scholarly journals Morbidity and mortality among older people admitted to nursing home

2019 ◽  
Vol 49 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Mette Reilev ◽  
Carina Lundby ◽  
John Jensen ◽  
Søren Post Larsen ◽  
Helene Hoffmann ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Older People ◽  
Health Care Systems ◽  
Nursing Home Residents ◽  
Morbidity And Mortality ◽  
Nursing Home Admission ◽  
Older Individuals ◽  
Future Health ◽  
Future Health Care

Abstract Background the increasing number of multimorbid older people places high demands on future health care systems. To inform the discussion on how to structure future care strategies, we aimed to describe the temporal relationship between admission, and morbidity and mortality in nursing home residents. Methods data on 5,179 older individuals admitted to 94 Danish nursing homes in 12 municipalities during 2015–2017 were linked to the nationwide Danish health registries to retrieve information on the temporal relation between nursing home admission and morbidity and mortality. Results at the time of nursing home admission, the majority were women (63%). Male residents were younger than women (median 82 vs 85 years) and had a higher prevalence of comorbidities (median Charlson score 2 vs 1 among women). The median survival after nursing home admission was 25.8 months, with the 3-year survival being 37%. Three-year survival was lower among men (29 vs 43% among women) and among the oldest residents (23% among those aged ≥90 years vs 64% among individuals ≤65 years). In addition to age and sex, predictors of mortality included hospitalisations prior to nursing home admission and a high burden of comorbidity. The rate of hospitalisations, primarily for reasons related to frailty, increased substantially during the 9 months prior to nursing home admission. Conclusion we provide detailed information on differences in morbidity and mortality across age span and sex at the time of nursing home admission, thereby contributing to the ongoing discussion of how to structure the future health care system.

COMPETENCY DEVELOPMENT IN EDUCATING HEALTH CARE SPECIALISTS AT WORK WITH OLDER PEOPLE

2019 ◽  
Vol 4 ◽  
pp. 56
Author(s):  
Dina Berloviene ◽  
Gunta Beta ◽  
Dita Role ◽  
Dagnija Deimante ◽  
Alida Samusevica
Keyword(s):  
Health Care ◽  
Older People ◽  
Functional Limitations ◽  
Psychosocial Problems ◽  
Future Health ◽  
Term Care ◽  
Study Programme ◽  
Care And Support ◽  
Health And Social Care ◽  
Future Health Care

Health and social care specialists who work with older people and provide systematic direct and indirect professional care and support to people older than 65 and to their families, thus ensuring various care and support services in different environments including preventive, supportive, disease management, recuperative, paliative, short-term and long-term care, need specific competences in order to understand and ensure older people’s needs and care. Older people and especially frail older people can have problems that are interlinked, for instance, cognitive and functional limitations that are combined with psychosocial problems and social isolation. In order to develop students’ competence at work with older people- understanding and empathy, it is necessary to research these problems during the study process by integrating study courses that would ensure emphatic and reasonable attitude and action in clinical practice in the sphere of health and social welfare when taking care of older patients. Aim - To characterize acquisition process of professional competences of future health care specialists that are to be developed purposefully and applied when working with old people. Methodology – Analysis of study course descriptions in the study programme “Nursing”. Results - RSU study programme “Nursing” contains clearly defined descriptions of professional competences. 

YOUR FUTURE HEALTH CARE

1974 ◽  
Vol 4 (9) ◽  
pp. 79-79
Author(s):  
Anonymous
Keyword(s):  
Health Care ◽  
Future Health ◽  
Future Health Care

The Role of Nursing Homes Architectural Design in Mitigating the Risk of COVID-19 Pandemics: The Case of Slovenia

2022 ◽  
Vol 8 (1) ◽  
pp. 51-66
Author(s):  
Vesna Žegarac Leskovar ◽  
Vanja Skalicky Klemenčič
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Older People ◽  
Architectural Design ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Evaluation Tool ◽  
Negative Effect ◽  
Disproportionate Number ◽  
Role Of Nursing

Currently, many older people live in institutions for various social and health reasons. In Slovenia, this proportion is almost 5% of the population aged 65 and over. In the COVID-19 pandemic, the elderly proved to be the most vulnerable social group, as they are exposed to a number of comorbidities that increase the risk of mortality. At that time, nursing homes represented one of the most critical types of housing, as seen from a disproportionate number of infections and deaths among nursing home residents worldwide, including Slovenia. During the emergency, a number of safety protocols had to be followed to prevent the spread of infection. Unfortunately, it turned out that while the safety measures protected the nursing home residents, they also had a negative effect on their mental health, mainly due to isolation and social distancing. It follows that especially in times of epidemics of infectious respiratory diseases, the quality of life in nursing homes requires special attention. In this context, it is also necessary to consider whether and how an appropriate architectural design can help mitigating the spread of infections, while at the same time enable older people to live in dignity and with a minimum of social exclusion. To this end, the present study examined 97 nursing homes in Slovenia, analysing the number of infections in nursing homes and their correlation with the degree of infection in the corresponding region in Slovenia. Additionally, 2 nursing homes were studied in more detail with the use of newly developed “Safe and Connected” evaluation tool, analysing the architectural features of each building. The advantages identified so far include living in smaller units, single rooms with balconies, the possibility of using green open spaces and the use of an adequate ventilation. Conclusions of this study are useful for further consideration of design of new nursing homes and the refurbishment of existing ones.

Measuring reopening readiness: a universal COVID-19 index for US states

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eunju Suh ◽  
Mahdi Alhaery
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Future Health ◽  
Content Type ◽  
Counter Measures ◽  
Care Services ◽  
Future Health Care ◽  
Pandemic Severity ◽  
Occupancy Rates ◽  
Bed Occupancy Rates

PurposeWhile United States is among countries with the world’s highest coronavirus infections, its approaches and policies to reopen the economy vary by state. A lack of objective criteria and monitoring toward satisfying the criteria can lead to another COVID-19 outbreak and business closures. Considering the pressing need to return to normalcy without a rebound of COVID-19 infections and deaths, an index that provides a data-driven and objective insight is urgently needed. Hence, a method was devised to assess the severity of the COVID-19 pandemic and determine the degree of progress any state has made in containing the spread of COVID-19.Design/methodology/approachUsing measures such as the weekly averages of daily new deaths, ICU bed occupancy rates, positive cases and test positivity rates, two indexes were developed: COVID-19 reopening readiness and severity.FindingsA clear difference in the pandemic severity trends can be observed between states, which is possibly due to the disparity in the state’s response to coronavirus. A sharp upward trend in index values requires caution prior to moving to the next phase of reopening.Originality/valueThe composite indexes advanced in this study will provide a universal, standardized and unbiased view of each state’s readiness to reopen and allow comparisons between states. This in turn can help governments and health-care agencies take counter measures if needed as to the anticipated demand for future health-care services and minimize adverse consequences of opening.

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