A Group Psychotherapy Intervention to Promote the Functional Independence of Older Adults in a Long Term Rehabilitation Hospital:

1988 ◽  
Vol 6 (2) ◽  
pp. 51-62
Author(s):  
Frima Christopher ◽  
Patricia Loeb ◽  
Herbert Zaretsky ◽  
Amir Jassani
Keyword(s):  
Older Adults ◽  
Group Psychotherapy ◽  
Functional Independence ◽  
Rehabilitation Hospital

Do Assessment Tools Shape Policy Preferences? Analysing Policy Framing Effects on Older Adults’ Conceptualisation of Autonomy

2021 ◽  
pp. 1-18
Author(s):  
DANIEL DICKSON ◽  
PATRIK MARIER ◽  
ANNE-SOPHIE DUBÉ
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Assessment Tool ◽  
Functional Independence ◽  
Assessment Tools ◽  
Assessment Instruments ◽  
Service Users ◽  
Term Care ◽  
Functional Autonomy

Abstract The concept of autonomy is essential in the practice and study of gerontology and in long-term care policies. For older adults with expanding care needs, scores from tightly specified assessment instruments, which aim to measure the autonomy of service users, usually determine access to social services. These instruments emphasise functional independence in the performance of activities of daily living. In an effort to broaden the understanding of autonomy into needs assessment practice, the province of Québec (Canada) added social and relational elements into the assessment tool. In the wake of these changes, this article studies the interaction between the use of assessment instruments and the extent to which they alter how older adults define their autonomy as service users. This matters since the conceptualisation of autonomy shapes the formulation of long-term care policy problems, influencing both the demand and supply of services and the types of services that ought to be prioritised by governments. Relying on focus groups, this study shows that the functional autonomy frame dominates problem definitions, while social/relational framings are marginal. This reflects the more authoritative weight of functional autonomy within the assessment tool and contributes to the biomedicalisation of aging.

P6206Death, debility, and destitution following recurrent myocardial infarction in older adults

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Levitan ◽  
B Poudel ◽  
H Zhao ◽  
V Bittner ◽  
M M Safford ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Older Adults ◽  
Nursing Home ◽  
Health Insurance ◽  
Recurrent Events ◽  
The United States ◽  
Functional Independence ◽  
Financial Strain ◽  
Recurrent Myocardial Infarction

Abstract Background Most prior research on outcomes among older adults with established cardiovascular diseases focuses on recurrent events and hospitalizations. However, older adults value financial security and functional independence in addition to these disease-focused metrics. Recurrent cardiovascular events may increase risk of long-term nursing home residence and financial strain. Purpose To compare the risk for death, debility (long-term residence in a nursing home), and destitution (eligibility for health insurance programs for impoverished individuals) among older adults with recurrent myocardial infarction (MI) and controls. Methods We conducted a retrospective cohort study using administrative data from the United States Medicare program, a health insurance program for older adults. Among all patients who experienced a first overnight hospitalization with a discharge diagnosis of MI between 1 January 2007 and 30 June 2016, we identified patients with a recurrent MI hospitalization. Additionally, we selected controls from the same population of patients with MI, matched on calendar year of the initial MI and days since the initial MI. We included 194,481 patients aged 66 years and older with recurrent MI hospitalizations and 777,924 controls. Patients were followed for death, debility, and destitution until 31 December 2016. We used Kaplan-Meier curves and Cox proportional hazards models adjusted for sociodemographic factors, comorbidities, and healthcare utilization to compare patients with recurrent MI and matched controls. Results The average age of the population was 80.0 (standard deviation 8.3) years and 56.7% were women. Patients with recurrent MI were more likely to have a history of diabetes, chronic kidney disease, heart failure and peripheral artery disease than controls. The cumulative incidence of death, debility, and destitution were all higher among patients with recurrent MI than their matched controls (Figure). Comparing patients with recurrent MI to controls, the hazard ratios (95% confidence intervals) were 2.11 (2.09–2.13) for death, 0.92 (0.89–0.94) for debility, and 1.34 (1.29–1.39) for destitution after multivariable adjustment. Death, debility, and destitution Conclusion Preventing recurrent MIs has the potential to reduce not only mortality but also destitution. Acknowledgement/Funding Amgen, Inc

Vitamin B12 status in older adults living in Ontario long-term care homes: prevalence and incidence of deficiency with supplementation as a protective factor

2016 ◽  
Vol 41 (2) ◽  
pp. 219-222 ◽  
Author(s):  
Kaylen J. Pfisterer ◽  
Mike T. Sharratt ◽  
George G. Heckman ◽  
Heather H. Keller
Keyword(s):  
Older Adults ◽  
Protective Factor ◽  
Long Term Care ◽  
Functional Independence ◽  
Term Care ◽  
Limited Perspective ◽  
Health Related ◽  
B12 Deficiency ◽  
One Year

Vitamin B12 (B12) deficiency, although treatable, impacts up to 43% of community-living older adults; long-term care (LTC) residents may be at greater risk. Recommendations for screening require further evidence on prevalence and incidence in LTC. Small, ungeneralizable samples provide a limited perspective on these issues. The purposes of this study were to report prevalence of B12 deficiency at admission to LTC, incidence 1 year post-admission, and identify subgroups with differential risk. This multi-site (8), retrospective prevalence study used random proportionate sampling of resident charts (n = 412). Data at admission extracted included demographics, B12 status, B12 supplementation, medications, diagnoses, functional independence, cognitive performance, and nutrition. Prevalence at admission of B12 deficiency (<156 pmol/L) was 13.8%; 47.6% had normal B12 (>300 pmol/L). One year post-admission incidence was 4%. Better B12 status was significantly associated with supplementation use prior to LTC admission. Other characteristics were not associated with status. This work provides a better estimate of B12 deficiency prevalence than previously available for LTC, upon which to base protocols and policy. Prospective studies are needed to establish treatment efficacy and effect on health related outcomes.

Group Psychotherapy for Older Adults: A Meta-Analysis

2008 ◽  
Author(s):  
Kathleen T. Payne ◽  
David K. Marcus ◽  
Toni Merkey ◽  
Catherine M. Hammack ◽  
Paul Saputo
Keyword(s):  
Older Adults ◽  
Group Psychotherapy ◽  
Meta Analysis

State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

2014 ◽  
Author(s):  
Susan C. Reinhard Reinhard ◽  
Ari Houser Houser ◽  
Enid Kassner Kassner ◽  
Robert Mollica Mollica ◽  
Kathleen Ujuari Ujuari ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Physical Disabilities ◽  
Services And Supports ◽  
People With Physical Disabilities

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

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