scholarly journals Dementia Caregivers' Trajectories of Well-Being Before and During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 311-312
Author(s):  
Elizabeth Albers ◽  
Robyn Birkeland ◽  
Colleen Peterson ◽  
Anna Drake ◽  
Joseph Gaugler ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Protective Effects ◽  
Dementia Caregivers ◽  
Term Care ◽  
Long Term Care Facility ◽  
Growth Curve Models ◽  
Counseling Intervention

Abstract Residents of long-term care settings and their family caregivers have been severely impacted by the COVID-19 pandemic. The present mixed-methods study examines trajectories of well-being pre- and post-pandemic onset for caregivers of persons with dementia living in residential long-term care. Participants were taking part in, or had recently completed, an ongoing intervention trial to support families transitioning a relative into long-term care. Beginning in summer 2020, we started assessing caregivers’ COVID-19-related experiences and added three surveys spanning 4-months beyond the 12-month parent study period to capture caregivers' adjustment throughout the pandemic. Using latent growth curve models, we estimated caregivers' (N = 104) trajectories of depressive symptoms, burden, and self-efficacy before and during the pandemic. We also tested whether the counseling intervention had protective effects for participants in the treatment group, and examined moderators including long-term care facility size, care recipient's dementia and health status, and quality of staff interactions.

scholarly journals FEDERAL POLICY SUPPORTS AND GAPS IN ADDRESSING RACIAL-ETHNIC HEALTH DISPARITIES IN U.S. LONG-TERM CARE FACILITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S161-S161
Author(s):  
Rebecca L Mauldin ◽  
Kathy Lee ◽  
Antwan Williams
Keyword(s):  
Long Term Care ◽  
Federal Policy ◽  
Care Facility ◽  
Well Being ◽  
The United States ◽  
Term Care ◽  
Long Term Care Facility ◽  
Care Facilities

Abstract Older adults from racial and ethnic minority groups face health inequities in long-term care facilities such as nursing homes and assisted living facilities just as they do in the United States as a whole. In spite of federal policy to support minority health and ensure the well-being of long-term care facility residents, disparities persist in residents’ quality of care and quality of life. This poster presents current federal policy in the United States to reduce racial and ethnic health disparities and to support long-term care facility residents’ health and well-being. It includes legislation enacted by the Patient Protection and Affordable Care Act of 2010 (ACA), regulations of the U.S. Department of Health and Human Services (DHHS) for health care facilities receiving Medicare or Medicare funds, and policies of the Long-term Care Ombudsman Program. Recommendations to address threats to or gaps in these policies include monitoring congressional efforts to revise portions of the ACA, revising DHHS requirements for long-term care facilities staff training and oversight, and amending requirements for the Long-term Care Ombudsman Program to mandate collection, analysis, and reporting of resident complaint data by race and ethnicity.

scholarly journals The Impact of COVID-19 Measures on Well-Being of Older Long-Term Care Facility Residents in the Netherlands

2020 ◽  
Vol 21 (11) ◽  
pp. 1569-1570 ◽  
Author(s):  
Henriëtte G. Van der Roest ◽  
Marleen Prins ◽  
Claudia van der Velden ◽  
Stephanie Steinmetz ◽  
Elske Stolte ◽  
...  
Keyword(s):  
The Netherlands ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

scholarly journals The Effects of a Horticulture Activity Program on the Psychological Well-being of Older People in a Long-term Care Facility

2003 ◽  
Vol 13 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Tom Barnicle ◽  
Karen Stoelzle Midden
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Control Group ◽  
Term Care ◽  
Psychological Well Being ◽  
Long Term Care Facility ◽  
Current Psychological

This study investigated the effects of indoor horticulture activities on the current psychological well-being of older people in two long-term care facilities over a 7-week period. Thirty-one participants at one facility served as the control group. Thirty-one participants at another facility served as the horticulture group. Participants in both facilities continued with their normal daily routine and activities over the 7-week period; however, the horticulture group participated in a 1-hour horticulture activity session once a week over the 7-week period and the control group did not. The control group and horticulture group did not differ significantly in psychological well-being prior to the start of the study. After the 7-week program, the horticulture group had a significant increase in psychological well-being, whereas the control group had a slight decrease in psychological well-being. The results of this study indicate that horticulture activities may have a beneficial effect on the current psychological well-being of older people in a long-term care facility.

scholarly journals A Remote Music-Based Service-Learning Project to Support Isolated Older Adults in Long-Term Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 738-738
Author(s):  
Emma King ◽  
Alaine Reschke-Hernandez
Keyword(s):  
Older Adults ◽  
Service Learning ◽  
Long Term Care ◽  
Universal Design For Learning ◽  
Care Facility ◽  
Well Being ◽  
Community Partner ◽  
Term Care ◽  
Long Term Care Facility

Abstract Growth of the aging population warrants a commitment to teaching students to work effectively with older adults. In an online university course focused on inclusive music practices, students engaged in an extensive service-learning project to enhance course learning objectives and increase sensitivity to disability, social justice, and inclusion issues across the lifespan. Based on community needs, one student aimed to reduce isolation among older adults living in a long-term care facility. The student selected this target and population because of the detrimental effects of isolation on psychosocial, cognitive, and physical well-being; and reduced access to interactive programs and services among older adults living in residential facilities during the COVID-19 pandemic. Components of the project included a service-learning proposal, an annotated bibliography, an interview with the community partner, three activity designs, and a reflective essay. Based on existing research regarding interventions used to reduce isolation among older adults, the three activities the student designed were music bingo, interactive singing, and stretches to music. Throughout the service-learning process, the student consulted the community partner to ensure relevance of the activities. Principles of Universal Design for Learning (UDL), such as providing multiple visual and auditory means to engage with materials, enhanced accessibility of the activities. In this presentation, the student and course instructor will reflect on this case experience and the value of service-learning to foster professional skill development, engaged citizenship in working effectively with older adults, and an appreciation of the need for justice, equity, and fairness for all community members.

scholarly journals Risk factors for COVID-19 diagnosis, hospitalization, and subsequent all-cause mortality in Sweden: a nationwide study

2021 ◽  
Vol 36 (3) ◽  
pp. 287-298
Author(s):  
Jonathan Bergman ◽  
Marcel Ballin ◽  
Anna Nordström ◽  
Peter Nordström
Keyword(s):  
Risk Factors ◽  
Down Syndrome ◽  
Long Term Care ◽  
Care Facility ◽  
Prescription Medication ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
All Cause Mortality

AbstractWe conducted a nationwide, registry-based study to investigate the importance of 34 potential risk factors for coronavirus disease 2019 (COVID-19) diagnosis, hospitalization (with or without intensive care unit [ICU] admission), and subsequent all-cause mortality. The study population comprised all COVID-19 cases confirmed in Sweden by mid-September 2020 (68,575 non-hospitalized, 2494 ICU hospitalized, and 13,589 non-ICU hospitalized) and 434,081 randomly sampled general-population controls. Older age was the strongest risk factor for hospitalization, although the odds of ICU hospitalization decreased after 60–69 years and, after controlling for other risk factors, the odds of non-ICU hospitalization showed no trend after 40–49 years. Residence in a long-term care facility was associated with non-ICU hospitalization. Male sex and the presence of at least one investigated comorbidity or prescription medication were associated with both ICU and non-ICU hospitalization. Three comorbidities associated with both ICU and non-ICU hospitalization were asthma, hypertension, and Down syndrome. History of cancer was not associated with COVID-19 hospitalization, but cancer in the past year was associated with non-ICU hospitalization, after controlling for other risk factors. Cardiovascular disease was weakly associated with non-ICU hospitalization for COVID-19, but not with ICU hospitalization, after adjustment for other risk factors. Excess mortality was observed in both hospitalized and non-hospitalized COVID-19 cases. These results confirm that severe COVID-19 is related to age, sex, and comorbidity in general. The study provides new evidence that hypertension, asthma, Down syndrome, and residence in a long-term care facility are associated with severe COVID-19.

Sign in / Sign up

Export Citation Format

Share Document