scholarly journals Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ksenya Shulyaev ◽  
Nurit Gur-Yaish ◽  
Efrat Shadmi ◽  
Anna Zisberg
Keyword(s):  
Older Adults ◽  
Health Care Professionals ◽  
Former Soviet Union ◽  
Informal Caregivers ◽  
Hospital Setting ◽  
Family Care ◽  
Secondary Data ◽  
Informal Caregiving ◽  
Cultural Groups ◽  
Hospitalized Older Adults

Abstract Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in home settings demonstrate that ethno-cultural background is related to various aspects of informal caregiving; however, this association in the hospital setting is insufficiently researched. Objectives Our study explore potential differences between ethno-cultural groups in the amount and kind of informal support they provide for older adults during hospitalization. Methods This research is a secondary data analysis of two cohort studies conducted in Israeli hospitals. Hospitalized older adults are divided into three groups: Israeli-born and veteran immigrant Jews, Arabs, and Jewish immigrants from the Former Soviet Union (FSU). Duration of caregiver visit, presence in hospital during night hours, type of support (using the Informal Caregiving for Hospitalized Older Adults scale) are assessed during hospitalization. Results are controlled by background parameters including functional Modified Barthel Index (MBI) and cognitive Short Portable Mental Status Questionnaire (SPMSQ) status, chronic morbidity (Charlson), and demographic characteristics. Results Informal caregivers of “FSU immigrants” stay fewer hours during the day in both cohorts, and provide less supervision of medical care in Study 2, than caregivers in the two other groups. Findings from Study 1 also suggest that informal caregivers of “Arab” older adults are more likely to stay during the night than caregivers in the two other groups. Conclusions Ethno-cultural groups differ in their patterns of caregiving of older adults during hospitalization. Health care professionals should be aware of these patterns and the cultural norms that are related to caregiving practices for better cooperation between informal and formal caregivers of older adults.

scholarly journals Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel.

2020 ◽  
Author(s):  
Ksenya Shulyaev ◽  
Nurit Gur-Yaish ◽  
Efrat Shadmi ◽  
Anna Zisberg
Keyword(s):  
Older Adults ◽  
Health Care Professionals ◽  
Former Soviet Union ◽  
Informal Caregivers ◽  
Hospital Setting ◽  
Family Care ◽  
Secondary Data ◽  
Informal Caregiving ◽  
Cultural Groups ◽  
Hospitalized Older Adults

Abstract Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in home settings demonstrate that ethno-cultural background is related to various aspects of informal caregiving; however, this association in the hospital setting is insufficiently researched.Objectives Our study explore potential differences between ethno-cultural groups in the amount and kind of informal support they provide for older adults during hospitalization.Methods This research is a secondary data analysis of two cohort studies conducted in Israeli hospitals. Hospitalized older adults are divided into three groups: Israeli-born and veteran immigrant Jews, Arabs, and Jewish immigrants from the Former Soviet Union (FSU). Duration of caregiver visit, presence in hospital during night hours, type of support (using the Informal Caregiving for Hospitalized Older Adults scale) are assessed during hospitalization. Results are controlled by background parameters including functional Modified Barthel Index (MBI) and cognitive Short Portable Mental Status Questionnaire (SPMSQ) status, chronic morbidity (Charlson), and demographic characteristics.Results Informal caregivers of “FSU immigrants” stay fewer hours during the day in both cohorts, and provide less supervision of medical care in Study 2, than caregivers in the two other groups. Findings from Study 1 also suggest that informal caregivers of “Arab” older adults are more likely to stay during the night than caregivers in the two other groups.Conclusions Ethno-cultural groups differ in their patterns of caregiving of older adults during hospitalization. Health care professionals should be aware of these patterns and the cultural norms that are related to caregiving practices for better cooperation between informal and formal caregivers of older adults.

scholarly journals Patterns of Informal Family Care During Acute Hospitalization of Older Adults from Different Ethno-Cultural Groups in Israel.

2020 ◽  
Author(s):  
Ksenya Shulyaev ◽  
Nurit Gur-Yaish ◽  
Efrat Shadmi ◽  
Anna Zisberg
Keyword(s):  
Older Adults ◽  
Soviet Union ◽  
Health Care Professionals ◽  
Former Soviet Union ◽  
Informal Caregivers ◽  
Hospital Setting ◽  
Family Care ◽  
Secondary Data ◽  
Informal Caregiving ◽  
Cultural Groups

Abstract Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in the home settings demonstrate that ethno-cultural background is related to various aspects of informal caregiving; however, this association in the hospital setting was insufficiently researched.Objectives Our study looked for differences between ethno-cultural groups in the amount and kind of informal support they provided for older adults during hospitalization.Methods This study is a secondary data analysis of two cohort studies conducted in Israeli hospitals. Hospitalized older adults were divided into three groups: Israeli-born and veteran immigrant Jews, Arabs, and Jewish immigrants from the Former Soviet Union (FSU).Results Informal caregivers of “FSU immigrants” stayed less hours during the day in both cohorts, were less present during the night in study 1, and provided less supervision of medical care in study 2, in comparison to the two other groups. Findings from study 1 also suggested that informal caregivers of “Arab” older adults were more likely to stay during the night in comparison to the two other groups.Conclusion Ethno cultural groups differ in terms of the patterns of caregiving older adults during hospitalization. Health care professionals should be aware of these patterns and the cultural norms that are related to caregiving practices for better cooperation between informal and formal caregivers of older adults.

scholarly journals IDENTIFYING UNMET NEED IN INFORMAL CAREGIVING: DISPARITIES BY GENDER, EMPLOYMENT STATUS, AND RACE-ETHNICITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S219-S220
Author(s):  
Steven A Cohen ◽  
Furong Xu ◽  
Marissa R Meucci ◽  
Symone Woodham ◽  
Mary L Greaney
Keyword(s):  
Older Adults ◽  
Employment Status ◽  
Informal Caregivers ◽  
Unmet Need ◽  
Informal Caregiving ◽  
Care Recipient ◽  
National Study ◽  
Caregiver Health ◽  
White Caregivers ◽  
Race Ethnicity

Abstract Older adults, including those with dementia and other types of cognitive decline, often report a desire to remain in their homes. Over 50 million informal caregivers in the US provide needed in-home assistance to those in need, and there are well-documented disparities in informal caregiving responsibilities by sociodemographic factors , yet little is known about “unmet need” in informal caregiving. Therefore, the study’s objective is to examine discrepancies in unmet caregiving-related need by race/ethnicity, gender, and employment status. We abstracted data about caregivers from the 2017 National Study of Caregiving and linked these data to participants in the National Health and Aging Trends Study on caregivers of older adults (n=993). Generalized linear models were used to model the discrepancies between the number of activities of daily living for which the care recipient required assistance and the number of tasks caregivers provide, by race/ethnicity, gender, and employment status, accounting for confounders and complex sampling. Care recipients whose primary informal caregivers were employed were 69% more likely than those whose informal caregivers were not employed to experience unmet caregiving need (OR 1.69, 95%CI 1.19-2.41). A similar association between employment and unmet caregiving was observed among White caregivers (OR=1.79, 95% CI 1.16-2.69), while the association was not significant among Black caregivers (p=0.228). These findings suggest potentially addressable disparities in informal caregiving duties between Black and White caregivers, and can be used to inform and develop of policies and programs designed to improve caregiver health and reduce undue strain on caregiver health and wellbeing.

scholarly journals How Surrogates Decide: A Secondary Data Analysis of Decision-Making Principles Used by the Surrogates of Hospitalized Older Adults

2017 ◽  
Vol 32 (12) ◽  
pp. 1285-1293 ◽  
Author(s):  
Rohit Devnani ◽  
James E. Slaven ◽  
Gabriel T. Bosslet ◽  
Kianna Montz ◽  
Lev Inger ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Data Analysis ◽  
Secondary Data ◽  
Secondary Data Analysis ◽  
Hospitalized Older Adults

scholarly journals Economic burden to primary informal caregivers of hospitalized older adults in Mexico: a cohort study

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Mariana López-Ortega ◽  
Carmen García-Peña ◽  
Víctor Granados-García ◽  
José Juan García-González ◽  
Mario Ulises Pérez-Zepeda
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Economic Burden ◽  
Informal Caregivers ◽  
Hospitalized Older Adults

scholarly journals Associations Between Depressive Symptoms, Appetite and Food Intake Among Hospitalized Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 919-919
Author(s):  
Amos Rogozinski ◽  
Anna Zisberg
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Food Intake ◽  
Food Consumption ◽  
Functional Decline ◽  
Secondary Data ◽  
Established Risk Factor ◽  
Hospitalized Older Adults ◽  
Inadequate Food Intake ◽  
Food Consumed

Abstract Inadequate food intake is common among hospitalized older adults and is linked to negative hospitalization outcomes, including functional decline and mortality. Depression is a well-established risk factor in inadequate food intake in the community but its role in food consumption during hospitalization is poorly studied. To examine the associations between depressive symptoms, appetite and the quantity of food consumed by older inpatients, we conducted a secondary data analysis of 724 hospitalized adults aged 69 to 95 using a prospective cohort dataset: Hospitalization Process Effects on Functional Outcomes and Recovery. Depression was evaluated with Tucker’s Short Zung Instrument at time of admission. Food intake and appetite were examined daily for three consecutive days, using self-reports of food consumed at breakfast, lunch and supper, based on the nDay Express Questionnaire. Approximately 40% of respondents reported eating half or less than half of each meal. The risk of depression was prevalent among a third of respondents, 54% of whom were identified at high risk of depression. The association between depression and inadequate food intake was found to be negative [F(2,716)=9.00 ,p=0.000 ,η2=0.025]. Low appetite was significantly linked to reduced food consumption [β=-0.39, t=-12.06, p=0.000] and made a considerable contribution to the explained variance of food consumed [F-change (1,717)=145.41 , p=0.000]. Finally, decreased appetite partially mediated the association between depressive symptoms and food intake during hospitalization (B=-0.001, UCI=-0.001; LCI=-0.002). These findings contribute to the understanding of inadequate food intake during hospitalization and indicate the importance of screening for depression among hospitalized older adults.

Informal Caregiving for Hospitalized Older Adults Measure

2012 ◽  
Author(s):  
Nurit Gur-Yaish ◽  
Anna Zisberg ◽  
Gary Sinoff ◽  
Efrat Shadmi
Keyword(s):  
Older Adults ◽  
Informal Caregiving ◽  
Hospitalized Older Adults

Gender Differences in Older Adults’ Perceptions of Falls and Fall Prevention

2021 ◽  
pp. 152483992110097
Author(s):  
Susan Patton ◽  
Jennifer Vincenzo ◽  
Leanne Lefler
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Gender Differences ◽  
Fall Prevention ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Secondary Data ◽  
Traditional Role ◽  
Men And Women ◽  
Care Systems

Aim To explore gender differences in older adults’ perceptions about preventing falls. Background Falls are a major problem for older adults and health care systems and a challenge to the aging population. Consideration of older adults’ perceptions of fall prevention is needed to increase their engagement in evidence-based prevention strategies. Method A qualitative analysis of secondary data was performed. Results Three major themes emerged: We’ve Seen It, Women Are Caregivers, and Men Are Analyzing Risks and Modifying Behaviors. The men and women in this study shared information about falls and fall prevention in alignment with traditional role expectations. The women learned about falling through their roles as caregivers and prevented falls by controlling extrinsic risk factors indoors such as holding onto handrails on stairs or making home modifications. The men demonstrated an analytical approach to reducing risk such as employing improved safety measures during outdoors activities as a responsibility to maintain independence. Implications The different perceptions of men and women influence what they do to engage in fall prevention. Health care professionals need to consider gender differences and take an individualized approach that includes allowing older adults to share their experiences, acknowledging their successful fall prevention behaviors, and validating and addressing their concerns.

scholarly journals Anticholinergic Burden Does Not Influence Delirium Subtype or the Delirium–Mortality Association in Hospitalized Older Adults: Results from a Prospective Cohort Study

Drugs & Aging ◽  
2021 ◽  
Author(s):  
Mark James Rawle ◽  
Laura McCue ◽  
Elizabeth L. Sampson ◽  
Daniel Davis ◽  
Victoria Vickerstaff
Keyword(s):  
Older Adults ◽  
Hospital Setting ◽  
Residential Home ◽  
Prescription Data ◽  
Subsyndromal Delirium ◽  
Increased Risk ◽  
The Mean ◽  
Hospitalized Older Adults ◽  
The Impact ◽  
Anticholinergic Burden

Abstract Background Anticholinergic burden (ACB) is associated with an increased risk of delirium in the older population outside of the acute hospital setting. In acute settings, delirium is associated with increased mortality, and this association is greater with full syndromal delirium (FSD) than with subsyndromal delirium (SSD). Little is known about the impact of ACB on delirium prevalence or subtype in hospitalized older adults or the impact on mortality in this population. Objectives Our objectives were to determine whether ACB moderates associations between the subtype of delirium experienced by hospitalized older adults and to explore factors (including ACB) that might moderate consequent associations between delirium and mortality in hospital inpatients. Methods We conducted a retrospective analysis of a cohort of 784 older adults with unplanned admission to a North London acute medical unit between June and December 2007. Univariate regression analyses were performed to explore associations between ACB, as represented by the Anticholinergic Burden Scale (ACBS), delirium subtype (FSD vs. SSD), and mortality. Results The mean age of the sample was 83 ± standard deviation (SD) 7.4 years, and the majority of patients were female (59%), lived in their own homes (71%), were without dementia (75%), and died between hospital admission and the end of the 2-year follow-up period (59%). Mean length of admission was 13.2 ± 14.4 days. Prescription data revealed an ACBS score of 1 in 26% of the cohort, of 2 in 12%, and of ≥ 3 in 16%. The mean total ACBS score for the cohort was 1.1 ± 1.4 (range 0–9). Patients with high ACB on admission were more likely to have severe dementia, to have multiple comorbidities, and to live in residential care. Higher ACB was not associated with delirium of either subtype in hospitalized older adults. Delirium itself was associated with increased mortality, and greater associations were seen in FSD (hazard ratio [HR] 2.27; 95% confidence interval [CI] 1.70–3.01) than in SSD (HR 1.58; 95% CI 1.2–2.09); however, ACB had no impact on this relationship. Conclusions ACB was not found to be associated with increased delirium of either subtype or to have a demonstrable impact on mortality in delirium. Prior suggestions of links between ACB and mortality in similar populations may be mediated by higher levels of functional dependence, greater levels of residential home residence, or an increased prevalence of dementia in this population.

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