scholarly journals Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers

2009 ◽  
Vol 21 (4) ◽  
pp. 365-372 ◽  
Author(s):  
Haruko Noguchi ◽  
Satoshi Shimizutani
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Term Care ◽  
Micro Level ◽  
At Home

scholarly journals Risk of Venous Thromboembolism in Patients Nursed at Home or in Long-Term Care Residential Facilities

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Guido Arpaia ◽  
Federico Ambrogi ◽  
Maristella Penza ◽  
Aladar Bruno Ianes ◽  
Alessandra Serras ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Home Care ◽  
Residential Care ◽  
Long Term Care ◽  
Residential Facilities ◽  
Term Care ◽  
Reduced Mobility ◽  
At Home

Background. This study investigated the prevalence of and impact of risk factors for deep venous thrombosis (DVT) in patients with chronic diseases, bedridden or with greatly limited mobility, cared for at home or in long-term residential facilities.Methods. We enrolled 221 chronically ill patients, all over 18 years old, markedly or totally immobile, at home or in long-term care facilities. They were screened at the bedside by simplified compression ultrasound.Results. The prevalence of asymptomatic proximal DVT was 18% (95% CI 13–24%); there were no cases of symptomatic DVT or pulmonary embolism. The best model with at most four risk factors included: previous VTE, time of onset of reduced mobility, long-term residential care as opposed to home care and causes of reduced mobility. The risk of DVT for patients with reduced mobility due to cognitive impairment was about half that of patients with cognitive impairment/dementia.Conclusions. This is a first estimate of the prevalence of DVT among bedridden or low-mobility patients. Some of the risk factors that came to light, such as home care as opposed to long-term residential care and cognitive deficit as causes of reduced mobility, are not among those usually observed in acutely ill patients.

scholarly journals The price of privilege: helping mom die at home

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 863-863
Author(s):  
Renee Beard
Keyword(s):  
Home Care ◽  
Social Services ◽  
Long Term Care ◽  
Organizational Factors ◽  
Care Organization ◽  
Term Care ◽  
Long Term Care Insurance ◽  
At Home

Abstract Americans overwhelmingly wish to age in place and many explicitly want to die at home. Yet, the anemic welfare state means that only the most fortunate among us are able to achieve that goal. A disproportionate burden of care falls squarely to families, which are smaller and more geographically spread out than ever before. Carers too often wind up in environments that are far from conducive, namely being older and perhaps frail themselves or younger and perhaps with small children of their own. Drawing on an autoethnographic study of my mother’s final years and a case study analysis of one innovative home care agency, this project examines the individual and organizational factors that allow one family to grant their family member’s wish to die at home. Grounded theory methods revealed facilitators including presence of a home-based long term care insurance policy, geographic mobility, and access to a democratically-oriented home care organization. Barriers, of course, include lack of access to long term care insurance and a daughter who lives in a progressive state with a waiver for Home and Community Based Services. While the privilege of access underscores the social determinants of aging, this case study reveals some important features that suggest how senior social services could be. Even for the “ideal type” presented here, the many trials and tribulations of aiding a loved one to die at home relate to the untenable nature of doing it all in a context whereby social services are fragmented and driven by financial incentives.

scholarly journals The Impact of Function Focused Care From Acute Care to Home Care and Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 629-629
Author(s):  
Silke Metzelthin ◽  
Sandra Zwakhalen ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Home Care ◽  
Acute Care ◽  
Long Term Care ◽  
Functional Decline ◽  
Term Care ◽  
The Us ◽  
The Impact

Abstract Functional decline in older adults often lead towards acute or long-term care. In practice, caregivers often focus on completion of care tasks and of prevention of injuries from falls. This task based, safety approach inadvertently results in fewer opportunities for older adults to be actively involved in activities. Further deconditioning and functional decline are common consequences of this inactivity. To prevent or postpone these consequences Function Focused Care (FFC) was developed meaning that caregivers adapt their level of assistance to the capabilities of older adults and stimulate them to do as much as possible by themselves. FFC was first implemented in institutionalized long-term care in the US, but has spread rapidly to other settings (e.g. acute care), target groups (e.g. people with dementia) and countries (e.g. the Netherlands). During this symposium, four presenters from the US and the Netherlands talk about the impact of FFC. The first presentation is about the results of a stepped wedge cluster trial showing a tendency to improve activities of daily living and mobility. The second presentation is about a FFC training program. FFC was feasible to implement in home care and professionals experienced positive changes in knowledge, attitude, skills and support. The next presenter reports about significant improvements regarding time spent in physical activity and a decrease in resistiveness to care in a cluster randomized controlled trial among nursing home residents with dementia. The fourth speaker presents the content and first results of a training program to implement FFC in nursing homes. Nursing Care of Older Adults Interest Group Sponsored Symposium

Informal caregiving for frail older people at home and in long-term care institutions: who are the key supporters?

1999 ◽  
Vol 7 (6) ◽  
pp. 434-444 ◽  
Author(s):  
◽  
John Bond ◽  
Graham Farrow ◽  
Barbara A. Gregson ◽  
Claire Bamford ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Informal Caregiving ◽  
Frail Older People ◽  
Term Care ◽  
At Home

“Then They Trust You …”

2017 ◽  
Vol 27 (2) ◽  
pp. 225-245 ◽  
Author(s):  
Marsha Love ◽  
Felipe Tendick-Matesanz ◽  
Jane Thomason ◽  
Davine Carter ◽  
Myra Glassman ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Team Members ◽  
Physical Independence ◽  
Care Workers ◽  
Communications Skills ◽  
Home Care Workers

The home care workforce, already at 2.7 million caregivers, will become the nation’s fastest growing occupation by 2024 as the senior boom generation accelerates the demand for in home services to meet its long-term care needs. The physically challenging work of assisting clients with intimate, essential acts of daily living places home care workers (HCWs) at risk for musculoskeletal disorders (MSDs); yet, HCWs typically receive little formal job training and may lack appropriate assistive devices. In this qualitative pilot study, HCW focus groups described workplace MSD risk factors and identified problem-solving strategies to improve ergonomic conditions. The results revealed that HCWs rely on their behavioral insights, self-styled communications skills and caring demeanor to navigate MSD risks to themselves and increase clients’ physical independence of movement. We suggest changes in employer and government policies to acknowledge HCWs as valued team members in long-term care and to enhance their effectiveness as caregivers.

scholarly journals MaineHealth: Development, Implementation, and Success in Telehealth for Home Care

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Robert Abel
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Long Term Care ◽  
Opinion Leaders ◽  
Term Care ◽  
National Conference ◽  
Chief Nursing Officer ◽  
Care At Home ◽  
Medicine Today

No abstract available. Editor’s note: On March 16th and 17th, 2017, Telehealth and Medicine Today convened a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.” What follows is the lecture by Robert Abel who is the Chief Nursing Officer and Director of Palliative Care for MaineHealth Care at Home, a member of the MaineHealth system.

scholarly journals An Empirical Study on Tele-Consultation In Home-Visit Nursing Care Setting Under Korean Long-Term Care Insurance System

2021 ◽  
Vol 23 (3) ◽  
pp. 249-260
Author(s):  
Jungsuk Lee ◽  
Hee Seung Lee ◽  
Yeongwoo Park ◽  
Rahil Hwang
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Home Visit ◽  
Care Setting ◽  
Long Term Care ◽  
Service Providers ◽  
Pilot Project ◽  
Care Quality ◽  
Term Care

Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.

scholarly journals Hospital to Home: Supporting the Transition From Hospital to Home for Older Adults

2021 ◽  
pp. 084456212110443
Author(s):  
Brittany Barber ◽  
Lori Weeks ◽  
Lexie Steeves-Dorey ◽  
Wendy McVeigh ◽  
Susan Stevens ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Family Caregivers ◽  
Older Adult ◽  
Long Term Care ◽  
Home Care Services ◽  
Term Care ◽  
Care Services ◽  
Hospital To Home

Background An increasing proportion of older adults experience avoidable hospitalizations, and some are potentially entering long-term care homes earlier and often unnecessarily. Older adults often lack adequate support to transition from hospital to home, without access to appropriate health services when they are needed in the community and resources to live safely at home. Purpose This study collaborated with an existing enhanced home care program called Home Again in Nova Scotia, to identify factors that contribute to older adult patients being assessed as requiring long-term care when they could potentially return home with enhanced supports. Methods Using a case study design, this study examined in-depth experiences of multiple stakeholders, from December 2019 to February 2020, through analysis of nine interviews for three focal patient cases including older adult patients, their family or friend caregivers, and healthcare professionals. Results Findings indicate home care services for older adults are being sought too late, after hospital readmission, or a rapid decline in health status when family caregivers are already experiencing caregiver burnout. Limitations in home care services led to barriers preventing family caregivers from continuing to care for older adults at home. Conclusions This study contributes knowledge about gaps within home care and transitional care services, highlighting the importance of investing in additional home care services for rehabilitation and prevention of rapidly deteriorating health.

Functional Assessment of Elderly Clients of a Rural Community-Based Long-Term Care Program: A 10-Year Cohort Study

2002 ◽  
Vol 21 (3) ◽  
pp. 455-463 ◽  
Author(s):  
Frank J. Elgar ◽  
Graham Worrall ◽  
John C. Knight
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Program ◽  
The Elderly ◽  
Home Care Services ◽  
Community Based ◽  
Term Care ◽  
Risk Of Death ◽  
Affective Functioning

ABSTRACTAs the demand for home care services increases, health care agencies should be able to predict the intake capacity of community-based long-term care (CBLTC) programs. Two hundred and thirty-seven clients entering a CBLTC program were assessed for activities of daily living (ADL) and cognitive and affective functioning and were then followed to monitor attrition and reasons why clients left the program. Compromised ADL functioning at baseline increased likelihood of death and institutionalization by 2 per cent each year. Over a 10-year period, reduced cognitive functioning at baseline increased the risk of death by 9 per cent and decreased the likelihood of leaving the program due to improvement by 18 per cent. Reduced affective functioning at baseline increased the risk of institutionalization during the course of the study by 3 per cent. Routine functional assessments with the elderly may help in the management of similar home care programs.

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