scholarly journals COVID-19 as the sole cause of death is uncommon in frail home healthcare individuals: a population-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lena Nilsson ◽  
Christer Andersson ◽  
Rune Sjödahl
Keyword(s):  
Health Care ◽  
Activities Of Daily Living ◽  
Cause Of Death ◽  
Home Health Care ◽  
Daily Living ◽  
Population Based ◽  
Home Health ◽  
Home Healthcare ◽  
Population Based Study ◽  
Pandemic Wave

Abstract Background During the first pandemic wave, Sweden experienced a high mortality rate. Home healthcare reflects a group of people especially vulnerable to coronavirus disease 2019 (COVID-19). We aimed to evaluate the pattern of comorbidity and frailty in a group of individuals having fatal outcomes in home healthcare during the COVID-19 pandemic March to September 2020, and to assess the contribution of COVID-19 in the fatal outcomes. Methods A cohort of adults with confirmed COVID-19 diagnosis that deceased in home healthcare between March and September 2020 were analysed in a retrospective study comprising home healthcare in 136 facilities in one Swedish county. Main outcome measures were comorbidity and frailty. Results One hundred fifty-five individuals (88 women, 67 men) aged 57–106 (median 88) years were included in the analysis. Nine had considerable frailty (ability to perform various activities of daily living but confined to bed or chair on occasion) and the remaining 146 had severe frailty (unable to perform activities of daily living and/or confined to bed or chair; dementia necessitating care). Three or more diagnoses besides COVID-19 were present in 142 individuals and another eight had two diagnoses in addition to COVID-19. In 20 (13%) individuals, COVID-19 was assessed as the principal cause of death, in 100 (64.5%) a contributing cause, and for the remaining 35 (22.5%) death was probably caused by another comorbidity. This seemed to change over the course of the COVID − 19 pandemic, with its contributing role decreasing from the middle of the summer. Conclusions Death in home healthcare during the first wave of the pandemic mostly affected individuals with severe frailty and comorbidity at very advanced ages. One fifth of the individuals who died in home health care had another cause than Covid-19. Trial registration Clinical Trials.gov NCT04642196 date 24/11/2020.

Older Adult Factors Associated With Identified Need for Family Caregiver Assistance During Home Health Care

2019 ◽  
Vol 32 (2) ◽  
pp. 67-75 ◽  
Author(s):  
Julia Burgdorf ◽  
Alicia Arbaje ◽  
Jennifer L. Wolff
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Activities Of Daily Living ◽  
Family Caregivers ◽  
Older Adult ◽  
Home Health Care ◽  
Family Caregiver ◽  
Daily Living ◽  
Home Health ◽  
Clinical Severity

Family caregivers make important contributions to home health care for older adults, but knowledge of the specific roles they assume is lacking. We analyzed data from 1,758 community-dwelling Medicare beneficiaries aged 65+ receiving Medicare-funded home health care between 2011 and 2016, using linked National Health and Aging Trends Study and Outcomes and Assessment Information Set data. Most (86.7%) beneficiaries receiving home health care had an identified need for family caregiver assistance, and nearly 6 in 10 (57.9%) had identified need for caregiver assistance with five or more tasks. After examining significant associations between older adult characteristics and identified needs for caregiver assistance with specific tasks, we identified three profiles of older adults who demonstrate similar patterns of identified need for family caregiver assistance during home health. These profiles include: (1) older adults with greater functional impairment who more often had identified need for assistance with Instrumental Activities of Daily Living, advocacy, or Activities of Daily Living; (2) older adults with cognitive impairment who more often had identified need for assistance with medication administration or supervision; and (3) older adults with greater clinical severity who more often had identified need for assistance with medical procedures and equipment. Findings support calls to develop training interventions and strengthen the partnership between home health providers and family caregivers. These three profiles present a potential framework for the development of family caregiver training programs.

scholarly journals Home Health Care Nursing Visit Intensity and Heart Failure Patient Outcomes

2011 ◽  
Vol 23 (6) ◽  
pp. 412-420 ◽  
Author(s):  
Jennifer S. Riggs ◽  
Elizabeth A. Madigan ◽  
Richard H. Fortinsky
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Activities Of Daily Living ◽  
Home Health Care ◽  
Daily Living ◽  
Secondary Analysis ◽  
Patient Characteristics ◽  
Home Health ◽  
Nursing Visit ◽  
The Impact

This study is a secondary analysis of data for 107 home health care heart failure patients. The authors investigate the impact of patient characteristics and nursing visit intensity on change in activities of daily living (ADL) status and instrumental activities of daily living (IADL) status and improvement/stabilization of dyspnea. Prior hospital stay (ß = .38, p = .001) and nursing visit intensity (ß = –.39, p = .001) predict improvement in ADL status. The model for change in IADL status is not significant. Patients with more than two comorbidities (OR = 6.5, p = .04) and patients who received higher nursing visit intensity (OR = 7.0, p = .04) are more likely to have improved/stabilized dyspnea at home care discharge.

An Application for Routing Ambulance via ACO in Home Healthcare

2020 ◽  
pp. 102-110
Author(s):  
Şahin Inanç ◽  
Arzu Eren Şenaras
Keyword(s):  
Health Care ◽  
Ant Colony Optimization ◽  
Home Health Care ◽  
Home Health ◽  
Ant Colony ◽  
Home Healthcare ◽  
Heuristic Methods

In this study, rovers of ambulances were identified and determined quickly and practically via ant colony optimization. Non-intuitive methods can also be used to determine the routing, but when the number of nodes is large, and the number of operations is very large, the heuristic methods are more practical. The purpose of this work is to use ant colony optimization via C# for ambulance routing. The patients were served as soon as possible thanks to ambulance routing. In this the effectiveness of the ambulance has been increased. In this study, 12 nodes were selected as an application. The nodes were used to determine the route of the ambulance in-home health care.

Introduction

2021 ◽  
pp. 1-5
Author(s):  
Richard Schweid
Keyword(s):  
United States ◽  
Activities Of Daily Living ◽  
Home Health Care ◽  
Daily Living ◽  
Current System ◽  
Well Being ◽  
The Elderly ◽  
The United States ◽  
Home Health ◽  
Turnover Rates

This introductory chapter provides an overview of home health care in the United States. Most Americans over sixty-five want to grow old at home, but the reality is that to do so, the majority of them will eventually need someone to help with what are called activities of daily living, those things basic to maintaining life, like eating, bathing, and using the toilet, and with the instrumental activities of daily living, such as cooking and cleaning. The millions of women employed as aides to help the elderly with these tasks in the United States are treated as menial laborers, paid minimum wage, often with no benefits, although the job they are doing is critically important to both our personal well-being and that of society as a whole. Given the low pay and stressful work, it is not surprising that home health aides have one of the highest turnover rates of any job. This book then analyzes what is wrong in the current system of providing home care to the elderly and how those deficiencies might be remedied.

scholarly journals Impact of valvular heart disease on activities of daily living of nonagenarians: the leiden 85-plus study a population based study

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Thomas van Bemmel ◽  
Victoria Delgado ◽  
Jeroen J Bax ◽  
Jacobijn Gussekloo ◽  
Gerard J Blauw ◽  
...  
Keyword(s):  
Heart Disease ◽  
Activities Of Daily Living ◽  
Valvular Heart Disease ◽  
Daily Living ◽  
Population Based ◽  
Population Based Study
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