scholarly journals Impact of the COVID-19 pandemic on older adults living in long-term care centers in Thailand, and risk factors for post-traumatic stress, depression, and anxiety

2021 ◽  
Author(s):  
Maytinee Srifuengfung ◽  
Kitikan Thana-udom ◽  
Woraphat Ratta-apha ◽  
Sudsabuy Chulakadabba ◽  
Naratip Sanguanpanich ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Traumatic Stress ◽  
Long Term Care ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Term Care ◽  
Post Traumatic

scholarly journals Clinical features and risk factors for mortality among long-term care facility residents hospitalized due to COVID-19 in Spain

2021 ◽  
Author(s):  
José-Manuel Ramos-Rincón ◽  
Máximo Bernabeu-Whittel ◽  
Isabel Fiteni-Mera ◽  
Almudena López-Sampalo ◽  
Carmen López-Ríos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Long Term Care ◽  
Functional Dependence ◽  
Care Facility ◽  
Community Dwelling ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Abstract Background COVID-19 severely impacted older adults and long-term care facility (LTCF) residents. Our primary aim was to describe differences in clinical and epidemiological variables, in-hospital management, and outcomes between LTCF residents and community-dwelling older adults hospitalized with COVID-19. The secondary aim was to identify risk factors for mortality due to COVID-19 in hospitalized LTCF residents. Methods This is a cross-sectional analysis within a retrospective cohort of hospitalized patients≥75 years with confirmed COVID-19 admitted to 160 Spanish hospitals. Differences between groups and factors associated with mortality among LTCF residents were assessed through comparisons and logistic regression analysis. Results Of 6,189 patients≥75 years, 1,185 (19.1%) were LTCF residents and 4,548 (73.5%) were community-dwelling. LTCF residents were older (median: 87.4 vs. 82.1 years), mostly female (61.6% vs. 43.2%), had more severe functional dependence (47.0% vs 7.8%), more comorbidities (Charlson Comorbidity Index: 6 vs 5), had dementia more often (59.1% vs. 14.4%), and had shorter duration of symptoms (median: 3 vs 6 days) than community-dwelling patients (all, p<.001). Mortality risk factors in LTCF residents were severe functional dependence (aOR:1.79;95%CI:1.13-2.83;p=.012), dyspnea (1.66;1.16-2.39;p=.004), SatO2<94% (1.73;1.27-2.37;p=.001), temperature≥37.8ºC (1.62;1.11-2.38; p=.013); qSOFA index≥2 (1.62;1.11-2.38;p=.013), bilateral infiltrates (1.98;1.24-2.98;p<.001), and high C-reactive protein (1.005;1.003-1.007;p<.001). In-hospital mortality was initially higher among LTCF residents (43.3% vs 39.7%), but lower after adjusting for sex, age, functional dependence, and comorbidities (aOR:0.74,95%CI:0.62-0.87;p<.001). Conclusion Basal functional status and COVID-19 severity are risk factors of mortality in LTCF residents. The lower adjusted mortality rate in LTCF residents may be explained by earlier identification, treatment, and hospitalization for COVID-19.

scholarly journals Women's experiences in relation to stillbirth and risk factors for long-term post-traumatic stress symptoms: a retrospective study

BMJ Open ◽  
2013 ◽  
Vol 3 (10) ◽  
pp. e003323 ◽  
Author(s):  
Ida Kathrine Gravensteen ◽  
Linda Björk Helgadóttir ◽  
Eva-Marie Jacobsen ◽  
Ingela Rådestad ◽  
Per Morten Sandset ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Stress Symptoms ◽  
Post Traumatic

scholarly journals Case presentation of Safe and Effective Use of Medical Cannabis in the Elderly

2021 ◽  
Vol 1 (1) ◽  
pp. 9-16
Author(s):  
Luisa Barton ◽  
Clara Nisan ◽  
Carey Burleigh ◽  
Suzanne Fredericks
Keyword(s):  
Palliative Care ◽  
Traumatic Stress ◽  
The Elderly ◽  
Medical Cannabis ◽  
Post Traumatic Stress ◽  
Term Care ◽  
Case Presentation ◽  
Post Traumatic ◽  
Effective Use

Introduction: The therapeutic benefits of medical cannabis have been demonstrated for a number of chronic conditions impacting the elderly population, such as pain management, and as alternatives to antipsychotic and opioid interventions, as well as end of life treatments. However, this therapeutic intervention has not become part of routine care for seniors living in long-term care facilities because of reduced public acceptance and stigma. The aim of this paper was to present case studies outlining the effective use of medical cannabis to treat elderly patients with a variety of medical conditions and symptoms such as: post traumatic stress disorder, pain, anxiety, delusions, as well as palliative care. Cannabis was also used to taper antipsychotic medications, and for managing those in palliative care.   Case Presentation: Three cases highlighting the use of medical cannabis are described, from the perspective of a nurse practitioner-led interdisciplinary team approach. Management and Outcome: Using a variety of combinations of medical cannabis (cannabidiol and delta-9-tetrahydrocannabinol) in oral formulations, the long-term care facility has achieved a dramatic reduction in the use of antipsychotic medications. Medical cannabis has shown alleviation of many symptoms such as: pain, dyspnea, agitation, fatigue, weakness, loss of appetite, nausea, vomiting, and twitching. Positive results were noted in several palliative care patients who received medical cannabis for pain and symptom management. Conclusion: As an adjunct therapy for managing post traumatic stress disorder and other conditions, medical cannabis has been effective in reducing symptoms and for improving the patients’ overall quality of life. Continued evaluation into the long effectiveness of medical cannabis provided to individuals over the age of 65 years is suggested. This nurse practitioner-led therapeutic intervention highlights the potential health benefits of medical cannabis and has clinical implications for practice and education.

scholarly journals Risk Factors for Social Isolation Among Older Adults in Long Term Care: A Scoping Review

2020 ◽  
Author(s):  
Sheila A. Boamah ◽  
Rachel Weldrick ◽  
Tin-Suet Joan Lee ◽  
Nicole Taylor
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Social Isolation ◽  
Scoping Review ◽  
Long Term Care ◽  
Community Dwelling ◽  
Structural Factors ◽  
Term Care ◽  
Online Databases

Objectives: A wealth of literature has established risk factors for social isolation among older people, however much of this research has focused on community-dwelling populations. Relatively little is known about how risk of social isolation is experienced among those living in long-term care (LTC) homes. We conducted a scoping review to identify possible risk factors for social isolation among older adults living in LTC homes. Methods: A systematic search of five online databases retrieved 1535 unique articles. Eight studies met the inclusion criteria. Results: Thematic analyses revealed that possible risk factors exist at three levels: individual (e.g., communication barriers), systems (e.g., location of LTC facility), and structural factors (e.g., discrimination). Discussion: Our review identified several risk factors for social isolation that have been previously documented in literature, in addition to several risks that may be unique to those living in LTC homes. Results highlight several scholarly and practical implications.

The Roles of Combat Exposure, Personal Vulnerability, and Involvement in Harm to Civilians or Prisoners in War-Related Post-Traumatic Stress Disorder

2018 ◽  
pp. 141-160
Author(s):  
Bruce P. Dohrenwend ◽  
Thomas J. Yager ◽  
Melanie M. Wall ◽  
Ben G. Adams
Keyword(s):  
Risk Factors ◽  
Traumatic Stress ◽  
Combat Exposure ◽  
Post Traumatic Stress ◽  
Independent Contribution ◽  
Post Traumatic ◽  
Dsm Iv ◽  
Personal Vulnerability ◽  
Traumatic Stressors

This chapter examines the central assumption in the DSM-III, DSM-III-R, and DSM-IV that potentially traumatic stressors are more important than personal vulnerability in causing PTSD. This chapter tests this assumption with data from a rigorously diagnosed male subsample (n = 260) from the NVVRS. It concludes that, of the three risk factors, only combat exposure proved necessary for disorder onset. Although none of the three risk factors proved sufficient, estimated onset reached 97% for veterans high on all three, with harm to civilians or prisoners showing the largest independent contribution. Severity of combat exposure proved more important than pre-war vulnerability in onset; pre-war vulnerability was as least as important in long-term persistence. Implications for the primacy of the stressor assumption are discussed.

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