The Relationship of Wellness IT Service Characteristics and Intention to Use in Long-Term Care Facilities for the Elderly

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

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High coverage COVID-19 mRNA vaccination rapidly controls SARS-CoV-2 transmission in long-term care facilities

Communications Medicine ◽

10.1038/s43856-021-00015-1 ◽

2021 ◽

Vol 1 (1) ◽

Author(s):

Pablo M. De Salazar ◽

Nicholas B. Link ◽

Karuna Lamarca ◽

Mauricio Santillana

Keyword(s):

Long Term Care ◽

Mitigation Strategies ◽

Key Factors ◽

Modeling Framework ◽

High Coverage ◽

Term Care ◽

Early Effect ◽

Care Facilities ◽

The Relationship

Abstract Background Residents of Long-Term Care Facilities (LTCFs) represent a major share of COVID-19 deaths worldwide. Measuring the vaccine effectiveness among the most vulnerable in these settings is essential to monitor and improve mitigation strategies. Methods We evaluate the early effect of the administration of BNT162b2-mRNA vaccine to individuals older than 64 years residing in LTCFs in Catalonia, Spain. We monitor all the SARS-CoV-2 documented infections and deaths among LTCFs residents once more than 70% of them were fully vaccinated (February–March 2021). We develop a modeling framework based on the relationship between community and LTCFs transmission during the pre-vaccination period (July–December 2020). We compute the total reduction in SARS-CoV-2 documented infections and deaths among residents of LTCFs over time, as well as the reduction in the detected transmission for all the LTCFs. We compare the true observations with the counterfactual predictions. Results We estimate that once more than 70% of the LTCFs population are fully vaccinated, 74% (58–81%, 90% CI) of COVID-19 deaths and 75% (36–86%, 90% CI) of all expected documented infections among LTCFs residents are prevented. Further, detectable transmission among LTCFs residents is reduced up to 90% (76–93%, 90% CI) relative to that expected given transmission in the community. Conclusions Our findings provide evidence that high-coverage vaccination is the most effective intervention to prevent SARS-CoV-2 transmission and death among LTCFs residents. Widespread vaccination could be a feasible avenue to control the COVID-19 pandemic conditional on key factors such as vaccine escape, roll out and coverage.

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Pattern of Use of Antidepressants in Long-Term Care Facilities for the Elderly

Topics in geriatrics ◽

10.1177/002383099200500408 ◽

1992 ◽

Vol 5 (4) ◽

pp. 228-232 ◽

Cited By ~ 2

Author(s):

David K. Conn ◽

Zalman Goldman

Keyword(s):

Long Term Care ◽

The Elderly ◽

Term Care ◽

Care Facilities

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A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities

Korean Journal of Adult Nursing ◽

10.7475/kjan.2016.28.6.669 ◽

2016 ◽

Vol 28 (6) ◽

pp. 669 ◽

Cited By ~ 1

Author(s):

Hyoungshim Choi

Keyword(s):

Concept Mapping ◽

Long Term Care ◽

The Elderly ◽

Mapping Study ◽

Good Service ◽

Term Care ◽

Service Experience ◽

Care Facilities

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Care and management demands of long-term care facilities for the elderly in Brazil: an integrative review (2004-2014)

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160053 ◽

2017 ◽

Vol 20 (2) ◽

pp. 286-299 ◽

Cited By ~ 3

Author(s):

Fátima Ferreira Roquete ◽

Carolina Campos Ricci Frá Batista ◽

Rodrigo Caetano Arantes

Keyword(s):

Long Term Care ◽

Quality Care ◽

The Elderly ◽

Integrative Review ◽

Elderly Persons ◽

Term Care ◽

Care For The Elderly ◽

Care Facilities ◽

Care Demands

Abstract Objective: to analyze the care and management demands of Long-Term Care Facilities for the Elderly (LTCFs) in Brazil. Method: an integrative review of literature was carried out, organized into six stages: a) elaboration of a guiding question; b) online search of LILACS, SciELO, PubMed, the CAPES Portal and the Brazilian Society of Geriatrics and Gerontology databases; c) article selection, following the exclusion and inclusion criteria, with the sample composed of 17 articles; d) commented analysis of the selected articles; e) deliberation on the results obtained, formulated from the synthesis and interpretation of the selected studies; f) presentation of the results of the review. Results: the care demands identified are related to the process of caring and assume a working team with geriatric and gerontological knowledge, while the management demands include the means and resources needed so the care can be provided effectively. However, the LTCFs were found to rely on professionals who are unprepared to provide care or to assume an organizational management role, meaning care for the elderly is restricted to the essentials for their basic needs. Conclusion: the care demands were easily identified in the analyzed publications, however, there is a lack of research that evaluates management demands in a broader and more in-depth manner. It is suggested that studies aiming to broaden theoretical knowledge of the care and management demands of LTCFs are carried out, to stimulate effective and positive actions in the practices of these institutions, seeking to offer top quality care to elderly persons that live in these facilities, that responds to the real needs of their current stage of life.

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