Life Review: Preventing Despair in Newly Relocated Nursing Home Residents Short- and Long-Term Effects

Relocation to a nursing home places frail elders at risk for developing depression and suicide ideation. This study followed two hundred and fifty-six newly relocated nursing home residents for five years. Using a Solomon Four research design, participants were divided into four groups, two control and two experimental, one each with pretesting and all with posttesting. Participants in the control groups received a friendly visit and those in the experimental groups received the intervention of life review. Immediate short-term results showed the life review to be an effective preventive intervention for clinical depression ( p = .05). Additionally, when looking at long-term effects at one year, there were significant decreases in depression ( p = .05), hopelessness ( p = .01), and psychological well-being ( p = .02) with measurable increases in life satisfaction ( p = .08). These findings support the hypothesis that life review prevents despair in frail elders newly admitted to a nursing home.

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From wave to wave: a Dutch national study on the long-term impact of COVID-19 on well-being and family visitation in nursing homes

BMC Geriatrics ◽

10.1186/s12877-021-02530-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ramona Backhaus ◽

Hilde Verbeek ◽

Bram de Boer ◽

Judith H. J. Urlings ◽

Debby L. Gerritsen ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Family Members ◽

Nursing Home Residents ◽

Well Being ◽

Study Data ◽

National Study ◽

Long Term Effects ◽

Long Term Impact

Abstract Background To protect nursing home residents, many governments around the world implemented blanket visitor bans in March and April 2020. As a consequence, family caregivers, friends, and volunteers were not allowed to enter nursing homes, while residents were not allowed to go out. Up until now, little is known on the long-term consequences and effects of visiting bans and re-opening of nursing homes. The aim of the study was to assess the long-term effects of the pandemic on residents, family members, and staff, and their preparedness for the next coronavirus wave. Methods A mixed-methods approach was used, consisting of a questionnaire and analyses of documentation (local visiting protocols). Of the 76 nursing home locations that participated in a Dutch national pilot on welcoming visitors back into nursing homes, 64 participated in this follow-up study. Data were collected in September/October 2020. For each nursing home, one contact person completed the questionnaire. Descriptive statistics were calculated for quantitative questionnaire data. Data on open-ended questions, as well as data from the documentation, were analyzed thematically. Results The study demonstrated that the consequences of strict visiting bans do not disappear at the moment the visiting ban is lifted. Although in October 2020, daily life in nursing homes was more “back to normal,” more than one-third of the respondents indicated that they still applied restrictions. Compared to the situation before the pandemic, fewer volunteers were working in the nursing homes, grandchildren visited their relative less often, and visits differed. Conclusions Five months after the visiting ban in Dutch nursing homes had been lifted, it still had an impact on residents, family members, and staff. It is questionable whether nursing homes feel prepared for welcoming visitors in the case of new COVID-19 infections. Nursing homes indicated that they felt prepared for the next wave, while at the same time, they were particularly concerned about staff well-being and vitality. It seems wise to invest in staff well-being. In addition, it seems desirable to think about how to support nursing homes in seeking a balance between infection prevention and well-being of residents, family members, and staff.

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The Extended Effects of the Life Review in Nursing Home Residents

The International Journal of Aging and Human Development ◽

10.2190/qu66-e8uv-nymr-y99e ◽

2000 ◽

Vol 50 (2) ◽

pp. 151-168 ◽

Cited By ~ 59

Author(s):

Barbara K. Haight ◽

Yvonne Michel ◽

Shirley Hendrix

Keyword(s):

Life Satisfaction ◽

Nursing Home ◽

Nursing Home Residents ◽

Well Being ◽

Self Esteem ◽

Life Review ◽

Therapeutic Effects ◽

One Year ◽

Over Time

To date, there is little information on the therapeutic effects of the life review beyond one year. This analysis followed fifty-two of 256 subjects who lived for at least three years in a nursing home. These participants received either a life review or friendly visit and took part in four repeated testings to determine the lasting effects of the life review at two and three years. Measures of integrity (life satisfaction, psychosocial well being, self-esteem) and despair (depression, hopelessness, and sucide intent) were used as pretest, posttest, and retest. Results showed a trend toward continued and by year three significant improvement over time in those who received the life review on measures of depression ( t = −2.20, p < .03), life satisfaction ( t = 2.51, p < .02), and self-esteem ( t = −2.31, p < .03).

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Long-term effects of giving nursing home residents bread fortified with 125 μg (5000 IU) vitamin D3 per daily serving

American Journal of Clinical Nutrition ◽

10.3945/ajcn.2008.26890 ◽

2009 ◽

Vol 89 (4) ◽

pp. 1132-1137 ◽

Cited By ~ 66

Author(s):

Veronica Mocanu ◽

Paul A Stitt ◽

Anca Roxana Costan ◽

Otilia Voroniuc ◽

Eusebie Zbranca ◽

...

Keyword(s):

Nursing Home ◽

Vitamin D3 ◽

Nursing Home Residents ◽

Long Term Effects ◽

Daily Serving

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Effects of life review program on emotional well-being of Korean elderly with Alzheimer’s disease

American Journal of Recreation Therapy ◽

10.5055/ajrt.2008.0014 ◽

2008 ◽

Vol 7 (2) ◽

pp. 35

Author(s):

Yongho Lee, PhD, CTRS ◽

Carla E. S. Tabourne, PhD ◽

Jaesub Yoon, PhD

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Aging Process ◽

Well Being ◽

Self Esteem ◽

Life Review ◽

Therapeutic Recreation ◽

Long Term Effects ◽

Korean Elderly

Emotional well-being is an important aspect of health for individuals with Alzheimer's disease, and self-esteem, depression, and life satisfaction have been identified as factors that comprise emotional well-being. As individuals undergo physical and psychological change associated with aging process, they tend to review their lives to achieve a sense of well-being in an effort to compensate for loss due to aging process. It evidences in the literature that the life review program (LRP) is an effective therapeutic recreation intervention to increase emotional well-being of elders with Alzheimer’s disease. With 17 Korean elders with Alzheimer’s disease, the findings of the current study showed some significant effects on Korean elderly with Alzheimer's disease in their emotional well-being. Although long-term effects of the LRP were questionable, the LRP was effective to make a therapeutic change in emotional well-being of Korean elderly with Alzheimer's disease.

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A multicomponent exercise intervention to improve physical functioning, cognition and psychosocial well-being in elderly nursing home residents: a study protocol of a randomized controlled trial in the PROCARE (prevention and occupational health in long-term care) project

BMC Geriatrics ◽

10.1186/s12877-019-1386-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 5

Author(s):

Thomas Cordes ◽

Laura L. Bischoff ◽

Daniel Schoene ◽

Nadja Schott ◽

Claudia Voelcker-Rehage ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Physical Functioning ◽

Exercise Intervention ◽

Controlled Trial ◽

Nursing Home Residents ◽

Well Being ◽

Term Care

Abstract Background Older adults, who are living in nursing homes that provide a high level of long-term nursing care, are characterized by multimorbidity and a high prevalence of dependency in activities of daily living. Results of recent studies indicate positive effects of structured exercise programs during long-term care for physical functioning, cognition, and psychosocial well-being. However, for frail elderly the evidence remains inconsistent. There are no evidence-based guidelines for exercises for nursing home residents that consider their individual deficits and capacities. Therefore, high-quality studies are required to examine the efficacy of exercise interventions for this multimorbid target group. The purpose of this study is to determine the feasibility and efficacy of a multicomponent exercise intervention for nursing home residents that aims to improve physical and cognitive functioning as well as quality of life. Methods A two-arm single-blinded multicenter randomized controlled trial will be conducted, including 48 nursing homes in eight regions of Germany with an estimated sample size of 1120 individuals. Participants will be randomly assigned to either a training or a waiting time control group. For a period of 16 weeks the training group will meet twice a week for group-based sessions (45–60 min each), which will contain exercises to improve physical functioning (strength, endurance, balance, flexibility) and cognitive-motor skills (dual-task). The intervention is organized as a progressive challenge which is successively adapted to the residents’ capacities. Physical functioning, cognitive performance, and quality of life will be assessed in both study groups at baseline (pre-test), after 16-weeks (post-treatment), and after 32-weeks (retention test, intervention group only). Discussion This study will provide information about the efficacy of a multicomponent exercise program in nursing homes (performance, recruitment). Results from this trial will contribute to the evidence of multicomponent exercises, which specifically focus on cognitive-motor approaches in the maintenance of mental and physical functioning. In addition, it will help to encourage older adults to actively engage in social life. Furthermore, the findings will lead to recommendations for health promotion interventions for frail nursing home residents. Trial registration The trial was prospectively registered at DRKS.de with the registration number DRKS00014957 on October 9, 2018.

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Long-Term Effects of Individually Tailored Physical Training and Activity on Physical Function, Well-Being and Cognition in Scandinavian Nursing Home Residents: A Randomized Controlled Trial

Gerontology ◽

10.1159/000443611 ◽

2016 ◽

Vol 62 (6) ◽

pp. 571-580 ◽

Cited By ~ 31

Author(s):

Kerstin Frändin ◽

Helena Grönstedt ◽

Jorunn L. Helbostad ◽

Astrid Bergland ◽

Mette Andresen ◽

...

Keyword(s):

Physical Activity ◽

Nursing Home ◽

Cognitive Function ◽

Physical Activity Level ◽

Nursing Home Residents ◽

Well Being ◽

Activity Level ◽

Long Term Effects ◽

Physical Functions

Background: The preservation of physical functions such as muscle strength, balance and mobility is fundamental to maintaining independence in activities of daily living (ADL). The physical activity level of most nursing home residents is very low, which implies that they are often subject to a decline in health, mobility, autonomy and social contacts and are also at risk of suffering a decline in mental well-being. In a previous study, we demonstrated that transfers, balance and physical activity level improved after 3 months of individually tailored intervention in nursing home residents. Objective: To evaluate the long-term effects on ADL, balance function, physical activity level, physical performance, falls-related self-efficacy, well-being and cognitive function 3 months after the completion of our intervention in nursing home residents. Methods: The study was a multicenter randomized, controlled clinical trial with a parallel-group design. It was conducted in nursing homes in Sweden, Norway and Denmark, with an intervention period lasting 3 months and a follow-up at 6 months. Initially, 322 nursing home residents with a mean age of 85 years were included; 85 from Sweden, 171 from Norway and 66 from Denmark. Of these, 241 [129 intervention group (IG), 112 control group (CG)] were eligible for the 6-month follow-up tests. The level of dependence in ADL, physical activity level, several dimensions of physical function, well-being, falls-related self-efficacy and cognitive function were assessed with reliable and valid instruments at baseline, immediately after 3 months of intervention and 3 months later at the 6-month follow-up. Results: After 3 months of intervention and an additional period of 3 months without intervention, only the following 2 variables demonstrated significant group differences: social and cognitive function, measured by the Functional Independence Measure n-r, where the IG deteriorated while the CG was almost stable. However, regarding transfers, the IG deteriorated significantly less than the CG. Conclusion: Without supervised physical exercise that challenged the individuals' capability, gains in ADL function, balance and transfer ability deteriorated during the 3 months following the intervention period. Thus, continuous, individually adjusted and supported physical activity seems crucial for the maintenance of physical functions in these vulnerable elderly persons.

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Nurse-Patient Interaction and Self-Transcendence: Assets for a Meaningful Life in Nursing Home Residents?

10.21203/rs.2.13599/v1 ◽

2019 ◽

Author(s):

Gørill Haugan ◽

Britt Moene Kuven ◽

Wenche Mjanger Eide ◽

Siw Eriksen Tåsen ◽

Eva Rinnan ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Nursing Homes ◽

Meaning In Life ◽

Nursing Home Residents ◽

Well Being ◽

Nursing Home Care ◽

Patient Interaction ◽

Self Transcendence

Abstract Background. Today, we face a shift to an older population worldwide and its consequences; a noteworthy part of older adults will need 24-hours nursing home care at the end of life. Finding new and alternative approaches to increase wellbeing among nursing home residents is highly warranted. Knowledge about nurse-patient-interaction, self-transcendence and meaning-in-life seems vital in order to guide clinical practice in how to best and efficiently boost wellbeing among older adults in nursing homes. Methods In a cross-sectional design, 188 (92% response rate) out of 204 long-term NH patients representing 27 NHs responded to the nurse-patient interaction, self-transcendence, and the purpose-and-meaning-in-life scales. Inclusion criteria were: (1) municipality authority’s decision of long-term NH care; (2) residential time three months or longer; (3) informed consent competency recognized by responsible doctor and nurse; and (4) capable of being interviewed. The hypothesized relations (five hypotheses) between the latent constructs were tested by means of structural equation modelling (SEM) using Stata 15.1. Results The SEM-model yielded a good fit (χ2=146.824, p=0.021, df=114, χ2 /df=1.29 RMSEA=0.040, p-close 0.811, CFI=0.97, TLI=0.96, and SRMR=0.063), showing significant relationships between the constructs of nurse-patient interaction, inter- and intra-personal self-transcendence and meaning-in-life. Nurse-patient interaction significantly relates with both inter- and intra-personal self-transcendence and meaning in NH patients. Self-transcendence revealed a fundamental influence on perceived meaning, while nurse-patient interaction demonstrated a significant influence on meaning, mediated by self-transcendence Conclusion According to the rapidly growing number of people over 65 in the world, and the growing segment of people 80-100, the present results are significant in their suggestions that nurse-patient-interaction is a crucial resource in relation to nursing home residents’ wellbeing. Knowledge of how nurse-patient-interaction, self-transcendence and meaning relate to each other among older adults in NHs is important for researchers, nurses, caregivers, nursing educators, and clinicians. Health professionals in nursing homes should learn how to competently use the nurse-patient interaction as a health promoting asset for self-transcendence, meaning and thus well-being. Nursing home nurses should be given more time for interacting with the residents, continuity and mutuality in nurse-patient relationships should be prioritized and facilitated.

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