scholarly journals The role of geriatric assessment tests and anthropometric measurements in identifying the risk of falls in elderly nursing home residents

2016 ◽  
Vol 37 (10) ◽  
pp. 1101-1108 ◽  
Author(s):  
Bulent Yardimci ◽  
Sinan Aran ◽  
Ismail Ozkaya ◽  
Sevki Aksoy ◽  
Tarik Demir ◽  
...  
Keyword(s):  
Nursing Home ◽  
Geriatric Assessment ◽  
Nursing Home Residents ◽  
Anthropometric Measurements ◽  
Assessment Tests ◽  
Risk Of Falls ◽  
Falls In Elderly

scholarly journals The process of transprofessional collaboration: how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

2020 ◽  
Vol 8 (4) ◽  
pp. e000378
Author(s):  
Ryohei Goto ◽  
Junji Haruta
Keyword(s):  
Nursing Home ◽  
Action Research ◽  
Physical Therapist ◽  
Nursing Home Residents ◽  
Research Approach ◽  
Action Research Approach ◽  
Informal Interview ◽  
Trial Basis ◽  
Field Notes

ObjectivesTo clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical therapist.DesignThis study was conducted under an action research approach.SettingThe target facility was a nursing home located in Japan. The researcher, a physical therapist, worked at the nursing home once a week from April 2016 to March 2017. During the study period, he created field notes focused on the dialogue and action of caregivers regarding care, responses of caregivers to the physical therapist and reflections as a physical therapist. Caregivers were also given a short informal interview about their relationship with the nursing home residents. For data analysis, two researchers discussed the content based on the field notes, consolidating the findings.ParticipantsThe participants were caregivers who worked at the target facility. Thirty-eight caregivers agreed to participate. Average age was 39.6±11.1 years, 14 (37%) were male and average caregiver experience was 9.8 years.ResultsTwo cycles of action research were conducted during the study period. There were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical therapist. First, caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their responsibility. However, the caregivers were given a shared perspective on rehabilitation by the physical therapist, which helped them to understand the meaning of care to adapt the residents’ abilities to their daily life. They practised resident-centred care on a trial basis, although with a sense of conflict between their new and previous role, which emphasised the safety of residents’ lives and personhood. The caregivers increased their self-efficacy as their knowledge and skills were supplemented by the physical therapist and his approval of their attempted care. They were then able to commit to their newly conceived specialty of care as a means of supporting the lives of residents.ConclusionsThe process of working with a physical therapist led to a change in caregivers’ perception and behaviours, which occurred in four stages: resistance to incorporation, recapture of other perspectives, conflicts and trials in the role of caregiver and transformation to a resident-centred perspective.

Advocacy for The Mentally Impaired Elderly: A Case Study Analysis

1989 ◽  
Vol 14 (4) ◽  
pp. 353-376 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
Marshall B. Kapp
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Self Advocacy ◽  
State Laws ◽  
Case Study Analysis ◽  
Appropriate Treatment ◽  
Mentally Impaired ◽  
And Training

The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

Benzodiazepines and the Risk of Falls in Nursing Home Residents

2000 ◽  
Vol 48 (6) ◽  
pp. 682-685 ◽  
Author(s):  
Wayne A. Ray ◽  
Purushottam B. Thapa ◽  
Patricia Gideon
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Risk Of Falls

Etiology of dependence in older nursing home residents during morning care: The role of staff behavior.

1980 ◽  
Vol 38 (3) ◽  
pp. 423-431 ◽  
Author(s):  
Elizabeth M. Barton ◽  
Margret M. Baltes ◽  
Mary J. Orzech
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Staff Behavior

Prevalence of Pain in Nursing Home Residents: The Role of Dementia Stage and Dementia Subtypes

2017 ◽  
Vol 18 (6) ◽  
pp. 522-527 ◽  
Author(s):  
Janine van Kooten ◽  
Martin Smalbrugge ◽  
Johannes C. van der Wouden ◽  
Max L. Stek ◽  
Cees M.P.M. Hertogh
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Prevalence Of Pain

A Higher Dose of Vitamin D Reduces the Risk of Falls in Nursing Home Residents: A Randomized, Multiple-Dose Study

2007 ◽  
Vol 55 (2) ◽  
pp. 234-239 ◽  
Author(s):  
Kerry E. Broe ◽  
Tai C. Chen ◽  
Janice Weinberg ◽  
Heike A. Bischoff-Ferrari ◽  
Michael F. Holick ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Multiple Dose ◽  
Nursing Home Residents ◽  
Multiple Dose Study ◽  
Dose Study ◽  
Risk Of Falls

scholarly journals Comparison of static balance and mobility between nursing home residents and community-dwelling elderly.

2020 ◽  
pp. 1-6
Author(s):  
Livia Marcondes Faber ◽  
Lara Alves Moreira ◽  
Marcos Eduardo Scheicher
Keyword(s):  
Nursing Home ◽  
Linear Regression Analysis ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Coefficient Of Determination ◽  
Static Balance ◽  
Index Number ◽  
Community Group ◽  
Timed Up And Go ◽  
Risk Of Falls

Background: Postural control is considered to be a complex motor skill derived from the interaction of multiple sensorimotor processes. Objectives: To compare the static balance and mobility of nursing home residents with community-dwelling elderly and verify which confounders imply in a worse postural balance on nursing home residents. Methods: Were included elderly aged 60 and more, both sexes, living at nursing homes (NHs) and at the community. The static balance was evaluated by a force platform and the mobility by the Timed Up and Go test (TUG). The confounders available were length of institutionalization, age, gender, body mass index, number of falls and number of medication. Comparisons were made by unpaired t-tests and by the Mann-Whitney test. The risk of falls was evaluated by Fisher’s Exact Test. Pearson or Spearman correlation analysis was performed to identify the independent variables with a significant relationship with the dependent variables. The simple linear regression analysis and R2 was analyzed to ascertain the coefficient of determination of the percentage variation. A value of p≤0.05 was considered significant. Results: 21 nursing home residents and 21 community-dwelling elderly were included. The NHs residents presented significantly higher values of COP oscillation than the community group (total displacement: p=0.0002; mean velocity: p=0.001, 95% ellipse area: p=0,04, and standard deviation in the frontal plane: p=0.01). The NHs group presented longer time to perform the TUG test than the community group (17.28±4.5 s and 13.21±3.9 s, p=0.002). Was observed that the number of medications showed a significant correlation with the TUG (r=0.52; p=0.01), and none variable showed correlation with the static balance. Conclusion: The results showed that the nursing home residents with a normal cognitive condition had greater center of gravity oscillation, worse mobility, and higher risk of falls than community elders. In addition, it was found that in nursing home residents, the ingestion of five or more drugs had relation with mobility.

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