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nursing home for older people

Hiromi Rakugi
European guidelines (ESH-ESC2013) for the elderly have discussed well about treatment blood pressure (BP) levels and targeting BP levels. In general, elderly patients with systolic BP (SBP) ≥160 mmHg including individuals older than 80 years in good physical and mental conditions are recommended reducing SBP to between 150 and 140 mmHg. Furthermore, fit elderly patients <80 years old are recommended to consider antihypertensive treatment at SBP values ≥140 mmHg with a target SBP <140 mmHg. On the other hand, frail elderly patients are recommended to leave decisions on antihypertensive therapy to the treating physician, and based on monitoring of the clinical effects of treatment...
September 2016: Journal of Hypertension
Catherine Shaw, Brendan McCormack, Carmel M Hughes
BACKGROUND: There is increasing interest in how culture may affect the quality of healthcare services, and previous research has shown that 'treatment culture'-of which there are three categories (resident centred, ambiguous and traditional)-in a nursing home may influence prescribing of psychoactive medications. OBJECTIVE: The objective of this study was to explore and understand treatment culture in prescribing of psychoactive medications for older people with dementia in nursing homes...
March 2016: Drugs—Real World Outcomes
Rohan A Elliott, Cik Yin Lee, Christine Beanland, Krishna Vakil, Dianne Goeman
BACKGROUND: Increasing numbers of older people are receiving support with medicines management from community nursing services (CNSs) to enable them to live in their own homes. Little is known about these people and the support they receive. OBJECTIVES: To explore the characteristics of older people referred for medicines management support, type of support provided, medication errors and adverse medication events (AMEs). METHODS: A retrospective observational study of a random sample of 100 older people referred to a large non-profit CNS for medicines management support over a 3-month period was conducted...
March 2016: Drugs—Real World Outcomes
(no author information available yet)
Janet Morrison writing in Nursing Older People says that care home managers should challenge the belief that expectations in later life are low and instead engage older people in creative programmes. The author, CEO at the Baring Foundation, says that story-telling, comedy, and art can enhance self-esteem, confidence and mental wellbeing for older people in the community and in care homes.
September 14, 2016: Nursing Standard
Christina Lannering, Marie Ernsth Bravell, Linda Johansson
A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called 'Senior Alert' and used countrywide. The aim of this study was to describe nursing staff's experience of preventive work by using the structured preventive care process as outlined by Senior Alert...
October 12, 2016: Health & Social Care in the Community
J van Hoof, H Verbeek, B M Janssen, A Eijkelenboom, S L Molony, E Felix, K A Nieboer, E L M Zwerts-Verhelst, J J W M Sijstermans, E J M Wouters
BACKGROUND: The sense of home of nursing home residents is a multifactorial phenomenon which is important for the quality of living. This purpose of this study is to investigate the factors influencing the sense of home of older adults residing in the nursing home from the perspective of residents, relatives and care professionals. METHODS: A total of 78 participants (n = 24 residents, n = 18 relatives and n = 26 care professionals) from 4 nursing homes in the Netherlands engaged in a qualitative study, in which photography was as a supportive tool for subsequent interviews and focus groups...
October 3, 2016: BMC Geriatrics
Shelly L Gray, Joseph T Hanlon
Use of medications with anticholinergic activity is widespread in older adults. Several studies have highlighted that anticholinergic use may be associated with an increased risk of dementia. The objective of this narrative review is to describe and evaluate studies of anticholinergic medication use and dementia and provide practical suggestions for avoiding use of these medications in older adults. A comprehensive review of the literature, citations from recent reviews and the author's personal files was conducted...
October 2016: Therapeutic Advances in Drug Safety
Christine Toye, Richard Parsons, Susan Slatyer, Samar M Aoun, Rachael Moorin, Rebecca Osseiran-Moisson, Keith D Hill
BACKGROUND: Hospital discharge of older people receiving care at home offers a salient opportunity to identify and address their family caregivers' self-identified support needs. OBJECTIVES: This study tested the hypothesis that the extent to which family caregivers of older people discharged home from hospital felt prepared to provide care at home would be positively influenced by their inclusion in the new Further Enabling Care at Home program. DESIGN: This single-blind randomised controlled trial compared outcomes from usual care alone with those from usual care plus the new program...
September 20, 2016: International Journal of Nursing Studies
Christine Smith, Susan Dray
This article outlines the development of a new way of working across a group of care homes in south east Wales, based on a philosophy of relationship-centred care and an ethos of empowerment for older people in the homes. The underpinning aim was to enable residents to have a good quality of life, reflecting recommendations made by the Older People's Commissioner for Wales in a 2014 review into the quality of life and care of older people living in care homes in the country. After the introduction of the new way of working, the care home group were approached by a university to take part in a collaborative project offering nursing students clinical placements in the care homes, mentored by registered nurses employed there...
September 29, 2016: Nursing Older People
Jérémy Raffin, Jean-Claude Barthelemy, Philippe Terrat, Marie-Christine Diana, Emilie Achour, Paul Calmels, Mathieu Oriol, Thierry Busso, Lallia Hammadi, Claude Montuy-Coquard, Rémi Bouvier, Rémi Poillerat, Frédéric Roche, David Hupin
OBJECTIVE: It is well established that physical activity reduces the physiological effects of ageing. Among them, is the decrease of the autonomic nervous system (ANS) activity, which is associated with the increase of cardiovascular events and morbidities. It has been shown that high intensity cycle training can enhance the ANS activity by 30% in people with the age of 70. However, such trainings were done by old athletes, used to train at intensities that could not be tolerated by sedentary old people, such as nursing home residents...
September 2016: Annals of Physical and Rehabilitation Medicine
Dianne Goeman, Sue Conway, Ralph Norman, Jo Morley, Rona Weerasuriya, Richard H Osborne, Alison Beauchamp
Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS)...
2016: Journal of Diabetes Research
Hiromi Rakugi
European guidelines (ESH-ESC2013) for the elderly have discussed well about treatment blood pressure (BP) levels and targeting BP levels. In general, elderly patients with systolic BP (SBP) ≥160 mmHg including individuals older than 80 years in good physical and mental conditions are recommended reducing SBP to between 150 and 140 mmHg. Furthermore, fit elderly patients <80 years old are recommended to consider antihypertensive treatment at SBP values ≥140 mmHg with a target SBP <140 mmHg. On the other hand, frail elderly patients are recommended to leave decisions on antihypertensive therapy to the treating physician, and based on monitoring of the clinical effects of treatment...
September 2016: Journal of Hypertension
Kirsten Hermans, Joachim Cohen, Nele Spruytte, Chantal Van Audenhove, Anja Declercq
AIM: The aims of the present study were: (i) to describe palliative care needs and symptoms of older adults anticipated to be in the last year of their life in Flemish nursing homes (Belgium); and (ii) to evaluate whether these needs differ between residents with and without dementia. METHODS: A cross-sectional study was carried out in 2014. Nurses and nursing assistants in 15 Flemish nursing homes (Belgium) completed the Palliative care Outcome Scale for 109 residents with palliative care needs...
September 16, 2016: Geriatrics & Gerontology International
Jane Österlind, Britt-Marie Ternestedt, Görel Hansebo, Ingrid Hellström
AIM: The aim of the study was to deepen the understanding of how older persons living in a nursing home experience life close to death. BACKGROUND: A move to and a life in a nursing home while being close to death is a reality for many older people in Sweden. Being able to express thoughts and feelings about death has been described as both crucial for sustaining personhood as well as for establishing a meaningful existence at the end of life. Important are the experiences of older people living in nursing homes who are approaching death...
September 14, 2016: International Journal of Older People Nursing
Blanca Serrano Falcón, Ángel Álvarez Sánchez, Manuel Diaz-Rubio, Enrique Rey
BACKGROUND: faecal impaction (FI) is a common problem in old people living in nursing home. Its prevalence and associated factors remain unknown in the general population. AIM: to evaluate FI prevalence in the Spanish population older than 65 years and to assess the factors associated with it. METHODS: a telephone survey was carried out of a Spanish population older than 65 years random sample (N = 1000). FI was assessed using a previously validated questionnaire...
September 12, 2016: Age and Ageing
Brendan McCormack, Astrid Skatvedt
AIMS AND OBJECTIVES: To explore how older people living at home with mental health needs and their care partners experienced the practices of collaboration within and between services. BACKGROUND: Many healthcare strategies for community mental health services for older people espouse a person-centred approach or principles that are similar in focus. DESIGN: This study reports on the first stage of a three-year action research project that focused on improving mental health services for older people and their care partners living at home...
May 18, 2016: Journal of Clinical Nursing
(no author information available yet)
By 2050 an estimated 83.7 million Americans will be ages sixty-five and older, up from 40.3 million in 2010. The shock wave of aging Americans will have profound implications for older people, their families, health care providers, and the economy. Researchers, policy makers, health care leaders, and others are designing responses to the challenges these actuarial shifts will create. For example, delivering health care at home could help keep more older Americans out of costly emergency departments and nursing homes...
September 1, 2016: Health Affairs
M Seijo-Martinez, J M Cancela, C Ayán, S Varela, H Vila
BACKGROUND: Information relating the severity of cognitive decline to the fall risk in institutionalized older adults is still scarce. This study aims to identify potential fall risk factors (medications, behavior, motor function, and neuropsychological disturbances) depending on the severity of cognitive impairment in nursing home residents. METHODS: A total of 1,167 nursing home residents (mean age 81.44 ± 8.26 years; 66.4% women) participated in the study. According to the MEC, (the Spanish version of the Mini-Mental State Examination) three levels of cognitive impairment were established: mild (20-24) "MCI", moderate (14-19) "MOCI", and severe (≤14) "SCI"...
September 8, 2016: International Psychogeriatrics
Stefanie Eicher, Nathan Theill, Heike Geschwindner, Caroline Moor, Albert Wettstein, Gabriela Bieri-Brüning, Christoph Hock, Mike Martin, Henrike Wolf, Florian Riese
BACKGROUND: The proportion of older people with advanced dementia who will die in nursing homes is constantly growing. However, little is known about the dying phase, the type of symptoms, the management of symptoms and the quality of life and dying in people with advanced dementia. The ZULIDAD (Zurich Life and Death with Advanced Dementia) study aims at extending the current scientific knowledge by providing first data from Switzerland. METHODS: The ZULIDAD study employs a prospective design to study nursing home residents with advanced dementia for three years or until their death in eleven nursing homes in Zurich...
2016: BMC Palliative Care
Andreas Hoell, Siegfried Weyerer, Wolfgang Maier, Michael Wagner, Martin Scherer, Anne Stark, Hanna Kaduszkiewicz, Birgitt Wiese, Hans-Helmut König, Jens-Oliver Bock, Janine Stein, Steffi G Riedel-Heller
BACKGROUND: Depression is the most common psychiatric disease in older people, often accompanied by co-morbidities and functional limitations. In cross-sectional studies, depression is associated with an increased use of health care resources, including informal care and home care. Longitudinal data are needed to better understand the causal links between depression, functional impairments, and health care utilization. METHODS: Data were obtained at baseline and follow-up of the multicenter, prospective cohort study "Late life depression in primary care: needs, health care utilization and costs" (AgeMooDe)...
November 1, 2016: Journal of Affective Disorders
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