scholarly journals Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

2021 ◽  
Author(s):  
Madeleine Fricke ◽  
Adele Kruse ◽  
Michael Schwenk ◽  
Carl-Philipp Jansen ◽  
Thomas Muehlbauer ◽  
...  
Keyword(s):  
Nursing Home ◽  
Spatial Orientation ◽  
Satisfaction With Life ◽  
Task Complexity ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Satisfaction With Life Scale ◽  
Motor Training ◽  
Positive Trend ◽  
Set Up

AbstractA sedentary lifestyle in nursing home residents is often accompanied with reduced life space mobility and in turn affects satisfaction with life. One of the reasons for this may be limited ability to find one’s way around the care facility and its environment. However, spatial orientation exercises might reduce these problems if they are integrated into an adequate cognitive-motor training. Therefore, we integrated six novel and target group-specific spatial orientation exercises into an established multicomponent cognitive-motor group training for nursing home residents and evaluated its feasibility. Forty nursing home residents (mean age: 87.3 ± 7 years) participated in the spatial orientation cognitive motor training (45–60 min, twice a week over a period of 12 weeks). The main outcomes included the feasibility criteria (adherence, completion time, acceptance, instructions, motor performance, materials/set up, complexity) and first measurements of mobility and satisfaction with life (SPPB [Short Physical Performance Battery], SWLS [Satisfaction with Life Scale]). Adherence increased over time. The increase was associated with the adaptions and modifications of the spatial orientation exercises that were made to meet the participants’ requirements. A positive trend was discerned for mobility and life satisfaction, comparing pre- and posttraining data. In summary, the feasibility analysis revealed that future interventions should consider that (a) instructions of demanding spatial tasks should be accompanied by an example task, (b) trainers should be encouraged to adjust task complexity and materials on an individual basis, (c) acceptance of the training should be promoted among nursing staff, and (d) surroundings with as little disturbance as possible should be selected for training.

scholarly journals Loneliness in the context of quality of life of nursing home residents

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 354-361 ◽  
Author(s):  
Dorota Trybusińska ◽  
Agnieszka Saracen
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Satisfaction With Life ◽  
Nuclear Family ◽  
Institutional Care ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Steady Increase

AbstractBackgroundNumbers of the elderly have been on a steady increase both in Poland and other countries of the world. As they age, their health declines and they need help with their housekeeping. This, coupled with the transformation of intergenerational into single-generation or nuclear family structures, causes a markedly rising demand for institutional care. Holistic care of an elderly nursing home resident requires a comprehensive approach and consideration for their feelings. Loneliness and solitude are increasingly common among these feelings, undoubtedly affecting quality of life.Method250 elderly residents of seven nursing home situated in Mazovia, Poland, have been examined using: De Jong Gierveld Loneliness Scale, WHOQOL-BREF Questionnaire, Basic Hope Scale (BHI-12), Satisfaction with Life Scale (SWLS), Acceptance of Illness Scale (AIS).ResultsLoneliness affects nearly 40% residents of the homes surveyed. Quality of their residents’ lives is reduced. Relations with their families and levels of motor efficiency imply a sense of loneliness. Degrees of illness acceptance, ability to adjust to change, and life satisfaction influence the level of loneliness felt.Conclusion40% of nursing home residents exhibit a sense of loneliness, while the greater loneliness and solitude, the lower the quality of life.

scholarly journals Satisfaction with the lives of elderly nursing homes residents

2019 ◽  
Vol 18 (4) ◽  
pp. 220-227
Author(s):  
Dorota Trybusińska ◽  
Agnieszka Saracen
Keyword(s):  
Life Satisfaction ◽  
Nursing Home ◽  
Nursing Homes ◽  
Satisfaction With Life ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Survey Method ◽  
Dominant Group ◽  
Mental Test Score

AbstractIntroduction. Ageing of societies is a process apparent in nearly all countries worldwide. Many families will not be able to provide care services for the elderly, the burden of care will fall mainly on public and private institutions. This puts employees of nursing homes in front of numerous challenges in order to provide seniors with improvement of their life satisfaction.Aim. The purpose of the study was to assess the life satisfaction of elderly nursing home residents in the Mazovian region and to demonstrate variables that affect it.Material and methods.. The research was carried out in 2018 among the 250 elderly nursing home residents from Mazovia. During the test, a diagnostic survey method and a questionnaire technique were used. The research tool was the Satisfaction With Life Scale (SWLS), Katz’s Activities of Daily Living Scale, Hodgkinson’s Abbreviated Mental Test Score, Basic Hope Inventory (BHI-12), Acceptance of Illness Scale (AIS), and the authors’ survey questionnaire.Results. Among the respondents, the dominant group included people with low life satisfaction (42.8%). A statistically significant relationship was found between life satisfaction and the age of the respondents and selected psychometric scales. There was no such correlation for the level of mobility, duration of stay at the nursing home and the size of the inhabited facility.Conclusions. Elderly people living in nursing homes from Mazovia enjoy life satisfaction at a low and average level. The results distinguish three groups of residents exhibiting a lower satisfaction with life, namely, new arrivals, the oldest, and suffering from a minimum of one illness. Nursing home personnel who deal with patients on an everyday basis should aim to improve their life satisfaction.

scholarly journals A three-armed cognitive-motor exercise intervention to increase spatial orientation and life-space mobility in nursing home residents: study protocol of a randomized controlled trial in the PROfit project

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bettina Wollesen ◽  
Madeleine Fricke ◽  
Carl-Philipp Jansen ◽  
Katharina Gordt ◽  
Michael Schwenk ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Spatial Orientation ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Control Group ◽  
Wait List ◽  
Wait List Control Group ◽  
Wait List Control ◽  
Randomized Controlled

Abstract Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) and life-space (LS) mobility. As a consequence of sedentary behavior, there is a lack of social interaction and cognitive stimulation, resulting in low quality of life. It has not yet been examined whether cognitive-motor training including spatial cognitive tasks is suitable to improve spatial orientation and, as a consequence, to enlarge LS mobility, and increase well-being and general cognitive-motor functioning. Therefore, the overall goal of this multicentric randomized controlled trial (RCT) is to compare the effect of three different intervention approaches including functional exercise and orientation tasks on PA, LS and spatial orientation in nursing home residents. Methods A three-arm single-blinded multicenter RCT with a wait-list control group will be conducted in a sample of 513 individuals (needed according to power analysis) in three different regions in Germany. In each nursing home, one of three different intervention approaches will be delivered to participating residents for 12 weeks, twice a week for 45 min each: The PROfit basic group will perform functional strength, balance, flexibility, and walking exercises always at the same location, whereas the PROfit plus group changes the location three times while performing similar/the same exercises as the PROfit basic group. The PROfit orientation group receives navigation tasks in addition to the relocation during the intervention. Physical and cognitive functioning as well as psychological measures will be assessed in all study groups at baseline. Participants will then be randomized into either the intervention group or the wait-list control group. After 12 weeks, and after 24 weeks the measures will be repeated. Discussion This study evaluates whether the three different interventions are feasible to reduce the decline of or even improve PA, LS, and spatial orientation in nursing home residents. By adding different training locations in PROfit plus, the program is expected to be superior to PROfit basic in increasing physical and cognitive parameters. Moreover, we expect the PROfit orientation intervention to be most effective in terms of PA, LS, and spatial orientation due to two mechanisms: (1) increased physical and cognitive activity will enhance cognitive-motor capacity and (2) the spatial training will help to build up cognitive strategies to compensate for age-related loss of spatial orientation abilities and related limitations. Trial registration The trial was prospectively registered at DRKS.de with registration number DRKS00021423 on April 16, 2020 and was granted permission by the Technical University Berlin local ethics committee (No. GR_14_20191217).

Zanamivir Use During Transmission of Amantadine-Resistant Influenza A in a Nursing Home

2000 ◽  
Vol 21 (11) ◽  
pp. 700-704 ◽  
Author(s):  
Christine Lee ◽  
Mark Loeb ◽  
Anne Phillips ◽  
Judy Nesbitt ◽  
Karen Smith ◽  
...  
Keyword(s):  
Nursing Home ◽  
Influenza A ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Respiratory Illness ◽  
The Elderly ◽  
Control Measures ◽  
Term Care ◽  
Long Term Care Facility ◽  
Infection Control Measures

AbstractObjective:To describe the use of zanamivir during an influenza A outbreak.Population:Residents of a 176-bed long-term-care facility for the elderly in Newmarket, Ontario, Canada, 90% of whom received influenza vaccine in the fall of 1998.Outbreak:When respiratory illness due to influenza A was confirmed, infection control measures and amantadine prophylaxis were initiated. Despite these measures, transmission of influenza A continued.Intervention:Zanamivir inhalations, 10 mg daily for prophylaxis and 10 mg twice daily for treatment of influenza.Results:There were 13 definite and 66 probable outbreak-associated cases of influenza A. Twelve (15%) cases developed pneumonia, 7 (9%) were hospitalized, and 2 (2.6%) died. All 12 culture-positive cases yielded influenza A/Sydney/H3N2/05/97-like virus, a 1998/99 vaccine component. The three isolates obtained prior to the initiation of amantadine were amantadine-susceptible; all nine obtained after prophylaxis was instituted were amantadine-resistant. One hundred twenty-nine (92%) of 140 residents who were offered zanamivir accepted it and were able to attempt inhalations. Of these 129, 78% (100) had no difficulty in complying with inhalations. Difficulty with inhalations was associated with decreased functional and mental status. Fifteen (58%) of 26 residents fully dependent in activities of daily living had difficulty compared to 14 (14%) of 100 others (P<.001). Twenty-two (45%) of 49 residents not oriented to person, place, or time had difficulty compared to 7 (10%) of 77 others (P<001). In the 2 weeks after zanamivir prophylaxis, only 2 new cases of respiratory illness occurred, neither confirmed as influenza. No side effects were identified in 128 zanamivir-treated residents.Conclusion:A minority of nursing home residents have difficulty following instructions for zanamivir inhalations. Zanamivir was well tolerated, and its use was temporally associated with termination of an outbreak that amantadine had failed to control.

scholarly journals Caring for nursing home residents with COVID-19: a “hospital-at-nursing home” intermediate care intervention

2021 ◽  
Author(s):  
Enrico Benvenuti ◽  
Giulia Rivasi ◽  
Matteo Bulgaresi ◽  
Riccardo Barucci ◽  
Chiara Lorini ◽  
...  
Keyword(s):  
Nursing Home ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospital Admissions ◽  
Nursing Home Residents ◽  
Nursing Home Care ◽  
Intermediate Care ◽  
Healthcare Model ◽  
Set Up ◽  
The Impact

Abstract Background Nursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality. Aims To describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering “hospital-at-nursing home” care to NH residents with COVID-19 in Florence, Italy. Methods The GIROT activity was set-up during the first wave of the pandemic (W1, March–April 2020) and became a structured healthcare model during the second (W2, October 2020–January 2021). The activity involved (1) infection transmission control among NHs residents and staff, (2) comprehensive geriatric assessment including prognostication and geriatric syndromes management, (3) on-site diagnostic assessment and protocol-based treatment of COVID-19, (4) supply of nursing personnel to understaffed NHs. To estimate the impact of the GIROT intervention, we reported hospitalization and infection lethality rates recorded in SARS-CoV-2-positive NH residents during W1 and W2. Results The GIROT activity involved 21 NHs (1159 residents) and 43 NHs (2448 residents) during W1 and W2, respectively. The percentage of infected residents was higher in W2 than in W1 (64.5% vs. 38.8%), while both hospitalization and lethality rates significantly decreased in W2 compared to W1 (10.1% vs 58.2% and 23.4% vs 31.1%, respectively). Discussion Potentiating on-site care in the NHs paralleled a decrease of hospital admissions with no increase of lethality. Conclusions An innovative “hospital-at-nursing home” patient-centred care model based on comprehensive geriatric assessment may provide a valuable contribution in fighting COVID-19 in NH residents.

Prevalence of Meticillin-Resistant Staphylococcus aureus Colonisation amongst Residents in Maltese Nursing Homes

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Ryan Fredi Borg ◽  
Christine Gatt ◽  
Michael A Borg
Keyword(s):  
Risk Factors ◽  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Nasal Carriage ◽  
Incidence Rates ◽  
Carriage Rate ◽  
Hospital Acquired

Since the 1960’s, meticillin-resistant Staphylococcus aureus (MRSA) has become a major pathogen with ever-increasing incidence rates of hospital-acquired and community-acquired infections. Malta has currently one of the highest rates of hospital-acquired and community-acquired infections in Europe. In addition, reports have estimated community carriage at more than 8%. MRSA carriage in homes for the elderly is very important because these residents are often hospitalized and therefore serve as a source of transmission. The aims of this study were to establish the prevalence of MRSA nasal carriage amongst residents in nursing homes in Malta, to determine their antibiotic susceptibility and to determine the significance of specific risk factors found in the literature. Nasal swabs were taken from 397 randomly chosen residents in 10 governmental nursing homes. A short questionnaire including possible risk factors reported to be associated with MRSA nasal carriage was also filled. MRSA carriage amongst nursing home residents was 19.4% (95% CI 17.6 – 21.2%) ranging from 0% to 25% amongst the nursing homes studied. Logistic regression analyses indicated that previous hospital admission was the only risk factor that was found to be significantly (OR: 1.956, p: 0.011; 95CI 1.163 - 3.290) associated with MRSA nasal colonization amongst nursing home residents. A high carriage rate of MRSA was identified in Maltese nursing care residents which can contribute to maintaining MRSA incidence in hospitals. Possible interventions include screening of these patients when they are admitted to an acute care facility and possible decolonization attempts in the nursing homes.

scholarly journals Nursing Home Residents Aged over 80—A Cross-Sectional Analysis on Which Activity Traits Correlate to Positive Affect

2020 ◽  
Vol 17 (24) ◽  
pp. 9583
Author(s):  
Melanie Zirves ◽  
Holger Pfaff
Keyword(s):  
Nursing Home ◽  
Positive Affect ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Well Being ◽  
Independent Effect ◽  
Activity Participation ◽  
Computer Assisted ◽  
Subjective Well Being ◽  
Cross Sectional

Admission to a care facility is assumed to enhance depressive symptoms and dependent behavior in old age. In this context, the relevance of participation in activities that make everyday life in a care facility more pleasant has been pointed out. This study examines if there is a relationship between participation in different activities as well as the frequency of this participation and the positive affect of nursing home residents aged over 80. Data from the unique cross-sectional representative study ‘Quality of life and subjective well-being of the very old in North Rhine-Westphalia’ in Germany (n = 150, aged 90.15 years in average) were used. The data were collected between 08/2017 and 02/2018 using computer-assisted personal interviewing. The variability in and frequency of activity participation functioned as independent, and positive affect as dependent variable. Multiple regression analysis was performed. Residents’ predicted positive affect significantly increased with a higher variability in activity participation. There was no independent effect of frequency in participation. Our findings indicate that there is a significant and positive relationship between participating in a high number of different activities and the overall positive affect of residents aged over 80 years. This does not hold true for the frequency of participation.

Erratum: Hearing Levels among Elderly Nursing Home Residents

1980 ◽  
Vol 45 (2) ◽  
Author(s):  
Ronald L. Schow ◽  
Michael A. Nerbonne
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

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