scholarly journals Patterns of High-Dose and Long-Term Proton Pump Inhibitor Use: A Cross-Sectional Study in Six South Australian Residential Aged Care Services

2019 ◽  
Vol 6 (3) ◽  
pp. 105-113 ◽  
Author(s):  
Ivanka Hendrix ◽  
Amy T. Page ◽  
Maarit J. Korhonen ◽  
J. Simon Bell ◽  
Edwin C. K. Tan ◽  
...  
2016 ◽  
Vol 64 (3) ◽  
pp. 361-363 ◽  
Author(s):  
Pepijn Huizinga ◽  
Marjolein Kluytmans– van den Bergh ◽  
Miranda van Rijen ◽  
Ina Willemsen ◽  
Nils van ‘t Veer ◽  
...  

2014 ◽  
Vol 68 (11) ◽  
pp. 1352-1357 ◽  
Author(s):  
G. Lindner ◽  
G.-C. Funk ◽  
A. B. Leichtle ◽  
G. M. Fiedler ◽  
C. Schwarz ◽  
...  

Author(s):  
Phillip R. Della ◽  
Lina Ma ◽  
Pamela A. Roberts ◽  
Huaqiong Zhou ◽  
Rene Michael ◽  
...  

Author(s):  
Delfina Ana Recart ◽  
Augusto Ferraris ◽  
Carla Ines Petriglieri ◽  
Marina Alonso Serena ◽  
Maria Belen Bonella ◽  
...  

Author(s):  
Muhamad Aljeaidi ◽  
Claire Keen ◽  
J. Simon Bell ◽  
Tina Cooper ◽  
Leonie Robson ◽  
...  

Ocular issues are common, burdensome, and under-researched among residents of aged care services. This study aims to investigate the prevalence of dry eyes or use of ocular lubricants among residents, and the possible association with systemic medications known or suspected to cause dry eyes. A cross-sectional study of 383 residents of six aged care services in South Australia was conducted. Data were extracted from participants’ medical histories, medication charts, and validated assessments. The main exposure was systemic medications known to cause, contribute to, or aggravate dry eyes. The primary outcome was documented dry eyes or regular administration of ocular lubricants. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between systemic medications and dry eyes/use of ocular lubricants. Dry eyes were documented for 53 (13.8%) residents and 98 (25.6%) residents were administered ocular lubricants. Overall, 116 (30.3%) residents had documented dry eyes/used ocular lubricants. Of these, half (n = 58) were taking a medication known to cause, contribute to, or aggravate dry eyes. Taking one or more medications listed as known to cause dry eyes was associated with having dry eyes/use of ocular lubricants (OR 1.83, 95% CI 1.15–2.94). In sub-analyses, no individual medication was associated with dry eyes/use of ocular lubricants. Dry eyes and use of ocular lubricants are common in residential aged care. Our hypothesis generating findings suggest the need for further research into the clinical significance of systemic medications as a possible cause of dry eyes.


2019 ◽  
Author(s):  
Suzanne Marie Dyer ◽  
Enwu Liu ◽  
Emmanuel Gnanamanickam ◽  
Stephanie Louise Harrison ◽  
Rachel Milte ◽  
...  

Abstract Background The value of providing access to outdoor areas for people living in residential aged care, including those living with dementia, in terms of mood, behaviour and well-being is increasingly acknowledged. This study examines associations between provision of independent access to outdoor areas and frequency of residents going outdoors with the quality of life (QoL) of nursing home residents and compares use of outdoor areas between alternative models of residential aged care. Methods A cross-sectional study was conducted including 541 participants from 17 residential aged care homes in four states in Australia, mean age 85 years, 84% with cognitive impairment. Associations between having independent access to outdoors and the frequency of going outdoors and QoL (EQ-5D-5L) were examined using multi-level models. The odds of going outdoors in a small-scale home-like model of care compared to standard Australian models of care were examined. Results After adjustment for potential confounders (including comorbidities and facility level variables), living in an aged care home with independent access to the outdoors was not significantly associated with QoL (β=-0.01, 95% Confidence Interval (CI) -0.09 to 0.07, P=0.80). However, going outdoors daily (β=0.13 95%CI 0.06 to 0.21), but not multiple times a week (β=0.03, 95%CI -0.03 to 0.09), was associated with a better QoL. Residents living in a home-like model of care had greater odds of going outdoors daily (odds ratio 15.1, 95%CI 6.3 to 36.2). Conclusions Going outdoors frequently is associated with higher QoL for residents of aged care homes and residents are more likely to get outside daily if they live in a small-scale home-like model of care. However, provision of independent access to outdoor areas alone may be insufficient to achieve these benefits. Increased availability of models of residential aged care with staffing structures, training and design which increases support for residents to venture outdoors frequently is needed to maximise resident quality of life.


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