Does the Meeting Centres Support Programme reduce unmet care needs of community-dwelling older people with dementia? A controlled, 6-month follow-up Polish study

The purpose of this paper is to report the findings of an integrative review of the literature on medication management for individuals who live in the community and have both chronic illness and mild to moderate dementia. The aim of the review was to summarise what is known about this topic, evaluate and compare previous research on the topic of medication management for people with dementia, and locate gaps in current work, thus pointing to directions for future research. Dementia is a national health priority for Australia. A significant component of community care for people with dementia is the management and administration of the medications required for other chronic conditions. Medication management is a broad term that encompasses several aspects, such as client-centred medication review, rational prescribing and support, repeat prescribing, client information/education, capacity to communicate with multiple health providers and having access to medicines. Cognitive impairment has been associated with medication management issues so it is important to ensure quality outcomes of medicine use by community-dwelling older people with dementia. The literature revealed a number of issues, such as the importance of person-centred care, the need for the coordination of care, and consumer partnerships in medication management. These are all important considerations in planning primary care services to support people with dementia and chronic illnesses. People with dementia who have chronic illness require coordinated, tailored, and flexible care processes in the community. There exists a range of services and programs such as home medicine reviews to support people living in the community with chronic illness and dementia; however, there is little coordination of care and evaluation of interventions is, at best, inconsistent. Currently, Australia lacks an integrative primary health care (PHC) framework, within which consumer involvement in decision-making and/or care planning is valued and sought. Current services are limited in the degree to which there is collaboration between key partners and Australian PHC initiatives are fragmented and have limited impact on service delivery.

Download Full-text

Psychosocial resources related to survival among non-robust community-dwelling older people: an 18-year follow-up study

European Geriatric Medicine ◽

10.1007/s41999-020-00300-7 ◽

2020 ◽

Vol 11 (3) ◽

pp. 475-481

Author(s):

Sirkku Lavonius ◽

Marika Salminen ◽

Tero Vahlberg ◽

Raimo Isoaho ◽

Sirkka-Liisa Kivelä ◽

...

Keyword(s):

Older People ◽

Community Dwelling ◽

Psychosocial Resources ◽

Follow Up Study ◽

Community Dwelling Older People

Download Full-text

Systematic review of EASY-care needs assessment for community-dwelling older people

Age and Ageing ◽

10.1093/ageing/afv050 ◽

2015 ◽

Vol 44 (4) ◽

pp. 559-565 ◽

Cited By ~ 17

Author(s):

Christopher Craig ◽

Neil Chadborn ◽

Gina Sands ◽

Helena Tuomainen ◽

John Gladman

Keyword(s):

Systematic Review ◽

Older People ◽

Needs Assessment ◽

Community Dwelling ◽

Care Needs ◽

Community Dwelling Older People

Download Full-text

Unmet care needs are common among community-dwelling older people with memory problems in Finland

Scandinavian Journal of Public Health ◽

10.1177/1403494819890800 ◽

2019 ◽

pp. 140349481989080 ◽

Cited By ~ 1

Author(s):

Mari S. Aaltonen ◽

Lina H. Van Aerschot

Keyword(s):

Home Care ◽

Older People ◽

Home Care Services ◽

Community Dwelling ◽

Care Needs ◽

Care Services ◽

Memory Problems ◽

More Care ◽

Community Dwelling Older People ◽

With Memory

Aims: Ageing in place has become a policy priority. Consequently, residential care has been reduced, and more older people with multiple care needs reside at home with the help of informal care and home care services. An increasing share of these people has memory disorders. We examined the extent to which memory problems, in addition to other individual characteristics, are associated with unmet care needs among community-dwelling older people. Methods: The study employed cross-sectional survey data from community-dwelling people aged 75+ collected in 2010 and 2015, analysed using binary logistic regression analysis. The study population consisted of people who had long-term illnesses or disabilities that limited their everyday activities ( N = 1928). Nine per cent reported substantial memory problems. Of these, 35.7% had a proxy respondent. Results: People with memory problems have more care needs than those with other types of disability or illness. They receive more care but still have more unmet needs than others. About a quarter of people with memory problems reported that they did not receive enough help. This result did not change significantly when the proxy responses were excluded. Even a combination of informal and formal home care was insufficient to meet their needs. Conclusions: Insufficient care for people with memory problems implies a serious demand for further development of home care services. The care needs of this population are often complex. Unmet needs represent a serious risk to the well-being of people with memory disorders, and may also create an extensive burden on their informal caregivers.

Download Full-text

Fall-related efficacy is a useful and independent index to detect fall risk in Japanese community-dwelling older people: a 1-year longitudinal study

BMC Geriatrics ◽

10.1186/s12877-019-1318-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Naoto Kamide ◽

Yoshitaka Shiba ◽

Miki Sakamoto ◽

Haruhiko Sato ◽

Akie Kawamura

Keyword(s):

Risk Factors ◽

Older People ◽

Physical Performance ◽

Fall Risk ◽

Community Dwelling ◽

Confounding Factors ◽

Potential Risk Factors ◽

Community Dwelling Older People ◽

Walking Time

Abstract Background Fall-related efficacy has been found to be associated with both falls and fall risk factors such as physical performance. The aim of the present study was to clarify whether fall-related efficacy is, independent of physical performance and other potential risk factors, associated with future falls in community-dwelling older people. Methods The study participants were 237 Japanese older people aged 65 years and over who were living independently in their community. Fall-related efficacy and physical performance were assessed at baseline using the short version of the Falls Efficacy Scale-International (short FES-I) and 5-m walking time, the Timed Up and Go Test, the 5 Times Sit to Stand Test, and grip strength. Physical performance was then again assessed at 1-year follow-up. The number of falls was obtained every 6 months for 1 year after the baseline survey. Instrumental activities of daily living (IADL), depression, fall history, current medications, medical history, and pain were also investigated as potential confounding factors that have possible associations with falls. The associations between the short FES-I, physical performance, and number of falls were analyzed using Poisson regression analysis adjusted for physical performance and potential confounding factors. Results The mean age of the participants (75.9% women) was 71.1 ± 4.6 years, and 92.8% could perform IADL independently. The total numbers of falls and fallers during the 1-year follow-up period were 70 and 42, respectively. On Poisson regression analysis adjusted for walking time and potential confounding factors, independent of physical performance, the short FES-I was found to be significantly associated with number of falls (relative risk = 1.09, p < 0.05). On the other hand, physical performance was not significantly associated with the number of falls. Conclusions The findings of the present study suggest that the short FES-I, independent of physical performance and other potential risk factors, is a useful index to detect fall risk in community-dwelling older people, and that fall-related efficacy is an important factor in terms of fall prevention.

Download Full-text