scholarly journals Prevalence of and factors associated with head impact during falls in older adults in long-term care

2013 ◽  
Vol 185 (17) ◽  
pp. E803-E810 ◽  
Author(s):  
R. Schonnop ◽  
Y. Yang ◽  
F. Feldman ◽  
E. Robinson ◽  
M. Loughin ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Head Impact ◽  
Term Care ◽  
Factors Associated ◽  
Falls In Older Adults

scholarly journals Effect of Holding Objects on the Occurrence of Head Impact in Falls by Older Adults: Evidence From Real-Life Falls in Long-Term Care

2020 ◽  
Author(s):  
Vicki Komisar ◽  
Nataliya Shishov ◽  
Yijian Yang ◽  
Stephen N Robinovitch
Keyword(s):  
Older Adults ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Long Term Care ◽  
Weight Bearing ◽  
Real Life ◽  
Head Impact ◽  
Term Care ◽  
Validated Questionnaire

Abstract Background Falls cause approximately 80% of traumatic brain injuries in older adults, and nearly one third of falls by residents in long-term care (LTC) result in head impact. Holding objects during falls, such as mobility aids, may affect the ability of LTC residents to avoid head impact by arresting the fall with their upper limbs. We examined the prevalence of holding objects and their effect on risk for head impact during real-life falls in older adults living in LTC. Methods We analyzed videos of 1105 real-life falls from standing height by 425 LTC residents, using a validated questionnaire to characterize the occurrence of head impact and whether the resident held objects during descent and impact. We classified objects as either “weight-bearing” (via contact to the fixed environment, eg, chairs and walkers) or “non-weight-bearing” (eg, cups) and tested their effect on odds for head impact with generalized estimating equations. Results Residents held objects in more than 60% of falls. The odds for head impact were reduced for falls where weight-bearing objects were held or grasped during descent (odds ratio = 0.52; 95% confidence interval = 0.39–0.70) or maintained throughout the fall (odds ratio = 0.34; 95% confidence interval = 0.23–0.49). The most commonly held objects were chairs/wheelchairs (23% of cases), tables/counters (10% of cases), and walkers/rollators (22% of cases); all reduced the odds of head impact when held during descent. Holding non-weight-bearing objects did not affect the odds of head impact (odds ratio = 1.00; 95% confidence interval = 0.64–1.55). Conclusion Our results show that older adults in LTC use held, weight-bearing objects to reduce their risk for head impact during falls.

scholarly journals Frailty and Sarcopenia as a Geriatric Syndrome in Community-Dwelling Older Adults

2019 ◽  
Vol 16 (20) ◽  
pp. 4013
Author(s):  
Hyuma Makizako
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Dwelling ◽  
Geriatric Syndrome ◽  
Term Care ◽  
Factors Associated ◽  
Community Dwelling Older Adults

Geriatric syndrome refers to a series of symptoms and observations caused by a variety of factors associated with aging, where the older adults show the treatment consciously or otherwise, and long-term care becomes important at the same time [...]

Factors Associated with Denture Non-use in Older Adults Requiring Long-Term Care

2021 ◽  
pp. 104412
Author(s):  
Ayami Meguro ◽  
Yuki Ohara ◽  
Ayako Edahiro ◽  
Maki Shirobe ◽  
Masanori Iwasaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Factors Associated

scholarly journals Factors associated with the responsive behaviours of older adults living in long-term care homes towards staff: a systematic review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028416 ◽  
Author(s):  
Yuting Song ◽  
Matthias Hoben ◽  
Lori Weeks ◽  
Anne-Marie Boström ◽  
Zahra S Goodarzi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Long Term Care ◽  
Grey Literature ◽  
Quality Of Work Life ◽  
Publication Date ◽  
Term Care ◽  
Factors Associated

IntroductionIn the last decade, increasing research interest has been expressed in responsive behaviours of older adults living in long-term care (LTC) homes, including nursing homes and assisted living facilities. Responsive behaviours are not only a sign of underlying unmet needs, but when directed against (towards) paid staff can lead to decreased quality of work life, and may contribute to lower quality of care. In this systematic review, we aim to synthesise empirically based quantitative and qualitative evidence on factors and stakeholder (eg, staff and family members) experiences of factors associated with the responsive behaviours of people living in LTC directed towards staff.Methods and analysisThis study will be a systematic review of published and ‘grey’ literature. Twelve bibliographical databases will be searched, and for each database, we will use appropriate subject headings and keywords that cover two concepts: LTC and responsive behaviour. No publication date or language filter will be used. The title and abstract of each extracted record will be screened, followed by screening of full text of included papers. Then data extraction and quality assessments will be undertaken. Each stage will be completed independently by pairs of authors. For quantitative studies, meta-analysis will be conducted if pooling is possible; otherwise, a critical narrative analysis will be conducted. For qualitative studies, thematic analysis will be conducted. Factors will then be organised at the individual, interpersonal, institutional and larger societal levels. Sensitivity analysis will be conducted to explore the influence of risk of bias and publication bias on the results. Subgroup analysis will be conducted for people who live with dementia and those who do not.Ethics and disseminationEthics approval is not required for this systematic review. The results of this study will be disseminated via peer-reviewed publication and presentation at professional conferences.

scholarly journals Factors associated with willingness to enter long-term care facilities among older adults in Chengdu, China

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202225 ◽  
Author(s):  
Ziyue Huang ◽  
Qingyue Liu ◽  
Hongdao Meng ◽  
Danping Liu ◽  
Debra Dobbs ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Term Care ◽  
Factors Associated ◽  
Care Facilities

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

Sign in / Sign up

Export Citation Format

Share Document