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https://www.readbyqxmd.com/read/29336168/dementia-in-eastern-mediterranean-countries-a-systematic-review
#1
Sara Mahmoud Yaghmour, Ruth Bartlett, Tula Brannelly
Globally, there is an increase in the older population, whose lives are affected by local cultural norms. In Eastern Mediterranean countries, dementia is conventionally hidden from view with few dedicated services or recognition for diagnosis. The aim of this systematic review is to explore the limited literature on dementia and cognitive impairment among older people in Eastern Mediterranean countries to present an evaluation of current practices and to consolidate knowledge for future planning. Thirty-three studies were identified for inclusion in the review, and four themes were apparent...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29326087/a-multicomponent-exercise-program-improves-physical-function-in-long-term-nursing-home-residents-a-randomized-controlled-trial
#2
Haritz Arrieta, Chloe Rezola, Idoia Zarrazquin, Iñaki Echeverria, Jose Javier Yanguas, Miren Iturburu, Susana Maria Gil, Ana Rodriguez-Larrad, Jon Irazusta
To investigate the impact of a multicomponent exercise program on anthropometry, physical function, and physical activity on older adults living in long-term nursing homes (LTNH), we conducted a randomized controlled trial involving 112 participants aged 84.9 ± 6.9 years. Participants were randomly assigned to an intervention (IG) or control group (CG). The IG participated in a 3-month multicomponent exercise intervention focused on strength, balance, stretching exercises, and walking recommendations...
January 8, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29322576/a-mixed-method-thematic-review-health-related-decision-making-by-the-older-person
#3
REVIEW
Lindy King, Ann Harrington, Ecushla Linedale, Elizabeth Tanner
AIMS: To undertake a mixed method thematic literature review that explored how elderly adults approached decision making in regard to their health care following discharge. BACKGROUND: A critical time for appropriate health decisions occurs during hospital discharge planning with nursing staff. However, little is known how the 89% of elderly living at home make decisions regarding their health care. Research into older adults' management of chronic conditions emerges as an important step to potentially encourage symptom monitoring, prevent missed care and detect deterioration...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29316871/listeria-monocytogenes-sepsis-in-the-nursing-home-community-a-case-report-and-short-review-of-the-literature
#4
Griet Buyck, Veronique Devriendt, Anne-Marie Van den Abeele, Christian Bachmann
Objective and importance Listeria monocytogenes is a rare foodborne pathogen, causing both outbreaks and sporadic infections. Severe, systemic infections are more prevalent in at-risk populations, such as pregnant women, but occur mostly in older people and immunocompromised individuals. In this case report, we describe the presentation, diagnosis, and treatment of Listeria monocytogenes sepsis in an older patient, and we briefly review the literature about listeriosis and the importance of safe food practices...
January 9, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29315370/optimal-healthcare-delivery-to-care-homes-in-the-uk-a-realist-evaluation-of-what-supports-effective-working-to-improve-healthcare-outcomes
#5
Adam L Gordon, Claire Goodman, Sue L Davies, Tom Dening, Heather Gage, Julienne Meyer, Justine Schneider, Brian Bell, Jake Jordan, Finbarr C Martin, Steve Iliffe, Clive Bowman, John R F Gladman, Christina Victor, Andrea Mayrhofer, Melanie Handley, Maria Zubair
Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using qualitative and quantitative data from case studies of three UK health and social care economies selected for differing patterns of healthcare delivery to care homes. Four homes per area (12 in total) were recruited. A total of 239 residents were followed for 12 months to record resource-use...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29301543/towards-evidence-based-palliative-care-in-nursing-homes-in-sweden-a-qualitative-study-informed-by-the-organizational-readiness-to-change-theory
#6
Per Nilsen, Birgitta Wallerstedt, Lina Behm, Gerd Ahlström
BACKGROUND: Sweden has a policy of supporting older people to live a normal life at home for as long as possible. Therefore, it is often the oldest, most frail people who move into nursing homes. Nursing home staff are expected to meet the existential needs of the residents, yet conversations about death and dying tend to cause emotional strain. This study explores organizational readiness to implement palliative care based on evidence-based guidelines in nursing homes in Sweden. The aim was to identify barriers and facilitators to implementing evidence-based palliative care in nursing homes...
January 4, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29258769/calcium-and-vitamin-d-in-human-health-hype-or-real
#7
REVIEW
Sunil J Wimalawansa, DSc Mohammed S Razzaque, Nasser M Al-Daghri
The incidence and the prevalence of vitamin D deficiency are increasing worldwide. It is estimated that over 50% of population in the world have low in vitamin D (i.e., hypovitaminosis D; levels below 30 ng/mL). 80% of our vitamin D requirement comes from the ultraviolet rays from sunlight, and for the remainder, we rely from the diet and supplements. The latter become important when one is exposing to less than optimal amounts of sunlight, inability of the skin to generate vitamin D efficiently, and/or having secondary causes that leads to increase catabolism of vitamin D...
December 16, 2017: Journal of Steroid Biochemistry and Molecular Biology
https://www.readbyqxmd.com/read/29250819/an-exploration-of-factors-associated-with-older-persons-perceptions-of-the-benefits-of-and-satisfaction-with-a-preventive-home-visit-service
#8
Mette Tøien, Ida Torunn Bjørk, Lisbeth Fagerström
BACKGROUND: Preventive home visits (PHVs) are healthcare services aimed at promoting the health of home-dwelling older people and to support their abilities to live independently. To enhance effectiveness, studies that explore older persons' experiences of PHVs are needed. OBJECTIVE: To assess older persons' perceived benefits and opinions of a PHV service and explore associations between perceived benefits from PHV and relevant sociodemographic/health-related factors...
December 18, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29235234/-holding-on-to-life-an-ethnographic-study-of-living-well-at-home-in-old-age
#9
Kristin Bjornsdottir
In recent years, much attention has been paid to how older people living at home can remain independent and manage their illness themselves, while less attention has been given to those who have become frail and need assistance with challenges of everyday life. In this article, I drew on Latimer's formulation of care for frail older people as relational and world-making and on Foucault's work related to the care of the self in developing an understanding of how frail older persons manage to live well at home in the final years of their lives...
December 13, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/29232085/use-of-paid-and-unpaid-personal-help-by-medicare-beneficiaries-needing-long-term-services-and-supports
#10
Amber Willink, Karen Davis, John Mulcahy, Jennifer L Wolff
Issue: Older adults who reside in communities, as opposed to nursing homes or other residential institutions, are largely dependent on family and unpaid caregivers for assistance with daily activities, like preparing meals or laundry, and self-care tasks like bathing or dressing. For low-income older adults, assistance with such activities, also known as long-term services and supports (LTSS), can also come from Medicaid. These sources of support will be increasingly inadequate as the population ages...
November 1, 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29227873/restraint-use-in-older-adults-in-home-care-a-systematic-review
#11
REVIEW
Kristien Scheepmans, Bernadette Dierckx de Casterlé, Louis Paquay, Koen Milisen
OBJECTIVES: To get insight into restraint use in older adults receiving home care and, more specifically, into the definition, prevalence and types of restraint, as well as the reasons for restraint use and the people involved in the decision-making process. DESIGN: Systematic review. DATA SOURCES: Four databases (i.e. Pubmed, CINAHL, Embase, Cochrane Library) were systematically searched from inception to end of April 2017. REVIEW METHODS: The study encompassed qualitative and quantitative research on restraint use in older adults receiving home care that reported definitions of restraint, prevalence of use, types of restraint, reasons for use or the people involved...
November 23, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29221898/exercise-merging-physical-and-cognitive-stimulation-improves-physical-fitness-and-cognitive-functioning-in-older-nursing-home-residents-a-pilot-study
#12
José Marmeleira, Luís Galhardas, Armando Raimundo
The main purpose of this pilot study was to examine the feasibility and the effects of a multimodal exercise intervention on the physical and cognitive functioning of institutionalized older people. Twenty-one older adults (83.5 ± 4.9 years) living in two nursing home residences, were tested on two occasions 4 weeks apart to establish a baseline measure, and then engage in the exercise program twice weekly for 8 weeks. Participants were tested again after the exercise program. Almost all physical fitness and cognitive tests were unchanged at baseline measures, but after the exercise program, significant improvements (p < 0...
December 5, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/29220628/autobiographical-narration-as-a-tool-for-the-empowerment-of-older-adults-subjective-and-psychological-wellbeing-in-nursing-homes
#13
Federica Biassoni, Giada Cassina, Stefania Balzarotti
OBJECTIVES: Conceiving narration as a resource to promote older people's wellbeing, the present work aimed to implement a narrative-based intervention to empower the subjective and psychological wellbeing of older adults living in nursing homes. METHODS: Twenty-one nursing-home residents took part in a narrative training experience consisting of three weekly interview sessions. During each interview, a psychologist helped the participants to construct an autobiographical narrative about their present life in the nursing home based on a Deconstruction-Reconstruction technique...
September 20, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29210218/testing-an-app-for-reporting-health-concerns-experiences-from-older-people-and-home-care-nurses
#14
Carina Göransson, Irene Eriksson, Kristina Ziegert, Yvonne Wengström, Ann Langius-Eklöf, Maria Brovall, Annica Kihlgren, Karin Blomberg
AIMS AND OBJECTIVES: To explore the experiences of using an app among older people with home-based health care and their nurses. BACKGROUND: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed. DESIGN: Explorative qualitative design. METHODS: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management...
December 5, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29199915/extent-and-quality-of-drug-use-in-community-dwelling-people-aged-%C3%A2-75-years-a-swedish-nationwide-register-based-study
#15
Annica Lagerin, Lena Törnkvist, Gunnar Nilsson, Kristina Johnell, Johan Fastbom
AIMS: It is important for district nurses and other health professionals in primary care to gain more insight into the patterns and quality of drug use in community-dwelling older people, particularly in 75-year-olds, who have been the target of preventive home visits. This study aimed to examine the extent and quality of drug use in community-dwelling older people and to compare drug use in 75-year-olds with that of older age groups. METHODS: Data from 2013 on people aged ≥75 years were obtained from the Swedish Prescribed Drug Register...
December 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29194405/quantitative-properties-of-the-macro-supply-and-demand-structure-for-care-facilities-for-elderly-in-japan
#16
Tatsuya Nishino
As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly's care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan's Ministry of Health, Labor and Welfare for 2025...
December 1, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29191263/persistent-and-severe-hypoglycemia-associated-with-trimethoprim-sulfamethoxazole-in-a-frail-diabetic-man-on-polypharmacy-a-case-report-and-literature-review%C3%A2
#17
Raffaella Rossio, Sara Arcudi, Flora Peyvandi, Stefania Piconi
OBJECTIVE: Trimethoprim-sulfamethoxazole (co-trimoxazole) is a commonly used broad-spectrum antibiotic, but it can be associated with potentially serious adverse effects, often not recognized by clinicians. This is a relevant problem in elderly patients, who are particularly susceptible to adverse drug reactions. Moreover, multiple medications taken by older people increase the risk for adverse drug reactions and drug-drug interactions. CASE REPORT: We report the case of an 85-year-old man with diabetes mellitus who attended the emergency room with severe hypoglycemia that persisted despite multiple intravenous bolus doses and continuous infusion of glucose...
November 30, 2017: International Journal of Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/29189057/experience-of-emotion-in-frail-older-people-towards-the-end-of-life-a-secondary-data-analysis
#18
Caitlin Findlay, Anna Lloyd, Anne M Finucane
People are living longer, but with increased age comes greater frailty and multi-morbidity. This secondary data analysis examines transcripts from interviews with 11 frail older people and 6 informal carers to explore emotion in relation to frailty and deteriorating health. Anger and frustration were frequently experienced with declining functional ability; sadness occurred with social isolation, loss of autonomy and independence; anxiety was evident when transition to a care home was discussed; and contentment was described when connecting with others...
December 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29186055/methods-for-involving-older-people-in-health-research-a-review-of-the-literature
#19
REVIEW
Imke Schilling, Ansgar Gerhardus
Demographic change has increased the need for research on healthcare for older people. Recently there has been a growing awareness that research might benefit from actively involving patients and the public in study design and conduct. Besides empowering patients and democratizing research, involvement enhances the quality of research and the development of equitable healthcare solutions. Little is known about how to involve older people. This review aims to support scientists intending to involve older people in health research by systematically identifying and describing studies involving older people and analyzing associated facilitators and challenges...
November 29, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29173513/enabling-at-homeness-for-residents-living-in-a-nursing-home-reflected-experience-of-nursing-home-staff
#20
Lotta Saarnio, Anne-Marie Boström, Ragnhild Hedman, Petter Gustavsson, Joakim Öhlén
Older people are often living the last period of their lives in institutions such as nursing homes. Knowledge of this period, specifically related to at-homeness which can be described as wellbeing in spite of illness and has been regarded as one of the goals in palliative care, has been very little researched in the context of nursing homes and the experience of nursing home staff. The aim of this study was to explore the experiences of nursing home staff of how to enable at-homeness for residents. Qualitative interpretive description methodology guided the design...
December 2017: Journal of Aging Studies
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