scholarly journals Differences in the prescribing of potentially inappropriate medicines in older Australians: comparison of community dwelling and residential aged care residents

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Hosam Bony ◽  
Renae A. Lloyd ◽  
Elizabeth D. Hotham ◽  
Lauren J. Corre ◽  
Megan E. Corlis ◽  
...  
Keyword(s):  
Aged Care ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Potentially Inappropriate Medicines

scholarly journals Applying Salutogenesis in Residential Care Settings

2022 ◽  
pp. 447-457
Author(s):  
Viktoria Quehenberger ◽  
Karl Krajic
Keyword(s):  
Well Being ◽  
Aged Care ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Positive Health ◽  
Aged Patients ◽  
Term Care ◽  
Social Challenges

AbstractThis chapter focuses on aged and highly aged patients who have long and rather comprehensive contacts with healthcare institutions of long-term care, either in residential aged care or in community-dwelling. Therefore, it is well accepted in the literature that a salutogenic orientation and health promotion measures could contribute to the quality of life, well-being, and health of this group. Furthermore, a good sense of coherence (SOC) can be considered as a positive resource for coping with the physical, mental, and social challenges and transitions related to aging.But the state of descriptive research on salutogenesis focusing not only on residents but also somewhat less so on community dwellers is still scarce and has mostly been conducted in few countries. Concerning intervention research only very few studies have specifically applied salutogenic principles to promote positive health among older people.In light of this scarce research situation, the authors make recommendations for further research in this relevant and growing area of health care.

scholarly journals Psychosocial functioning in the elderly: an assessment of self-concept and depression

2014 ◽  
Vol 7 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Nicci Grace ◽  
Samia R. Toukhsati
Keyword(s):  
Psychosocial Functioning ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
The Elderly ◽  
Aged Care ◽  
Community Dwelling ◽  
Self Concept ◽  
Residential Aged Care

The aim of this study was to explore the relationship between self-concept and depression in elderly people living in Residential Aged Care (RAC) settings. Forty-five residents, comprising 17 males and 28 females (M = 82.64 years, SD = 8.38 years), were recruited from 10 low-care, RAC facilities in Melbourne, Australia. Participants completed the Geriatric Depression Scale – Short Form and the Tennessee Self Concept Scale: 2. The results revealed that all self-concept domains were significantly lower in RAC residents in comparison to norms drawn from community dwelling samples (p < 0.05). Moreover, a significant inverse relationship between depression and self-concept domains (p < 0.05) was observed in RAC residents, with 28.8% of the variance in depression scores accounted for by Physical Self Concept. These findings identify self-concept, particularly physical self-concept, as an important predictor of psychosocial well-being in elderly RAC residents. Further research is needed to examine the efficacy of psychosocial and rehabilitative interventions to optimise self-concept in RAC residents.

scholarly journals How frail is frail? A systematic scoping review and synthesis of high impact studies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. H. Gordon ◽  
N. Reid ◽  
I. S. Khetani ◽  
R. E. Hubbard
Keyword(s):  
Scoping Review ◽  
Frailty Index ◽  
Citation Impact ◽  
Aged Care ◽  
Continuous Variable ◽  
High Impact ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Eligibility Criteria ◽  
Impact Studies

Abstract Aims While the frailty index (FI) is a continuous variable, an FI score of 0.25 has construct and predictive validity to categorise community-dwelling older adults as frail or non-frail. Our study aimed to explore which FI categories (FI scores and labels) were being used in high impact studies of adults across different care settings and why these categories were being chosen by study authors. Methods For this systematic scoping review, Medline, Cochrane and EMBASE databases were searched for studies that measured and categorised an FI. Of 1314 articles screened, 303 met the eligibility criteria (community: N = 205; residential aged care: N = 24; acute care: N = 74). For each setting, the 10 studies with the highest field-weighted citation impact (FWCI) were identified and data, including FI scores and labels and justification provided, were extracted and analysed. Results FI scores used to distinguish frail and non-frail participants varied from 0.12 to 0.45 with 0.21 and 0.25 used most frequently. Additional categories such as mildly, moderately and severely frail were defined inconsistently. The rationale for selecting particular FI scores and labels were reported in most studies, but were not always relevant. Conclusions High impact studies vary in the way they categorise the FI and while there is some evidence in the community-dweller literature, FI categories have not been well validated in acute and residential aged care. For the time being, in those settings, the FI should be reported as a continuous variable wherever possible. It is important to continue working towards defining frailty categories as variability in FI categorisation impacts the ability to synthesise results and to translate findings into clinical practice.

scholarly journals What Is the Community Pharmacists’ Role in Supporting Older Australians with Palliative Care Needs?

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 489
Author(s):  
Paul Tait ◽  
Amal Chakraborty ◽  
Kelly Jones ◽  
Jennifer Tieman
Keyword(s):  
Palliative Care ◽  
Community Pharmacists ◽  
Aged Care ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Multidisciplinary Teams ◽  
Care Needs ◽  
Cross Sectional ◽  
Australian Community ◽  
Palliative Care Needs

As the population ages, the number of older populations globally requiring palliative care is rapidly growing, requiring services of multidisciplinary teams—including community pharmacists. The aim of this study is to describe the community pharmacists’ perceived role in providing services to community dwelling older Australians receiving palliative care. Utilising an eight-domain End of Life Directions for Aged Care (ELDAC) care model, a national cross-sectional questionnaire was designed and undertaken online with Australian community pharmacists. Respondents were asked questions relating to socio-demographic characteristics, practice characteristics, and scope of services provided. Of the 62 pharmacists who responded to the questionnaire, 51 were included in the final data analysis and reporting. Pharmacists working in dispensing roles made up about half of the respondents, while the remainder worked in settings such as general practice, residential aged care, or providing medication review services. Pharmacists can identify patients with indicators of poor life expectancy and mostly work with older Australians daily. Dispensing and non-dispensing pharmacists offer a range of services that complement each other. Organisations caring for the aged should consider the role of the pharmacist, in caring for people with palliative care needs, along with their carers.

“Consideration of patients as networked units to identify opportunities and motivation to enhance capability”: A mixed methods study to explore a personalised Digital Health Hub Model of Care for hip fractures in South Australia (Preprint)

2021 ◽  
Author(s):  
Lalit Yadav ◽  
Tiffany K Gill ◽  
Anita Taylor ◽  
Jen DeYoung ◽  
Mellick J Chehade
Keyword(s):  
Hip Fractures ◽  
Digital Health ◽  
Family Members ◽  
South Australia ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Model Of Care ◽  
Factors Influencing

UNSTRUCTURED Introduction Majority of older people with hip fractures once admitted to acute hospital care are unable to return to their pre-fracture level of independence and a significant number are either newly admitted or return to residential aged care. Patient education involves family members and/or residential aged care staff as networked units, crucial for empowerment through improving health literacy. Advancement of digital technology has led to evolving solutions around optimising health care including self-management of chronic disease conditions and telerehabilitation. The aim of this study is to understand perspectives of older patients with hip fractures, their family members and residential aged carers, to inform the development of a digitally enabled model of care using a personalised digital health hub (pDHH). Methods A mixed methods study was conducted at a public tertiary care hospital in South Australia involving patients aged 50 years and above along with their family members and residential aged carers. Quantitative data, including basic demographic characteristics, access to computers and Internet were analysed using descriptive statistics. Spearman’s Rank Order Correlation was used to examine correlations between the perceived role of a pDHH in improving health and likelihood of subsequent usage. Whereas qualitative data included series of open-ended questions and findings were interpreted using constructs of capability, opportunity and motivation to help understand the factors influencing the likelihood of potential pDHH use Results Overall, 100 people were recruited in the study, representing 55 patients, 13 family members and 32 residential aged carers. The mean age of patients was 76.4 years (SD-8.4, age range 54-88) and females represented 60% of patients. Although a moderate negative correlation existed with increasing age and likelihood of pDHH usage (ρ= -0.50, p<0.001) the perceived role of the DHH in improving health had a strong positive correlation with the likelihood of pDHH usage by self (ρ=0.71, p<0.001) and by society, including friends and family members (ρ=0.75, p<0.001). Of particular note, almost all the patients (98%) believed they had a family member or friend /carer who would be able to help them to use a digital health platform. Whereas our qualitative findings suggest emphasising on complex interplay of capability, opportunity and motivation as crucial factors while designing a pDHH enabled model of care for hip fractures at a local context level. Conclusion Findings from this study contributed to understand the dynamics around capabilities, motivation and opportunities of patients, family members and formal carers as a “patient networked unit”. Future research recommendation must involve co-creation guided by iterative processes through improving understanding of factors influencing development and successful integration of complex digital healthcare interventions in real-world scenarios.

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