scholarly journals Preventing respiratory illness in older adults aged 60 years and above living in long-term care

2020 ◽  
Author(s):  
Patricia Rios ◽  
Amruta Radhakrishnan ◽  
Sonia M. Thomas ◽  
Nazia Darvesh ◽  
Sharon E. Straus ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Long Term Care ◽  
Meta Analysis ◽  
Respiratory Illness ◽  
Current Evidence ◽  
Cochrane Library ◽  
Term Care ◽  
Moderate Quality ◽  
Care Facilities

ABSTRACTBackgroundThe overall objective of this rapid overview of reviews (overview hereafter) was to identify evidence from systematic reviews (SRs) for infection control and prevention practices for adults aged 60 years and older in long-term care settings.MethodsComprehensive searches in MEDLINE, EMBASE, the Cochrane Library, biorxiv.org/medrxiv.org, clinicaltrials.gov and the Global Infectious Disease Epidemiology Network (GIDEON) were carried out in early March 2020. Title/abstract and full-text screening, data abstraction, and quality appraisal (AMSTAR 2) were carried out by single reviewers.ResultsA total of 6 SRs published between 1999 and 2018 were identified and included in the overview. The SRs included between 1 and 37 primary studies representing between 140 to 908 patients. All of the primary studies included in the SRs were carried out in long-term care facilities (LTCF) and examined pharmacological, non-pharmacological, or combined interventions. One high quality SR found mixed results for the effectiveness of hand hygiene to prevent infection (2 studies statistically significant positive results, 1 study non-statistically significant results). One moderate quality SR with meta-analysis found a moderate non-statistically significant effect for personal protective equipment (PPE) in preventing infection and found no statistically significant results for the effectiveness of social isolation. One moderate quality SR reported statically significant evidence for the effectiveness of amantadine and amantadine + PPE to prevent infection with respiratory illness in LTCF.ConclusionThe current evidence suggests that with antiviral chemoprophylaxis with adamantine is effective in managing respiratory illness in residents of long-term care facilities. The rest of the strategies can be used in long-term care facilities, yet have limited evidence supporting their use from systematic reviews.

scholarly journals Effects of Non-pharmacological Interventions on Elderly in Nursing Homes with Sleep disorder: A Meta-Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 943-944
Author(s):  
Sunok Jung ◽  
Eunju Choi ◽  
Hyeyoung Kim
Keyword(s):  
Sleep Quality ◽  
Effect Size ◽  
Long Term Care ◽  
Meta Analysis ◽  
The Elderly ◽  
Small Sample ◽  
Cochrane Library ◽  
Term Care ◽  
Care Facilities

Abstract Purpose This study aimed to examine the effects of nonpharmacological sleep intervention programs to improve sleep quality among the elderly in long-term care facilities. Methods A literature search and selection was performed on nine different databases using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. In total, 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, the effect size was estimated using the random-effects model on Review Manager (RevMan) desktop version 5.4 of the Cochrane Library. Result: The meta-analysis of nonpharmacological interventions obtained a total effect size of 1.0 (standardized mean difference [SMD] = 1.0, 95% confidence interval [CI]: 0.64–1.35), which was statistically significant (Z = 5.55, p < .001). The most frequent nonpharmacological interventions identified were the interventions using aroma; the effect size was 0.61 (SMD = 0.61, 95% CI: 0.14–1.08), which was statistically significant (Z = 2.55, p = .01). In subgroup analysis, group-specific interventions, interventions for >4 weeks, and untreated control studies were more effective. Conclusion This study confirms that nonpharmacological interventions are effective in improving sleep quality among the elderly in long-term care facilities. However, the small sample size and risk of bias in assessing the interventions of individual studies are unclear or high, thereby limiting the generalizability of the results. Further studies based on randomized control trials and the development of evidence-based interventions that consider the elderly participants’ physical activity levels, intervention methods and duration, and control group selection are needed to obtain more conclusive evidence.

Combating Coronavirus Disease-2019 Outbreak in Long-Term Care Facilities for Frail Older Adults: Preventive Measures and Palliative Care Go Hand-in-Hand

2021 ◽  
pp. 082585972110393
Author(s):  
Hon Wai Benjamin Cheng
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Delivery ◽  
Nursing Home Residents ◽  
Respiratory Illness ◽  
Term Care ◽  
The People ◽  
Care Facilities ◽  
Novel Coronavirus

While the whole population is at risk from infection with the coronavirus, older people—often frail and subject to multimorbidity—are at the highest risk for the severe and fatal disease. Despite strict infection control and social distancing measures, frail adults in long-term care facilities may be at particular risk of transmission of respiratory illness. Treatment decisions are often complex attributed to the heterogeneity of this population with regards to different geriatric domains such as functional status, comorbidity, and poly-pharmacy. While measures must be taken to prevent the novel coronavirus from spreading through these facilities, it is also essential that residents with coronavirus disease 2019 (COVID-19) have access to the symptom management and support they want and deserve. What most nursing home residents want during the course of their illness is to be able to stay in their facilities, to be surrounded by the people they love most, and to feel relief from their physical and emotional pain. By addressing the limited access to hospice and palliative care delivery in nursing homes, we can prevent unnecessary suffering and pain from COVID-19 as well as lay the groundwork for improving care for all residents moving forward.

Cognitive interventions in patients with dementia living in long-term care facilities: Systematic review and meta-analysis

2017 ◽  
Vol 73 ◽  
pp. 204-221 ◽  
Author(s):  
Ann-Kristin Folkerts ◽  
Mandy Roheger ◽  
Jeremy Franklin ◽  
Jennifer Middelstädt ◽  
Elke Kalbe
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Meta Analysis ◽  
Term Care ◽  
Cognitive Interventions ◽  
Care Facilities

scholarly journals Vitamin D Supplementation for the Prevention of Falls and Fractures in Residents of Long-Term Care Facilities: A 2021 Update

2021 ◽  
Vol 1 (7) ◽  
Author(s):  
Srabani Banerjee ◽  
Holly Gunn ◽  
Carolyn Spry
Keyword(s):  
Vitamin D ◽  
Elderly Patients ◽  
Systematic Reviews ◽  
Long Term Care ◽  
Vitamin D Supplementation ◽  
Term Care ◽  
Care Facilities ◽  
Overview Of Systematic Reviews ◽  
Evidence Based Guidelines

The relevant publications identified comprised 1 overview of systematic reviews and 2 systematic reviews. There is a suggestion that for seniors living in long-term care facilities, compared to control, vitamin D supplementation, with or without calcium, may reduce the rate of falls and fractures; however, the reductions were not always statistically significant. There were no statistically significant differences in the number of seniors who fell with vitamin D supplementation, with or without calcium, compared with control groups. Findings need to be interpreted with caution, considering the limitations such as primary studies of variable quality (critically low to moderate) and lack of clarity with respect to the type of long-term care setting. No cost-effectiveness studies regarding vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities were identified. No evidence-based guidelines regarding vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities were identified.

scholarly journals Eating Difficulties among Older Adults with Dementia in Long-Term Care Facilities: A Scoping Review

2021 ◽  
Vol 18 (19) ◽  
pp. 10109
Author(s):  
Dukyoo Jung ◽  
Kyuri Lee ◽  
Jennie C. De Gagne ◽  
Minkyung Lee ◽  
Hyesoon Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Long Term Care ◽  
Skill Training ◽  
Cochrane Library ◽  
Bibliographic Databases ◽  
Term Care ◽  
Feeding Difficulties ◽  
Care Facilities

This paper reports a scoping review of the literature on eating difficulties among older adults with dementia in long-term care facilities to identify key concepts, methods of measuring outcomes, interventions, and related factors. A scoping review was performed using the bibliographic databases PubMed, CINAHL, PsycINFO, and Cochrane Library. A combination of keywords and subject headings related to eating or feeding difficulties was used. Inclusion criteria were limited to materials published in English. A total of 1070 references were retrieved, of which 39 articles were selected after applying the inclusion and exclusion criteria. Articles that met the criteria were published between 1987 and 2020. “Eating disabilities” have been defined as problems related to choosing food and/or the ability to get food to one’s mouth, chew, and swallow. Interventions for eating difficulties described in the literature include spaced retrieval training, Montessori training, and feeding skill training. Intrapersonal, interpersonal, and environmental factors related to eating difficulties were identified. This scoping review will provide direct care workers, nursing educators, and administrators with an overview of eating performance and a broad understanding of eating difficulties for older adults with dementia in long-term care facilities.

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