Abbreviated Care-Process Quality Indicator Sets Linked with Survival and Functional Status Benefit in Older Adults Under Ambulatory Care

The care of older adults who wish to spend their old age at home should be regulated in every country. The purpose of this article is to illustrate the steps for developing a community-based care process model (CBCPM), applied to a real-world phenomenon, using an inductive, theory-generative research approach to enable aging at home. The contribution to practice is that the collaboration team experts facilitate the application of the process in their own work as non-professional human resources. This means that each older adult is his or her own case study. Different experts and non-experts can engage in the process of meeting needs as required. The empirical work examined the number of levels and steps required and the types of human resources needed. The proposed typology of the CBCPM for older adults can provide insight, offer a useful framework for future policy development, and evaluate pilots at a time when this area of legislation is being implemented.

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Cognitive decline and alcohol consumption adjusting for functional status over a 3-year period in French speaking community living older adults

Journal of Public Health ◽

10.1093/pubmed/fdy126 ◽

2018 ◽

Vol 41 (2) ◽

pp. e177-e184 ◽

Cited By ~ 1

Author(s):

Helen-Maria Vasiliadis ◽

Marie-Christine Payette ◽

Djamal Berbiche ◽

Sébastien Grenier ◽

Carol Hudon

Keyword(s):

Older Adults ◽

Alcohol Consumption ◽

Cognitive Decline ◽

Functional Status ◽

Repeated Measures ◽

Service Use ◽

High Functioning ◽

French Speaking ◽

Changing Patterns

AbstractBackgroundThe effect of alcohol consumption on cognitive decline is not clear. We aimed to study the association between alcohol consumption and cognitive functioning controlling for functional heath status.MethodsA total of 1610 older adults with a score ≥26 on the Mini-Mental State Examination (MMSE) were followed to assess the change in scores at the 3-year follow-up. Information on alcohol consumption as well as socio-demographic, lifestyle, psychosocial and clinical factors, as well as health service use were assessed at baseline and 3-year follow-up interviews. Linear mixed models with repeated measures were used stratifying by functional status.ResultsClose to 73% reported consuming alcohol in the past 6 months, of which 11% were heavy drinkers (≥11 and ≥16 drinks for women and men). A significant decrease in MMSE scores was observed in low functioning non-drinkers (−1.48; 95% CI: −2.06, −0.89) and light to moderate drinkers (−0.99; 95% CI: −1.54, −0.44) and high functioning non-drinkers (−0.51; 95% CI: −0.91, −0.10).ConclusionsAlcohol consumption did not contribute to cognitive decline. Cognitive decline was greater in individuals reporting low functional status. Research should focus on the interaction between changing patterns of alcohol consumption and social participation in individuals with low and high functioning status.

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Benchmarking Functional Status in Older Adults

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2014.06.012 ◽

2014 ◽

Vol 95 (12) ◽

pp. 2264-2271 ◽

Cited By ~ 1

Author(s):

Paul Gerrard ◽

John Luce ◽

Jonathan F. Bean ◽

Alan M. Jette ◽

Ross Zafonte

Keyword(s):

Older Adults ◽

Functional Status

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Fatigue is independently associated with functional status limitations in older adults with gastrointestinal malignancies—results from the CARE registry

Supportive Care in Cancer ◽

10.1007/s00520-021-06273-y ◽

2021 ◽

Author(s):

Grant R. Williams ◽

Mustafa Al-Obaidi ◽

Chen Dai ◽

Christian Harmon ◽

Thomas W. Buford ◽

...

Keyword(s):

Older Adults ◽

Functional Status ◽

Gastrointestinal Malignancies

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Subjective Age and Late-Life Functional Status: Mediating and Moderating Effects

The Journals of Gerontology Series B ◽

10.1093/geronb/gbab181 ◽

2021 ◽

Author(s):

Joel R Petashnick ◽

Amit Shrira ◽

Yaakov Hoffman ◽

Yuval Palgi ◽

Gitit Kavé ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Functional Status ◽

Objective Measure ◽

Later Life ◽

Underlying Mechanism ◽

Integrative Model ◽

Subjective Age ◽

Longitudinal Relationships

Abstract Objectives The present study examined the longitudinal relationships between subjective age (SA) and future functional status in later life, via depressive symptoms. Additionally, we assessed the role of subjective nearness to death (SNtD) as a potential moderator within these pathways. Methods Older adults (average age 81.14 at T1) were interviewed once a year for three consecutive years (N=224 at T1, N=178 at T2, and N=164 at T3), Participants reported their SA, SNtD, depressive symptoms, and functional status. Additionally, grip strength was employed as an objective measure of functional status. Results Data analysis revealed distinct pathways leading from T1 SA to T3 functional status through T2 depressive symptoms. Moreover, T1 SNtD was found to significantly moderate most of these indirect pathways, so that the mediation model of T1 SA-T2 depressive symptoms-T3 functional status was mostly significant among those who felt closer to death. Discussion The findings contribute to our understanding of the underlying mechanism through which SA predicts long-term functioning sequelae by underscoring the indirect effect of depressive symptoms. They further indicate the importance of gauging the effects of SNtD on these longitudinal relationships. Present results may further contribute to establishing an integrative model for predicting long-term functional outcomes based on older adults' earlier subjective views of aging.

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Life Expectancy and Assessment of Functional Status in Older Adults

Acetabular Fractures in Older Patients ◽

10.1007/978-3-030-25105-5_2 ◽

2019 ◽

pp. 5-19

Author(s):

Lisa Reider

Keyword(s):

Older Adults ◽

Life Expectancy ◽

Functional Status

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Hospitalization of older adults due to ambulatory care sensitive conditions

Revista de Saúde Pública ◽

10.1590/s0034-8910.2014048005133 ◽

2014 ◽

Vol 48 (5) ◽

pp. 817-826 ◽

Cited By ~ 7

Author(s):

Aline Pinto Marques ◽

Dalia Elena Romero Montilla ◽

Wanessa da Silva de Almeida ◽

Carla Lourenço Tavares de Andrade

Keyword(s):

Older Adults ◽

Primary Care ◽

Information System ◽

Ambulatory Care ◽

Rio De Janeiro ◽

The State ◽

Ambulatory Care Sensitive Conditions ◽

Global Rate ◽

Ambulatory Care Sensitive ◽

Sensitive Conditions

OBJECTIVE To analyze the temporal evolution of the hospitalization of older adults due to ambulatory care sensitive conditions according to their structure, magnitude and causes. METHODS Cross-sectional study based on data from the Hospital Information System of the Brazilian Unified Health System and from the Primary Care Information System, referring to people aged 60 to 74 years living in the state of Rio de Janeiro, Souhteastern Brazil. The proportion and rate of hospitalizations due to ambulatory care sensitive conditions were calculated, both the global rate and, according to diagnoses, the most prevalent ones. The coverage of the Family Health Strategy and the number of medical consultations attended by older adults in primary care were estimated. To analyze the indicators’ impact on hospitalizations, a linear correlation test was used. RESULTS We found an intense reduction in hospitalizations due to ambulatory care sensitive conditions for all causes and age groups. Heart failure, cerebrovascular diseases and chronic obstructive pulmonary diseases concentrated 50.0% of the hospitalizations. Adults older than 69 years had a higher risk of hospitalization due to one of these causes. We observed a higher risk of hospitalization among men. A negative correlation was found between the hospitalizations and the indicators of access to primary care. CONCLUSIONS Primary healthcare in the state of Rio de Janeiro has been significantly impacting the hospital morbidity of the older population. Studies of hospitalizations due to ambulatory care sensitive conditions can aid the identification of the main causes that are sensitive to the intervention of the health services, in order to indicate which actions are more effective to reduce hospitalizations and to increase the population’s quality of life.

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