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https://www.readbyqxmd.com/read/28327120/where-s-the-evidence-a-systematic-review-of-economic-analyses-of-residential-aged-care-infrastructure
#1
Tiffany Easton, Rachel Milte, Maria Crotty, Julie Ratcliffe
BACKGROUND: Residential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of residential care infrastructure. METHODS: A systematic review of English language articles using AgeLine, CINAHL, Econlit, Informit (databases in Health; Business and Law; Social Sciences), Medline, ProQuest, Scopus, and Web of Science with retrieval up to 14 December 2015...
March 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28323846/problems-identified-by-dual-sensory-impaired-older-adults-in-long-term-care-when-using-a-self-management-program-a-qualitative-study
#2
Lieve Roets-Merken, Sytse Zuidema, Myrra Vernooij-Dassen, Marianne Dees, Pieter Hermsen, Gertrudis Kempen, Maud Graff
OBJECTIVE: To gain insights into the problems of dual sensory impaired older adults in long-term care. Insights into these problems are essential for developing adequate policies which address the needs of the increasing population of dual sensory impaired older adults in long-term care. METHODS: A qualitative study was conducted in parallel with a cluster randomized controlled trial. Dual sensory impaired older adults in the intervention group (n = 47, age range 82-98) were invited by a familiar nurse to identify the problems they wanted to address...
2017: PloS One
https://www.readbyqxmd.com/read/28319325/transitions-to-and-from-long-term-care-facilities-and-length-of-completed-stay-reuse-of-population-based-survey-data
#3
Joanna B Broad, Thomas Lumley, Toni Ashton, Peter B Davis, Michal Boyd, Martin J Connolly
OBJECTIVE: This article estimates length of completed stay and resident transitions for RAC residents over 12 months in Auckland. METHODS: Data from a census-type survey of nursing home residents (n = 6816) were linked with national mortality data. Transitions described include entry to residential aged care (RAC), movement between RAC facilities and deaths. RESULTS: When reweighted for missing data and adjusted for length bias, an estimated 9676 residents (95% CI 8368-10 985) used care over a 12-month period...
March 20, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/28301976/medicare-expenditures-associated-with-hospital-and-emergency-department-use-among-beneficiaries-with-dementia
#4
Laura Coots Daras, Zhanlian Feng, Joshua M Wiener, Yevgeniya Kaganova
Understanding expenditure patterns for hospital and emergency department (ED) use among individuals with dementia is crucial to controlling Medicare spending. We analyzed Health and Retirement Study data and Medicare claims, stratified by beneficiaries' residence and proximity to death, to estimate Medicare expenditures for all-cause and potentially avoidable hospitalizations and ED visits. Analysis was limited to the Medicare fee-for-service population age 65 and older. Compared with people without dementia, community residents with dementia had higher average expenditures for hospital and ED services; nursing home residents with dementia had lower average expenditures for all-cause hospitalizations...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28301068/characteristics-of-communication-with-older-people-in-home-care-a-qualitative-analysis-of-audio-recordings-of-home-care-visits
#5
Dorte Vesterager Kristensen, Annelie J Sundler, Hilde Eide, Linda Hafskjold, Iren Ruud, Inger K Holmström
AIMS AND OBJECTIVES: To describe the characteristics of communication practice in home care visits between older people (over 65 years old) and nurse assistants (NAs) and to discuss the findings from a person-centered perspective. BACKGROUND: The older population is increasing worldwide, along with the need for health care services in the person's home. To achieve high-quality care, person-centered communication is crucial. DESIGN: A descriptive design with a qualitative inductive approach was used...
March 16, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28295847/effects-on-leisure-activities-and-social-participation-of-a-case-management-intervention-for-frail-older-people-living-at-home-a-randomised-controlled-trial
#6
Marianne Granbom, Jimmie Kristensson, Magnus Sandberg
Frailty causes disability and restrictions on older people's ability to engage in leisure activities and for social participation. The objective of this study was to evaluate the effects of a 1-year case management intervention for frail older people living at home in Sweden in terms of social participation and leisure activities. The study was a randomised controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to intervention (n = 80) or control groups (n = 73)...
March 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28291562/consequences-of-sarcopenia-among-nursing-home-residents-at%C3%A2-long-term%C3%A2-follow-up
#7
Tim Henwood, Bothaina Hassan, Paul Swinton, Hugh Senior, Justin Keogh
The consequences of and transition into sarcopenia with long-term survival was investigated in the nursing home setting. Eligible residents from 11 nursing homes were followed-up 18-months after their assessment for sarcopenia using the European Working Group on Sarcopenia in Older People criteria, with other demographic, physical and cognitive health measures collected. Of the 102 older adults who consented at baseline, 22 had died and 58 agreed to participate at follow-up, 51.7% of whom had sarcopenic. Sarcopenia at baseline was associated with a depression (p < ...
March 10, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28266338/vocally-disruptive-behaviors-management-in-older-people-with-dementia
#8
Caroline Berastegui, Emmanuel Monfort, Bertrand Boudin
Although shouting is a common psycho-behavioral symptom in geriatric institutions, the question of its assessment and treatment remains seldom studied and has rarely been the subject of specific recommendations. The combination of the focus group method and brainstorming has emerged as a methodology both relevant and feasible in geriatric facility to identify the coping strategies used by professionals and generalize guidelines for clinical observation and vocally disruptive behaviors management (shouting)...
March 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/28251570/predictors-of-institutionalization-in-people-with-dementia-a-survey-linked-with-administrative-data
#9
Rebecca Runte
BACKGROUND: For people with dementia, moving into a nursing home is usually considered at some point in time. Currently available information on predictors of institutionalization is often based on small sample sizes, not taking competing risks into account, and with inconclusive results for sex. AIMS: We aimed to carry out an analysis stratified by sex and using a competing risk approach. METHODS: We carried out an analysis of a survey linked with administrative data including 652 people with dementia, aged 60 years and older...
March 1, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28244350/malnutrition-in-care-homes-should-not-be-overlooked
#10
(no author information available yet)
In this issue of Nursing Older People we take a detailed look at three important areas of practice: nutritional health, end of life care, and the diagnosis, prevention and treatment of urinary tract infections (UTIs). Nutrition and, conversely, malnutrition are significant issues for older people.
February 28, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28231616/a-dedicated-nutritional-care-program-nutricare-to-reduce-malnutrition-in-institutionalized-dysphagic-older-people-a-quasi-experimental-study
#11
Milko Zanini, Annamaria Bagnasco, Gianluca Catania, Giuseppe Aleo, Marina Sartini, Maria Luisa Cristina, Stefania Ripamonti, Fiammetta Monacelli, Patrizio Odetti, Loredana Sasso
AIMS AND OBJECTIVES: To assess the effects of a texture-modified food program for dysphagia on the nutritional, biochemical, and functional profile in a cohort of institutionalized older people in Italy. BACKGROUND: Dysphagic institutionalized older people, often also affected by dementia, are frequently exposed to malnutrition. Malnutrition in older people has negative effects on mortality, days of hospitalization, infection, wound healing, and risk of pressure injuries...
February 23, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28229474/residents-engagement-in-everyday-activities-and-its-association-with-thriving-in-nursing-homes-a-cross-sectional-study
#12
Sabine Björk, Marie Lindkvist, Anders Wimo, Christina Juthberg, Ådel Bergland, David Edvardsson
AIM: To describe the prevalence of everyday activity engagement for older people in nursing homes and the extent to which engagement in everyday activities is associated with thriving. BACKGROUND: Research into residents' engagement in everyday activities in nursing homes has focused primarily on associations with quality of life and prevention and management of neuropsychiatric symptoms. However, the mere absence of symptoms do not necessarily guarantee experiences of well-being...
February 23, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28215200/health-team-for-the-elderly-a-feasibility-study-for-preventive-home-visits
#13
Berit Seiger Cronfalk, Astrid Fjell, Nina Carstens, Lars Malvin Kvinge Rosseland, Arvid Rongve, Dag-Helge Rönnevik, Åke Seiger, Knut Skaug, Karen Johanne Ugland Vae, Marianne Hauge Wennersberg, Anne-Marie Boström
The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. BACKGROUND: Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care...
February 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28213740/predictors-of-institutionalization-among-home-dwelling-older-finnish-people-a-22-year-follow-up-study
#14
Marika Salminen, Jenni Vire, Laura Viikari, Tero Vahlberg, Hannu Isoaho, Aapo Lehtonen, Matti Viitanen, Seija Arve, Sini Eloranta
BACKGROUND: Identification of predictive factors on institutionalization provides the basis for the development and application of preadmission assessment. There is a lack of evidence for predictors of institutionalization for older people. AIMS: To examine the effect of predictive factors on institutionalization in home-dwelling 70-year-old people. METHODS: The data were collected in 1991 by the clinical examinations, a postal questionnaire, and an interview from the residents of Turku, Finland, born in 1920 (n = 1032)...
February 17, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28209122/effects-and-meanings-of-a-person-centred-and-health-promoting-intervention-in-home-care-services-a-study-protocol-of-a-non-randomised-controlled-trial
#15
Karin Bölenius, Kristina Lämås, Per-Olof Sandman, David Edvardsson
BACKGROUND: The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce older people's quality of life. Person-centred care has been shown to improve the satisfaction with care and quality of life in older people cared for in hospitals and nursing homes, with limited published evidence about the effects and meanings of person-centred interventions in home care services for older people...
February 16, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28196486/integrated-care-at-home-reduces-unnecessary-hospitalizations-of-community-dwelling-frail-older-adults-a-prospective-controlled-trial
#16
Laura Di Pollina, Idris Guessous, Véronique Petoud, Christophe Combescure, Bertrand Buchs, Philippe Schaller, Michel Kossovsky, Jean-Michel Gaspoz
BACKGROUND: Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to reduce unnecessary hospitalizations, emergency room visits, institutionalization, and mortality in community dwelling frail and dependent older adults. METHODS: A prospective controlled trial was conducted, in real-life clinical practice settings, in a suburban region in Geneva, Switzerland, served by two home visiting nursing service centers...
February 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28185441/evaluation-of-the-ladder-to-the-moon-culture-change-studio-engagement-programme-staff-training-two-quasi-experimental-case-studies
#17
Azucena Guzmán, Jennifer Wenborn, Tom Swinson, Martin Orrell
AIM: To evaluate the impact of the CCSEP on care home staff in two care settings for older people in one nursing home and one residential home. BACKGROUND: Care homes provide personal care and accommodation for older people. The English Dementia Strategy aims to improve the quality of service provision for people with dementia. This includes specific mention of improving the quality of life in care homes and as such includes objectives related to developing the workforce knowledge and skills...
February 9, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28122155/support-workers-in-community-mental-health-teams-for-older-people-roles-boundaries-supervision-and-training
#18
Mark Wilberforce, Michele Abendstern, Sue Tucker, Saima Ahmed, Rowan Jasper, David Challis
AIMS: To explore the support worker functions in community mental health teams for older adults in relation to roles, boundaries, supervision and training. BACKGROUND: Support workers in community mental health teams provide important help to older people with complex mental and physical health needs in their own homes. Their numbers have grown substantially in recent years, but without professional registration there is concern that boundaries with qualified practitioners are insufficiently clear and that they do not receive the support they require...
January 25, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28094909/integrated-working-for-enhanced-health-care-in-english-nursing-homes
#19
Glenda Cook, Anne McNall, Juliana Thompson, Philip Hodgson, Lynne Shaw, Daniel Cowie
BACKGROUND: The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England. STUDY AIMS: To explore the views and experiences of practitioners, social care officers, and carers involved in the enhanced health care in care home programme, in order to develop understanding of the service delivery model and associated workforce needs for the provision of health care to older residents...
January 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28078098/transfer-of-nursing-home-residents-to-emergency-departments-organizational-differences-between-nursing-homes-with-high-vs-low-transfer-rates
#20
Marie Kirsebom, Mariann Hedström, Ulrika Pöder, Barbro Wadensten
AIM: To explore possible factors in the organization of nursing homes that could be related to differences in the rate of transfer of residents from nursing homes to emergency department. DESIGN: Explorative. METHOD: In a single municipality, qualitative and quantitative data were collected from documents and through semi-structured interviews with 11 RNs from five nursing homes identified as having the highest vs. six identified as having the lowest transfer rates to emergency department...
January 2017: Nursing Open
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