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nursing home for older people

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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
#1
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
https://www.readbyqxmd.com/read/28049547/palliative-care-during-the-final-week-of-life-of-older-people-in-nursing-homes-a-register-based-study
#2
Jonas Smedbäck, Joakim Öhlén, Kristofer Årestedt, Anette Alvariza, Carl-Johan Fürst, Cecilia Håkanson
OBJECTIVE: Our aim was to explore the presence of symptoms, symptom relief, and other key aspects of palliative care during the final week of life among older people residing in nursing homes. METHOD: Our study employed data from the Swedish Palliative Care Register on all registered individuals aged 60 and older who had died in nursing homes during the years 2011 and 2012. Variables pertaining to monitoring and treatment of symptoms, end-of-life discussions, circumstances around the death, and the individual characteristics of deceased individuals were explored using descriptive statistics...
January 4, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28049285/evidence-based-guidelines-for-fall-prevention-in-korea
#3
Kwang-Il Kim, Hye-Kyung Jung, Chang Oh Kim, Soo-Kyung Kim, Hyun-Ho Cho, Dae Yul Kim, Yong-Chan Ha, Sung-Hee Hwang, Chang Won Won, Jae-Young Lim, Hyun Jung Kim, Jae Gyu Kim
Falls and fall-related injuries are common in older populations and have negative effects on quality of life and independence. Falling is also associated with increased morbidity, mortality, nursing home admission, and medical costs. Korea has experienced an extreme demographic shift with its population aging at the fastest pace among developed countries, so it is important to assess fall risks and develop interventions for high-risk populations. Guidelines for the prevention of falls were first developed by the Korean Association of Internal Medicine and the Korean Geriatrics Society...
January 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/28042920/being-a-close-family-member-of-a-person-with-dementia-living-in-a-nursing-home
#4
Berit Seiger Cronfalk, Britt-Marie Ternestedt, Astrid Norberg
AIM: The objectives of this study were to illuminate how family members of persons with dementia describe their own experiences, before and after placing the relative in a nursing home. Background In the western world and with a growing population of older people, the number of persons with dementia increase. Family members often become carers in their own homes creating stressful and exhausting situation that eventually leads to re-locating the person to a 6 nursing home. This may lead to troubled conscience among family members...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28032436/competence-for-older-people-nursing-in-care-and-nursing-homes-an-integrative-review
#5
Outi Kiljunen, Tarja Välimäki, Päivi Kankkunen, Pirjo Partanen
BACKGROUND: People living in care and nursing homes are vulnerable individuals with complex needs; therefore, a wide array of nursing competence is needed to ensure their well-being. When developing the quality of care in these units, it is essential to know what type of competence is required for older people nursing. AIMS AND OBJECTIVES: The aim of this integrative review was to identify the competence needed for older people nursing in licensed practical nurses' and registered nurses' work in care and nursing homes...
December 29, 2016: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28025842/a-review-of-safe-staffing-models-and-their-applicability-to-care-homes
#6
Gary Mitchell, Carol Cousins, Ruth Burrows, Gary Cousins
Presently, there are a range of evidence-based staffing tools that have been used to inform nursing, midwifery and health care capacity. These tools are designed to be used with professional judgement and include frameworks such as Rhys Hearn, the National Services Scotland Care Home Staffing Project, a variety of Royal College of Nursing Tool Kits including the Older People in Hospital's tool and the only National Institute of Clinical Excellence approved safe-staffing tool, Shelford's Safer Nursing Tool. These safe-staffing tools are used to score a patient's or resident's level of dependency across a number of domains, for example a patient/resident's ability to wash, dress, mobilise or fulfil their own elimination needs...
December 26, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27991653/clinical-outcomes-associated-with-medication-regimen-complexity-in-older-people-a-systematic-review
#7
Barbara C Wimmer, Amanda J Cross, Natali Jokanovic, Michael D Wiese, Johnson George, Kristina Johnell, Basia Diug, J Simon Bell
OBJECTIVES: To systematically review clinical outcomes associated with medication regimen complexity in older people. DESIGN: Systematic review of EMBASE, MEDLINE, International Pharmaceutical Abstracts, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane library. SETTING: Hospitals, home, and long-term care. PARTICIPANTS: English-language peer-reviewed original research published before June 2016 was eligible if regimen complexity was quantified using a metric that considered number of medications and at least one other parameter, regimen complexity was calculated for participants' overall regimen, at least 80% of participants were aged 60 and older, and the study investigated a clinical outcome associated with regimen complexity...
December 19, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27968836/effects-of-a-peer-assisted-tai-chi-qigong-programme-on-social-isolation-and-psychological-wellbeing-in-chinese-hidden-elders-a-pilot-randomised-controlled-trial
#8
Aileen W K Chan, Doris S F Yu, K C Choi, Helen Y L Chan, Eliza M L Wong
BACKGROUND: The term hidden elder is used in Chinese society to describe older adults who are socially isolated and refuse social participation. Substantial evidence has indicated the important role of social isolation in increasing psychiatric morbidity and mortality risks in later life. Innovative service is promptly needed to address the social and psychological health needs of hidden elders. We aimed to test the feasibility and the preliminary effectiveness of a peer-assisted tai-chi-qigong programme in strengthening social networks and enhancing psychosocial wellbeing of Chinese hidden elders...
October 2016: Lancet
https://www.readbyqxmd.com/read/27942713/association-of-%C3%AE-blockers-with-functional-outcomes-death-and-rehospitalization-in-older-nursing-home-residents-after-acute-myocardial-infarction
#9
Michael A Steinman, Andrew R Zullo, Yoojin Lee, Lori A Daiello, W John Boscardin, David D Dore, Siqi Gan, Kathy Fung, Sei J Lee, Kiya D R Komaiko, Vincent Mor
Importance: Although β-blockers are a mainstay of treatment after acute myocardial infarction (AMI), these medications are commonly not prescribed for older nursing home residents after AMI, in part owing to concerns about potential functional harms and uncertainty of benefit. Objective: To study the association of β-blockers after AMI with functional decline, mortality, and rehospitalization among long-stay nursing home residents 65 years or older. Design, Setting, and Participants: This cohort study of nursing home residents with AMI from May 1, 2007, to March 31, 2010, used national data from the Minimum Data Set, version 2...
December 12, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27942206/carers-education-improves-oral-health-of-older-people-suffering-from-dementia-results-of-an-intervention-study
#10
Andreas Zenthöfer, Inga Meyer-Kühling, Anna-Luisa Hufeland, Johannes Schröder, Tomas Cabrera, Dominik Baumgart, Peter Rammelsberg, Alexander J Hassel
AIM: The aim of this study was to evaluate the effectiveness of carers' education on improvements in oral health and denture hygiene of care-dependent and cognitively impaired older people in nursing homes compared to those without intervention. METHODS: A total of 219 seniors living in 14 nursing homes in southwest Germany (intervention: n=144; control: n=75) were enrolled in this study. For each participant, Plaque Control Record (PCR), Gingival Bleeding Index (GBI), Denture Hygiene Index (DHI) and Community Periodontal Index of Treatment Needs (CPITN) were assessed at baseline and six months following the interventions...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27932362/predicting-functional-decline-in-older-emergency-patients-the-safe-elderly-emergency-discharge-seed-project
#11
Judy A Lowthian, Lahn D Straney, Caroline A Brand, Anna Barker, P de Villiers Smit, Harvey Newnham, Peter Hunter, Cathie Smith, Peter A Cameron
OBJECTIVE: to profile the trajectory of, and risk factors for, functional decline in older patients in the 30 days following Emergency Department (ED) discharge. METHODS: prospective cohort study of community-dwelling patients aged ≥65 years, discharged home from a metropolitan Melbourne ED, 31 July 2012 to 30 November 2013. The primary outcome was functional decline, comprising either increased dependency in personal activities of daily living (ADL) or in skills required for living independently instrumental ADL (IADL), deterioration in cognitive function, nursing home admission or death...
December 7, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27925139/association-of-grip-strength-upper-arm-circumference-and-waist-circumference-with-dementia-in-older-adults-of-the-wise-study-a-cross-sectional-analysis
#12
H L Ong, S H S Chang, E Abdin, J A Vaingankar, A Jeyagurunathan, S Shafie, H Magadi, S A Chong, M Subramaniam
OBJECTIVE: We examined the associations of handgrip strength, upper arm circumference, and waist circumference with dementia among Singapore older adults. DESIGN: Cross-sectional epidemiological study. SETTING: Residential homes, day care centres, nursing homes and institutions. PARTICIPANTS: 2,565 men and women aged 60 years and above who participated in the Well-being of the Singapore Elderly (WiSE) study in 2013. MEASUREMENTS: Socio-demographic correlates, dietary habits, health behaviours, grip strength, upper arm circumference, and waist circumference were collected...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27923343/feasibility-and-cost-effectiveness-of-a-multidisciplinary-home-telehealth-intervention-programme-to-reduce-falls-among-elderly-discharged-from-hospital-study-protocol-for-a-randomized-controlled-trial
#13
Alessandro Giordano, Gian Pietro Bonometti, Fabio Vanoglio, Mara Paneroni, Palmira Bernocchi, Laura Comini, Amerigo Giordano
BACKGROUND: Fall incidents are the third cause of chronic disablement in elderly according to the World Health Organization (WHO). Recent meta-analyses shows that a multifactorial falls risk assessment and management programmes are effective in all older population studied. However, the application of these programmes may not be the same in all National health care setting and, consequently, needs to be evaluated by cost-effectiveness studies before to plan this intervention in regular care...
December 7, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27883169/association-between-continuous-wearable-activity-monitoring-and-self-reported-functioning-in-assisted-living-facility-and-nursing-home-residents
#14
J Merilahti, I Korhonen
BACKGROUND: Physical functioning is a key factor in independent living, and its preclinical state assessment and monitoring during the subject's normal life would be beneficial. OBJECTIVES: The aim of the study is to analyse associations between ambulatory measured physical activity behaviour and sleep patterns (wrist actigraphy) and self-reported difficulties in performing activities of daily living. Participants, setting and design: 36 residents in assisted living facilities and nursing homes (average age=80...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27868351/essential-elements-of-the-nursing-practice-environment-in-nursing-homes-psychometric-evaluation
#15
Brigitte Johanna Maria de Brouwer, Marian J Kaljouw, Lisette Schoonhoven, Theo van Achterberg
AIMS AND OBJECTIVES: To develop and psychometrically test the Essentials of Magnetism II in nursing homes. BACKGROUND: Increasing numbers and complex needs of older people in nursing homes strain the nursing workforce. Fewer adequately trained staff and increased care complexity raise concerns about declining quality. Nurses' practice environment has been reported to affect quality of care and productivity. The Essentials of Magnetism II © measures processes and relationships of practice environments that contribute to productivity and quality of care and can therefore be useful in identifying processes requiring change to pursue excellent practice environments...
November 20, 2016: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/27865082/-nutritional-self-care-promotion-in-community-dwelling-older-people-a-protocol-of-mixed-method-research
#16
Barbara Raffaele, Maria Matarese, Michela Piredda, Maria Grazia De Marinis
AIM: To describe a research protocol designed to promote nutritional self-care in older people. The aims of the research are: a) to evaluate the effectiveness of a nutritional education intervention in changing knowledge, attitudes, and behaviors; b) to describe the nutritional self-care ability and activities; c) to identify the promoting factors and barriers that influence the changes in nutritional knowledge, behaviors and attitudes in home-dwelling older people. METHOD: Sequential explanatory mixed method design...
July 2016: Professioni Infermieristiche
https://www.readbyqxmd.com/read/27862992/realising-dignity-in-care-home-practice-an-action-research-project
#17
Ann Gallagher, Katherine Curtis, Michael Dunn, Lesley Baillie
BACKGROUND: More than 400,000 older people reside in over 18,000 care homes in England. A recent social care survey found up to 50% of older people in care homes felt their dignity was undermined. Upholding the dignity of older people in care homes has implications for residents' experiences and the role of Registered Nurses. AIMS AND OBJECTIVES: The study aimed to explore how best to translate the concept of dignity into care home practice, and how to support this translation process by enabling Registered Nurses to provide ethical leadership within the care home setting...
November 15, 2016: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/27855058/is-the-australian-75-health-assessment-person-centred-a-qualitative-descriptive-study-of-older-people
#18
Kay Price, Karen Grimmer, Jan Foot
Objective The aim of the present study was to explore the perspectives of older people following their recent participation in a 75+ Health Assessment (75+HA) and interrogate these perspectives using a person-centred lens.Methods A qualitative descriptive study design was used within a larger study funded by the Australian Primary Health Care Research Institute. Nineteen participants from four different general practices in one Australian state described their perceptions of the 75+HA in a face-to-face interview...
November 18, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27845703/older-swedish-adults-with-high-self-perceived-health-show-optimal-25-hydroxyvitamin-d-levels-whereas-vitamin-d-status-is-low-in-patients-with-high-disease-burden
#19
Martin Carlsson, Pär Wanby, Lars Brudin, Erik Lexne, Karin Mathold, Rebecca Nobin, Lisa Ericson, Ola Nordqvist, Göran Petersson
Controversy pervades the definition of adequate and optimal vitamin D status. The Institutes of Medicine have recommended serum 25(OH)D levels above 50 nmol/L based upon evidence related to bone health, but some experts, including the Endocrine Society and International Osteoporosis Foundation, suggest a minimum serum 25(OH)D level of 75 nmol/L to reduce the risk of falls and fractures in older adults. In a cross-sectional study, we compared vitamin D status in people ≥75 years selected from four groups with a frailty phenotype, combined with a control group free from serious illness, and who considered themselves completely healthy...
November 11, 2016: Nutrients
https://www.readbyqxmd.com/read/27843324/the-reablement-team-s-voice-a-qualitative-study-of-how-an-integrated-multidisciplinary-team-experiences-participation-in-reablement
#20
Kari Margrete Hjelle, Olbjørg Skutle, Oddvar Førland, Herdis Alvsvåg
BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidisciplinary teams involved in reablement. Accordingly, the aim of this study was to explore and describe how an integrated multidisciplinary team in Norway experienced participation in reablement...
2016: Journal of Multidisciplinary Healthcare
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