EXPLORING THE COMBINED USE OF SOLICITED DIARIES AND PHOTOGRAPHY BY OLDER PATIENTS IN THEIR PROCESS OF SELF-CARE WITH MEDICATION PACKAGING

AbstractDesign has the potential to include or exclude people, depending on how user needs are translated into products. Design exclusion has been vast in design for health care. Medication packaging design is a common example. It does a good job of protecting the product but can result in creating difficulties when used, especially for those who are older. Research in this area lacks an inclusive and user-centered approach because potential users have been studied outside of their context of living and with methods that limit participation. The aim of this study was to explore the combined use of solicited diaries and photography to engage and include older users in gathering data and reflecting on their day-to-day experiences of using multiple medications and the medication packaging. Our findings show key learnings of using this combined method, as well as related methodological challenges, and provide recommendations to tackle these challenges. The use of solicited diaries with photographs taken by participants is deemed to be relevant in interdisciplinary fields of research and practice, where designers and other professionals aim to better understand the reality of older people and create meaning in their experiences of self-care.

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Perceived health care climate, diabetes knowledge and self-care practice of Hong Kong Chinese older patients: a pilot study

Journal of Clinical Nursing ◽

10.1046/j.1365-2702.2003.00892.x ◽

2004 ◽

Vol 13 (4) ◽

pp. 534-535 ◽

Cited By ~ 6

Author(s):

Catharine Siu-Ling Lee ◽

Ann Tak-Ying Shiu

Keyword(s):

Health Care ◽

Hong Kong ◽

Pilot Study ◽

Older Patients ◽

Self Care ◽

Perceived Health ◽

Hong Kong Chinese ◽

Care Practice ◽

Diabetes Knowledge

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Aging and Autism

Perspectives on Gerontology ◽

10.1044/gero17.2.69 ◽

2012 ◽

Vol 17 (2) ◽

pp. 69-75 ◽

Cited By ~ 1

Author(s):

Pamela A. Smith

Keyword(s):

Health Care ◽

Autism Spectrum Disorders ◽

Patient Group ◽

Older Patients ◽

Geriatric Patients ◽

Recent Literature ◽

Communication Disorders ◽

Autism Spectrum ◽

Need For Support ◽

Spectrum Disorders

In this article, I will review the available recent literature about the aging population with autism, a patient group that researchers know little about and a group that is experiencing a growing need for support from communication disorders professionals. Speech-language pathologists working with geriatric patients should become familiar with this issue, as the numbers of older patients with autism spectrum disorders is likely to increase. Our profession and our health care system must prepare to meet the challenge these patients and residents will present as they age.

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Self-care advice for health-care providers during COVID-19

PsycEXTRA Dataset ◽

10.1037/e502372020-001 ◽

2020 ◽

Author(s):

Helen L. Coons ◽

Steven Berkowitz ◽

Rachel Davis

Keyword(s):

Health Care ◽

Health Care Providers ◽

Self Care ◽

Care Providers

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Frailty and Health Care Utilization among Community-Dwelling Older Patients with Diabetes Mellitus

Diabetes ◽

10.2337/db18-1468-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 1468-P

Author(s):

SHIVANI PRIYADARSHNI ◽

SRUTHI NELLURI ◽

ZUBAIR RAHAMAN ◽

MICHAEL J. MINTZER ◽

STUTI DANG ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Health Care Utilization ◽

Older Patients ◽

Community Dwelling ◽

Care Utilization ◽

Patients With Diabetes

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Progress on Occupational Health Research and Practice Among Health Care Workers

Workplace Health & Safety ◽

10.1177/2165079920933180 ◽

2020 ◽

Vol 68 (7) ◽

pp. 308-309

Author(s):

Kathleen M. McPhaul ◽

Lisa A. Pompeii

Keyword(s):

Health Care ◽

Occupational Health ◽

Health Care Workers ◽

Health Research ◽

Research And Practice ◽

Care Workers ◽

Occupational Health Research

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Dysphagia Prevalence, Time Course, and Association with Probable Sarcopenia, Inactivity, Malnutrition, and Disease Status in Older Patients Admitted to an Emergency Department: A Secondary Analysis of Cohort Study Data

Geriatrics ◽

10.3390/geriatrics6020046 ◽

2021 ◽

Vol 6 (2) ◽

pp. 46

Author(s):

Tina Hansen ◽

Rikke Lundsgaard Nielsen ◽

Morten Baltzer Houlind ◽

Juliette Tavenier ◽

Line Jee Hartmann Rasmussen ◽

...

Keyword(s):

Health Care ◽

Emergency Department ◽

Cohort Study ◽

Systemic Inflammation ◽

Older Patients ◽

Time Course ◽

Assessment Tool ◽

Handgrip Strength ◽

Secondary Analysis ◽

Disease Status

There is evolving evidence for an association between dysphagia and sarcopenia in older adults. For optimizing the acute health care initiative across health care settings, this study investigated prevalence and time-course of dysphagia in older patients admitted to an emergency department (ED) as well as its association with parameters for probable sarcopenia, inactivity, malnutrition, disease status, and systemic inflammation. A secondary analysis of data from the FAM-CPH cohort study on acutely admitted older medical patients (n = 125). Data were collected upon ED admission as well as four and 56 weeks after discharge. Using the Eating Assessment Tool cut-off score ≥ 2, signs of dysphagia were present in 34% of the patients at ED admission and persisted in 25% of the patients 56 weeks after discharge. Signs of dysphagia at 56-week follow-up were significantly (p < 0.05) associated with probable sarcopenia (low handgrip strength (OR = 3.79), low leg muscle strength (OR = 8.14), and low physical performance (OR = 5.68)) and with baseline swallowing inactivity (OR = 5.61), malnutrition (OR = 4.35), and systemic inflammation (OR = 1.33). Signs of dysphagia in older patients admitted to an ED was prevalent, persisted 56 weeks after discharge, and was associated with probable sarcopenia and related conditions; all modifiable targets for management of dysphagia in older patients.

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Involving frail older patients in identifying outcome measures for transitional care—a feasibility study

Research Involvement and Engagement ◽

10.1186/s40900-021-00288-9 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Troels Kjærskov Hansen ◽

Annesofie Lunde Jensen ◽

Else Marie Damsgaard ◽

Tone Maria Mørck Rubak ◽

Mikkel Erik Juul Jensen ◽

...

Keyword(s):

Health Care ◽

Outcome Measures ◽

Feasibility Study ◽

Thematic Analysis ◽

Older Patients ◽

Public Involvement ◽

Transitional Care ◽

Care Transitions ◽

Level Of Involvement ◽

Relevant Outcome

Abstract Background During care transitions, the older (75+) patient’s agenda can easily be missed. To counteract this, involving patients in shared clinical decision making has proven to be of great value. Likewise, involving patients and other stakeholders as researchers is gaining ground. Patient and public involvement (PPI) in research entails many benefits, for example, by bringing further insight from those with lived experiences of being ill. There are various challenges associated with involving some older patients, for example frailty, cognitive impairment and other chronic illnesses. To the best of our knowledge, there are only a few examples of initiatives involving older patients beyond research participation. The feasibility of involving frail older patients during an ongoing care transition from hospital to primary health care remains unknown. To investigate the feasibility of including older frail patients, their relatives and health care professionals (HCPs) as co-researchers, we established a study with increasingly demanding levels of patient involvement to identify relevant outcome measures for future transitional care research. Methods The study was a pragmatic, qualitative feasibility study. The involved individuals were frail older patients, their relatives and HCPs. Patients and their relatives were interviewed, while the interviewer made reflective notes. A thematic analysis was made. Relatives and HCPs discussed the themes to identify relevant outcome measures and potentially co-create new patient-reported outcome measures (PROMs) for use in future transitional care studies. The feasibility was evaluated according to six involvement steps. The level of involvement was evaluated using the five-levelled Health Canada Public Involvement Continuum (HCPIC). Results In total, eight patients, five relatives and three HCPs were involved in the study. Patients were involved in discussing care transitions (HCPIC level 3), while some relatives were engaged (HCPIC level 4) in forming PROMs. The partnership level of involvement (HCPIC level 5) was not reached. The thematic analysis and the subsequent theme discussion successfully formed PROMs. The key PROMs were related to care, transparency and the relatives’ roles in the transitional care process. Conclusions When applying a pragmatic involvement approach, frail older patients can be successfully involved in identifying relevant transitional care outcome measures; however, involving these patients as fellow researchers seems infeasible. To maintain involvement, supportive relatives are essential. Useful experiences for future research involvement of this vulnerable group were reported, arguing that patient participation has the potential to become inherent in future geriatric research.

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Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study)

BMC Health Services Research ◽

10.1186/s12913-021-06712-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sabine Ruths ◽

Inger Haukenes ◽

Øystein Hetlevik ◽

Tone Smith-Sivertsen ◽

Stefan Hjørleifsson ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

General Practice ◽

Cohort Study ◽

Drug Treatment ◽

Time Trends ◽

Older Patients ◽

Antidepressant Drug ◽

Depression Care ◽

Patient Gender

Abstract Background Depression is highly prevalent, but knowledge is scarce as to whether increased public awareness and strengthened government focus on mental health have changed how general practitioners (GPs) help their depressed patients. This study aimed to examine national time trends in GP depression care and whether trends varied regarding patient gender, age, and comorbidity. Methods Nationwide registry-based cohort study, Norway. The study population comprised all residents aged 20 years or older with new depression diagnoses recorded in general practice, 2009–2015. We linked reimbursement claims data from all consultations in general practice for depression with information on demographics and antidepressant medication. The outcome was type(s) of GP depression care during 12 months from the date of diagnosis: (long) consultation, talking therapy, antidepressant drug treatment, sickness absence certification, and referral to secondary mental health care. Covariates were patient gender, age, and comorbidity. The data are presented as frequencies and tested with generalized linear models. Results We included 365,947 new depression diagnoses. Mean patient age was 44 years (SD = 16), 61.9 % were women, 41.2 % had comorbidity. From 2009 to 2015, proportions of patients receiving talking therapy (42.3–63.4 %), long consultations (56.4–71.8 %), and referral to secondary care (16.6–21.6 %) increased, while those receiving drug treatment (31.3–25.9 %) and sick-listing (58.1–50 %) decreased. The trends were different for gender (women had a greater increase in talking therapy and a smaller decrease in sick-listing, compared to men), age (working-aged patients had a smaller increase in talking therapy, a greater increase in long consultations, and a smaller decrease in antidepressant drug use, compared to older patients) and comorbidity (patients with mental comorbidity had a smaller increase in talking therapy and a greater increase in long consultations, compared to those with no comorbidity and somatic comorbidity). Conclusions The observed time trends in GP depression care towards increased provision of psychological treatment and less drug treatment and sick-listing were in the desired direction according to Norwegian health care policy. However, the large and persistent differences in treatment rates between working-aged and older patients needs further investigation.

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