EDUCATING HOME CARE NURSES ABOUT DEPRESCRIBING APPROACHES TO PROMOTE ACTIVE LIVING OF FRAIL OLDER ADULTS AT HOME

ObjectivesThe aim of this study is to explore the barriers and enablers of deprescribing from the perspectives of home care nurses, as well as to conduct a scalability assessment of an educational plan to address the learning needs of home care nurses about deprescribing.MethodsThis study employed an exploratory qualitative descriptive research design, using scalability assessment from two focus groups with a total of 11 home care nurses in Ontario, Canada. Thematic analysis was used to derive themes about home care nurse’s perspectives about barriers and enablers of deprescribing, as well as learning needs in relation to deprescribing approaches.ResultsHome care nurse’s identified challenges for managing polypharmacy in older adults in home care settings, including a lack of open communication and inconsistent medication reconciliation practices. Additionally, inadequate partnership and ineffective collaboration between interprofessional healthcare providers were identified as major barriers to safe deprescribing. Furthermore, home care nurses highlighted the importance of raising awareness about deprescribing in the community, and they emphasised the need for a consistent and standardised approach in educating healthcare providers, informal caregivers and older adults about the best practices of safe deprescribing.ConclusionTargeted deprescribing approaches are important in home care for optimising medication management and reducing polypharmacy in older adults. Nurses in home care play a vital role in medication management and, therefore, educational programmes must be developed to support their awareness and understanding of deprescribing. Study findings highlighted the need for the future improvement of existing programmes about safer medication management through the development of a supportive and collaborative relationship among the home care team, frail older adults and their informal caregivers.

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THE ROLE OF HOME SERVICE AND TECHNOLOGY IN HOME CARE FOR FRAIL OLDER ADULTS IN METROPOLITAN BEIJING

Innovation in Aging ◽

10.1093/geroni/igx004.3836 ◽

2017 ◽

Vol 1 (suppl_1) ◽

pp. 1049-1050

Author(s):

N. Wang

Keyword(s):

Older Adults ◽

Home Care ◽

Frail Older Adults ◽

Home Service

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In-home monitoring evaluation by home-dwelling older adults, caregivers and healthcare providers

European Journal of Public Health ◽

10.1093/eurpub/ckz185.301 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Cited By ~ 1

Author(s):

B Pais ◽

P Buluschek ◽

T Nef ◽

N Schütz ◽

H Saner ◽

...

Keyword(s):

Older Adults ◽

Home Care ◽

Older People ◽

Healthcare Providers ◽

Home Monitoring ◽

Daily Activities ◽

Healthcare Needs ◽

Monitoring Technologies ◽

The Impact ◽

At Home

Abstract Background In Europe, population ageing is increasing the healthcare needs and costs. Both frailty and chronic diseases affecting older people reduce their ability to live independently. However, most older people prefer to age in their own homes. New development of in-home monitoring can play a role in staying independent, active and healthy. Our objective was to evaluate a new in-home monitoring system among home-dwelling older adults (OA), their family caregivers (FC), and their healthcare providers (HCP) for the support of home care. Methods The system continuously monitored OA’s daily activities (e.g., mobility, sleep habits, fridge visits, door events) at home by ambient sensor system (DomoCare®) and health-related events by wearable sensors (Fitbit®, ECG). In case of deviations in daily activities (e.g., changes in mobility), alerts were transmitted to HCP via email. Using specific questionnaires, the opinion of 13 OA, 13 FC, and 20 HCP were collected at the end of 12-month of follow-up focusing on their user experience and the impact of in-home monitoring on home care services. Results These preliminary results underlined that the majority of OA, FC, and HCP consider that in-home sensors can help staying at home, improving home care, reducing family stress, and preventing domestic accidents. The opinion tended to be more favourable toward ambient sensors (80%) than toward Fitbit® (67%) and ECG (64%). On average, OA (80%) and FC (73%) tended to be more enthusiast than HCP (63%). Some barriers reported by HCP were a fear of weakening of the relationship with OA and an excessive surveillance. Conclusions Overall, the opinion of OA, FC and HCP were positive related to in-home sensors, with HCP being more mixed about their use in clinical practice. Key messages In-home monitoring technologies seem to be generally well accepted. In-home monitoring technologies could be help facilitating home care of older people.

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Evaluating family function in caring for a geriatric group: Family APGAR applied for older adults by home care nurses

Geriatrics and Gerontology International ◽

10.1111/ggi.12544 ◽

2015 ◽

Vol 16 (6) ◽

pp. 716-721 ◽

Cited By ~ 5

Author(s):

Mei-Wen Wang ◽

Yi-Yu Huang

Keyword(s):

Older Adults ◽

Home Care ◽

Family Function ◽

Group Family ◽

Home Care Nurses

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AN EXPLORATION OF HOME CARE NURSES’ EXPERIENCES IN DEPRESCRIBING OF MEDICATIONS FOR OLDER ADULTS IN THE COMMUNITY

Innovation in Aging ◽

10.1093/geroni/igz038.2607 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S710-S710

Author(s):

Winnie Sun

Keyword(s):

Older Adults ◽

Home Care ◽

Medication Management ◽

Informal Caregivers ◽

Healthcare Providers ◽

Vital Role ◽

Learning Needs ◽

Open Communication ◽

Barriers And Enablers ◽

Home Care Nurses

Abstract The aim of this study is to explore the barriers and enablers of deprescribing from the perspectives of home care nurses, as well as to conduct a scalability assessment of an educational plan to address the learning needs of home care nurses about deprescribing. This study employed an exploratory qualitative descriptive research design, using scalability assessment from two focus groups with a total of eleven home care nurses in Ontario, Canada. Thematic analysis was used to derive themes about home care nurse’s perspectives about barriers and enablers of deprescribing, as well as learning needs in relation to deprescribing approaches. Home care nurse’s identified challenges for managing polypharmacy in older adults in home care settings, including a lack of open communication and inconsistent medication reconciliation practices. Additionally, inadequate partnership and ineffective collaboration between inter-professional healthcare providers were identified as major barriers to safe deprescribing. Further, home care nurses highlighted the importance of raising awareness about deprescribing in the community, and they emphasized the need for a consistent and standardized approach in educating healthcare providers, informal caregivers, and older adults about the best practices of safe deprescribing. Nurses in home care play a vital role in medication management and, therefore, educational programs must be developed to support their awareness and understanding of deprescribing. Study findings highlighted the need for the future improvement of existing programs about safer medication management through the development of a supportive and collaborative relationship among the home care team, frail older adults and their informal caregivers.

Download Full-text