scholarly journals Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study

2021 ◽  
Vol 7 ◽  
pp. 237796082110584
Author(s):  
Kashiko Fujii ◽  
Minna Stolt ◽  
Takuyuki Komoda ◽  
Mariko Nishikawa
Keyword(s):  
Older People ◽  
Day Care ◽  
Intervention Study ◽  
Care Program ◽  
Skin Lesions ◽  
Foot Care ◽  
Term Care ◽  
Foot Health ◽  
Day Care Centers ◽  
Before And After

Introduction An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many older people have foot problems with need foot care by nurses and care workers (NCWs) at geriatric day care centers. Objective This study explored the effects of NCWs’ foot-care programs on the foot conditions of older people attending daytime services. Methods A before-after intervention study was conducted at geriatric day care centers for older people, where the foot-care program was presented by NCWs for two months. The foot conditions of 23 clients (8 men, 15 women, mean age = 78.6 years, standard deviation = 9.2) were assessed before and after the program. Changes in foot condition and clients’ perceptions after the study were analyzed through descriptive statistics, McNemar, and paired t-tests. Results Although dramatic changes in foot conditions were not observed, some conditions were improved or maintained. Changes were observed in mean dry skin scores ( p < .01; right foot: 1.6→1.1, left foot: 1.6→1.1), skin lesions and long nails (skin lesions R: 0.2→0.1; long nail R: 1.4→1.0, L: 1.1→0.8), and edema (R: 43.5%→39.1%, L: 52.2%→47.8%). Further, clients started perceiving that foot health is important and discussed their feet with staff more often. Conclusion The NCWs’ foot-care program was effective in maintaining and improving foot health in older people and positively affected their perception of foot care.

Effect of an Educational Intervention on Nurses’ Knowledge of Foot Care and on the Foot Health of Older Residents

2011 ◽  
Vol 101 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Minna Stolt ◽  
Pirkko Routasalo ◽  
Riitta Suhonen ◽  
Helena Leino-Kilpi
Keyword(s):  
Nursing Home ◽  
Older People ◽  
Nursing Staff ◽  
Educational Program ◽  
Foot Care ◽  
Term Care ◽  
Foot Health ◽  
Before And After ◽  
Further Development

Background: Older people have multiple foot health problems; therefore, nursing staff need to pay attention to the foot care of older people, especially in long-term care and nursing homes. The aim of this study was to investigate the knowledge of nursing staff (n = 16) regarding foot care, their foot-care activities, and the health of residents’ (n = 43) feet in a nursing home before and after an intervention (educational program). Methods: Nursing staff in a nursing home received a foot-care educational program that consisted of lectures and demonstrations. Results: After the intervention, nursing staff knowledge of foot care and foot-care activities had partially improved, which was mainly seen in residents’ skin health. Conclusions: The results of this study indicate that an educational program can change nursing staff knowledge of foot care and their foot-care activities. However, the educational program tested in this study needs further development. (J Am Podiatr Med Assoc 101(2): 159–166, 2011)

scholarly journals Prevalence and Risk Factors of Postprandial Hypotension Among Japanese Older Adults in a Facility

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 222-222
Author(s):  
Noriko Suzuki ◽  
Masahiko Hashizume ◽  
Hideyuki Shiotani
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Older Adults ◽  
Older People ◽  
Future Research ◽  
Baseline Body Mass Index ◽  
Term Care ◽  
Postprandial Hypotension ◽  
Before And After ◽  
Japanese Older Adults

Abstract Postprandial hypotension (PPH) is an unrecognized sudden drop of blood pressure (BP) after meals and a hidden problem among older people including those living in long-term care facilities (LTCFs). Though PPH causes dizziness, falls, and syncope, it has received little attention from¬¬¬ healthcare workers (HCW) including caregivers, nurses and physicians, and risk factors of PPH should be carefully assessed to improve quality of life. Therefore, we aimed to examine the prevalence and risk factors of PPH in a LTCF in Japan. Participants were 114 older adults living in a LTCF in Japan (mean age 85.9 years old; 85 female (74%)). To examine PPH, blood pressure (BP) was measured before and after lunch. BP after meal was measured four times every 30 minutes. PPH is defined as a BP drop of 20 mmHg or more and we also defined a BP drop within a range of 19 to 15 mmHg as potential-PPH. As risk factors, we compared systolic and diastolic BP at baseline, body mass index, pulse rate, disease and complications between groups with/without PPH. The prevalence of PPH was 41% (47/114) and 52% with potential-PPH; 11% (13/114) added. Among risk factors, systolic BP was significantly higher in those with PPH (142.6 vs 123.5 mmHg, p &lt;0.001). This study revealed that PPH & potential-PPH occurred in half of the subjects in a LTCF in Japan. HCW need to focus on high systolic BP to predict PPH and future research is necessary to prevent and cope with PPH for older people.

scholarly journals A foot-care program to facilitate self-care by the elderly: a non-randomized intervention study

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Shizuko Omote ◽  
Arisu Watanabe ◽  
Tomoko Hiramatsu ◽  
Emiko Saito ◽  
Masami Yokogawa ◽  
...  
Keyword(s):  
Intervention Study ◽  
Self Care ◽  
Care Program ◽  
The Elderly ◽  
Foot Care ◽  
Randomized Intervention ◽  
Randomized Intervention Study

Beneficial effects of foot care nursing for people with diabetes mellitus: an uncontrolled before and after intervention study

2011 ◽  
Vol 67 (9) ◽  
pp. 1952-1962 ◽  
Author(s):  
Yuko Fujiwara ◽  
Ken Kishida ◽  
Mika Terao ◽  
Mitsuyoshi Takahara ◽  
Munehide Matsuhisa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Intervention Study ◽  
Foot Care ◽  
Beneficial Effects ◽  
Before And After ◽  
Care Nursing

scholarly journals Evaluation of the Complementary Health Provision of the Podiatric Foot Care Program for Diabetic Patients in Catalonia (Spain)

2021 ◽  
Vol 18 (10) ◽  
pp. 5093
Author(s):  
Jessica Ruiz-Toledo ◽  
Antonio J. Zalacain-Vicuña ◽  
Elena de de Planell-Mas
Keyword(s):  
Diabetic Foot ◽  
Health Program ◽  
National Health System ◽  
Care Program ◽  
Diagnosis And Treatment ◽  
Diabetic Patients ◽  
Coding System ◽  
Foot Care ◽  
Foot Health ◽  
Number Of Patients

The Catalan diabetic foot health program was established in 2009 in order to prevent complications caused by type 2 diabetes. This study aims to describe its application from 2009 to 2018. The objective was to describe diabetic foot care provision in the National Health System of Catalonia between 2009 and 2018, including the number of patients and professionals involved, the causes behind patients’ visits, and the most demanded codes for diagnosis and treatment filled by the podiatrist in each consultation during 2018–2020. This description was addressed through an analysis of the database provided by the Association of Podiatrists to evaluate the implementation of the program. The results for the diabetic foot health program in Catalonia showed a growth in demand from 2009 (1,726) to 2018 (213,095) in terms of visits and from 2009 (1,541) to 2018 (104,629) in terms of patients. The number of registered podiatrists from 2009 to 2018 increased from 165 to 470. The most commonly used diagnosis codes were (a) without sensory alterations in control and treatment of grade 1 lesions; (b) grade 0 without neuropathic, vascular, structural, or biomechanical alteration; (c) no sensory structural alterations in the foot; (d) keratopathies. The treatments most commonly used were (a) conservative (chiropody), (b) without ortho-podiatric treatment, and (c) plantar supports. The conclusions show that the health program is in great demand amongst the population. Similarly, the coding system has made it possible to identify the diagnosis and treatment of such demand.

scholarly journals Hospitalisation of older people before and after long-term care entry in Auckland, New Zealand

2016 ◽  
Vol 45 (4) ◽  
pp. 558-563 ◽  
Author(s):  
Michal Boyd ◽  
Joanna B. Broad ◽  
Tony Xian Zhang ◽  
Ngaire Kerse ◽  
Merryn Gott ◽  
...  
Keyword(s):  
New Zealand ◽  
Older People ◽  
Long Term Care ◽  
Term Care ◽  
Before And After

Asymptomatic excretion of rotavirus before and after rotavirus diarrhea in children in day care centers

1988 ◽  
Vol 112 (3) ◽  
pp. 361-365 ◽  
Author(s):  
Larry K. Pickering ◽  
Alfred V. Bartlett ◽  
Randall R. Reves ◽  
Ardythe Morrow
Keyword(s):  
Day Care ◽  
Day Care Centers ◽  
Before And After ◽  
Rotavirus Diarrhea
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