Perspectives on egressibility of older people with functional limitations

Abstract Background Literature findings on the association between polypharmacy and mortality in older people are not consistent. Appropriate tools, making use of linkages, are helpful to investigate this further. Methods Data of participants of the Belgian Health Interview Survey 2013 aged ≥ 65 years (n = 1950) were linked with billing data and 5 year’s mortality follow-up information. Polypharmacy was defined as concomitant use of ≥ 5 medicines in the past 24 hours or ≥ 5 recent prescriptions of reimbursed medicines. The impact of polypharmacy on mortality was assessed through mortality rate ratios (MRR) from a Poisson regression model adjusting for gender, age, multimorbidity, functional limitations and health care use, and including interactions. Results The prevalence of polypharmacy was 38,3%. Age and disability status were effect modifiers in the association between polypharmacy and mortality. Whereas polypharmacy was significantly associated with mortality among people aged 65-79 years (MRR 2.52; 95% CI 1.67-3.80), this was not so for the 80 + (MRR 1.46; 95% CI 0.93-2.29). Polypharmacy was a mortality predictor among people with no/moderate functional limitations (MRR 2,29; 95% CI 1.61-3.25), but not for those with severe functional limitations (MRR 1,22; 95% CI 0.67-2.34). Conclusions By linking health interview survey, billing and mortality data further insights can be gained on the association between polypharmacy and mortality. Key messages A critical evaluation of polypharmacy in older people below 80 years and in people without severe functional limitations may reduce mortality in these population groups.

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Type of Disaster Exposure Affects Functional Limitations of Older People 6 Years Later

The Journals of Gerontology Series A ◽

10.1093/gerona/glz258 ◽

2019 ◽

Vol 75 (11) ◽

pp. 2139-2146

Author(s):

Rachel Pruchno ◽

Maureen Wilson-Genderson ◽

Allison R Heid ◽

Francine P Cartwright

Keyword(s):

Older People ◽

Natural Disasters ◽

Traumatic Stress ◽

Functional Limitations ◽

Hurricane Sandy ◽

Ongoing Research ◽

Property Loss ◽

Traumatic Distress ◽

Independent Effects ◽

Disaster Exposure

Abstract Background Natural disasters, including earthquakes, tsunamis, tornadoes, and hurricanes, are traumatic events that simultaneously affect the lives of many people. Although much is known about the effects that natural disasters have on mental health, little is known about how natural disasters affect physical health. These analyses add to the literature by examining the ways in which four types of disaster exposure (geographic, peri-traumatic stress, personal and property loss, and poststorm hardship) experienced by older people during and after Hurricane Sandy affected functional limitations. Methods We analyzed five waves of data from the ORANJ BOWL panel (“Ongoing Research on Aging in New Jersey: Bettering Opportunities for Wellness in Life”) using multilevel mixed-effects models. Results We found that although peri-traumatic stress and poststorm hardship each had independent effects on functional limitations, the effects of peri-traumatic stress dominated and were evident 6 years after the hurricane. Geographic exposure and personal/property loss were not associated with functional limitations. Conclusions These findings add important information to what is known about older people who experience a natural disaster and suggest opportunities for intervention. Finding that an individual’s emotional response during the disaster plays an important role in the development of functional limitations suggests that reduction of exposure to traumatic stress during a storm (ie, evacuation from a storm area) may be important for older people. Likewise, interventions immediately after a disaster that target older people who experience high levels of peri-traumatic distress may be needed in order to alleviate functional limitations before they develop.

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Self-reported health and functional limitations among older people in the Kassena-Nankana District, Ghana

Global Health Action ◽

10.3402/gha.v3i0.2151 ◽

2010 ◽

Vol 3 (1) ◽

pp. 2151 ◽

Cited By ~ 36

Author(s):

Cornelius Debpuur ◽

Paul Welaga ◽

George Wak ◽

Abraham Hodgson

Keyword(s):

Older People ◽

Functional Limitations ◽

Reported Health

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COMPETENCY DEVELOPMENT IN EDUCATING HEALTH CARE SPECIALISTS AT WORK WITH OLDER PEOPLE

SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference ◽

10.17770/sie2019vol4.3780 ◽

2019 ◽

Vol 4 ◽

pp. 56

Author(s):

Dina Berloviene ◽

Gunta Beta ◽

Dita Role ◽

Dagnija Deimante ◽

Alida Samusevica

Keyword(s):

Health Care ◽

Older People ◽

Functional Limitations ◽

Psychosocial Problems ◽

Future Health ◽

Term Care ◽

Study Programme ◽

Care And Support ◽

Health And Social Care ◽

Future Health Care

Health and social care specialists who work with older people and provide systematic direct and indirect professional care and support to people older than 65 and to their families, thus ensuring various care and support services in different environments including preventive, supportive, disease management, recuperative, paliative, short-term and long-term care, need specific competences in order to understand and ensure older people’s needs and care. Older people and especially frail older people can have problems that are interlinked, for instance, cognitive and functional limitations that are combined with psychosocial problems and social isolation. In order to develop students’ competence at work with older people- understanding and empathy, it is necessary to research these problems during the study process by integrating study courses that would ensure emphatic and reasonable attitude and action in clinical practice in the sphere of health and social welfare when taking care of older patients. Aim - To characterize acquisition process of professional competences of future health care specialists that are to be developed purposefully and applied when working with old people. Methodology – Analysis of study course descriptions in the study programme “Nursing”. Results - RSU study programme “Nursing” contains clearly defined descriptions of professional competences.

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The last year of life in Europe: regional variations in functional status and sources of support

Ageing and Society ◽

10.1017/s0144686x10000280 ◽

2010 ◽

Vol 30 (6) ◽

pp. 1041-1054 ◽

Cited By ~ 13

Author(s):

KARSTEN HANK ◽

HENDRIK JÜRGES

Keyword(s):

Older People ◽

Regional Differences ◽

Functional Limitations ◽

Welfare States ◽

Regional Variations ◽

Mediterranean Countries ◽

Sources Of Support ◽

Analyse Data ◽

Dying At Home ◽

To Receive

ABSTRACTThis article aims to provide an initial account of the life circumstances of older people in 11 continental European countries during the year prior to their deaths. It focuses on regional variations in functional limitations and sources of support. Using logistic regression we analyse data from 523 end-of-life interviews in 2006–07, collected for the Survey of Health, Ageing and Retirement in Europe (Wave 2) about the respondents who had died since the baseline data collection in 2004–05. The prevalence of functional limitations was found to be fairly consistent across Northern, Central and Southern Europe. Significant regional differences existed, however, with regard to the deceased respondents' main sources of support and the locations of their deaths. Northern Europeans were the least likely to receive help from their family only and the most likely to be supported by non-kin. They also exhibited the highest risk of dying in a nursing home. In Mediterranean countries, a pattern of exclusive family support and dying at home prevailed. The findings support the notion of a ‘mixed responsibility’ of families and welfare states as providers of support for older people in the last year of life.

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Food Insecurity Is Associated With Depressive Symptoms Among Brazilian Community Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.775 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 240-241

Author(s):

Carolina Freiria ◽

Graziele Silva ◽

Larissa Hara ◽

André Fattori ◽

Flavia Borim ◽

...

Keyword(s):

Depressive Symptoms ◽

Older People ◽

Health Outcomes ◽

Food Insecurity ◽

Sex Education ◽

Functional Limitations ◽

Depression Scale ◽

Short Version ◽

International Studies ◽

Negative Health Outcomes

Abstract Food security can be defined as when the individual has access to food consumption in adequate quality and quantity, respecting aspects such as age, physiological condition and cultural habits. While international studies showed the association of Food Insecurity (FI) and many negative health outcomes, like depressive symptoms, less is known about food insecurity among older people in Brazil, especially about its association with health. The aim of this study is to analyze the relationship between FI and Depressive Symptoms (DS) among community older Brazilian adults. Were included in this study 493 community older people with 60+. Geriatric Depression Scale were used to measure DS and for assessment of FI was used the short version of the Brazilian Food Insecurity Scale, added with one question involving functional limitations to buy food. Logistic regression was used to estimate the odds ratio (OR) adjusted for covariates (e.g., sex, education, age and familiar income). The prevalence of FI were 42.4% and the prevalence of DS were 71.5% of population. The prevalence of DS was higher in the group with FI than among those without F (78.9% vs 65.8% respectively; p=0.001). In the adjusted regression analysis, the chance of presenting positive symptomatology for depression was 1.87 times higher among the older people with FI (CI 1.18 –2.91; p=0.007). The findings demonstrate high prevalence of FI and DS indicating the importance of FI screening among community-based older people in order to avoid possible negative health outcomes in this population, such as the development of depressive symptoms.

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Wealth inequalities in loneliness among older people in Europe: the role of functional limitations

European Journal of Public Health ◽

10.1093/eurpub/ckv172.052 ◽

2015 ◽

Vol 25 (suppl_3) ◽

Author(s):

C Niedzwiedz ◽

R Mitchell ◽

J Pearce

Keyword(s):

Older People ◽

Functional Limitations ◽

Wealth Inequalities

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The Protective Effects of Informal Care Receipt Against the Progression of Functional Limitations Among Chinese Older People

The Journals of Gerontology Series B ◽

10.1093/geronb/gby107 ◽

2018 ◽

Vol 75 (5) ◽

pp. 1030-1041 ◽

Cited By ~ 6

Author(s):

Bo Hu ◽

Lei Li

Keyword(s):

Older People ◽

Protective Effect ◽

Informal Care ◽

Population Aging ◽

Functional Limitations ◽

Government Support ◽

Baseline Survey ◽

Protective Effects ◽

Multilevel Regression ◽

Chinese Older People

AbstractObjectiveThis study investigates the impacts of receiving informal care on the progression of functional limitations among older people aged 60 and older in China.MethodsThe data come from three waves of the China Health and Retirement Longitudinal Survey, which collected health- and aging-related information on a nationally representative sample of Chinese older people from 2011 to 2015. Multilevel regression models were used to analyze the data.ResultsThe protective effect of receiving informal care is stronger for the first 2 years after the baseline survey and tends to fade away or be reversed 4 years later. The protective effect is stronger among older people receiving low-intensity informal care and is gradually weakened with an increase in care intensity.DiscussionTrajectories of function capabilities are deeply embedded in social relationships. In the context of rapid population aging and increasing demand for informal care, government support for caregivers is needed to sustain the protective effects of informal care.

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Quality of Life and Oral Hygiene in Older People with Manual Functional Limitations

Journal of Dental Education ◽

10.1002/j.0022-0337.2006.70.12.tb04226.x ◽

2006 ◽

Vol 70 (12) ◽

pp. 1261-1262 ◽

Cited By ~ 7

Author(s):

Andréia A.B. Montandon ◽

Lígia A.P. Pinelli ◽

Laiza M.G. Fais

Keyword(s):

Quality Of Life ◽

Older People ◽

Oral Hygiene ◽

Functional Limitations

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Discussing age-related functional decline in family medicine: a qualitative study that explores both patient and physician perceptions

Age and Ageing ◽

10.1093/ageing/afz158 ◽

2019 ◽

Vol 49 (2) ◽

pp. 292-299

Author(s):

Ophélie Viret ◽

Joëlle Schwarz ◽

Nicolas Senn ◽

Yolanda Mueller

Keyword(s):

Qualitative Study ◽

Older People ◽

Functional Limitations ◽

Functional Decline ◽

Management Tool ◽

Geriatric Syndrome ◽

Geriatric Syndromes ◽

Age Related ◽

Normal Ageing ◽

Primary Care Practices

Abstract Background evaluating a patient’s functional status and screening for geriatric syndromes by general practitioners (GPs) are increasingly encouraged. This study aimed to explore how older people and GPs define and perceive autonomy and functional decline, patients’ propensity to discuss age-related issues and integration of such topics into routine medical consultations. Methods this qualitative study was conducted in Western Switzerland with older people followed in primary care practices and who participated in a trial assessing the effectiveness of a screening and management tool for geriatric syndromes to prevent functional decline. We interviewed 15 participants (patients ≥75 years old) and five GPs about their screening experience. We used semi-structured grids for data collection and an inductive thematic approach for data analysis. Results participants gave several definitions of autonomy, directly depending on their health status and functional limitations. Implementing various coping strategies, participants also expressed contrasted feelings related to functional decline such as fear, inability to accept and resilience. Functional decline was often perceived as normal ageing; participants were therefore not prompt at discussing age-related issues with their GP. However, screening was perceived positively by both participants and GPs, making addressing sensitive issues and detecting new problems possible. Conclusions a geriatric syndrome-screening intervention was well accepted by both patients and physicians. This type of initiative may be an opportunity to address various age-related issues and to inform patients of existing solutions.

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