scholarly journals Racial Disparities in Use of Memory Care and Prevalence of Duals in Assisted Living

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 528-528
Author(s):  
Portia Cornell
Keyword(s):  
Older Adults ◽  
Predominantly White ◽  
Racial Disparities ◽  
Assisted Living ◽  
Black Residents ◽  
Memory Care ◽  
Dual Eligible ◽  
Black Populations ◽  
Facility Level ◽  
With Memory

Abstract Assisted living (AL) communities with memory care licenses are disproportionately located in affluent and predominantly White communities and Black older adults are underrepresented in AL. But little is known about characteristics of AL that care for Black residents. We estimated the association of facility-level characteristics as proxy measures for AL resources, such as memory care designations and percentage of dual-eligible residents, across low (0-5%), medium (5-10%) and high (>10%) percentages of Black residents. We found broad differences among communities in the three levels of Black-resident prevalence. High percentage of Black residents was associated with large differences in the percentage of Medicaid-enrolled residents (high 54% duals [s.d.=34], med 28% [31], low=13% [22], p<0.001). ALs with high Black populations were less likely to have a memory-care designation than ALs with medium and low percentages of Black residents (high 4.7% memory care, med 11%, low 17%).

scholarly journals Pandemic Preparedness of Care Homes Serving Older Adults in the Wake of COVID-19: An Exploratory Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 482-482
Author(s):  
Iftekhar Amin
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Adult Population ◽  
Sampling Technique ◽  
The United States ◽  
Care Homes ◽  
Snowball Sampling ◽  
Predominantly Minority ◽  
Memory Care

Abstract Recent COVID-19 pandemic has disproportionately affected the older adult population worldwide. According to CDC, among older adults over 60 years the risk increases with age, with the highest risk of serious illness and death among those over 80 years. While public has been receiving messages about the risks and how to take preventive measures, it is not clear how the care homes serving older adults have been preparing. Data have been collected as part of an ongoing study from 30 independent living, assisted living, and memory care facilities across the United States. The centers were selected with a snowball sampling technique. Administrators of the centers were interviewed with a semi-structured questionnaire. It was apparent that although awareness of risks was high, preparation appears to be inadequate with little resources available at the time of the survey. Variation of preparedness based on the sociodemographic characteristics of the residents suggests that homes that serve predominantly minority and economically disadvantaged have greater likelihood of lacking preventive resources. It is critical that facilities serving older adults be prepared to ensure an effective healthcare response in the wake of novel viruses, such as COVID-19.

scholarly journals A Typology of Health Services Regulated in U.S. Assisted Living Communities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 528-528
Author(s):  
Lindsey Smith ◽  
Wenhan Zhang ◽  
Sheryl Zimmerman ◽  
Philip Sloane ◽  
Kali Thomas ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Assisted Living ◽  
Service Use ◽  
Health Service Use ◽  
Case Mix ◽  
State Agencies ◽  
Black Residents ◽  
Health Related ◽  
Dual Eligible

Abstract State agencies regulate assisted living (AL) with varying approaches across and within states. The implications of this variation for resident case mix, health service use, and policy, are not well described. We collected health services-relevant AL regulatory requirements for all 50 states and DC and used a mixed-methods approach (thematic analysis; k-means cluster analysis) to identify six types: Housing, Affordable, Hybrid, Hospitality, Healthcare, and Hybrid-Healthcare. We stratified Medicare claims data by regulatory type, identifying variation in resident case mix and health service use. Housing and Affordable clusters have larger proportions of dual-eligible beneficiaries, Black residents, and residents of Affordable had more long-term nursing home use compared to other clusters. Dual-eligible beneficiaries account for 26.6% of Housing cluster residents compared to 8.1% of Hybrid Healthcare cluster residents. We provide other examples and explain the implications in terms of sampling AL for single and multi-state studies, racial disparities, and health-related policies.

Positive effect of pets on memory-impaired residents at Silverado communities

2014 ◽  
Vol 18 (3) ◽  
pp. 134-141 ◽  
Author(s):  
Stephen F. Winner
Keyword(s):  
Assisted Living ◽  
Content Type ◽  
Care Community ◽  
Memory Impairments ◽  
Positive Effects ◽  
Sense Of Purpose ◽  
Memory Care ◽  
The Usa ◽  
With Memory ◽  
Positive Effect

Purpose – The purpose of this paper is to share the positive effects pets have on individuals diagnosed with various memory-impairing diseases. Design/methodology/approach – Observations were gathered over a period of approximately 18 years, from 1996 to 2014. These observations, which began in just one Silverado community exclusively for those with memory impairments, have remained consistent over time and are now seen in 33 communities across the USA. Findings – Frequent interaction and access to various pets adds a sense of purpose and life to Silverado residents, each of whom was diagnosed with dementia or other memory impairing diseases. Research limitations/implications – The findings rely on a variety of personal observations from caregivers, doctors, nurses, resident families and community leadership. Practical implications – Including pets in an assisted living community creates an environment filled with life and compassion, which ultimately gives many residents a sense of purpose again. Social implications – The Silverado Pet Philosophy furthers the organization's mission to change the way the world perceives and cares for those with memory impairments. Originality/value – There are limited case studies that outline the positive effects of pets in a memory care community over this length of time.

scholarly journals Geographic Disparities in Access to Specialized Dementia Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 716-716
Author(s):  
Portia Cornell ◽  
Wenhan Zhang ◽  
Lindsey Smith ◽  
Shekinah Fashaw ◽  
Kali Thomas
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Assisted Living ◽  
Dementia Care ◽  
Geographic Disparities ◽  
College Attainment ◽  
Black Residents ◽  
Specific Care ◽  
Home Values ◽  
Racial Ethnic

Abstract With novel, previously undescribed data on the availability of dementia-specific assisted living communities (ALs), we analyzed variation among counties in the availability of this important service for persons with dementia. In twenty-one states, we identified 6,961 ALs (16%) with a dementia-specific license/certification. Counties with at least one AL providing dementia-specific care had substantially higher college attainment versus counties that had at least one AL, but no dementia-specific beds: 25% versus 18% (p<0.01). Counties with dementia care also had significantly greater median incomes ($54,000 vs. $46,400), and home values ($159,000 vs. $113,000), lower poverty rates (13.7 percent vs. 16.3 percent), and lower proportions of Black residents (7.8 percent vs. 8.7 percent). Our findings are suggestive of a mismatch in need and availability of residential care options for older adults with ADRD that are also low-income or racial/ethnic minorities. Part of a symposium sponsored by Assisted Living Interest Group.

Evaluating racial disparities in healthcare system utilization and caregiver burden among older adults with dementia

2021 ◽  
pp. 1-14
Author(s):  
Carolina Pereira ◽  
Ashley LaRoche ◽  
Beth Arredondo ◽  
Erika Pugh ◽  
Elizabeth Disbrow ◽  
...  
Keyword(s):  
Older Adults ◽  
Racial Disparities ◽  
Healthcare System ◽  
Caregiver Burden ◽  
System Utilization

scholarly journals Vulnerable Older Adults in Disasters: Effects of Hurricane Irma on Nursing Homes and Assisted Living

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 733-734
Author(s):  
Lindsay Peterson ◽  
David Dosa ◽  
Patricia D’Antonio
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Gulf Coast ◽  
Secondary Data ◽  
Morbidity And Mortality ◽  
Term Care ◽  
The Face ◽  
Qualitative Methodologies ◽  
Hurricane Irma

Abstract Preparedness of residents in long-term care (LTC) in the face of hurricane emergencies is a contested and largely unanswered question. Our prior work involving the U.S. Gulf Coast hurricanes of 2005-08 showed that exposure to various storms on nursing home (NH) residents resulted in significantly more deaths than reported by health care officials. This work also highlighted that evacuation of NH residents, compared to sheltering in place, was independently associated with morbidity and mortality. Hurricane Irma struck Florida on Sept. 10, 2017, prompting the evacuation of thousands of NH and assisted living community (ALC) residents. This symposium will discuss the effects of Hurricane Irma on vulnerable older adults residing in NHs and ALCs using mixed quantitative and qualitative methodologies. The first presentation will discuss morbidity and mortality of NH residents exposed to Hurricane Irma and will stratify by long stay/short stay status and hospice enrollment. The second presentation will discuss improvements and continued barriers to NH preparedness based on interviews with 30 administrators following Hurricane Irma. Using a novel methodology to identify residents of ALCs using secondary data sources, the third presentation will document AL resident morbidity and mortality risk following Hurricane Irma. The final presentation will highlight results of interviews with 70 stakeholders from small and large ALCs concerning the hurricane experiences of residents, including those with dementia. This symposium offers a multi-faceted view of a disaster’s effects on LTC residents across Florida, including novel data from the NH environment and lesser-examined ALCs.

Falls and fear of falling among older adults in an assisted-living facility: A qualitative and foundational study for intervention development in a developing country

2021 ◽  
Vol 94 ◽  
pp. 104375
Author(s):  
Emmanuel Chiebuka Okoye ◽  
Christopher Olusanjo Akosile ◽  
Fatai Adesina Maruf ◽  
Ifeoma Uchenna Onwuakagba ◽  
Ukamaka Gloria Mgbeojedo
Keyword(s):  
Older Adults ◽  
Developing Country ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Intervention Development ◽  
Assisted Living Facility

scholarly journals A Theoretical Framework for the Development of Views of One’s Own Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 6-6
Author(s):  
Sarah Marrs ◽  
Jennifer Inker ◽  
Madeline McIntyre ◽  
Leland Waters ◽  
Tracey Gendron
Keyword(s):  
Older Adults ◽  
Medical Students ◽  
Assisted Living ◽  
Health Professions ◽  
Theoretical Framework ◽  
Community Dwelling ◽  
Mentoring Program ◽  
Term Care ◽  
Before And After ◽  
Students Attitudes

Abstract Senior mentoring programs have been established that provide medical students exposure to a community-dwelling older adult mentor. The goal of these programs is to expose students to healthy older adults, increase knowledge of geriatrics, and prepare them to care for an aging population. However, even while participating in a senior mentoring program, health professions students still demonstrate some discriminatory language towards older adults (e.g., Gendron, Inker, & Welleford, 2018). In fact, research suggests ageist practices occur, intentionally or not, among all health professions and within assisted living and long-term care facilities (e.g., Bowling, 1999; Dobbs et al., 2008; Kane & Kane, 2005). There is reason to believe that how we feel about other older adults is a reflection of how we feel about ourselves as aging individuals. As part of an evaluation of a Senior Mentoring program, we found that students’ attitudes towards older adults were not significantly improved (t (92) = .38, p = .70). To further explore this, we collected subsequent qualitative data. Specifically, we asked students to respond to the open-ended prompt before and after completing their senior mentoring program: How do you feel about your own aging? Our findings have revealed just how complex students’ views towards aging and elderhood are, pointing to a need to develop a theoretical framework for how these views are formed. Thus, the results of this qualitative grounded theory study illustrate the stages of development medical students’ progress through as they come to accept themselves as aging humans.

scholarly journals The Impact of Memory Change on Everyday Life Among Older Adults: Association with Cognition and Self-Reported Memory

2021 ◽  
pp. 1-9
Author(s):  
Komal T. Shaikh ◽  
Erica L. Tatham ◽  
Susan Vandermorris ◽  
Theone Paterson ◽  
Kathryn Stokes ◽  
...  
Keyword(s):  
Older Adults ◽  
Negative Emotion ◽  
Negative Emotions ◽  
Strategy Use ◽  
Everyday Functioning ◽  
Positive Coping ◽  
Memory Change ◽  
Lifestyle Activities ◽  
The Impact ◽  
With Memory

Abstract Objectives: Many older adults experience memory changes that can have a meaningful impact on their everyday lives, such as restrictions to lifestyle activities and negative emotions. Older adults also report a variety of positive coping responses that help them manage these changes. The purpose of this study was to determine how objective cognitive performance and self-reported memory are related to the everyday impact of memory change. Methods: We examined these associations in a sample of 94 older adults (age 60–89, 52% female) along a cognitive ability continuum from normal cognition to mild cognitive impairment. Results: Correlational analyses revealed that greater restrictions to lifestyle activities (|rs| = .36–.66), more negative emotion associated with memory change (|rs| = .27–.76), and an overall greater burden of memory change on everyday living (|rs| = .28–.61) were associated with poorer objective memory performance and lower self-reported memory ability and satisfaction. Performance on objective measures of executive attention was unrelated to the impact of memory change. Self-reported strategy use was positively related to positive coping with memory change (|r| = .26), but self-reported strategy use was associated with more negative emotions regarding memory change (|r| = .23). Conclusions: Given the prevalence of memory complaints among older adults, it is important to understand the experience of memory change and its impact on everyday functioning in order to develop services that target the specific needs of this population.

scholarly journals Usability Testing for the Operation of a Mobile Robotic Telepresence System by Older Adults

2020 ◽  
Vol 64 (1) ◽  
pp. 1191-1195
Author(s):  
Samuel Olatunji ◽  
Andre Potenza ◽  
Tal Oron-Gilad ◽  
Andrey Kiselev ◽  
Amy Loutfi ◽  
...  
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Usability Testing ◽  
Small Sample ◽  
Developmental Factors ◽  
Assistive Robot ◽  
Adult Participants ◽  
Autonomous Mode ◽  
Levels Of Automation ◽  
Local User

Mobile robotic telepresence (MRP) systems feature a video conferencing interface on a mobile robot, enabling pilot users to remotely control the robot while communicating with a local user. For older adults in an assisted living facility, the operators are mostly caregivers or remote family members. This small-sample usability testing aimed to evaluate the use of MRP by the older adult. Participants navigated the robot to locations in the home, e.g., to check if the front-door is closed. Two levels of automation were introduced; assisted teleoperation and autonomous. Observations revealed that the older adults enjoyed the dexterity with which the robot could be teleoperated in the assisted teleoperation mode. Yet, they preferred the operation of the MRP at the autonomous mode where the robot navigated autonomously towards the locations the user indicated. Usability, preference and objective findings raise awareness regarding elder care assistive robot developmental factors. Future experimental plans are discussed.

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