The Inter-Rater Reliability of the Observation Instrument for Assessing Pain in Elderly With Dementia: An Investigation in the Long-Term Care Setting

2017 ◽  
Vol 25 (3) ◽  
pp. E173-E184 ◽  
Author(s):  
Gerhard Mueller ◽  
Petra Schumacher ◽  
Elisabeth Holzer ◽  
Martin Pallauf ◽  
Eva Schulc
Keyword(s):  
Care Setting ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional ◽  
Term Care ◽  
Convenience Sample ◽  
Rater Reliability ◽  
Observation Instrument

Background and Purpose: The Observation Instrument for Assessing Pain in Elderly With Dementia (BISAD) was developed in Germany. The instrument demonstrated high interrater reliability values for the original French version. So far, there are no results to that effect in the Austrian long-term care setting available. The objective of this study was to investigate agreement and inter-rater reliability of BISAD in residents with dementia. Methods: A quantitative multicenter-descriptive cross-sectional design with a convenience sample of 71 residents. Results: Analysis of all eight items demonstrated fair to moderate concordance. Absolute agreement of the total value was 25.32%. Subtotals of the observation before mobilization was 52.11%, and during mobilization 32.39%. Conclusion: The reliability analysis shows that the items are less reliable. Currently, BISAD does not make a reliable contribution to clinical decision making in the tested setting.

Home Telecare, Medical Implant, and Mobile Technology

2013 ◽  
pp. 222-237
Author(s):  
Vishaya Naidoo ◽  
Yedishtra Naidoo
Keyword(s):  
Mobile Technology ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Technological Solution ◽  
Term Care ◽  
Mobile Wireless ◽  
Global Aging ◽  
Mobile Wireless Technology

With a rapidly expanding global aging population, alternatives must be developed to minimize the inevitable increase in acute and long-term care admissions to the health care system. This chapter explores the use of home telecare as an alternative medical approach to managing this growing trend, while also providing superior care to geriatric patients. To address some of the emergent disadvantages of home telecare concerning usability, self-management, and confinement to the home, the use of a cardiac implant in conjunction with a mobile device—to assist in the management of chronic heart failure in seniors—is proposed as a promising technological solution to overcoming these limitations. Ultimately, it seems that the growth of home telecare, as well as the great potential to enhance its services with the use of mobile wireless technology, stands to drastically improve clinical decision-making and management of health services in the future.

Home Telecare, Medical Implant, and Mobile Technology

2016 ◽  
pp. 1658-1673
Author(s):  
Vishaya Naidoo ◽  
Yedishtra Naidoo
Keyword(s):  
Mobile Technology ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Technological Solution ◽  
Term Care ◽  
Mobile Wireless ◽  
Global Aging ◽  
Mobile Wireless Technology

With a rapidly expanding global aging population, alternatives must be developed to minimize the inevitable increase in acute and long-term care admissions to the health care system. This chapter explores the use of home telecare as an alternative medical approach to managing this growing trend, while also providing superior care to geriatric patients. To address some of the emergent disadvantages of home telecare concerning usability, self-management, and confinement to the home, the use of a cardiac implant in conjunction with a mobile device—to assist in the management of chronic heart failure in seniors—is proposed as a promising technological solution to overcoming these limitations. Ultimately, it seems that the growth of home telecare, as well as the great potential to enhance its services with the use of mobile wireless technology, stands to drastically improve clinical decision-making and management of health services in the future.

Older adults' views on their person-centred care needs in a long-term care setting in Ireland

2019 ◽  
Vol 28 (9) ◽  
pp. 552-557 ◽  
Author(s):  
Fiona Kelly ◽  
Mary Reidy ◽  
Suzanne Denieffe ◽  
Catherine Madden
Keyword(s):  
Older Adults ◽  
Care Setting ◽  
Long Term Care ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Term Care

Background: person-centred care should be responsive to the needs of older adults in long-term care. It is central to collaborative and high-quality healthcare delivery. Aim: to explore the perceptions of older Irish adults aged 65 years of age or more regarding the person-centred climate of the long-term care setting in which they live. Method: a cross-sectional study design using the Person-centered Climate Questionnaire–Patient (PCQ-P) was used to survey 56 older adults in a long-term care setting. Results: overall, residents considered the setting to be hospitable, welcoming, clean and safe; the mean (SD) scale score was 5.39 (0.520). Psychosocial concerns about adapting to living in long-term care environments need to be addressed, particularly among the younger male residents when compared with older male residents (53.8% v 86.7%, P=0.018). Conclusion: older people in long-term care may prioritise different facets of person-centredness to staff. Further research of approaches used in Irish older adult long-term person-centred care delivery is warranted.

scholarly journals Clinical Questions Asked by Long-Term Care Providers Through eConsult: A Retrospective Study

2021 ◽  
Vol 7 ◽  
pp. 233372142110320
Author(s):  
Celeste Fung ◽  
Soha Shah ◽  
Mary Helmer-Smith ◽  
Cheryl Levi ◽  
Erin Keely ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Primary Care Providers ◽  
Question Type ◽  
Care Providers ◽  
Term Care ◽  
Case Examples

Introduction eConsult allows primary care providers (PCPs) to access timely specialist advice and informs patient care. To understand the use of eConsult in long-term care (LTC) settings, we examined the clinical content and types of questions asked by LTC PCPs. Methods A descriptive, retrospective study of eConsults submitted through the Champlain BASE™ eConsult Service between January 1, 2017, and December 31, 2018, by LTC PCPs was conducted. Cases were classified using validated taxonomies. Descriptive statistics were generated for content and question type classifications, service utilization data, and close-out survey responses. Results 22 LTC PCPs submitted 113 eConsults. They sought advice about drug treatment (58%), diagnosis (44%), and management (38%) in a breadth of clinical areas, often skin-related (39%). Long-term care PCPs frequently asked more than one question type (42%). They received advice within 1 week (91%) and rated eConsult as very helpful and educational. Three case examples are presented. Conclusion This study demonstrates the type of advice LTC PCPs are seeking through eConsult and its usefulness in this setting. Long-term care stakeholders are encouraged to consider implementing eConsult in other regions, as a means to improve access to timely specialist advice, support clinical decision-making, and improve residents’ quality of life.

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