Memorialisation and the metaphor of final journeys: workers’ experiences of dealing with death within care homes for the elderly

Mortality ◽  
2012 ◽  
Vol 17 (3) ◽  
pp. 221-239 ◽  
Author(s):  
Paul G. Dempster
Keyword(s):  
The Elderly ◽  
Care Homes ◽  
Homes For The Elderly

Scabies outbreaks in care homes for the elderly

2018 ◽  
Vol 18 (12) ◽  
pp. 1308-1309 ◽  
Author(s):  
Sally Millership ◽  
Smita Kapadia
Keyword(s):  
The Elderly ◽  
Care Homes ◽  
Homes For The Elderly

scholarly journals What proportion of care home outbreaks are caused by norovirus? An analysis of viral causes of gastroenteritis outbreaks in care homes, North East England, 2016-2018

2019 ◽  
Author(s):  
Thomas Inns ◽  
Deb Wilson ◽  
Petra Manley ◽  
John P Harris ◽  
Sarah J O’Brien ◽  
...  
Keyword(s):  
Care Home ◽  
Implementation Strategies ◽  
The Elderly ◽  
Care Homes ◽  
Viral Pathogens ◽  
North East ◽  
Infectious Gastroenteritis ◽  
Homes For The Elderly ◽  
Stool Samples ◽  
The Impact

Abstract Background Outbreaks of infectious gastroenteritis are common in care homes for the elderly. Norovirus can cause these outbreaks, but diagnosis is frequently based solely on clinical characteristics. Our objective in this study was to describe the epidemiology of norovirus and other gastrointestinal pathogens in these settings. Methods We analysed surveillance data from gastroenteritis outbreaks reported in North East England between 04 July 2016 to 01 July 2018. Stool samples taken during these outbreaks were tested for a range of viral and bacterial pathogens. We described the epidemiology of these outbreaks and explored the characteristics of norovirus outbreaks versus from other viral causes using multivariable logistic regression. Results From the 566 care home gastroenteritis outbreaks in this study, we found that norovirus was the pathogen most frequently isolated. Norovirus was detected in 64% of outbreaks with a pathogen identified. Sapovirus was found in 13%; rotavirus in 11%. We found that norovirus outbreaks were associated with higher attack rates (aOR 1.03, 95% CI 1.01-1.05) and fewer cases sampled (aOR 0.74, 95% CI 0.60-0.91), compared to outbreaks caused by other viral pathogens. Conclusions These results are important as they quantify the contribution of norovirus to gastroenteritis outbreaks in care homes. Given this evidence, we emphasize the importance of non-specific outbreak interventions that can affect the impact of all such outbreaks. We further recommend that these findings are used to inform the implementation strategies of any norovirus-specific interventions such as a norovirus vaccine.

Scabies outbreaks in care homes for the elderly

2018 ◽  
Vol 18 (12) ◽  
pp. 1309-1310
Author(s):  
Jiwon Jung ◽  
Woo Jin Lee ◽  
Sung Eun Chang ◽  
Sung-Han Kim
Keyword(s):  
The Elderly ◽  
Care Homes ◽  
Homes For The Elderly

scholarly journals The Cost of Potentially Inappropriate Medications in Nursing Homes in West Occitanie

Pharmacy ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Marie Caucat ◽  
Alice Zacarin ◽  
Vanessa Rousseau ◽  
Jean-Louis Montastruc ◽  
Haleh Bagheri
Keyword(s):  
Nursing Homes ◽  
Drug Prescription ◽  
The Elderly ◽  
Care Homes ◽  
Drug Misuse ◽  
Potentially Inappropriate Medications ◽  
Homes For The Elderly ◽  
The Mean ◽  
The Cost ◽  
Mean Cost

Introduction: As of 2019, people older than 65 years represent 20% of the French population. Despite several guidelines suggesting to avoid potentially inappropriate medication (PIM) use in elderly, the prevalence of their prescription remains high (25%). Furthermore, PIM could lead to preventable adverse drug reactions (ADRs). The main objective of this study was to determine the direct cost of PIM in older persons living in residential care homes for the elderly (nursing homes). A secondary objective was to assess the potential impact of PIM deprescribing on drug-related health care costs. Methods: We undertook a multicenter, retrospective study in 19 care homes for the elderly including 1240 residents. The analysis of prescriptions was carried out according to the European EU(7) PIM list. The cost of each drug was estimated according to the French Medication Insurance database. Furthermore, patient’s comorbidities were studied using Charlson’s comorbidity index. In order to estimate the economic impact of PIM, we used the list of alternative appropriate drugs suggested by EU(7) PIM list and French National Health Authority. An incremental cost per patient was calculated by the difference in costs between PIMs and alternative drugs. Results: A total of 7768 lines of drug prescriptions were analyzed. The mean age was 87.6 ± 7.6 years. About 70% (n = 872) of residents received more than five drugs. We identified 959 residents (77.3%) with at least one PIM. The mean cost of PIM was 0.58 euros versus 0.48 euros for alternatives. PIM substitution by alternatives led to save 12 centimes/resident/day. The mean cost of prescription with PIM was 2.8 euros per resident per day (28% of the overall cost of prescription). According to these results, more than 25 million euros can be overall saved for aged persons living in nursing homes for the older people in France per year. Conclusion: The prevalence of PIMs among the elderly in nursing homes is high and leads to a significant cost. Deprescribing of these medications could decrease both drug misuse and cost of drug prescription. Further research is needed to estimate the overall cost of PIM exposure outcomes, taking into account the ADRs leading to hospitalization.

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