scholarly journals Differences in plans for living at home between temporary residents of a health-care facility for the elderly and their family caregivers in Japan

2006 ◽  
Vol 3 (1) ◽  
pp. 23-30
Author(s):  
Junko HOSHINO ◽  
Akiko HAMAHATA ◽  
Joan K. MAGILVY
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
At Home

Examination of Practicability of Communication Robot-Assisted Activity Program for Elderly People

2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Health Care Facilities ◽  
Robot Assisted ◽  
Care Facilities

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.

Hourly Rounding for Falls Prevention: A Change Initiative

2013 ◽  
Vol 19 (3) ◽  
pp. 153-158 ◽  
Author(s):  
Daryl Dyck ◽  
Tracy Thiele ◽  
Rodney Kebicz ◽  
Michelle Klassen ◽  
Carly Erenberg
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Care Facility ◽  
Health Care Facility ◽  
Implementation Process ◽  
The Elderly ◽  
Falls Prevention ◽  
Fall Rates ◽  
Hourly Rounding ◽  
Safety Initiative

Fall-related injuries are a particular concern within the elderly population, and trends toward an aging demographic will keep this issue at the forefront in health care. We are challenged to develop creative strategies to significantly reduce harm and fall rates among the elderly. This article describes the process of establishing an hourly rounding initiative in a health care facility. Hourly rounding is supported by the literature as an effective strategy for falls prevention and patient safety. When the initiative was not successfully adopted initially, the implementation process was critically examined and an innovative sustainability plan was developed to ensure that the change would be embedded in the organization’s culture. Through this opportunity, nurses and allied health members from all levels were able to collaborate on strategies for this patient safety initiative.

African Americans With Advanced Heart Failure Are More Likely to Die in a Health Care Facility Than at Home or in Hospice: An Analysis From the PAL-HF Trial

2019 ◽  
Vol 25 (8) ◽  
pp. 693-694 ◽  
Author(s):  
Haider J. Warraich ◽  
Christopher M. O'Connor ◽  
Hongqiu Yang ◽  
Bradi B. Granger ◽  
Kimberly S. Johnson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
African Americans ◽  
Care Facility ◽  
Health Care Facility ◽  
Advanced Heart Failure ◽  
At Home

scholarly journals The Decision Making Unit In The Choice Of A Long-Term Health Care Facility

2011 ◽  
Vol 10 (2) ◽  
pp. 63 ◽  
Author(s):  
Faye W. Gilbert ◽  
R. Keith Tudor ◽  
Joseph G. P. Paolillo
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Care Facility ◽  
Health Care Facility ◽  
Size Composition ◽  
The Elderly ◽  
Decision Making Process ◽  
Decision Making Unit ◽  
Situational Effects

<span>As the size of the elderly market increases, so does the need to understand the decision making process for selecting long-term health care (LTHC) facilities. This study describes the membership and relative degree of influence of specific participants in the decision making unit (DMU) as well as the situational effects of time, prompt and stage of decision making on the size, composition and influence of CMU participants.</span>

scholarly journals Keeping a good heart: The experience of Japanese elders in a health-care facility for the elderly

2004 ◽  
Vol 1 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Akiko HAMAHATA ◽  
Kathy MAGILVY ◽  
Junko HOSHINO ◽  
Misa KOMATSU
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Japanese Elders

scholarly journals URBANIZATION, MULTI-MORBIDITIES AND PREFERENCE FOR HEALTH CARE FACILITY: AN INSIGHT FROM RAJASTHAN, INDIA

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Kshipra JAIN ◽  
Perianaygam AROKIASAMY
Keyword(s):  
Health Care ◽  
Healthcare Providers ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
The Elderly ◽  
Healthcare Needs ◽  
Rapid Pace ◽  
The Government ◽  
Care Demands

India experiences rapid pace of urbanization with increasing elderly population and changing disease profile creating new set of health care demands. The study made a novel attempt by exploring the prevalence of morbidities, multi-morbidities along with preferred healthcare facility substantiated by its reasons among the older adults aged 50+ living in urban Rajasthan based on a primary survey. The higher prevalence of single morbidity compared to multi-morbidity reflects the possibility of future healthcare needs. Poisson regression estimates identified the elderly belonging to the non-SC/ST/OBC group and the non-poor household in the age group of 60+ at higher risk of multi-morbidities. The Government hospitals overall enjoy higher acceptance though the reasons vary from their efficiency to lacuna in other healthcare providers. The study suggests incorporating the factors shaping the preferences to develop a suitable healthcare centre for the elderly and the expansion of government healthcare schemes. Successful ageing can get a boost by adequately addressing their healthcare needs.

scholarly journals Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

2021 ◽  
Vol 19 (3) ◽  
pp. 2350
Author(s):  
Narayan Gaurang ◽  
Rajendran Priyadharsini ◽  
Kandan Balamurugesan ◽  
Mathiyalagen Prakash ◽  
Devanathan Reka
Keyword(s):  
Health Care ◽  
Primary Caregivers ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Attitudes And Beliefs ◽  
Prescribing Practices ◽  
Elderly Age ◽  
Cross Sectional ◽  
Long Time

Background: Good prescribing practices form the essence of drug therapy for better patient care. The major aim of better prescribing is to improve rational prescribing. Deprescribing gained momentum in recent decades. Objective: This study aimed to explore the attitude and beliefs of deprescribing among patients and their caregivers forming dyads in a tertiary health care facility. Methods: Cross-sectional, questionnaire-based prospective study done for two months. Attitude towards deprescribing was assessed by using validated rPATD (revised Patient attitude towards deprescribing) questionnaire. Cohen's kappa coefficient was used to measure the agreement between the views of people and their caregivers forming dyads about medication cessation. Results: 312 patients and caregivers (156 forming dyads) participated in the study. Among 156 patients, 25.6% were hypertensives & 21.2% had diabetes. 41.7% were between 36-50 years of age. Only 16.7% belong to the elderly age group. 2.5% were taking >5 medications. 43.6% of patients and 62.2% of caregivers were female. 51.3% of the patients were willing to stop one or more of their regular medicine(s) under the treating physician's advice, but 62% were satisfied with their current medicine(s). 33.4% were reluctant to stop taking medicines for a long time. Conclusions: In our study, more than 50% of people and their caregivers were willing to try medication cessation under their physician's recommendation. There was moderate agreement between patients and their caregivers in the trial of medication cessation. Thus, the results obtained from this study may help towards improving rationalized prescribing practices in the institutional setup.

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