scholarly journals Doing Time: Experiences of Care Home Residents in Germany During the Early Phase of the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 532-532
Author(s):  
Frank Oswald ◽  
Arthur Schall ◽  
Johannes Pantel ◽  
Miranda Leontowitsch
Keyword(s):  
Social Isolation ◽  
Risk Group ◽  
Care Home ◽  
Structured Interview ◽  
High Risk Group ◽  
Care Homes ◽  
Specific Response ◽  
Frail Older People ◽  
Life Issues ◽  
Negative Health Outcomes

Abstract Residents of care homes across the globe are affected by the spread of SARS-CoV-2 as they have been identified as a high-risk group and because they experienced strict social isolation regulations during the first wave of the pandemic. Social isolation of frail older people is strongly associated with negative health outcomes. The aim of this research project was to investigate how residents in care homes experienced social isolation during the first phases of contact ban in Germany. This paper draws on structured interview data collected from 22 residents in two care homes during early June 2020 in Frankfurt/Main. The findings show that their experiences were shaped by three factors: care home staffs’ approach to handling the contact ban; biographical sense of resilience; and a hierarchy of life issues. The findings highlight the importance of locally specific response mechanisms in care homes, and the need to contextualize residents’ experiences.

Doing time in care homes: insights into the experiences of care home residents in Germany during the early phase of the COVID-19 pandemic

2021 ◽  
pp. 1-19
Author(s):  
Miranda Leontowitsch ◽  
Frank Oswald ◽  
Arthur Schall ◽  
Johannes Pantel
Keyword(s):  
Mental Health ◽  
Older People ◽  
Social Isolation ◽  
Developmental Psychology ◽  
Mental Health Problems ◽  
Care Home ◽  
Structured Interview ◽  
Care Homes ◽  
Specific Response ◽  
Physical And Mental Health

Abstract Residents of care homes across the globe are affected by the spread of SARS-CoV-2 as they have been identified as a high-risk group and because they experienced strict social isolation regulations during the first wave of the pandemic. Social isolation of older people with poor physical and mental health is strongly associated with mental health problems and decreased life expectancy. Other research has shown that older people managed to adapt to the changes brought about by the pandemic and have linked this to the concept of resilience. The aim of this research project was to investigate how this applied to residents in care home settings during the first phases of the contact ban in Germany from sociology, developmental psychology and environmental gerontology perspectives, and to gain in-depth understanding of residents’ experiences. This paper draws on structured interview data collected from residents in two care homes during early June 2020 in Frankfurt am Main, Germany. The findings show that their experiences were shaped by three factors: care home settings and the approach of staff to handling the contact ban; biographical sense of resilience; and a hierarchy of life issues. The findings highlight the importance of locally specific response mechanisms in care homes, agency and belonging of residents despite health-related limitations and the importance of a critical (gendered) lens on understanding their experiences.

scholarly journals How Do the Support Networks of Older People Influence Their Experiences of Social Isolation in Care Homes?

2021 ◽  
Vol 9 (4) ◽  
pp. 315-326
Author(s):  
Jennifer M. Ferguson
Keyword(s):  
Older People ◽  
Social Isolation ◽  
Qualitative Interviews ◽  
Care Home ◽  
Support Networks ◽  
Care Homes ◽  
Support Network ◽  
Staff Members ◽  
Egocentric Network

Understanding how to better support older people living in care homes is imperative for improving their wellbeing and quality of life. Despite this, little research has explored how support networks are structured and composed for individual residents. This study aimed to explore how, and by whom, residents felt they were supported, and how this support influenced their experiences of social isolation within the care home. The study included 36 residents from seven care homes located in the Scottish central belt in 2018. This article uses egocentric network analysis to analyse the structure and composition of the support networks, while a thematic analysis of qualitative interviews resulted in themes exploring how a resident’s support network impacts their social isolation within the care home. Findings indicated that residents’ most supportive alters were adult children, while staff members were only nominated as providing support in one third of support networks, despite most residents needing specialised care every day. Ambiguous relationships within residents’ support networks lead to feelings of social isolation, as well as adding to residents’ isolating behaviour. This suggests that national care frameworks, such as person‐centred care frameworks, which advocate for coordinated support between residents, relatives, and staff are not being implemented effectively and that more needs to be done to break down barriers to inclusion for care home residents.

scholarly journals Pneumonia and influenza – specific considerations in care homes

2010 ◽  
Vol 20 (1) ◽  
pp. 69-80 ◽  
Author(s):  
Adam Gordon ◽  
Victoria Ewan
Keyword(s):  
Care Home ◽  
Healthcare Services ◽  
Care Homes ◽  
Current Evidence ◽  
Frail Older People ◽  
Home Setting ◽  
Vaccination Strategies ◽  
Frequent Contact ◽  
Treatment And Prevention ◽  
Future Work

SummaryThis review provides an update on current evidence surrounding epidemiology, treatment and prevention of lower respiratory tract infection, with special reference to pneumonia and influenza, in care home residents. The care home sector is growing and provides a unique ecological niche for infections, housing frail older people with multiple co-morbidities and frequent contact with healthcare services. There are therefore considerations in the epidemiology and management of these conditions that are specific to care homes. Opportunities for prevention, in the form of vaccination strategies and improving oral hygiene, may reduce the burden of these diseases in the future. Work is needed to research these infections specifically in the care home setting, and this article highlights current gaps in our knowledge.

scholarly journals Knowledge of Pregnant Women regarding HIV/AIDS

2013 ◽  
Vol 3 (3) ◽  
pp. 18-21 ◽  
Author(s):  
N Pandey
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Risk Group ◽  
Antenatal Clinic ◽  
Structured Interview ◽  
High Risk Group ◽  
People Living With Hiv ◽  
Sources Of Information ◽  
The Relationship ◽  
Hiv Aids

A descriptive study was conducted with the purpose of assessing the knowledge of HIV/AIDS among the pregnant women in antenatal clinic of Bir Hospital, Kathmandu. Sixty pregnant women were selected using non- probability purposive sampling technique. A pretested Nepali version semi-structured interview schedule was used to collect the data from them. Ethical consideration was maintained throughout the study. The obtained data was analyzed using descriptive statistics. The data are presented in different tables. Findings related to socio-demographic characteristics revealed that half (50%) percent of the respondents belonged to the age of 20-24years. Majority (88.3%) of the respondents were literate and (85%) of them belonged to Hindu religion. Findings showed that (90%) of respondents have heard about HIV/AIDS. The most common sources of information of HIV/AIDS were Television (77.8%), Radio (75%) and newspapers (66.7%). Regarding transmis­sion of HIV/AIDS, majority (88.9%) knew that HIV/AIDS is transmitted from sexual contact with infected person (81.5%) knew from infected blood transfusion and (70.4%) said from infected mother to child. More than (80%) of respondents said that commercial sex worker and having multiple sex workers were the high risk group for HIV/AIDS. Majority (77.8%) said by avoiding multiple sex partners and (72.2%) being faithful to the partner was the preventive measures of HIV/AIDS. Majority (61%) of respondents did not know the relationship between STI and HIV/AIDS. Majority (68.5%) of respon­dents did not know that there is available of drugs which lengthen the living years of life of people living with HIV/AIDS. Majority 51(98.1%) knew the use of condom is to prevent pregnancy, 44(84.6%) said prevent HIV/AIDS, 29(55.8%) said control STI. Although majority of the respondents had knowledge regarding the high risk group, mode of transmission and prevention of HIV/AIDS, some lacking areas has been identified that majority of the respondents were not aware about the the relationship between STI and HIV/AIDS. They also lacked awareness that use of condom controls STI and about avail­ability of drug which prevents progression of HIV infection. On the basis of finding, it is concluded that health education and awareness programme should be planned to women attending the antenatal clinic to enhance their knowledge on HIV/AIDS prevention and management. DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8632 Journal of Chitwan Medical College 2013; 3(3): 18-21

scholarly journals Low COVID-19 mortality in old age homes in western India: an empirical study

2020 ◽  
Author(s):  
Jallavi Panchamia ◽  
Bhavya Bhagat ◽  
Vishakha Bharati ◽  
Anushree Joshi ◽  
Dileep Mavalankar
Keyword(s):  
Old Age ◽  
Elderly Care ◽  
Care Home ◽  
The Elderly ◽  
Structured Interview ◽  
Care Homes ◽  
Western World ◽  
Western India ◽  
The Government ◽  
New Policies

AbstractObjectiveThe study intended to understand the effect of Coronavirus disease 2019 (COVID-19) on western Indian elderly care homes. The study aimed to know the actions taken by administration of homes and challenges faced during the lockdown period.MethodTotal 44 care homes across three states of western India were contacted for data collection during the period of September-November 2020. Structured interview of the manager or owner of the elderly care homes were taken to gather required information to achieve the study objectives.ResultsOut of 44 care homes, seven care homes reported 146 case of corona virus infection and four deaths. Hence, the reported covid cases rate found to be 928 per 10,000 residents.DiscussionResults of the study indicated that significant steps were taken by these old age care homes to stave off the infection spread among the inmates. It was observed that average 26% of the occupants were sent back to their home/relative’s home before the lockdown to decongest the care homes. Administrators adopted the new policies at care home and adhered the government guidelines. Care homes in western India seemed to have very low infection rate and very low number of deaths as compared to western world.

Acromegaly and Obstructive Sleep Apnea: Identifying the High-Risk Group

2019 ◽  
Author(s):  
Xiaojun Zhan ◽  
Chandala Chitguppi ◽  
Ethan Berman ◽  
Gurston Nyquist ◽  
Tomas Garzon-Muvdi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Risk Group ◽  
High Risk Group ◽  
Obstructive Sleep

Comparison of SCORE and Reynolds cardiovascular risk assessments in a cohort without cardiovascular disease

2013 ◽  
Vol 154 (43) ◽  
pp. 1709-1712 ◽  
Author(s):  
Csaba Móczár
Keyword(s):  
Cardiovascular Disease ◽  
Risk Assessment ◽  
Cardiovascular Risk ◽  
Screening Program ◽  
Risk Group ◽  
Scoring Systems ◽  
High Risk Group ◽  
Risk Assessments ◽  
Gender And Age ◽  
Medium Risk

Introduction: Cardiovascular risk assessment may help in the identification of symptom-free subjects with high cardiovascular risk. Aim: The author studied the correlation between SCORE and Reynolds risk assessment systems based on data from the cardiovascular risk screening program carried out in subjects without cardiovascular disease. Method: Data obtained from 4462 subjects (1977 men and 2485 women; mean age, 47,4 years) were analysed. The comparison was based on risk categories of the SCORE system. Results: There was a strong correlation between the two scoring systems in the low risk population (under <2% SCORE risk the Spearman rho = 1, p < 0.001). A weak correlation was found in the medium risk group (between 3–4% the Spearman rho = 0.59–0.49, p < 0.001 and between 10–14% the Spearman rho = 0.42, ns.) and a stronger correlation in the high risk group (>15% the Spearmen rho = 0.8, p = 0.017). When correlations were analysed in gender and age categories, the weakest correlation was detected in medium risk women over 40 years of age. In cases when the differences between the two scoring systems were significant, the hsCRP levels were significantly higher (4.1 vs. 5.67 mg/L, p < 0.001). Conclusions: Introduction of hsCRP into cardiovascular risk assessments can refine the risk status of symptom-free subjects, especially among intermediate risk middle-age women (two-step risk assessment). Orv. Hetil., 154 (43), 1709–1712.

Anamnestic factors that shape reproductive health of women with repeated unsuccessful popygamy in vitro fertilization

2016 ◽  
pp. 140-143
Author(s):  
N.V. Cotsabin ◽  
◽  
O.M. Makarchuk ◽  
Keyword(s):  
High Risk ◽  
Risk Group ◽  
Polycystic Ovary ◽  
High Risk Group ◽  
Stress Factors ◽  
Control Group ◽  
Fertilization In Vitro ◽  
Infertile Women ◽  
Group I

The proportion of patients with multiple unsuccessful attempts of assisted reproductive technology (ART) is about 30% of all patients treated with the use of ART. Women with history of unsuccessful ART attempts - a special category of patients who require emergency attention and a thorough examination at the stage of preparation for superovulation stimulation,the selection of embryos and endometrium preparation for embryo transfer. The objective: to distinguish high-risk group of unsuccessful attempts based on a detailed analysis of anamnestic and clinical data of infertile women with repeated unsuccessful ART attempts that requires more in-depth study of hormonal features, ovarian reserve and condition of the endometrium. Materials and methods. For better understanding of the problem of repeated unsuccessful ART attempts and сreation of efficient infertility treatment algorithms for these couples we conducted a thorough analysis of anamnestic data of three groups of infertile women (105 patients), which were distributed by age: group I – younger than 35, the II group – from 35 to 40, the III group - over 40 years. These groups of patients were compared with each other and with the control group of healthy women (30 persons). Results. Leading stress factors in the percentage three times prevailed in the group of infertile women and had a direct connection with the fact of procedure «fertilization in vitro» and chronic stressors caused by prolonged infertility. Primary infertility was observed significantly more frequent in patients younger than 35 years (p <0.05), secondary infertility - mostly in the second and third experimental groups (p <0.05). Noteworthy significant percentage of wellknown causes of infertility and idiopathic factor in all groups, and the prevalence of tubal-peritoneal factor in the second and third experimental groups, and endocrine dysfunction in the I experimental group. The most common disorder among this category of woman was polycystic ovary syndrome. Frequency of usual miscarriage among patients of I ana II groups was two times higher than in the third group (p <0.05). Among the experimental groups the leading place belongs urinary tract infection, respiratory tract diseases, pathologies of the cardiovascular system. Data of the stratified analysis show an increase likelihood of repeated unsuccessful ART attempts under the influence of constant chronic stress (odds ratio OR=2.06; 95% CI: 0.95–3.17; p<0.05). Conclusions. Among infertile patients with repeated unsuccessful ART attempts must be separated a high risk group of failures. The identity depends on the duration of infertility, female age and leading combination of factors. Key words: repeated unsuccessful ART attempts, anamnesis, infertility, high risk.

Sign in / Sign up

Export Citation Format

Share Document