scholarly journals The Challenges of Being a Family Caregiver During the COVID-19 Pandemic in Canada

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 552-552
Author(s):  
Gwen McGhan ◽  
Deirdre McCaughey
Keyword(s):  
Public Health ◽  
Older Adults ◽  
At Risk ◽  
Family Member ◽  
Well Being ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
The Public ◽  
Health Measures

Abstract The COVID-19 pandemic has impacted all of our lives, but the population most at risk are older adults. Canadians over the age of 60 account for 36% of all COVID-19 cases but 95% of the deaths, and over two-thirds of ICU admissions. Older adults with chronic health conditions are especially at risk. Prior to COVID-19, family caregivers (FCGs) for older adults were managing their caregiving duties at the limits of their emotional, physical and financial capacity. As such, FCGs need special consideration during these times of uncertainty to support them in their role and enable the continuation of care for their older adult family members. This symposium will report on independently conducted studies from across Canada that have examined how the pandemic and associated public health measures have influenced resource utilization by FCGs and the older adults for whom they provide care. McAiney et al’s study examines the deleterious effect of reduced services on community dwelling FCGs and the wellbeing of their family member with dementia. Parmar & Anderson examined the effect of pandemic restrictions on FCGs of frail older adults and found they were experiencing increased distress and decreased wellbeing. Flemons et al report on the experiences of FCGs managing caregiving without critical services and the effect of restrictive visiting policies and the well-being of the caregiving dyad (FCGs and family member with dementia). Finally, McGhan et al will share how FCGs evaluated the efficacy of public health measures and the public health messaging about the pandemic.

scholarly journals Silver Linings Reported by Australians Experiencing Public Health Restrictions during the First Phase of the COVID-19 Pandemic: A Qualitative Report

2021 ◽  
Vol 18 (21) ◽  
pp. 11406
Author(s):  
Narelle Campbell ◽  
Sandra C. Thompson ◽  
Anna Tynan ◽  
Louise Townsin ◽  
Lauren A. Booker ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Research ◽  
Large Scale ◽  
Well Being ◽  
Rapid Identification ◽  
National Study ◽  
The Public ◽  
Health Measures ◽  
Negative Impacts ◽  
Mental Well Being

This national study investigated the positives reported by residents experiencing the large-scale public health measures instituted in Australia to manage the first wave of the COVID-19 pandemic in 2020. Most Australians had not previously experienced the traditional public health measures used (social distancing, hand hygiene and restriction of movement) and which could potentially impact negatively on mental well-being. The research design included qualitative semi-structured phone interviews where participants described their early pandemic experiences. Data analysis used a rapid identification of themes technique, well-suited to large-scale qualitative research. The ninety participants (mean age 48 years; 70 women) were distributed nationally. Analysis revealed five themes linked with mental well-being and the concept of silver linings: safety and security, gratitude and appreciation, social cohesion and connections, and opportunities to reset priorities and resilience. Participants demonstrated support for the public health measures and evidence of individual and community resilience. They were cognisant of positives despite personal curtailment and negative impacts of public health directives. Stories of hope, strength, and acceptance, innovative connections with others and focusing on priorities and opportunities within the hardship were important strategies that others could use in managing adversity.

scholarly journals Start at the Center: Age-Friendly Public Health Systems and Healthy Brain Initiative Frameworks

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Megan Wolfe ◽  
Molly French ◽  
John Shean
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Sector ◽  
Well Being ◽  
Health Departments ◽  
Local Public Health ◽  
The Public ◽  
Community Connections ◽  
State And Local

Abstract SIGNIFICANCE. Older adults can contribute wisdom, skills, and time to communities. The public health sector has unique capabilities for creating conditions that promote health, foster community connections, and quality of life. METHODS. Two frameworks provide public health (PH) with core strategies to improve outcomes for all older adults. The Framework for Creating an Age-Friendly Public Health System (AFPHS) supports the PH role, as demonstrated by 37 of Florida’s 67 county health departments that are piloting the AFPHS Framework. The Healthy Brain Initiative’s (HBI) State and Local Public Health Partnerships to Address Dementia is a framework for action used by PH to promote cognitive health, improve care for cognitive impairment, and increase caregiving supports. Both frameworks call for utilizing regional data and cross-sector partnerships. IMPLICATIONS. PH can contribute to community-wide initiatives to promote well-being and community connections for older adults. Cross-sector partnerships can start by using available tools and planning guides.

scholarly journals Can Vitamin D Positively Impact COVID-19 Risk and Severity Among Older Adults: A Review of the Evidence

2020 ◽  
Vol 3 (2) ◽  
pp. 1-14
Author(s):  
Ray Marks
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Health Status ◽  
High Risk ◽  
Well Being ◽  
The Body ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Vitamin D Levels

Background The coronavirus Covid-19 strain that emerged in December 2019, continues to produce a widespread and seemingly intractable negative impact on health and longevity in all parts of the world, especially, among older adults, and those with chronic health conditions. Aim The first aim of this review article was to examine, summarize, synthesize, and report on the research base concerning the possible use of vitamin-D supplementation for reducing both Covid-19 risk and severity, especially among older adults at high risk for Covid-19 infections. A second was to provide directives for researchers or professionals who work or are likely to work in this realm in the future. Methods All English language relevant publications detailing the possible efficacy of vitamin D as an intervention strategy for minimizing Covid-19 infection risk published in 2020 were systematically sought. Key words used were: Vitamin D, Covid-19, and Coronavirus. Databases used were PubMed, Scopus, and Web of Science. All relevant articles were carefully examined and those meeting the review criteria were carefully read, and described in narrative form. Results Collectively, these data reveal vitamin D is a powerful steroid like compound that is required by the body to help many life affirming physiological functions, including immune processes, but its deficiency may seriously impact the health status and well being of the older adult and others. Since vitamin D is not manufactured by the body directly, ensuring those who are deficient in vitamin D may prove a helpful overall preventive measure as well as a helpful treatment measure among older adults at high risk for severe Covid-19 disease outcomes. Conclusions Older individuals with chronic health conditions, as well as healthy older adults at risk for vitamin D deficiency are likely to benefit physically as well as mentally, from efforts to foster adequate vitamin D levels. Geriatric clinicians can expect this form of intervention to reduce infection severity in the presence of Covid-19 infection, regardless of health status, and subject to careful study, researchers can make a highly notable impact in this regard.

scholarly journals Chronic Health Conditions as a Risk Factor for Falls among the Community-Dwelling US Older Adults: A Zero-Inflated Regression Modeling Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Yoshita Paliwal ◽  
Patricia W. Slattum ◽  
Scott M. Ratliff
Keyword(s):  
Older Adults ◽  
Risk Factor ◽  
Medical History ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Health Concern ◽  
Chronic Health ◽  
History Of ◽  
First Time

Falls are an important health concern among older adults due to age-related changes in the body. Having a medical history of chronic health condition may pose even higher risk of falling. Only few studies have assessed a number of chronic health conditions as risk factor for falls over a large nationally representative sample of US older adults. In this study, Behavioral Risk Factor Surveillance System (BRFSS) 2014 participants aged 65 years and older (n = 159,336) were evaluated. It was found that 29.7% (n=44,550) of the sample experienced at least one fall and 16.3% (n=20,444) experienced more than one fall in the past 12 months. According to the study findings, having a medical history of stroke, CKD, arthritis, depression, and diabetes independently predict the risk of first-time falling as well as the risk of recurrent falling in older adult population while controlling for other factors. On the other hand, having a medical history of the heart attack, angina, asthma, and COPD did not predict the risk of first-time falling, but did predict the risk of recurrent falling after experiencing the first fall in this population.

scholarly journals Needs, barriers and facilitators of older adults towards eHealth in general practice: a qualitative study

2020 ◽  
Vol 21 ◽  
Author(s):  
Johannes William Vergouw ◽  
Hanneke Smits-Pelser ◽  
Marijke C. Kars ◽  
Thijs van Houwelingen ◽  
Harmieke van Os-Medendorp ◽  
...  
Keyword(s):  
Older Adults ◽  
General Practice ◽  
Qualitative Study ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Barriers And Facilitators ◽  
Health Conditions ◽  
Ageing Population ◽  
Think Aloud ◽  
Chronic Health

Abstract Background: The strain on health care services is increasing due to an ageing population and the increasing prevalence of chronic health conditions. eHealth could contribute to optimise effective and efficient care to older adults with one or more chronic health conditions in the general practice. Aim: The aim of this study was to identify the needs, barriers and facilitators amongst community-dwelling older adults (60+) suffering from one or more chronic health conditions, in using online eHealth applications to support general practice services. Methods: A qualitative study, using semi-structured followed by think-aloud interviews, was conducted in the Netherlands. The semi-structured interviews, supported by an interview guide were conducted and analysed thematically. The think-aloud method was used to collect data about the cognitive process while the participant was completing a task within online eHealth applications. Verbal analysis according to the Chi approach was conducted to analyse the think-aloud interviews. Findings: A total of n = 19 older adults with a mean age of 73 years participated. The ability to have immediate contact with the GP on important health issues was identified as an important need. Identified barriers were non-familiarity with the online eHealth applications and a mismatch of user health needs. The low computer experience resulted in non-familiarity with the online eHealth applications. Faltering applications resulted in participants refusing to participate in the use of online eHealth applications. Convenience, efficiency and the instant availability of eHealth via applications were identified as important facilitators. Conclusion: To improve the use and acceptability of eHealth applications amongst older adults in the general practice, the applications should be tailored to meet individual needs. More attention should be given to improving the user-friendliness of these applications and to the promotion of the benefits such as facilitating older adults independent living for longer.

scholarly journals INTERSECTING SELF-REPORTED MOBILITY AND GAIT SPEED TO CREATE A MULTI-DIMENSIONAL MEASURE OF AMBULATION: THE “AMBULATION SPEED-ENDURANCE” (ASE) TYPOLOGY

2015 ◽  
pp. 1-8
Author(s):  
C. SIORDIA
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
The United States ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional ◽  
Dimensional Measure ◽  
Categorization Scheme ◽  
Community Dwelling Older Adults

Background: Assessing mobility through readily available and affordable protocols may help advance public health by providing early detection and implementing intervention therapies aimed at mitigating the progression from physiological vitality to disability at older ages. Until now, little attention has been given to how self-reported mobility (SRM) and gait speed can be combined in a categorization scheme. Objectives: The specific aim of this report is to introduce the Ambulation Speed-Endurance (ASE) Typology to the literature—a classification system that intersects SRM and gait speed to create a multi-dimensional measure of ambulation. Design: Cross-sectional. Setting: Community-dwelling older adults in the United States. Participants: Evidence is provided from the National Health and Aging Trends Study (NHATS) that community-dwelling older adults (n=5,403) may be found in each of the ASE Typologies. The discussion is complimented by investigating the cross-sectional predictors of a “Discrepancy Score” (measure of gap between speed and endurance) amongst those with gait speeds < 0.99 m/sec (n=4,521). Results: Multivariable linear regression results indicate level of severity in speed-endurance discrepancy is higher amongst: non-Latino-Blacks (β=0.48); Latinos (β=0.42); older ages; and lower educated. Models also show that severity in speed-endurance discrepancy is lower amongst: females (β=-0.38); those with higher body mass index; with more chronic health conditions; and poorer self-rated health. Conclusion: Research should continue to investigate how to optimize SRM.

scholarly journals COP2ING With a New Normal: Navigating the Return to Society for Older Adults With Dementia and Their Caregivers

2021 ◽  
pp. 082585972098456
Author(s):  
Chitra K. Hamilton ◽  
Miguel A. Paniagua ◽  
Christopher A. Jones
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Elderly Patients ◽  
Healthcare System ◽  
New Normal ◽  
The Public ◽  
Health Measures

COVID-19 has stressed the healthcare system in ways our society has not seen before. Less visibly, elderly patients and their caregivers have been stressed as well, both by the virus and by the public health measures required to slow its spread. After months of isolating, patients with dementia and their caregivers are worried about reentering a society with different rules and expectations. Although an extremely complex topic, the re-entry of individuals with cognitive impairment back into society is critical for both the wellbeing of the person as well as the caregiver. Successful re-entry into society will vary based on a person’s interests and baseline cognition, however, the ability to participate in activities and events that previously provided joy and stimulation is the first step. This paper, written by practicing geriatricians and palliative clinicians, offers some concrete counseling strategies and tips for caregivers to help navigate re-entry into society with their loved ones.

scholarly journals An Ounce of Prevention: Reducing Ageism Through the Lens of Public Health

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 757-757
Author(s):  
Erin Grinshteyn
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Well Being ◽  
Community Dwelling ◽  
Negative Consequences ◽  
Master Of Public Health ◽  
Health Course ◽  
Prevention And Health Promotion ◽  
Elective Course ◽  
Long Course

Abstract Ageism is pervasive. The negative consequences of ageism are vast, and the literature on the effects of ageism on health and health care is extensive. The perpetrators of ageism are equally vast. While it may be tempting to believe that those who go into the fields of gerontology and geriatrics are free from these attitudes and behaviors, this is untrue. It is reasonable to suspect that future public health professionals, even those interested in gerontology, may also carry ageist ideas and practices into their professional careers. This research was developed to determine whether teaching about aging and ageism in a public health course could reduce ageism among students. Participants were students in a class on aging and public health. All students were graduate students in a Master of Public Health (MPH) program. Multiple assessments were used to assess ageism including the Framboni Scale of Ageism (FSA), a validated 29-question measure used to assess ageism, and the Succession, Identity, and Consumption (SIC) scale, another scale assessing ageism. Students were enrolled in an elective course on aging and public health, which was taught through the public health lens of disease prevention and health promotion. Health topics related to aging are discussed with an emphasis on prevention. The contributions older adults make, and the resulting improved health and well-being of self, others, and community are promoted. And the class participates in activities with a variety of community-dwelling older adults. Results show that ageism among students is reduced after the semester long course.

scholarly journals Understanding the impact of the COVID-19 pandemic on well-being and virtual care for people living with dementia and care partners living in the community

2020 ◽  
Author(s):  
P Roach ◽  
A Zwiers ◽  
E Cox ◽  
K Fischer ◽  
A Charlton ◽  
...  
Keyword(s):  
Public Health ◽  
Lived Experience ◽  
Neuropsychiatric Symptoms ◽  
Well Being ◽  
Social Distancing ◽  
The Public ◽  
Health Measures ◽  
Care Partners ◽  
Informal Supports ◽  
The Impact

AbstractThe COVID-19 pandemic has necessitated public health measures that have impacted the provision of care for people living with dementia and their families. Additionally, the isolation that results from social distancing may be harming well-being for families, as formal and informal supports become less accessible. For those with living with dementia and experiencing agitation, social distancing may be even harder to maintain, or social distancing could potentially aggravate dementia-related neuropsychiatric symptoms. To understand the lived experience of social and physical distancing during the COVID-19 pandemic in Canada we remotely interviewed 21 participants who normally attend a dementia specialty clinic in Calgary, Alberta, during a period where essential businesses were closed and healthcare had abruptly transitioned to telemedicine. The impacts of the public health measures in response to the pandemic emerged in three main categories of experience: 1) personal; 2) health services; and 3) health status (of both person living with dementia and care partner). This in-depth understanding of the needs and experiences of the pandemic for people living with dementia suggests that innovative means are urgently needed to facilitate provision of remote medicine and also social interaction and integration.

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