WHMS4: An integrated model for health remote monitoring: A case study in nursing homes for the elderly

The article focuses on the study of modern approaches in the typology of nursing homes. Global data on the increase in the share of older people in the total population are presented. In addition, Rosstat data confirm the relevance of studying this topic. Examples of foreign experience in designing and building homes for the elderly show the developed functional composition of the premises, along with the function of accommodation and care - health care, leisure, trade, sports, food and multifunctional spaces to ensure social interaction of different groups of the population. The research reveals a method of "functional improvement" aimed at developing optimal functional interactions between public and residential spaces. A concept project for a "dynamic" scheme has been developed, showing the inclusion of residential blocks in a multifunctional complex. The chosen functional organization allows the creation of private spaces for residents of retirement age and walking areas for visitors to the complex. It is determined that in Russia it is necessary to implement modern approaches adapted to Russian conditions, based on foreign experience. This will enhance the consumer quality of the facility and the comfort level of the elderly, which will undoubtedly provide social interaction through the introduction of educational and leisure functions, as well as improve the ecological and aesthetic qualities of the environment.

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Vaccine effectiveness for influenza in the elderly in welfare nursing homes during an influenza A (H3N2) epidemic

Epidemiology and Infection ◽

10.1017/s0950268899004410 ◽

2000 ◽

Vol 125 (2) ◽

pp. 393-397 ◽

Cited By ~ 10

Author(s):

Y. DEGUCHI ◽

Y. TAKASUGI ◽

K. NISHIMURA

Keyword(s):

Nursing Homes ◽

Influenza Vaccine ◽

Influenza A ◽

Hospital Admissions ◽

Influenza Virus Infection ◽

Severe Infection ◽

The Elderly ◽

Trivalent Influenza Vaccine ◽

Homes For The Elderly ◽

Vaccine Effect

Influenza vaccine effect on the occurrence and severity of influenza virus infection in a population residing in nursing homes for the elderly was studied as a cohort study during an influenza A (H3N2) epidemic in Japan. Of 22462 individuals living in 301 welfare nursing homes, 10739 voluntarily received inactivated, sub-unit trivalent influenza vaccine in a programme supported by the Osaka Prefectural Government. There were statistically significantly fewer cases of influenza, hospital admissions due to severe infection, and deaths due to influenza in the vaccinated cohort compared to the unvaccinated controls. No serious adverse reactions to vaccination were recorded. Thus influenza vaccination is effective for preventing influenza disease in persons aged 65 years and over, and should be an integral part of the care of this population residing in nursing homes.

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The opportunities of biodynamic lighting in homes for the elderly

Current Directions in Biomedical Engineering ◽

10.1515/cdbme-2018-0031 ◽

2018 ◽

Vol 4 (1) ◽

pp. 123-126

Author(s):

Herbert Plischke ◽

Matthäus Linek ◽

Johannes Zauner

Keyword(s):

Nursing Homes ◽

Nursing Staff ◽

The Elderly ◽

Design Guidelines ◽

Visual Effects ◽

Homes For The Elderly ◽

Improve Health Status ◽

Lighting Systems ◽

Photometric Measurements ◽

Dynamic Lighting

AbstractLight is an important factor for regulation of circadian, endocrine and metabolic processes in the human body. Through this light has a positive effect on cognition, on the stabilization of circadian rhythms and for general wellbeing. These effects are described as non-visual effects of light. Many dynamic lighting systems are already in use in workplaces and living spaces, aiming to address visual and also non-visual effects. In Europe and US the term “Human Centric Lighting” or abbreviated "HCL” was introduced, as a scientifically agreed concept on how to plan non-visual effects of artificial light in synergy with natural light. Older people, especially with neurological and psychological diseases can especially benefit from this lighting concept. However, in order to achieve the desired non-visual effects, certain conditions should be fulfilled. In Germany the DIN SPEC 67600 is a guideline for the design of biologically effective illumination, with examples for senior- and nursing homes. A goal of this evaluation was to check whether the recommendations of the specification DIN SPEC 67600 in three nursing homes were met and another goal was if effectiveness of the lighting on residents and nursing staff can be determined. Photometric measurements were taken and subjective perceived non-visual effects of light were surveyed using a questionnaire. Results: Although none of the three facilities met all the criteria of the DIN SPEC 67600 guidelines, non-visual lighting effects on residents and nursing staff could be detected. The results also indicate that careful attention should be paid on maintenance of HCL systems. The correct use of HCL solutions in homes for the elderly has opportunities to improve health status if the system is properly designed and maintained. Therefore next to the existing (non-visual) metrics and HCL design guidelines, guidelines for maintaining and regular inspections should be established.

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Revealing regional differences in the institutionalization of adult patients in homes for the elderly and nursing homes: results of the Belgian network of sentinel GPs

Family Practice ◽

10.1093/fampra/18.1.39 ◽

2001 ◽

Vol 18 (1) ◽

pp. 39-41 ◽

Cited By ~ 4

Author(s):

D Devroey ◽

V Van Casteren ◽

J De Lepeleire

Keyword(s):

Nursing Homes ◽

Regional Differences ◽

The Elderly ◽

Adult Patients ◽

Homes For The Elderly

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A Predominant Role for Norwalk‐like Viruses as Agents of Epidemic Gastroenteritis in Maryland Nursing Homes for the Elderly

The Journal of Infectious Diseases ◽

10.1086/338365 ◽

2002 ◽

Vol 185 (2) ◽

pp. 133-146 ◽

Cited By ~ 109

Author(s):

Kim Y. Green ◽

Gaël Belliot ◽

Jean Lin Taylor ◽

José Valdesuso ◽

Judy F. Lew ◽

...

Keyword(s):

Nursing Homes ◽

The Elderly ◽

Predominant Role ◽

Homes For The Elderly

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Assessment of antipsychotic prescribing in Belgian nursing homes

International Psychogeriatrics ◽

10.1017/s104161021100024x ◽

2011 ◽

Vol 23 (8) ◽

pp. 1240-1248 ◽

Cited By ~ 23

Author(s):

Majda Azermai ◽

Monique Elseviers ◽

Mirko Petrovic ◽

Luc van Bortel ◽

Robert Vander Stichele

Keyword(s):

Nursing Homes ◽

Inappropriate Prescribing ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Prescribing Indicators ◽

Prescribing Quality ◽

Homes For The Elderly ◽

Combined Use ◽

Antipsychotic Prescribing

ABSTRACTBackground: Given the potential adverse effects of antipsychotics, high use in nursing homes creates concern. Our study goal was to explore the use of antipsychotics in relation to resident characteristics, and to assess the appropriateness of antipsychotic prescribing in Belgian nursing homes.Methods: Data were used from a cross-sectional study (Prescribing in Homes for the Elderly; PHEBE) conducted in 76 nursing homes in Belgium. Antipsychotics were classified into typical and atypical, using the anatomical therapeutic and chemical classification. Ten inappropriate antipsychotic prescribing indicators were selected from the updated Beers criteria (2003), Bergen District Nursing Home Study (BEDNURS) indicators, and Screening Tool of Older People's Prescriptions criteria (STOPP).Results: The residents' mean age was 84.8 years, 78.1% of whom were female. The prevalence of antipsychotic utilization was 32.9%. Antipsychotics were mainly indicated for dementia-related agitation, and psychosis with/without dementia. Higher use of antipsychotics was found for dementia (OR: 3.27; 95% CI: 2.61–4.09), insomnia (OR: 1.38; 95% CI: 1.10–1.73), depression (OR: 1.30; 95% CI: 1.03–1.65), and age <80 years (OR: 1.79; 95% CI: 1.38–2.33). Inappropriate antipsychotic prescribing indicators scoring the highest among users were: long-term use (92.6%), use despite risk of falling (45.6%), combined use with other psychotropics (31.8%), and duplicate use (15.1%). Inappropriate prescribing was associated with depression (OR: 3.41) and insomnia (OR: 2.17).Conclusion: The indicator-driven analysis of antipsychotic prescribing quality revealed a need for improvement, with the main prescribing problems relating to duration and combination of therapies. Risks/benefits of off-label use need to be evaluated more consciously at the start of therapy, and at periodic re-evaluations.

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