Systematic Outpatient Screening for the Elderly: Care of the Vulnerable Elderly Practice Improvement Module to Assess Resident Care of Older Adults

2010 ◽  
Vol 58 (11) ◽  
pp. 2173-2177 ◽  
Author(s):  
Stacey L. Shaffer ◽  
Hollis D. Day
2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.


Sensors ◽  
2019 ◽  
Vol 19 (20) ◽  
pp. 4565 ◽  
Author(s):  
Fabián Riquelme ◽  
Cristina Espinoza ◽  
Tomás Rodenas ◽  
Jean-Gabriel Minonzio ◽  
Carla Taramasco

Automatic fall detection is a very active research area, which has grown explosively since the 2010s, especially focused on elderly care. Rapid detection of falls favors early awareness from the injured person, reducing a series of negative consequences in the health of the elderly. Currently, there are several fall detection systems (FDSs), mostly based on predictive and machine-learning approaches. These algorithms are based on different data sources, such as wearable devices, ambient-based sensors, or vision/camera-based approaches. While wearable devices like inertial measurement units (IMUs) and smartphones entail a dependence on their use, most image-based devices like Kinect sensors generate video recordings, which may affect the privacy of the user. Regardless of the device used, most of these FDSs have been tested only in controlled laboratory environments, and there are still no mass commercial FDS. The latter is partly due to the impossibility of counting, for ethical reasons, with datasets generated by falls of real older adults. All public datasets generated in laboratory are performed by young people, without considering the differences in acceleration and falling features of older adults. Given the above, this article presents the eHomeSeniors dataset, a new public dataset which is innovative in at least three aspects: first, it collects data from two different privacy-friendly infrared thermal sensors; second, it is constructed by two types of volunteers: normal young people (as usual) and performing artists, with the latter group assisted by a physiotherapist to emulate the real fall conditions of older adults; and third, the types of falls selected are the result of a thorough literature review.


2019 ◽  
Vol 12 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Fatemeh Mousavi-Shirazi ◽  
Parisa Mollaei ◽  
Ahmad Delbari

Background: Studies show as people age, demand for health care services rises. One of the most important factors that significantly affect the quality of elderly care is the attitude towards older adults. Objective: The current study aimed to assess the attitude of medical sciences students towards older adults in Iran. Methods: A cross-sectional design study using a multistage proportional random sampling method was employed to obtain a sample of 583 Iranian medical sciences students in 2017. The data were measured using the Kogan's Attitudes Towards Older People Scale (KAOPS). The SPSS 23.0 for Windows (IBM SPSS Statistics 23.0) was used to analyze the data. Results: Out of the 583 respondents, around 44% were female and a little more than one-fourth was medical students. The mean age was 21.98 (SD=3.63) years. The mean score of the attitude towards the elderly was found to be 56.90 (SD=8.04). Aging health students scored a more positive attitude towards elderly people than other medical sciences students. Results of the bivariate analyses revealed that field of study (F (7, 575) = 2.66, P<0.01), participating in gerontology and geriatrics research (t (581) =2.80, p<0.01), and attending in gerontology and geriatrics congress (t (581) =1.96, p<0.05) significantly associated with attitude toward older adults. Conclusions: The findings from the current study show that Iranian medical sciences students have moderate positive attitudes towards older adults and vary by students’ field of study and their research activity in gerontology and geriatrics field. Therefore, effective interventions for enhancing the attitudes of medical sciences students towards older adults should be developed and implemented.


Author(s):  
Richard Biram

The Royal College of Physicians describes geriatric medicine as a branch of general medicine that is concerned with the clinical, preventative, remedial, and social aspects of illness in older age. The constellation of medical problems encountered by the elderly patient requires a holistic, team-based approach to care, utilizing a process known as the ‘comprehensive geriatric assessment’. This is an evidence-based approach to the assessment and treatment of older adults, which returns more patients to their own homes, and reduces inpatient mortality compared with standard ward care. Legal issues in the care of older adults are essentially the same as in younger adults. However, some areas that feature more frequently in the care of the elderly, which are considered further in this chapter, are age discrimination, elder abuse, safeguarding of vulnerable adults, deprivation of liberty, and the regulations related to driving in the elderly population.


2021 ◽  
Author(s):  
Anna Jeffery-Smith ◽  
Alice R Burton ◽  
Sabela Lens ◽  
Chloe Rees-Spear ◽  
Monika Patel ◽  
...  

Memory B cells (MBC) can provide a recall response able to supplement waning antibodies with an affinity-matured response better able to neutralise variant viruses. We studied a cohort of vulnerable elderly care home residents and younger staff, a high proportion of whom had lost neutralising antibodies (nAb), to investigate their reserve immunity from SARS-CoV-2-specific MBC. Class-switched spike and RBD-tetramer-binding MBC with a classical phenotype persisted five months post-mild/asymptomatic SARS-CoV-2 infection, irrespective of age. Spike/RBD-specific MBC remained detectable in the majority who had lost nAb, although at lower frequencies and with a reduced IgG/IgA isotype ratio. Functional spike/S1/RBD-specific recall was also detectable by ELISpot in some who had lost nAb, but was significantly impaired in the elderly, particularly to RBD. Our findings demonstrate persistence of SARS-CoV-2-specific MBC beyond loss of nAb, but highlight the need for careful monitoring of functional defects in RBD-specific B cell immunity in the elderly.


Author(s):  
Sandra Nava-Muñoz ◽  
Alberto L. Morán

For more than a decade, notification systems to support the care of older adults in settings such as hospitals, nursing homes, and homes have been developed. These systems aim to assist in the care process, trying to ensure the safety and wellness of the elderly, and thus to maintain or increase their quality of life. This chapter identifies challenges and areas of opportunity for the implementation of notification systems in these environments, considering a technological perspective. In this work, the authors firstly present a literature review of notification systems in the elderly care environments mentioned above. Subsequently, they propose a taxonomy to classify the reviewed works, and discuss a set of challenges and areas of opportunity that technology can offer in this environment. These areas of opportunity are projected as specific features in each of the identified healthcare environments.


Author(s):  
Kyuwon Lee ◽  
Areum Han ◽  
Tae Hui Kim

The aim of this study was to examine whether a Simulation-based Empathy Enhancement program for Caregivers of the Elderly (SEE-C) was effective in increasing program satisfaction and positive emotional changes of older adults. A total of 100 older adults living alone were randomly assigned to experimental and control groups. The experimental group was interviewed by caregivers who experienced SEE-C while the control group was interviewed by caregivers who did not experience SEE-C. In both elderly groups, post session satisfaction and affective state were assessed using a Session Evaluation Questionnaire (SEQ). Chi-square test and Mann-Whitney U test were conducted. The experimental group (n = 49) reported significantly higher scores than the control group (n = 51) for all three categories of SEQ: session-depth (Mann-Whitney U = 1651.5, p = 0.005), session-smoothness (Mann-Whitney U = 1803.0, p = 0.000), and emotion-positivity (Mann-Whitney U = 1783.0, p = 0.000). However, the experimental group had significantly lower scores for the arousal category of SEQ (Mann-Whitney U = 873.5, p = 0.009). SEE-C could have a positive impact on interviews for elderly care in terms of raising the satisfaction of the interviewee.


2015 ◽  
pp. 107-131
Author(s):  
Sandra Nava-Muñoz ◽  
Alberto L. Morán

For more than a decade, notification systems to support the care of older adults in settings such as hospitals, nursing homes, and homes have been developed. These systems aim to assist in the care process, trying to ensure the safety and wellness of the elderly, and thus to maintain or increase their quality of life. This chapter identifies challenges and areas of opportunity for the implementation of notification systems in these environments, considering a technological perspective. In this work, the authors firstly present a literature review of notification systems in the elderly care environments mentioned above. Subsequently, they propose a taxonomy to classify the reviewed works, and discuss a set of challenges and areas of opportunity that technology can offer in this environment. These areas of opportunity are projected as specific features in each of the identified healthcare environments.


Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.


2018 ◽  
Vol 28 (2) ◽  
pp. 571-574
Author(s):  
Ivanka Stambolova ◽  
Stefan Stambolov

In outpatient care the home care, including hospices, is recognized as a model for providing quality, cost-effective and charitable care. The focus is mainly on the care that helps everyday lifeof the patient as well as the relatives, rather than on treatment, and in most cases it takes place in the patients' home. In Europe, in recent years there has been a real "boom" in home care due to demographic processes linked to increased needs for elderly care and chronically ill under the conditions of limited financial resources.In outpatient medical care in our country by means of a national framework contract there are regulated visits to the patient's home by a doctor, as well as visits by medical staff employed by him - nurse, midwife, medical assistant / paramedic / for manipulation, counseling and monitoring. At the same time there is no regulated legal activity in the Republic of Bulgaria, which is essentially the subject of home care.Since 1994 „Caritas“ has carried out the "Home Care" service, which provides a complex - health and social care for over 360 sick adults in a place where the elderly person feels the most comfortable - in their own home. „Caritas Home Care“ is provided by mobile teams of nurses and social assistants who visit the elderly at home and provide them with the necessary care according to their health and social needs.With the establishment of the first „Home Care Center“ in Lozenets region, Sofia, with the support of the PHARE ACCESS program in 2003, the Bulgarian Red Cross introduces in Bulgaria an integrated model for provision of health care and social services in the home of adults, chronically ill and people with permanent disabilities. To date, there are a number of problems in home care related to the realization of home care for patients in need in out-of-hospital settings: lack of legal regulation for home care, lack of qualified staff in outpatient care; lack of organization and structures for care; unsettled funding and the inability of the part of the population that is most in need of care to pay for it, there is no regulation to control the activity. Although home care began over 20 years ago, our country is yet to make its way to the European program called „Home care in Europe“.


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