scholarly journals Delirium in older adults: a chronic cognitive disorder?

2016 ◽  
Vol 28 (8) ◽  
pp. 1229-1233 ◽  
Author(s):  
Martin G. Cole ◽  
Jane Mccusker
Keyword(s):  
Long Term Care ◽  
Cognitive Disorder ◽  
Sudden Onset ◽  
Neurocognitive Disorder ◽  
Term Care ◽  
Level Of Consciousness ◽  
Hospital Patients ◽  
Fluctuating Course ◽  
And Behavior

Delirium is defined as a neurocognitive disorder characterized by sudden onset, fluctuating course, and disturbances in level of consciousness, attention, orientation, memory, thought, perception, and behavior (American Psychiatric Association, 2013). It occurs in hyperactive, hypoactive, or mixed forms in up to 50% of older hospital patients (Inouye et al., 2014) and 70% of older long-term care residents (McCusker et al., 2011), many with pre-existing dementia (Fick et al., 2002).

scholarly journals Predictors of Long-Term Care Utilization by Dutch Hospital Patients aged 65+

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Albert Wong ◽  
Rianne Elderkamp-de Groot ◽  
Johan Polder ◽  
Job van Exel
Keyword(s):  
Long Term Care ◽  
Care Utilization ◽  
Dutch Hospital ◽  
Term Care ◽  
Hospital Patients

The relationship between care providers’ relational behaviors and residents mood and behavior in long-term care settings

2012 ◽  
Vol 16 (4) ◽  
pp. 507-515 ◽  
Author(s):  
Katherine S. McGilton ◽  
Souraya Sidani ◽  
Veronique M. Boscart ◽  
Sepali Guruge ◽  
Maryanne Brown
Keyword(s):  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
And Behavior ◽  
The Relationship ◽  
Relational Behaviors

scholarly journals Lessons Learned From the Function and Behavior Focused Care Trial: From Efficacy to Implementation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 776-776
Author(s):  
Elizabeth Galik ◽  
Marie Boltz
Keyword(s):  
Physical Activity ◽  
Cognitive Theory ◽  
Long Term Care ◽  
Lessons Learned ◽  
Care Staff ◽  
Cognitively Impaired ◽  
Dissemination And Implementation ◽  
Term Care ◽  
And Behavior

Abstract Long term care residents with dementia are sedentary, experience rapid functional decline, and frequently exhibit behavioral and psychological symptoms of dementia. Our prior cluster, randomized controlled trial among 336 residents with moderate to severe dementia in 12 nursing homes demonstrated that it is possible to increase time spent in physical activity and decrease resistiveness to care through a theory based intervention, Function and Behavior Focused Care (FBFC). FBFC is based on the Social Ecological Model and Social Cognitive Theory and focuses on having long term care staff cue, model, and assist residents with dementia to engage in physical activity and perform functional tasks. Learning from prior work, it was noted that future implementation of FBFC would benefit from de-implementing inaccurate care practices, such as restricting resident mobility and providing custodial care and also by engaging a full stakeholder team in intervention activities. Additionally, there were measurement issues, such as the use of actigraphy with a sedentary, cognitively impaired population, and the need to assess the quality of care interactions between residents and staff. This symposium will review lessons learned from the FBFC trial and will discuss 1) facilitators and barriers to the implementation of the FBFC intervention within long term care settings; 2) measurement opportunities and challenges with a cognitively impaired long term care population; and 3) adaptation of the FBFC intervention to be appropriate for a dissemination and implementation trial that incorporates the Synthesis Model of De-Adoption and the Evidence Integration Triangle implementation strategy.

Effect of an oral health training program on knowledge and behavior of state agency long-term-care surveyors

2000 ◽  
Vol 20 (2) ◽  
pp. 66-71 ◽  
Author(s):  
Catherine M. Kaiser ◽  
Karen B. Williams ◽  
William Mayberry ◽  
Jean Braun ◽  
Kathleen D. Pozek
Keyword(s):  
Oral Health ◽  
Training Program ◽  
Long Term Care ◽  
State Agency ◽  
Term Care ◽  
Health Training ◽  
And Behavior

scholarly journals Multidrug-ResistantAcinetobacter baumanniiInfection, Colonization, and Transmission Related to a Long-Term Care Facility Providing Subacute Care

2014 ◽  
Vol 35 (4) ◽  
pp. 406-411 ◽  
Author(s):  
Eva Mortensen ◽  
Kavita K. Trivedi ◽  
Jon Rosenberg ◽  
Sara H. Cody ◽  
Janet Long ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Multidrug Resistant ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Subacute Care ◽  
Hospital Patients ◽  
Resistance Patterns

Objective.To investigateAcinetobacter baumanniiinfection, colonization, and transmission related to a long-term care facility (LTCF) providing subacute care (facility A).Methods.We reviewed facility A and affiliated local hospital records for facility A residents withA. baumanniiisolated during the period January 2009 through February 2010 and comparedA. baumanniiantimicrobial resistance patterns of residents with those of hospital patients. During March 2010, we implemented a colonization survey of facility A residents who received respiratory support or who could provide sputum samples and looked forA. baumanniicolonization risks. Available clinical and survey isolates underwent pulsed-field gel electrophoresis (PFGE); PFGE strains were linked with overlapping stays to identify possible transmission.Results.During the period January 2009 through February 2010, 33 facility A residents hadA. baumanniiisolates; all strains were multidrug resistant (MDR), which was a significantly higher prevalence of MDR strains than that found among isolates from hospital patients (81 [66%] of 122 hospital patient isolates were MDR;P< .001). The sputum survey found that 14 (20%) of 70 residents hadA. baumanniicolonization, which was associated with ventilator use (adjusted odds ratio, 4.24 [95% confidence interval, 1.06–16.93]); 12 (86%) of 14 isolates were MDR. Four facility A resident groups clustered with 3 PFGE strains and overlapping stays. One of these facility A residents also clustered with 3 patients at an affiliated hospital.Conclusions.We documented substantial MDRA. baumanniiinfections and colonization with probable intra- and interfacility spread associated with a single LTCF providing subacute care. Given the limited infection prevention and antimicrobial stewardship resources in such settings, regional collaborations among facilities across the spectrum of health care are needed to address this MDR threat.

Factors related to the high fall rate in long-term care residents with dementia

2014 ◽  
Vol 27 (5) ◽  
pp. 803-814 ◽  
Author(s):  
Nienke M. Kosse ◽  
Maartje H. de Groot ◽  
Nicolas Vuillerme ◽  
Tibor Hortobágyi ◽  
Claudine J.C. Lamoth
Keyword(s):  
Long Term Care ◽  
Safety Issue ◽  
Beta Blockers ◽  
Patient Characteristics ◽  
Fall Rate ◽  
Term Care ◽  
Fall Rates ◽  
And Behavior ◽  
The Relationship

ABSTRACTBackground:Falls in long-term care residents with dementia represent a costly but unresolved safety issue. The aim of the present study was to (1) determine the incidence of falls, fall-related injuries and fall circumstances, and (2) identify the relationship between patient characteristics and fall rate in long-term care residents with dementia.Methods:Twenty long-term care residents with dementia (80 ± 11 years; 60% male) participated. Falls were recorded on a standardized form, concerning fall injuries, time and place of fall and if the fall was witnessed. Patient characteristics (66 variables) were extracted from medical records and classified into the domains: demographics, activities of daily living, mobility, cognition and behavior, vision and hearing, medical conditions and medication use. We used partial least squares (PLS) regression to determine the relationship between patient characteristics and fall rate.Results:A total of 115 falls (5.1 ± 6.7 falls/person/year) occurred over 19 months, with 85% of the residents experiencing a fall, 29% of falls had serious consequences and 28% was witnessed. A combination of impaired mobility, indicators of disinhibited behavior, diabetes, and use of analgesics, beta blockers and psycholeptics were associated with higher fall rates. In contrast, immobility, heart failure, and the inability to communicate were associated with lower fall rates.Conclusions:Falls are frequent and mostly unwitnessed events in long-term care residents with dementia, highlighting the need for more effective and individualized fall prevention. Our analytical approach determined the relationship between a high fall rate and cognitive impairment, related to disinhibited behavior, in combination with mobility disability and fall-risk-increasing-drugs (FRIDs).

scholarly journals The importance of specialization training and opportunities to utilize the qualifications of specialists in long-term care nursing to improve the quality of nursing care of chronically and terminally ill patients

2016 ◽  
Vol 15 (1) ◽  
pp. 9-15
Author(s):  
Ewa Kądalska ◽  
Halina Żmuda-Trzebiatowska ◽  
Katarzyna Pawłowska
Keyword(s):  
Long Term Care ◽  
Healthcare Services ◽  
Term Care ◽  
Level Of Consciousness ◽  
Professional Independence ◽  
High Degree ◽  
Care Nursing ◽  
Quality Of Nursing

AbstractAim of the Study. To analyse the usefulness of specialization training in the area of long-term care nursing as well as the possibilities to make use of the acquired qualifications – in the opinion of the specialists in this area.Material and Methodology. The questionnaire survey was conducted among 162 specialists in long-term care nursing.Results. The majority of respondents considered the specialization training as useful (91.4%) and meeting their expectations (83.9%). As the result of obtained specialization, they perform their work with patients better (67.9%), demonstrate expertise and proficiency as well as high degree of efficiency (67.3%). Some of them exercise their right to independent provision of healthcare services, predominantly the assessment of the patient’s level of consciousness with the use of methods and classifications (75.7%), physical examination (61.2%), oxygen therapy (55.3%), and definitely less often – referral to diagnostic tests (20.4%).Conclusions. Completion of a specialization training in the area of long-term care nursing brings satisfaction and professional prestige to specialists, results in increased professional independence and improvement in the quality of provided care. However, high qualifications of this professional group are underutilized.

A Dynamic Long-Term Care System for the Demented Elderly

1996 ◽  
Vol 8 (4) ◽  
pp. 561-574 ◽  
Author(s):  
Lena Annerstedt ◽  
Junko Sanada ◽  
Lars Gustafson
Keyword(s):  
Long Term Care ◽  
Group Living ◽  
The Elderly ◽  
Nursing Home Care ◽  
Behavioral Disturbances ◽  
Term Care ◽  
Care For The Elderly ◽  
And Behavior ◽  
Care System

The dynamic processes and the way they interact in shaping a care system for demented patients are analyzed and discussed. The development of disability/dependency, interpreted in a simulation model based on Katz's index of ADL and Berger's scale “Rating the severity of senility,” gave insight into the interplay of four care levels: psychogenatric long-term care for patients with severe behavioral disturbances, nursing-home care for patients with highly reduced ADL capacity who are often moderately to severely demented, group-living care for the demented with less dominating ADL dependency, and residential care for the elderly frail with or without symptoms of dementia. For each facility in this chain of care, characteristics in patients' symptomatology and behavior could also be identified. Resources necessary in order to fulfill goals in caring differed between each facility.

Sign in / Sign up

Export Citation Format

Share Document