scholarly journals Long-term care of people below age 65 with severe acquired brain injury: appropriateness of aged care facilities

2001 ◽  
Vol 25 (3) ◽  
pp. 261-264 ◽  
Author(s):  
Gate Cameron ◽  
Sandi Pirozzo ◽  
Leigh Tooth
Keyword(s):  
Brain Injury ◽  
Long Term Care ◽  
Acquired Brain Injury ◽  
Aged Care ◽  
Term Care ◽  
Severe Acquired Brain Injury ◽  
Care Facilities ◽  
Aged Care Facilities

High-Risk Medication Use in Older Residents of Long-Term Care Facilities: Prevalence, Harms, and Strategies to Mitigate Risks and Enhance Use

2020 ◽  
Vol 35 (10) ◽  
pp. 419-433 ◽  
Author(s):  
Janet K. Sluggett ◽  
Stephanie L. Harrison ◽  
Leona A. Ritchie ◽  
Alexander J. Clough ◽  
Debbie Rigby ◽  
...  
Keyword(s):  
High Risk ◽  
Long Term Care ◽  
Medication Use ◽  
Aged Care ◽  
Residential Aged Care ◽  
Term Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Older residents of long-term care facilities (LTCFs), also known as nursing homes, care homes, or residential aged care facilities, often have multiple health conditions and are exposed to polypharmacy. Use of high-risk medications such as opioids, glucose-lowering medications, antithrombotics, and antipsychotics is prevalent among residents of LTCFs. Ensuring appropriate use of high-risk medications is important to minimize the risk of medication-related harm in this vulnerable population. This paper provides an overview of the prevalence and factors associated with high-risk medication use among residents of LTCFs. Evidencebased strategies to optimize the use of high-risk medications and enhance resident outcomes are also discussed.

High-Risk Medication Use in Older Residents of Long-Term Care Facilities: Prevalence, Harms, and Strategies to Mitigate Risks and Enhance Use

2020 ◽  
Vol 35 (10) ◽  
pp. 419-433
Author(s):  
Janet K. Sluggett ◽  
Stephanie L. Harrison ◽  
Leona A. Ritchie ◽  
Alexander J. Clough ◽  
Debbie Rigby ◽  
...  
Keyword(s):  
High Risk ◽  
Long Term Care ◽  
Medication Use ◽  
Aged Care ◽  
Residential Aged Care ◽  
Term Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Older residents of long-term care facilities (LTCFs), also known as nursing homes, care homes, or residential aged care facilities, often have multiple health conditions and are exposed to polypharmacy. Use of high-risk medications such as opioids, glucose-lowering medications, antithrombotics, and antipsychotics is prevalent among residents of LTCFs. Ensuring appropriate use of high-risk medications is important to minimize the risk of medication-related harm in this vulnerable population. This paper provides an overview of the prevalence and factors associated with high-risk medication use among residents of LTCFs. Evidencebased strategies to optimize the use of high-risk medications and enhance resident outcomes are also discussed.

Council of Australian Governments' (COAG) Initiative for Young People With Disability in Residential Aged Care: What Are the Issues for Acquired Brain Injury?

2007 ◽  
Vol 8 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Michele Foster ◽  
Jennifer Fleming ◽  
Cheryl Tilse
Keyword(s):  
Brain Injury ◽  
Young People ◽  
Long Term Care ◽  
Acquired Brain Injury ◽  
Aged Care ◽  
Residential Aged Care ◽  
Term Care ◽  
Care Environment

AbstractPeople surviving severe acquired brain injury (ABI) may potentially benefit from the Council of Australian Governments' (COAG) 5-year initiative for young people with disability in residential aged-care facilities. Yet critical examination of this policy initiative for ABI population is warranted for 2 reasons. First, reliance on the disability sector to resolve the complexities of long-term care for people with ABI detracts attention from systemic failures at the health/disability sector interface, and notably, debate concerning the role of, and right to rehabilitation. Second, the COAG initiative is being pursued within an extraordinarily complex and variable contemporary care environment, involving multiple services and sectors, and historically, high unmet need. This raises questions as to the adequacy and sustainability of care provided under the responsibility of state-based disability services. In this article, it is argued that long-term care for young people with severe ABI is better served by incorporating a health and rehabilitation perspective alongside a disability support approach. Although the effectiveness of rehabilitation may be contested in some instances of very severe ABI, nevertheless the role of rehabilitation in seeking to reduce the number of young people at risk of entering residential aged care needs to be addressed in policy solutions. It is also suggested that provision of long time care in the contemporary care environment involves a number of challenges due to the complex and changing patterns of need, diverse funding arrangements and mix of government and nongovernment services, and the increasing demand for care.

scholarly journals Dignity in long-term care

2016 ◽  
Vol 24 (6) ◽  
pp. 744-751 ◽  
Author(s):  
Jennifer Kane ◽  
Kay de Vries
Keyword(s):  
Long Term Care ◽  
Aged Care ◽  
Research Literature ◽  
Ethical Considerations ◽  
Term Care ◽  
Care Environment ◽  
The United Kingdom ◽  
Care Facilities ◽  
Common Thread

Background: The concept of dignity is recognised as a fundamental right in many countries. It is embedded into law, human rights legislation and is often visible in organisations’ philosophy of care, particularly in aged care. Yet, many authors describe difficulties in defining dignity and how it can be preserved for people living in long term care. Objectives: In this article, Nordenfelt’s ‘four notions of dignity’ are considered, drawing on research literature addressing the different perspectives of those who receive, observe or deliver care in the context of the long-term care environment. Methods: A review of the literature was undertaken using the terms ‘nursing homes’, ‘residential care’ or ‘long-term care’. The terms were combined and the term ‘human dignity’ was added. A total of 29 articles met the inclusion criteria from the United Kingdom (14), United States (2), Australia (1), Sweden (3), Hong Kong (2), Norway (3), Nordic (1), Taiwan (1), Netherlands (1). Ethical Considerations: Every effort has been made to ensure an unbiased search of the literature with the intention of an accurate interpretation of findings. Discussion: The four notions of dignity outlined by Nordenfelt provide a comprehensive description of the concept of dignity which can be linked to the experiences of people living in long-term care today and provide a useful means of contextualising the experiences of older people, their families and significant others and also of staff in long-term care facilities. Of particular interest are the similarities of perspectives of dignity between these groups. The preservation of dignity implies that dignity is a quality inherent in us all. This links directly to the exploration and conclusions drawn from the literature review. Conversely, promoting dignity implies that dignity is something that can be influenced by others and external factors. Hence, there are a number of implications for practice. Conclusion: We suggest that two of Nordenfelt’s notions, ‘dignity of identity’ and ‘dignity of Menschenwüde’, are a common thread for residents, family members and staff when conceptualising dignity within long-term care environments.

scholarly journals Prevalence and characteristics of neuropsychiatric symptoms, quality of life and psychotropics in people with acquired brain injury in long‐term care

2019 ◽  
Vol 75 (12) ◽  
pp. 3715-3725
Author(s):  
Roy Kohnen ◽  
Jan Lavrijsen ◽  
Odile Smals ◽  
Debby Gerritsen ◽  
Raymond Koopmans
Keyword(s):  
Quality Of Life ◽  
Brain Injury ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Acquired Brain Injury ◽  
Term Care

Comparative Study of the Social Interactions of Two Differently Designed Long-Term Care Facilities for Individuals With Acquired Brain Injury

2019 ◽  
Vol 13 (3) ◽  
pp. 84-98
Author(s):  
David Brodsky ◽  
Mardelle McCuskey Shepley
Keyword(s):  
Social Interaction ◽  
Brain Injury ◽  
Built Environment ◽  
Social Interactions ◽  
Long Term Care ◽  
Acquired Brain Injury ◽  
Behavioral Observation ◽  
Term Care ◽  
The Impact

Aim: This study focused on long-term care (LTC) settings for individuals with acquired brain injury (ABI). The goals were (1) to assess the impact of facility configuration on social interactions between residents and staff and (2) obtain a better understanding of staff and resident perceptions of the built environment. Background: A few studies have explored the relationship between the built environment and social interaction in LTC facilities, but there is little empirical data about ABI-specific LTC facilities. Methods: A literature review was conducted on the impact of the built environment on the LTC of brain injury survivors. Via a questionnaire, staff and residents in two settings, one with patient rooms off corridors and the other with patient rooms surrounding a common space, rated the effectiveness of the built environment in promoting social interaction. Behavioral observation was conducted on 18 residents for a duration of 4 hr per resident. Results: Via questionnaires, staff rated the corridor facility as more effective in promoting social interaction, but no significant differences were found between the assessments of the two resident populations. Contrary to staff questionnaire results, residents in the open configuration facility exhibited more social behaviors. Conclusions: Building configuration may impact social interaction between staff and residents in ABI-specific LTC facilities and potentially impact staff and resident quality of life. However, configuration cannot be viewed in a vacuum; residents’ physical and mental limitations, demographic information, and staff engagement must be also considered.

scholarly journals Prevalence of neuropsychiatric symptoms and psychotropic drug use in patients with acquired brain injury in long-term care: a systematic review

Brain Injury ◽  
2018 ◽  
Vol 32 (13-14) ◽  
pp. 1591-1600 ◽  
Author(s):  
Roy F. Kohnen ◽  
Debby L. Gerritsen ◽  
Odile M. Smals ◽  
Jan C.M. Lavrijsen ◽  
Raymond T.C.M. Koopmans
Keyword(s):  
Systematic Review ◽  
Brain Injury ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Acquired Brain Injury ◽  
Term Care ◽  
Psychotropic Drug Use

Prolonged use of antipsychotic medications in long-term aged care in Australia: a snapshot from the HALT project

2020 ◽  
Vol 32 (3) ◽  
pp. 335-345 ◽  
Author(s):  
Fleur Harrison ◽  
Monica Cations ◽  
Tiffany Jessop ◽  
Liesbeth Aerts ◽  
Lynn Chenoweth ◽  
...  
Keyword(s):  
Antipsychotic Medication ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Functional Dependence ◽  
Aged Care ◽  
Term Care ◽  
Antipsychotic Medications ◽  
Care Facilities ◽  
Sydney Australia

ABSTRACTObjectives:Use of antipsychotic drugs in long-term aged care (LTC) is prevalent and commonly exceeds the recommended duration, but contributors to this problem are not well understood. The objective of this study is to provide a snapshot of the features of and contributors to prolonged use of antipsychotic medications (>12 weeks) among a sample of LTC residents.Design:We present retrospective and baseline data collected for the Australian Halting Antipsychotic Use in Long-Term Care (HALT) single-arm longitudinal deprescribing trial.Setting:Twenty-four long-term care facilities in Sydney, Australia.Participants:The HALT study included 146 older people living in 24 Sydney LTC homes who had been prescribed a regular antipsychotic medication for at least 3 months at baseline.Measurements:Detailed file audit was conducted to identify the date and indication recorded at initial prescription, consenting practices, longitudinal course of prescribing, and recommendations for review of antipsychotic medication. Behavioural and psychological symptoms of dementia (BPSD) and functional dependence at baseline were assessed via LTC staff interview. Cognition at baseline was assessed in a participant interview (where possible).Results:Antipsychotics were prescribed for 2.2 years on average despite recommendations by a doctor or pharmacist for review in 62% of cases. Consent for antipsychotic prescription was accessible for only one case and contraindications for use were common. Longer use of antipsychotics was independently associated with higher dose of the antipsychotic drug and greater apathy, but not with other BPSD.Conclusion:Antipsychotic medications appeared to be prescribed in this sample as a maintenance treatment in the absence of active indicated symptoms and without informed consent. Standard interventions, including recommendations for review, had been insufficient to ensure evidence-based prescribing.

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