scholarly journals Improving fluid consumption of older people in care homes: an exploration of the factors contributing to under-hydration

2020 ◽  
Vol 22 (3) ◽  
pp. 139-146
Author(s):  
Jennie Wilson ◽  
Alison Tingle ◽  
Aggie Bak ◽  
Carolynn Greene ◽  
Amalia Tsiami ◽  
...  
Keyword(s):  
At Risk ◽  
Nursing Homes ◽  
Older People ◽  
Care Home ◽  
Barriers And Facilitators ◽  
Service Improvement ◽  
Fluid Consumption ◽  
Age Related ◽  
The University ◽  
Age Related Changes

Age-related changes put older people at risk of dehydration, and care home residents are particularly vulnerable. Researchers at the University of West London outline their study that identifies the possible barriers and facilitators to optimising hydration in nursing homes, offering guidance for service improvement initiatives

scholarly journals Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049829
Author(s):  
Elizabeth Tyler ◽  
Fiona Lobban ◽  
Rita Long ◽  
Steven H Jones
Keyword(s):  
Older Adults ◽  
Bipolar Disorder ◽  
Focus Group ◽  
Older People ◽  
Focus Groups ◽  
Later Life ◽  
Focus Group Study ◽  
Age Related ◽  
Health Related ◽  
Age Related Changes

ObjectivesAs awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.DesignA qualitative focus group study.SettingThree focus groups were conducted at a university in the North West of England.ParticipantsEight people took part in the focus groups; six older adults with BD, one carer and one friend.ResultsParticipant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.ConclusionsParticipants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).

Eczema and the older person

2020 ◽  
Vol 25 (9) ◽  
pp. 451-459
Author(s):  
Linda Nazarko
Keyword(s):  
Older Adults ◽  
Older People ◽  
Physical Health ◽  
Skin Condition ◽  
Common Condition ◽  
Older Person ◽  
Poor Physical Health ◽  
Age Related ◽  
Different Types ◽  
Age Related Changes

Age-related changes lead to an increase in skin problems, and around 70% of older people have a treatable skin condition. However, ageing and poor physical health can make it difficult for older people to care for their skin. Eczema, a chronic inflammatory skin condition, where the skin becomes red, inflamed, itchy and scaly, can develop easily in older adults. This can, in turn, become infected and cause discomfort and health problems. This article explains how ageing affects the skin, how eczema can develop and how it can be treated, also touching upon the different types of eczema. It aims to equip community nurses with knowledge about this common condition and how to recognise and manage it.

Perception of risk of adverse outcomes of older people: comparison between nursing homes, day centers and home care services

2017 ◽  
Vol 18 (3) ◽  
pp. 212-220 ◽  
Author(s):  
Laetitia Teixeira ◽  
Maria João Azevedo ◽  
Sara Alves ◽  
Cátia L. Pires ◽  
Constança Paúl
Keyword(s):  
At Risk ◽  
Nursing Homes ◽  
Home Care ◽  
Older People ◽  
Perceived Risk ◽  
Home Care Services ◽  
Adverse Outcomes ◽  
Content Type ◽  
Care Services ◽  
Screen Instrument

Purpose In Portugal, the three main kinds of care services available for older people are nursing homes, day centers and home care services. The use of these care services is mostly based on complex socioeconomic and functional criteria; however it is not clear if this placement corresponds to a higher/lower risk of adverse outcomes. The purposes of this paper are: to characterize clients of each type of service; to estimate the proportion of individuals at perceived risk of each adverse outcome according to type of service; to assess the ability of the Risk Instrument for Screening in the Community (RISC) to identify the risk profiles according to type of service. Design/methodology/approach The sample comprised individuals aged 65+ (n=224), receiving care at home, in day centers or in nursing homes. The identification of individuals at risk for three adverse outcomes (institutionalization, hospitalization and death) was performed using a short pre-screen instrument (RISC). Findings The RISC identified mental state issues as the unique factor that differentiated clients according the type of care services (χ2 (6, N=224)=20.96, p=0.002), with day center presenting the lowest percentage of mental health concerns and nursing home presenting the highest percentage (44.44 and 71.91 percent, respectively). Additionally, a gradient was found between perceived risk of adverse outcomes (institutionalization and hospitalization) and care of levels required. Originality/value The RISC can be used to discriminate people in different settings of care and can be helpful in the selection of groups at risk that will benefit more from available services.

scholarly journals Readiness to Master Age-Related Changes and Biographical Reflection in the Context of Late Age and Professional Employment

2020 ◽  
pp. 64-68
Author(s):  
Tamara Borisovna Sergeeva ◽  
Natalia Stepanovna Glukhaniuk
Keyword(s):  
Professional Development ◽  
Older People ◽  
Empirical Evidence ◽  
Life Events ◽  
Temporal Changes ◽  
Personal Mobility ◽  
Life Patterns ◽  
Age Related ◽  
The Relationship ◽  
Age Related Changes

The relevance of studying the readiness to master age-temporal changes and biographical reflection as components of the personal mobility of older people is due to the insufficient representation of theoreti-cal models and empirical evidence on the relation-ship between age and professional development at a later age, as well as the complex determinants of this process. The aim of the study is to describe the nature of the relationship between the readiness to master the age and the biographical reflection of working and non-working pensioners, what will make it possible to differentiate the age and profes-sional contexts of development. Empirical research has shown that working older people are more likely to analyze their own life events and other people’s life patterns. At the same time, the readiness to mas-ter the age of working and non-working pensioners practically does not differ. The components of read-iness (motivational and cognitive) to master age-temporal changes have a different character of con-jugation with the parameters of biographical reflec-tion. The results showed a greater dependence of the studied indicators on the age context than on professional employment.

Providing dignified continence care to older people at end of life

2019 ◽  
Vol 25 (10) ◽  
pp. 504-512 ◽  
Author(s):  
Linda Nazarko
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
End Of Life ◽  
Older Person ◽  
Entire Family ◽  
Long Term Conditions ◽  
Age Related ◽  
Age Related Changes

The prevalence of urinary incontinence increases as a person ages, as age-related changes make it more difficult to maintain continence. Long-term conditions and treatments prescribed to treat conditions, such as heart failure, can lead to an urgency to void the bladder. Frailty can make it difficult for an older person to respond this need. At end of life, mobility is often compromised and people can experience extreme fatigue. Caregivers can obtain support to manage an individual's incontinence during the day but often struggle alone at night. Caregivers can become exhausted and a situation can reach breaking point. Working with the older person and caregivers to determine the goals of care and how to meet them can make a huge difference. It can take the pressure off the entire family, meet a person's needs and enable the person to stay at home. This article aims to enable nurses to understand the problems older people may experience and how to work with the older person and caregivers to develop solutions that maintain dignity and enhance quality of life.

Skin Tears in Older People

2020 ◽  
Vol 35 (9) ◽  
pp. 379-387
Author(s):  
Chevannah Hardie ◽  
Jeannette Y. Wick
Keyword(s):  
Older People ◽  
Daily Living ◽  
Common Occurrence ◽  
Treatment Needs ◽  
Dermal Thickness ◽  
Age Related ◽  
Skin Tears ◽  
Risk Factor Prevention ◽  
Development Risk ◽  
Age Related Changes

Skin tears are a common occurrence in older people, though many are unfamiliar with them until late in life. These painful wounds are more likely to occur with age as the skin experiences age-related changes. Numerous factors including declining dermal thickness and loss of elasticity contribute to their development. Risk increases in patients who need assistance with activities of daily living or who need help transferring from bed or chair. Polypharmacy is a risk factor. Prevention is the best approach, but once skin tears develop, treatment needs to be tailored to the tear's grade.

Eye disease in older people

2013 ◽  
Vol 23 (3) ◽  
pp. 234-250 ◽  
Author(s):  
Robert MJ Purbrick ◽  
John J Ah-Chan ◽  
Susan M Downes
Keyword(s):  
Older People ◽  
Physical Disability ◽  
Eye Disease ◽  
Pathological Changes ◽  
Poor Vision ◽  
Age Related ◽  
Quality Of Vision ◽  
Normal Ageing ◽  
Age Related Changes

SummaryAge-related changes affect all structures of the eye, and while age-related changes may influence the quality of vision, it is important to distinguish age-related physiological changes from pathological changes. This is important particularly when identifying pathological changes that may be treatable. The prevalence of visual loss increases substantially after 60 years of age and poor vision is the second most prevalent physical disability in older people. This review describes the normal ageing changes of the eye and outlines common ophthalmic diseases affecting older people. We refer to recent advances in diagnosis and treatment, and relevant current research.

Forced relocation between nursing homes: residents' health outcomes and potential moderators

2012 ◽  
Vol 22 (4) ◽  
pp. 301-319 ◽  
Author(s):  
Jacquetta M Holder ◽  
David Jolley
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Health Outcomes ◽  
Psychological Health ◽  
Care Home ◽  
Well Being ◽  
Adverse Outcomes ◽  
Legal Challenges ◽  
Forced Relocation ◽  
Poor Outcomes

SummaryThat transfer of older people from one institution to another is detrimental to well-being, health and survival has been reported for 50 years. This has led to fear, anger and legal challenges when closures occur. Previous reviews identified accounts of relocation followed by adverse outcomes and others where problems were avoided or benefits claimed. This paper reviews the last twelve years of literature on health outcomes following involuntary relocation between nursing homes. Reports of post-move mortality, physical or psychological health suggest and confirm that relocation without preparation carries higher risk of poor outcomes than moves that are orderly and include preparation. The literature on the care home closure process, admissions and individual transfers offers insights into practices that might help minimize adverse outcomes. A number of agencies have produced helpful guidelines. How these are implemented needs to be monitored and linked to in-depth studies of sample closures.

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