust, Tonje SÖØraas Birkenes
INTRODUCTION: For cardiac arrests witnessed at home, the witness is usually a middle-aged or older housewife. We compared the quality of cardiopulmonary resuscitation (CPR) performance of bystanders trained with the newly developed telephone-basic life support (T-BLS) program and those trained with standard BLS (S-BLS) training programs. METHODS: Twenty-four middle-aged and older housewives without previous CPR education were enrolled and randomized into two groups of BLS training programs...
January 24, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29357826/effects-of-resistance-training-on-body-composition-and-functional-capacity-among-sarcopenic-obese-residents-in-long-term-care-facilities-a-preliminary-study
#14
Shu-Ching Chiu, Rong-Sen Yang, Rea-Jeng Yang, Shu-Fang Chang
BACKGROUND: Aging-related loss of muscle and strength with increased adiposity is prevalent among older people in long-term care (LTC) facilities. Studies have shown that people with sarcopenic obesity (SO) are at high risk of declining physical performance. At present, no interventional studies on residents with SO in nursing homes have been conducted in the literature. The objectives of this study include appraising the changes in body composition and physical performance following resistance training among residents with SO in LTC facilities...
January 22, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29352622/anaesthesia-for-caesarean-section-in-a-patient-with-parkinson-s-disease
#15
V D Ward
Parkinson's disease is prevalent worldwide but mainly affects the elderly and is rarely seen in women of child-bearing age. The clinical signs and symptoms, the physiological changes of pregnancy, and drug interactions, pose unique challenges for the anaesthetic management of patients with Parkinson's disease who present for delivery. A 36-year-old primigravid woman at 36 weeks' gestation, with Parkinson's disease, presented for pre-anaesthesia assessment prior to elective caesarean section. Her Parkinson's disease had been diagnosed four years previously and was treated with Sinemet (levodopa/carbidopa) and pramipexole...
November 21, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29351770/-i-struggle-to-count-my-blessings-recovery-after-hip-fracture-from-the-patients-perspective
#16
Vigdis Bruun-Olsen, Astrid Bergland, Kristi Elisabeth Heiberg
BACKGROUND: Recovery outlooks of physical functioning and quality of life after hip fracture have not changed significantly over the past 25 years. Previous research has mainly dealt with causalities and acute treatment, while the recovery process from the patients' perspective has been less comprehensively described. Expanded knowledge of what the patients consider important in their recovery process may have important consequences for how these patients are treated in the future and thereby on future patient outcomes...
January 19, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29337859/effects-of-pharmacists-interventions-on-inappropriate-drug-use-and-drug-related-readmissions-in-people-with-dementia-a-secondary-analysis-of-a-randomized-controlled-trial
#17
Maria Gustafsson, Maria Sjölander, Bettina Pfister, Jörn Schneede, Hugo Lövheim
Age-associated physiological changes and extensive drug treatment including use of potentially inappropriate medications (PIMs) pose a significant risk of drug-drug interactions and adverse drug events among elderly people with dementia. This study aimed at analysing the effects of clinical pharmacists' interventions on use of PIMs, risk of emergency department visits, and time to institutionalization. Furthermore, a descriptive analysis was conducted of circumstances associated with drug-related readmissions...
January 16, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29335684/association-between-self-perceived-oral-health-and-clinical-indicators
#18
Janet-Ofelia Guevara-Canales, Rafael Morales-Vadillo, Sonia-Julia Sacsaquispe-Contreras, Dora-Erika Alberca-Ramos, Hans Morgenstern-Orezzoli, Carlos-Enrique Cava-Vergiú
PURPOSE: To determine whether self-perceived oral health impact and satisfaction measure oral health in the same way as do clinical indicators in adults and older adults. MATERIALS AND METHODS: The population consisted of adult patients aged 20 to 59 years receiving care at "Juan Pablo II" Health Care Centre and older adult patients aged 60 or more years from the home for the elderly "Virgen del Amor Hermoso", Lima, Peru. The indices Oral Impacts on Daily Performance (OIDP) and Oral Satisfaction Scale of 0-10 (OSS 0-10) were used to evaluate perceived impact of and satisfaction with oral health...
January 15, 2018: Oral Health & Preventive Dentistry
https://www.readbyqxmd.com/read/29323208/composition-of-salivary-microbiota-in-elderly-subjects
#19
Taiji Ogawa, Yujiro Hirose, Mariko Honda-Ogawa, Minami Sugimoto, Satoshi Sasaki, Masahito Kibi, Shigetada Kawabata, Kazunori Ikebe, Yoshinobu Maeda
Frailty is gaining attention worldwide with the aging of society. Despite the potential lethality and multiple signs and symptoms in affected individuals, preclinical detection of early manifestations leading to frailty syndrome have not been established. We speculated that the composition of the oral microbiota is associated with general frailty, as well as a relationship between gut microbiota and general health condition. In the present study, we investigated the salivary microbiota composition in samples from healthy and frail elderly individuals using 16S rRNA sequencing analysis for characterization...
January 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29300421/validity-of-the-self-mini-nutritional-assessment-self-mna-for-the-evaluation-of-nutritional-risk-a-cross-sectional-study-conducted-in-general-practice
#20
L M Donini, W Marrocco, C Marocco, A Lenzi
INTRODUCTION: Malnutrition is a frequent condition in the elderly especially in hospitals and in nursing homes, and even among the free-living elders the prevalence is not negligible (5-10%). Awareness towards malnutrition is still limited. The lack of time for nutritional assessment by the overcommitted healthcare personnel, including the general practitioners (GPs), may represent one possible explanation for limited recognition of malnutrition. Therefore, a self-administered instrument could be useful in raising alert on the GPs and allow early detection of malnutrition and early care provision...
2018: Journal of Nutrition, Health & Aging
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