scholarly journals The Admission of Older People Into Residential Care Homes in Argentina: Coercion and Human Rights Abuse

2018 ◽  
Vol 59 (4) ◽  
pp. 610-618 ◽  
Author(s):  
Peter Lloyd-Sherlock ◽  
Bridget Penhale ◽  
Nelida Redondo
Keyword(s):  
Human Rights ◽  
Older People ◽  
Patient Survey ◽  
Cognitive Status ◽  
Care Homes ◽  
Survey Analysis ◽  
Data Set ◽  
Middle Income ◽  
Levels Of Care ◽  
Dependency Care

Abstract Background and Objectives There is very little information about the appropriateness of procedures for admitting older people into care homes in low and middle-income countries like Argentina. This study provides the first systematic study of practice and assesses the extent to which current practice respects fundamental human rights. Research Design and Methods We apply different methods, including document review and national survey analysis. The study also includes a case study of a single city, La Plata, which draws on local key informant interviews, focus group discussions in different neighborhoods, and a clandestine surrogate patient survey led by local pensioners. This innovative design provides a highly triangulated and contextualized data set. Results Many older people admitted to care homes did not have high levels of care dependency. Care homes did not usually require or even seek the informed consent of older people, regardless of their cognitive status. There were indications of coercive admission by family members, sometimes in order to obtain access to older people’s homes and other property and finances. Discussion and Implications The study indicates the widespread abuse of the fundamental human rights of tens of thousands of older people in Argentina. There is a need for researchers, policy-makers, and civil society to acknowledge the scale of abuse and develop safeguards.

scholarly journals The covid-19 pandemic and care homes for older people in Europe - deaths, damage and violations of human rights

2021 ◽  
pp. 1-12
Author(s):  
Janet Carter Anand ◽  
Sarah Donnelly ◽  
Alisoun Milne ◽  
Holly Nelson-Becker ◽  
Emme-Li Vingare ◽  
...  
Keyword(s):  
Human Rights ◽  
Older People ◽  
Care Homes

scholarly journals Uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England: a realist review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040397
Author(s):  
Massirfufulay Kpehe Musa ◽  
Gizdem Akdur ◽  
Barbara Hanratty ◽  
Sarah Kelly ◽  
Adam Gordon ◽  
...  
Keyword(s):  
Older People ◽  
Care Home ◽  
Realist Review ◽  
Care Homes ◽  
Term Care ◽  
Data Set ◽  
Care Home Staff ◽  
Services Delivery ◽  
Minimum Data ◽  
Review Protocol

IntroductionCare homes provide nursing and social care for older people who can no longer live independently at home. In the UK, there is no consistent approach to how information about residents’ medical history, care needs and preferences are collected and shared. This limits opportunities to understand the care home population, have a systematic approach to assessment and documentation of care, identifiy care home residents at risk of deterioration and review care. Countries with standardised approaches to residents’ assessment, care planning and review (eg, minimum data sets (MDS)) use the data to understand the care home population, guide resource allocation, monitor services delivery and for research. The aim of this realist review is to develop a theory-driven understanding of how care home staff implement and use MDS to plan and deliver care of individual residents.Methods and analysisA realist review will be conducted in three research stages.Stage 1 will scope the literature and develop candidate programme theories of what ensures effective uptake and sustained implementation of an MDS.Stage2 will test and refine these theories through further iterative searches of the evidence from the literature to establish how effective uptake of an MDS can be achieved.Stage 3 will consult with relevant stakeholders to test or refine the programme theory (theories) of how an MDS works at the resident level of care for different stakeholders and in what circumstances. Data synthesis will use realist logic to align data from each eligible article with possible context–mechanism–outcome configurations or specific elements that answer the research questions.Ethics and disseminationThe University of Hertfordshire Ethics Committee has approved this study (HSK/SF/UH/04169). Findings will be disseminated through briefings with stakeholders, conference presentations, a national consultation on the use of an MDS in UK long-term care settings, publications in peer-reviewed journals and in print and social media publications accessible to residents, relatives and care home staff.PROSPERO registration numberCRD42020171323; this review protocol is registered on the International Prospective Register of Systematic Reviews.

scholarly journals The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Massirfufulay Kpehe Musa ◽  
Gizdem Akdur ◽  
Sarah Brand ◽  
Anne Killett ◽  
Karen Spilsbury ◽  
...  
Keyword(s):  
Older People ◽  
Care Home ◽  
Realist Review ◽  
Care Homes ◽  
Minimum Data Set ◽  
Data Sets ◽  
Term Care ◽  
Data Set ◽  
Care Home Staff ◽  
Minimum Data

Abstract Background Care homes provide long term care for older people. Countries with standardised approaches to residents’ assessment, care planning and review (known as minimum data sets (MDS)) use the aggregate data to guide resource allocation, monitor quality, and for research. Less is known about how an MDS affects how staff assess, provide and review residents’ everyday care. The review aimed to develop a theory-driven understanding of how care home staff can effectively implement and use MDS to plan and deliver care for residents. Methods The realist review was organised according to RAMESES (Realist And Meta-narrative Evidence Synthesis: and Evolving Standards) guidelines. There were three overlapping stages: 1) defining the scope of the review and theory development on the use of minimum data set 2) testing and refining candidate programme theories through iterative literature searches and stakeholders’ consultations as well as discussion among the research team; and 3) data synthesis from stages 1 and 2. The following databases were used MEDLINE via OVID, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ASSIA [Applied Social Sciences Citation Index and Abstracts]) and sources of grey literature. Results Fifty-one papers informed the development of three key interlinked theoretical propositions: motivation (mandates and incentives for Minimum Data Set completion); frontline staff monitoring (when Minimum Data Set completion is built into the working practices of the care home); and embedded recording systems (Minimum Data Set recording system is integral to collecting residents’ data). By valuing the contributions of staff and building on existing ways of working, the uptake and use of an MDS could enable all staff to learn with and from each other about what is important for residents’ care Conclusions Minimum Data Sets provides commissioners service providers and researchers with standardised information useful for commissioning planning and analysis. For it to be equally useful for care home staff it requires key activities that address the staff experiences of care, their work with others and the use of digital technology. Registration PROSPERO registration number CRD42020171323.

A Human-Rights Based Approach to the Economic Security of Older People in Moldova

10.1596/26039 ◽  
2017 ◽  
Author(s):  
María Eugenia Dávalos ◽  
Bethany Brown ◽  
Alaka Holla ◽  
Tu Chi Nguyen ◽  
William Seitz ◽  
...  
Keyword(s):  
Human Rights ◽  
Older People ◽  
Economic Security ◽  
Human Rights Based Approach

scholarly journals COVID‐19, human rights and older people

2020 ◽  
Vol 39 (4) ◽  
pp. 328-330
Author(s):  
Susan McGrath
Keyword(s):  
Human Rights ◽  
Older People

scholarly journals Active Aging in ASEAN Countries: Influences from Age-Friendly Environments, Lifestyles, and Socio-Demographic Factors

2021 ◽  
Vol 18 (16) ◽  
pp. 8290
Author(s):  
Sariyamon Tiraphat ◽  
Vijj Kasemsup ◽  
Doungjai Buntup ◽  
Murallitharan Munisamy ◽  
Thang Huu Nguyen ◽  
...  
Keyword(s):  
Older People ◽  
Quantitative Research ◽  
World Health ◽  
Cluster Sampling ◽  
Active Aging ◽  
Older Population ◽  
Cross Sectional ◽  
Middle Income ◽  
Multi Stage ◽  
Health Organization

Active aging is a challenging issue to promote older population health; still, there is little clarity on research investigating the determinants of active aging in developing countries. Therefore, this research aimed to examine the factors associated with the active aging of the older populations in ASEAN’s low and middle-income countries by focusing on Malaysia, Myanmar, Vietnam, and Thailand. The study is a cross-sectional quantitative research study using multi-stage cluster sampling to randomize the sample. The sample consists of 2031 older people aged 55 years and over, including 510 Thai, 537 Malaysian, 487 Myanmar, and 497 Vietnamese. We collected a quantitative questionnaire of age-friendly environmental scale and active aging scale based on the World Health Organization (WHO) concept. The predictors of active aging include age-friendly environments, lifestyles, and socioeconomic factors; the data are analyzed by using multiple logistic regression. After adjusting for other factors, we found that older people living in a community with higher levels of age-friendly environments are 5.52 times more active than those in lower levels of age-friendly environments. Moreover, the older population with healthy lifestyles such as good dietary intake and high physical activity will be 4.93 times more active than those with unhealthy lifestyles. Additionally, older adults with partners, higher education, and aged between 55 and 64 years will be 1.70, 2.61, and 1.63 times more active than those with separate/divorce/widow, primary education, and age at 75 years or higher, respectively. Our results contribute considerable evidence for ASEAN policy-making to promote active aging in this region.

Using crystallization to understand loneliness in later life: integrating social science and creative narratives in sensitive qualitative research

2021 ◽  
pp. 146879412110059
Author(s):  
Barbara Barbosa Neves ◽  
Josephine Wilson ◽  
Alexandra Sanders ◽  
Renata Kokanović
Keyword(s):  
Qualitative Research ◽  
Creative Writing ◽  
Social Science ◽  
Older People ◽  
Case Studies ◽  
Vulnerable Populations ◽  
Lived Experiences ◽  
Later Life ◽  
Care Homes ◽  
Social Phenomena

This article draws on crystallization, a qualitative framework developed by Laurel Richardson and Laura Ellingson, to show the potential of using sociological narratives and creative writing to better analyze and represent the lived experiences of loneliness among older people living in Australian care homes. Crystallization uses a multi-genre approach to study and present social phenomena. At its core is a concern for the ethics of representation, which is critical when engaging with vulnerable populations. We use two case studies from research on loneliness to illustrate an application of crystallization through different narrative types. To supplement our sociological narratives, we invited author Josephine Wilson to write creative narratives based on the case studies. Josephine was awarded the prestigious Miles Franklin Literary Award in 2017 for Extinctions, a novel exploring themes such as later life and loneliness. By contrasting the two approaches—sociological and creative narratives—we discuss the implications of crystallization for qualitative research.

scholarly journals RESTING HEART RATE MODERATES THE RELATIONSHIP BETWEEN NEUROPSYCHIATRIC SYMPTOMS, MCI, AND ALZHEIMER’S DISEASE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S641-S641
Author(s):  
Shanna L Burke
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Heart Rate ◽  
Relative Risk ◽  
Neuropsychiatric Symptoms ◽  
Cognitive Status ◽  
Resting Heart Rate ◽  
Data Set ◽  
Increased Risk ◽  
The Relationship

Abstract Little is known about how resting heart rate moderates the relationship between neuropsychiatric symptoms and cognitive status. This study examined the relative risk of NPS on increasingly severe cognitive statuses and examined the extent to which resting heart rate moderates this relationship. A secondary analysis of the National Alzheimer’s Coordinating Center Uniform Data Set was undertaken, using observations from participants with normal cognition at baseline (13,470). The relative risk of diagnosis with a more severe cognitive status at a future visit was examined using log-binomial regression for each neuropsychiatric symptom. The moderating effect of resting heart rate among those who are later diagnosed with mild cognitive impairment (MCI) or Alzheimer’s disease (AD) was assessed. Delusions, hallucinations, agitation, depression, anxiety, elation, apathy, disinhibition, irritability, motor disturbance, nighttime behaviors, and appetite disturbance were all significantly associated (p<.001) with an increased risk of AD, and a reduced risk of MCI. Resting heart rate increased the risk of AD but reduced the relative risk of MCI. Depression significantly interacted with resting heart rate to increase the relative risk of MCI (RR: 1.07 (95% CI: 1.00-1.01), p<.001), but not AD. Neuropsychiatric symptoms increase the relative risk of AD but not MCI, which may mean that the deleterious effect of NPS is delayed until later and more severe stages of the disease course. Resting heart rate increases the relative risk of MCI among those with depression. Practitioners considering early intervention in neuropsychiatric symptomology may consider the downstream benefits of treatment considering the long-term effects of NPS.

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