CANDIDA SPECIES AND STRAINS IN THE ORAL CAVITIES OF THE ELDERLY: A COMPARISON BETWEEN PEOPLE IN HOME-BASED CARE AND IN AGED-CARE FACILITIES

ABSTRACTIn India, although notions of ageing and care are changing, there is a continued preference among families for home-based care of elderly relatives. The legislative policies and cultural practices that shape this preference will be examined in this paper with specific reference to aged-care facilities and the 2007 Maintenance and Welfare of Parents and Senior Citizens Act. Using qualitative data from a study on dementia care in urban India it will be shown how the Act and old-age homes are understood and experienced by Indian families and key service providers. In juxtaposing policy and practice it will be argued that while notions of care are being redefined by processes like migration and urbanisation, the preference for home care remains, indicating that existing services need to be re-oriented and expanded to support families in providing this care.

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Registered nurses' medication management of the elderly in aged care facilities

International Nursing Review ◽

10.1111/j.1466-7657.2009.00760.x ◽

2010 ◽

Vol 57 (1) ◽

pp. 98-106 ◽

Cited By ~ 17

Author(s):

L.M. Lim ◽

L.H. Chiu ◽

J. Dohrmann ◽

K.-L. Tan

Keyword(s):

Registered Nurses ◽

Medication Management ◽

The Elderly ◽

Aged Care ◽

Care Facilities ◽

Aged Care Facilities

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Norovirus genotype diversity associated with gastroenteritis outbreaks in aged-care facilities

Epidemiology and Infection ◽

10.1017/s095026881500031x ◽

2015 ◽

Vol 143 (14) ◽

pp. 3064-3068 ◽

Cited By ~ 4

Author(s):

L. D. BRUGGINK ◽

N. L. DUNBAR ◽

J. A. MARSHALL

Keyword(s):

The Elderly ◽

Aged Care ◽

Residential Aged Care ◽

Detailed Knowledge ◽

Viral Gastroenteritis ◽

Reading Frame ◽

Care Facilities ◽

Aged Care Facilities ◽

Residential Aged Care Facilities ◽

One Year

SUMMARYNoroviruses are a major cause of gastroenteritis. Vaccine strategies against norovirus are currently under consideration but depend on a detailed knowledge of the capsid genotypes. This study examined the incidence of norovirus outbreaks in residential aged-care facilities in Victoria, Australia over one year (2013) and documented the (capsid) norovirus genotypes associated with these outbreaks. It was found that 65·0% of 206 outbreaks tested were associated with norovirus infection, thereby showing norovirus to be the major cause of viral gastroenteritis in residential aged-care facilities. Fifteen capsid (open reading frame 2) genotypes were identified as follows: GI.2 (0·9%), GI.3 (1·8%), GI.4 (3·7%), GI.6 (0·9%), GI.7 (0·9%), GI.8 (0·9%), GII.1 (0·9%), GII.2 (0·9%), GII.3 (1·8%), GII.4 (2009-like) (0·9%), GII.4 (2012) (48·6%), GII.4 (2012-like) (16·5%), GII.4 (unknown) (9·2%), GII.5 (2·8%), GII.6 (0·9%), GII.7 (0·9%), GII.13 (6·4%) and an as yet unclassified GII genotype (0·9%). Although GII.4 was the most common norovirus capsid genotype detected, the great diversity of norovirus genotypes in the elderly indicates vaccination strategies for this demographic are not straightforward.

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Remodelling Aged Living to Reduce Stigma

10.26686/wgtn.14865036 ◽

2021 ◽

Author(s):

Georgia Reece

Keyword(s):

Social Isolation ◽

Care Facility ◽

The Elderly ◽

Aged Care ◽

Facility Design ◽

Community Based ◽

Aged Care Facility ◽

Iterative Design ◽

Care Facilities ◽

Aged Care Facilities

This thesis investigates whether community-based architectural strategies can be used in aged care facility design to reduce the stigma of social isolation. New Zealand has a growing population, with an increasing number of people needing assistance from aged care facilities. However, the elderly resist moving into aged care facilities because of fears of marginalisation, social isolation and associated stigma. Stigma creates outcomes of discrimination towards marginalised individuals, resulting in negative projections on these people and consequent social exclusion. There are two main aims of this research. The first aim was to understand the relationship between stigma and architecture and stigma and aged care facilities. To achieve this aim, stigma and various strategies for addressing that stigma in aged care facilities were defined based on contemporary literature on this subject and analyses of relevant built precedents. The second aim was to develop, a contemporary aged care facility that demonstrates potential strategies for reducing stigma. This aim was achieved by developing criteria that respond to iterative design exercises and contemporary research in the fields of aged care facilities, architecture and stigma. An iterative design process, continually tested these criteria against literature and precedent reviews, was carried out to arrive at a coherent design and more refined set of criteria. Research conclusions showed that community-based architectural strategies can be used to reduce the stigma of social isolation in aged care facility design. This resulted in the outcome of a community-based model and criteria that can be applied to the design of aged care facilities and will resultantly provide residents with a purposive role and inclusion within society.

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A Comprehensive Evaluation of Studies on the Adverse Effects of Medications in Australian Aged care Facilities: A Scoping Review

Pharmacy ◽

10.3390/pharmacy8020056 ◽

2020 ◽

Vol 8 (2) ◽

pp. 56

Author(s):

Haider Qasim ◽

Maree Simpson ◽

Yann Guisard ◽

Barbora de Courten

Keyword(s):

Adverse Effects ◽

Older People ◽

Scoping Review ◽

Adverse Drug Events ◽

Assessment Tool ◽

The Elderly ◽

Aged Care ◽

Inclusion Criteria ◽

Care Facilities ◽

Aged Care Facilities

Aim: this scoping review was designed to identify studies that assess adverse drug reactions (ADRs) for older people in Australian aged care facilities. This review critically evaluates each published study to identify the risk of, or actual, adverse drug events in older people. Inclusion criteria: this review considered any clinical studies that examined the adverse effects of medications in older people who were living in aged care facilities. This review considered qualitative studies, analytical studies, randomized controlled trials (RCTs), descriptive cross-sectional studies, and analytic observational studies that explored the use of medications and their adverse effects on older people in clinical settings (including aged care facilities). Methods: an initial search of the PubMed (United State National Library of Medicine), OvidSP, EBSCOHost, ScienceDirect, Wiley Online, SAGE, and SCOPUS databases, with full text was performed, followed by an analysis of the article’s title and abstract. Additionally, MeSH (Medical Subject Headings) was used to describe the article. The initial round of the database search was based on inclusion criteria from studies that assessed tools or protocols aiming to identify the adverse effects of medications on the elderly population suffering chronic conditions or multiple co-morbidities. Two reviewers screened the retrieved papers for inclusion. The data presented in this review are in tabular forms and accompanied by a narrative summary which aligns with the review’s objectives. Results: seven studies were identified, and the extracted data from these studies were grouped according their characteristics and the auditing results of each study. Conclusion: it would be beneficial to design a comprehensive or broadly adverse drug reaction assessment tool derived from Australian data that has been used on the elderly in an Australian healthcare setting.

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Remodelling Aged Living to Reduce Stigma

10.26686/wgtn.14865036.v1 ◽

2021 ◽

Author(s):

Georgia Reece

Keyword(s):

Social Isolation ◽

Care Facility ◽

The Elderly ◽

Aged Care ◽

Facility Design ◽

Community Based ◽

Aged Care Facility ◽

Iterative Design ◽

Care Facilities ◽

Aged Care Facilities

This thesis investigates whether community-based architectural strategies can be used in aged care facility design to reduce the stigma of social isolation. New Zealand has a growing population, with an increasing number of people needing assistance from aged care facilities. However, the elderly resist moving into aged care facilities because of fears of marginalisation, social isolation and associated stigma. Stigma creates outcomes of discrimination towards marginalised individuals, resulting in negative projections on these people and consequent social exclusion. There are two main aims of this research. The first aim was to understand the relationship between stigma and architecture and stigma and aged care facilities. To achieve this aim, stigma and various strategies for addressing that stigma in aged care facilities were defined based on contemporary literature on this subject and analyses of relevant built precedents. The second aim was to develop, a contemporary aged care facility that demonstrates potential strategies for reducing stigma. This aim was achieved by developing criteria that respond to iterative design exercises and contemporary research in the fields of aged care facilities, architecture and stigma. An iterative design process, continually tested these criteria against literature and precedent reviews, was carried out to arrive at a coherent design and more refined set of criteria. Research conclusions showed that community-based architectural strategies can be used to reduce the stigma of social isolation in aged care facility design. This resulted in the outcome of a community-based model and criteria that can be applied to the design of aged care facilities and will resultantly provide residents with a purposive role and inclusion within society.

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Identification of Medications that Increase Fall Risk among Residents in Residential Aged Care Facilities in Klang Valley, Malaysia

Sains Malaysiana ◽

10.17576/jsm-2021-5004-16 ◽

2021 ◽

Vol 50 (4) ◽

pp. 1057-1063

Author(s):

Arif Zikri Mazlan ◽

Marhanis Omar ◽

Adliah Mhd-Ali ◽

Mohd Makmor-Bakry

Keyword(s):

Fall Risk ◽

Demographic Data ◽

The Elderly ◽

Aged Care ◽

Residential Aged Care ◽

Cross Sectional ◽

Care Facilities ◽

Aged Care Facilities ◽

Residential Aged Care Facilities ◽

Klang Valley

Frailty in the elderly is considered a contributor to falls and is increasingly recognized as a public health priority.Certain type of drugs is associated with the risk of falling.This study aimed to identify the use of drugs that may cause falls (FRIDs) among frail elderly residents in residential aged care facilities (RACF).A cross-sectional study was conducted among RACF residents in Klang Valley, Malaysia, who are 65 years old and above from December 2019 to March 2020 using a set of researcher-assisted and validated questionnaires upon their consent. A total of 72 elderly residents were included in this study. More than 90% of the residents were classified as the frail or pre-frail. The majority of them were taking fall-risk increasing drugs (n=53, 73.6%). The calcium channel blocker is the most common drug identified that may cause falls among the participants. No significant association was found between demographic data, frailty status, and fall risk with FRIDs usage in this study. The majority of the elderly residents were using drugs that may cause falls. Therefore, a periodical medication review is needed to prevent any potential harms towards the residents.

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Identifying Tools That Assess Factors That May Lead to Adverse Effects in Australian Aged-Care Facilities: A Scoping Review

10.20944/preprints202002.0451.v1 ◽

2020 ◽

Author(s):

Haider Saddam Qasim ◽

Maree Simpson ◽

Yann Guisard ◽

Barbora de Courten

Keyword(s):

Adverse Effects ◽

Older People ◽

Scoping Review ◽

Adverse Drug Events ◽

Assessment Tool ◽

The Elderly ◽

Aged Care ◽

Inclusion Criteria ◽

Care Facilities ◽

Aged Care Facilities

Aim: this scoping review was designed to identify studies that assess the adverse drug reactions (ADRs) for older people in Australian aged-care facilities. This review critically evaluated each published study to identify the risk of, or actual adverse drug events in older people. Inclusion criteria: This review considered any clinical studies that examined the adverse effects of medications in older people who were living in aged-care facilities. This review considered qualitative studies, analytical studies, RCTs, descriptive cross-sectional studies, and analytic observational studies that explored the use of medications and their adverse effects on older people in clinical settings (including aged care facilities). Methods: An initial search of the PubMed, OvidSP, EBSCOHost, MEDLINE, ScienceDirect, Wiley Online, SAGE, and SCOPUS databases, with full text was performed, followed by an analysis of the article’s title and abstract. Additionally, MeSH was used to describe the article. The initial round of the database search was based on inclusion criteria from studies that assessed tools or protocols aiming to identify the adverse effects of medications on the elderly population suffering chronic conditions or multiple co-morbidities. Two reviewers screened the retrieved papers for inclusion. The data presented in this review are in tabular forms and a narrative summary which aligns with the review’s objectives. Results: Seven studies were identified, and the extracted data from these studies were grouped according their characteristics and the auditing results of each study. Conclusion: There was no comprehensive or broadly adverse drug reaction assessment tool derived from Australian data that has been used on the elderly in an Australian healthcare setting.

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Two-Step Floating Catchment Area Model-Based Evaluation of Community Care Facilities’ Spatial Accessibility in Xi’an, China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17145086 ◽

2020 ◽

Vol 17 (14) ◽

pp. 5086 ◽

Cited By ~ 1

Author(s):

Sunwei Liu ◽

Yupeng Wang ◽

Dian Zhou ◽

Yitong Kang

Keyword(s):

Catchment Area ◽

Quantitative Research ◽

Community Care ◽

The Elderly ◽

Aged Care ◽

Spatial Accessibility ◽

Quantitative Research Methods ◽

Model Based ◽

Care Facilities ◽

Aged Care Facilities

Due to the rapid increase in the number of elderly people in Chinese cities, the development and planning of aged care facilities, and particularly community care facilities, which will gradually become the mainstream choice for the elderly in China, is becoming an important topic for urban sustainability. Previous studies have shown that the number and scale of aged care facilities in many cities are far from meeting the needs of the elderly and the overall occupation rate is low. Some of these cities are still expanding and some are undergoing urban renovation. In this process, the scientific planning of community care facilities to promote efficient use of facility resources has become an urgent problem that needs to be solved. In this study, the two-step floating catchment area (2SFCA) method and a potential model based on the Geographic Information System (GIS) were used to carry out a scientific evaluation of the spatial accessibility of community care facilities in the Beilin district of Xi’an. The aims were to explore the best quantitative research methods for assessing the distribution of Xi’an community care facilities’ spatial accessibility, provide ideas for similar studies in the future, and further the understanding of spatial allocation of urban community care facilities resources.

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