The Illusory Home, or the 24 Percent Fallacy

1989 ◽  
Vol 28 (3) ◽  
pp. 175-183 ◽  
Author(s):  
Joan Retsinas ◽  
Lauralee Thompson ◽  
Patricia Garrity
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Death Certificates

Although many elderly people live for years in nursing homes, death certificates routinely obliterate nursing home residence. Data gathered from records of one proprietary nursing home show that of 128 residents, from 45 percent to 66 percent could be classified as “permanent,” depending on the definition. Nevertheless, the death certificates for those 128 residents list the nursing home as the residence for only 24 percent. This article explores that bias.

How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres

2016 ◽  
Vol 37 ◽  
pp. 56-62 ◽  
Author(s):  
N. Chauliac ◽  
N. Brochard ◽  
C. Payet ◽  
Y. Margue ◽  
P. Bordin ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Suicide Prevention ◽  
Controlled Study ◽  
Prevention Measures ◽  
Gatekeeper Training ◽  
Quasi Experimental ◽  
Trained Staff ◽  
The Impact

AbstractBackgroundThe death rate due to suicide in elderly people is particularly high. As part of suicide selective prevention measures for at-risk populations, the WHO recommends training “gatekeepers”.MethodsIn order to assess the impact of gatekeeper training for members of staff, we carried out a controlled quasi-experimental study over the course of one year, comparing 12 nursing homes where at least 30% of the staff had undergone gatekeeper training with 12 nursing homes without trained staff. We collected data about the residents considered to be suicidal, their management further to being identified, as well as measures taken at nursing home level to prevent suicide.ResultsThe two nursing home groups did not present significantly different characteristics. In the nursing homes with trained staff, the staff were deemed to be better prepared to approach suicidal individuals. The detection of suicidal residents relied more on the whole staff and less on the psychologist alone when compared to nursing homes without trained staff. A significantly larger number of measures were taken to manage suicidal residents in the trained nursing homes. Suicidal residents were more frequently referred to the psychologist. Trained nursing homes put in place significantly more suicide prevention measures at an institutional level.ConclusionsHaving trained gatekeepers has an impact not only for the trained individuals but also for the whole institution where they work, both in terms of managing suicidal residents and routine suicide prevention measures.

scholarly journals Research on Acoustic Environment in the Building of Nursing Homes Based on Sound Preference of the Elderly People: A Case Study in Harbin, China

2021 ◽  
Vol 12 ◽  
Author(s):  
Peng Cui ◽  
Jun Zhang ◽  
Ting Ting Li
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Public Space ◽  
Elderly People ◽  
The Elderly ◽  
Sound Perception ◽  
Acoustic Environment ◽  
Health Care Center ◽  
Living Space ◽  
Income Status

Nursing homes are the facilities where the elderly conduct their daily activities. This may lead to a complicated acoustic environment which would potentially affect the ability of the elderly to function. In this study, the main indoor public space of a nursing home in Harbin was taken as the research object, and the methods of field observation, sound measurement, and questionnaire survey were used to explore the sound perception and preference of the elderly. The results revealed that in terms of the temporal and spatial distribution of sound pressure level (SPL), the unit living space had the highest SPL, which was above 60 dB (A). The reverberation time (RT) of the unit living space, medical and health care center corridor, was 2.15 and 2.13 s, respectively, at a frequency of 1,000 Hz, which was within the discomfort range. The results also revealed that an acoustic environment had a strong correlation with humidity and a weak correlation with temperature. However, no significant correlation could be assessed with a luminous environment. The elderly people were generally willing to accept the natural sound sources. The factors of gender and offspring numbers had no significant impact on the evaluation of acoustic environment comfort, whereas marriage and income status affected the comfort. This study may help improve the quality of life of the elderly in the nursing home and provide a reference for the construction and design of pension facilities.

scholarly journals Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People

2021 ◽  
Vol 18 (19) ◽  
pp. 10221
Author(s):  
Ander Burgaña Agoües ◽  
Marta Serra Gallego ◽  
Raquel Hernández Resa ◽  
Beatriz Joven Llorente ◽  
Maria Lloret Arabi ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Barthel Index ◽  
Morbidity And Mortality ◽  
Test Results ◽  
Polymerase Chain ◽  
Home Workers ◽  
Adequate Management ◽  
Pcr Test

Background: SARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people. Methods: This cohort study included 842 individuals from 12 nursing homes in Sant Cugat del Vallès (Spain) from 15 March to 15 May 2020. We evaluated individual factors (demographic, dependence, clinical, and therapeutic) and those related to the nursing homes (size and staff) associated with infection and mortality by SARS-CoV-2. Infection was diagnosed by molecular biology test. Results: Of the 842 residents included in the analysis, 784 underwent a Polymerase Chain Reaction (PCR) test; 74.2% were women, the mean age was 87.1 years, and 11.1% died. The PCR test was positive in 44%. A total of 33.4% of the residents presented symptoms compatible with COVID-19 and of these, 80.9% were PCR-positive for SARS-CoV-2. Infection by SARS-CoV-2 among residents was associated with the rate of staff infected in the homes. Mortality by SARS-CoV-2 was related to male sex and a greater grade of dependence measured with the Barthel index. Conclusions: SARS-Cov-2 infection in institutionalised people is associated with the infection rate in nursing home workers and mortality by SARS-Cov-2 with sex and greater dependency according to the Barthel index. Adequate management of nursing home staff and special attention to measures of infection control, especially of individuals with greater dependence, are keys for successful management of future pandemic situations.

scholarly journals The association between the quality of life and depression of elderly in a nursing home institutional setting

2016 ◽  
Vol 6 (3) ◽  
pp. 162-167
Author(s):  
Ľubica Ilievová ◽  
Peter Žitný ◽  
Jana Jakobejova
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Rating Scale ◽  
Short Form ◽  
Institutional Setting ◽  
Depression Symptoms ◽  
Mild Depression

Introduction: The quality of life is perceived individually and subjectively. The quality of life of elderly people in nursing home nursing homes depends on the degree to which their needs are fulfilled. The need to adapt to a new environment in an older age is a risky situation and may result in depression. The aim of the study was to analyze the change of quality of life and level of depression, as well as possible association of quality of life and level of depression, in elderly people admitted for the first time to nursing home.Methods: The research included 38 participants (10 men and 28 women). The data were obtained using the Geriatric Depression Rating Scale Short Form (GDS-SF) and a short form of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF).Results: The average age was 79.2 (SD = 6.9) with a variation span of 30 years, minimum age was 62 (n = 1) and maximum age was 92 years (n = 1).The participants experienced a clinically significant reduction in depression symptoms, moving from a mild depression zone (8-12 points) to the zone of clinical standard (7 points or less). An essential finding was a strong negative correlation between the quality of life and depression.Conclusions: Obtaining information on depression and the quality of life of elderly in nursing home settings should be introduced as a standard part of nursing activities in order to improve the quality of customer care in the nursing homes.

scholarly journals A Comparative Study on Stress, Anxiety and Depression Between Nursing-Home Elderly Residents and Home-dwelling Elderly People

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Roya Marsa ◽  
◽  
Seyed Jalal Younesi ◽  
Somaye Barekati ◽  
Maryam Ramshini ◽  
...  
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Nursing Homes ◽  
Comparative Study ◽  
Elderly People ◽  
The Elderly ◽  
Living Environment ◽  
Anxiety And Depression ◽  
Elderly Living ◽  
At Home

Objectives: The increase in the aging population along with a variety of diseases and problems threatening their health and, on the other hand, socio-economic developments and changes in individual and family lifestyles, has increased the number of nursing homes. Considering the importance of the impact of living environment on various aspects of mental health, this study aimed to compare stress, anxiety and depression of the elderly living in nursing homes and those living at home. Methods & Materials: This is a descriptive comparative study with a cross-sectional design conducted in 2017. Using a convenience sampling method, 436 elderly people in Tehran including 218 home dwellers and 218 nursing-home residents were selected. Participants were evaluated through interview by the short-form version of Depression Anxiety Stress Scale (DASS-21). Comparisons between the two groups were made using independent t-test in SPSS v.20 software. Results: Mean and standard deviation of the DASS-21 score in elderly residents of nursing homes (37.75±11.34) was higher than in home dwellers (26.68±5.64). There were statistically significant differences in stress, anxiety and depression between the two groups (P≤0.05). Conclusion: Stress, anxiety and depression in the elderly living in nursing homes are more than in those living at home. Family participation in providing welfare and mental health care, supporting with appropriate insurance coverage, establishing day care centers, and supporting family caregivers can be very helpful to enhance their mental health.

scholarly journals Factors Related to the Depression Score in the Elderly at the Social Service of the Dharma Asri Binjai Nursing Home

2021 ◽  
Vol 9 (T3) ◽  
pp. 9-12
Author(s):  
Ariwan Selian ◽  
Bahagia Loebis ◽  
Mustafa M. Amin ◽  
Nazli Mahdinasari
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Social Service ◽  
Age Groups ◽  
Depression Scale ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Cross Sectional ◽  
The Social

BACKGROUND: Depression is the most common psychiatric problem in the elderly. Suicidal thoughts or recurring thoughts of death are common in people suffering from depression. Depression in the elderly has a very poor prognosis compared to people in other age groups because they have a relatively higher risk of suicide and death. Elderly people in nursing homes is a condition that significantly affects the quality of life and survival and harms the psychology of the elderly, cause stress is due to elderly people in nursing homes associated with medical and psychosocial problems such as divorce/widows, poverty, and social isolation. AIM: We aimed to find out the factors that affect the Geriatric Depression Scale (GDS 15) score in elderly people at the Social Service of the Dharma Asri Binjai Nursing Home. METHODS: This study used a cross-sectional approach to 91 subjects at the Dharma Asri Binjai Nursing Home Social Service starting from June to July 2020 utilizing sampling, namely, simple random sampling. The tests conducted in this study consisted of a bivariate test and a multivariate linear regression test to determine which factors are associated with depression. The measuring instrument used was the GDS 15. RESULTS: After the multivariate test was carried out, the variables that were statistically significant to the total score of depression in the elderly at the Binjai Dharma Asri nursing home were Gender (p < 0.001) and activity of daily living (ADL) Score (p < 0.001). CONCLUSION: The factors associated with the GDS score of 15 and the occurrence of depression in the elderly were found in the gender variable and the ADL score variable.

Diagnosing and Treating Depressions in Nursing Home Residents: Challenges for GPs

2006 ◽  
Vol 12 (3) ◽  
pp. 104 ◽  
Author(s):  
Stella Koritsas ◽  
Sandra Davidson ◽  
David Clarke ◽  
Daniel O'Connor
Keyword(s):  
General Practice ◽  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
General Practitioners ◽  
Continuity Of Care ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Medical Services ◽  
Nursing Home Staff

Depression is more common in elderly people residing in nursing homes than it is in people of the same age residing in the community. In Australia, general practitioners (GPs) are the primary providers of medical services to the elderly in nursing homes; however, they often under-diagnose and/or inadequately treat depression in this population. The difficulties experienced by GPs are confounded by the breakdown in the continuity of care that is evident when a patient is admitted into a nursing home, by inadequate communication between GPs and nursing home staff, and systems within the nursing home that are not conducive to general practice. This paper discusses the challenges GPs face in diagnosing and treating depression in nursing home residents, and provides suggestions for strategies that may overcome these challenges.

scholarly journals The expectations and acceptability of a smart nursing home model among Chinese elderly people: A mixed methods study protocol

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255865
Author(s):  
Yuanyuan Zhao ◽  
Shariff-Ghazali Sazlina ◽  
Fakhrul Zaman Rokhani ◽  
Jing Su ◽  
Boon-How Chew
Keyword(s):  
Nursing Home ◽  
Mixed Methods ◽  
Nursing Homes ◽  
Qualitative Study ◽  
Phase I ◽  
Elderly People ◽  
Family Members ◽  
Sociodemographic Factors ◽  
Mixed Methods Study ◽  
Chinese Elderly

Nursing homes integrated with smart information such as the Internet of Things, cloud computing, artificial intelligence, and digital health could improve not only the quality of care but also benefit the residents and health professionals by providing effective care and efficient medical services. However, a clear concept of a smart nursing home, the expectations and acceptability from the perspectives of the elderly people and their family members are still unclear. In addition, instruments to measure the expectations and acceptability of a smart nursing home are also lacking. The study aims to explore and determine the levels of these expectations, acceptability and the associated sociodemographic factors. This exploratory sequential mixed methods study comprises a qualitative study which will be conducted through a semi-structured interview to explore the expectations and acceptability of a smart nursing home among Chinese elderly people and their family members (Phase I). Next, a questionnaire will be developed and validated based on the results of a qualitative study in Phase I and a preceding scoping review on smart nursing homes by the same authors (Phase II). Lastly, a nationwide survey will be carried out to examine the levels of expectations and acceptability, and the associated sociodemographic factors with the different categories of expectations and acceptability (Phase III). With a better understanding of the Chinese elderly people’s expectations and acceptability of smart technologies in nursing homes, a feasible smart nursing home model that incorporates appropriate technologies, integrates needed medical services and business concepts could be formulated and tested as a solution for the rapidly ageing societies in many developed and developing countries.

scholarly journals Gambaran kebahagiaan pada lansia yang memilih tinggal di panti werdha

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Cicilia Pali
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Qualitative Study ◽  
Elderly People ◽  
The Elderly ◽  
The Other ◽  
Entire Life ◽  
Authentic Happiness ◽  
At Home

Abstract: In the last decade more and more elderly people chose to stay at nursing homes. Study findings varied about the happiness of them. Some studies found that elderly peolpe were happier in the nursing homes because their needs were fulfilled. However, some studies stated that elderly people were happier when they stayed at home with their families. This was a qualitative study on the perception of past, present, and future happiness of the elderly, analyzed by using Seligman’s theory of authentic happiness. The results showed that one eldery did not show happiness; another one was relatively happier; and the other one was very happy for one’ entire life. Keywords: elderly, happiness, nursing home   Abstrak: Dalam dekade terakhir semakin banyak lansia memilih tinggal di panti werdha. Temuan penelitian mengenai kebahagiaan pada lansia bervariasi. Beberapa penelitian menemukan bahwa lansia merasa bahagia berada di panti werdha karena kebutuhannya terpenuhi namun penelitian lainnya menyatakan bahwa lansia merasa bahagia saat tinggal bersama dengan keluarganya. Penelitian ini merupakan penelitian kualitatif terhadap penghayatan kebahagiaan lansia di masa lalu, masa sekarang, dan masa depan. Hal ini dianalisis berdasarkan teori kebahagiaan otentik dari Seligman. Hasil penelitian menunjukkan satu lansia tidak menunjukkan kebahagiaan, satu lansia relatif bahagia, dan lainnya menunjukkan sangat bahagia dalam menilai keseluruhan hidupnya. Kata kunci: lansia, kebahagiaan, panti werdha

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