scholarly journals Satisfaction with the lives of elderly nursing homes residents

2019 ◽  
Vol 18 (4) ◽  
pp. 220-227
Author(s):  
Dorota Trybusińska ◽  
Agnieszka Saracen
Keyword(s):  
Life Satisfaction ◽  
Nursing Home ◽  
Nursing Homes ◽  
Satisfaction With Life ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Survey Method ◽  
Dominant Group ◽  
Mental Test Score

AbstractIntroduction. Ageing of societies is a process apparent in nearly all countries worldwide. Many families will not be able to provide care services for the elderly, the burden of care will fall mainly on public and private institutions. This puts employees of nursing homes in front of numerous challenges in order to provide seniors with improvement of their life satisfaction.Aim. The purpose of the study was to assess the life satisfaction of elderly nursing home residents in the Mazovian region and to demonstrate variables that affect it.Material and methods.. The research was carried out in 2018 among the 250 elderly nursing home residents from Mazovia. During the test, a diagnostic survey method and a questionnaire technique were used. The research tool was the Satisfaction With Life Scale (SWLS), Katz’s Activities of Daily Living Scale, Hodgkinson’s Abbreviated Mental Test Score, Basic Hope Inventory (BHI-12), Acceptance of Illness Scale (AIS), and the authors’ survey questionnaire.Results. Among the respondents, the dominant group included people with low life satisfaction (42.8%). A statistically significant relationship was found between life satisfaction and the age of the respondents and selected psychometric scales. There was no such correlation for the level of mobility, duration of stay at the nursing home and the size of the inhabited facility.Conclusions. Elderly people living in nursing homes from Mazovia enjoy life satisfaction at a low and average level. The results distinguish three groups of residents exhibiting a lower satisfaction with life, namely, new arrivals, the oldest, and suffering from a minimum of one illness. Nursing home personnel who deal with patients on an everyday basis should aim to improve their life satisfaction.

scholarly journals Loneliness in the context of quality of life of nursing home residents

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 354-361 ◽  
Author(s):  
Dorota Trybusińska ◽  
Agnieszka Saracen
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Satisfaction With Life ◽  
Nuclear Family ◽  
Institutional Care ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Steady Increase

AbstractBackgroundNumbers of the elderly have been on a steady increase both in Poland and other countries of the world. As they age, their health declines and they need help with their housekeeping. This, coupled with the transformation of intergenerational into single-generation or nuclear family structures, causes a markedly rising demand for institutional care. Holistic care of an elderly nursing home resident requires a comprehensive approach and consideration for their feelings. Loneliness and solitude are increasingly common among these feelings, undoubtedly affecting quality of life.Method250 elderly residents of seven nursing home situated in Mazovia, Poland, have been examined using: De Jong Gierveld Loneliness Scale, WHOQOL-BREF Questionnaire, Basic Hope Scale (BHI-12), Satisfaction with Life Scale (SWLS), Acceptance of Illness Scale (AIS).ResultsLoneliness affects nearly 40% residents of the homes surveyed. Quality of their residents’ lives is reduced. Relations with their families and levels of motor efficiency imply a sense of loneliness. Degrees of illness acceptance, ability to adjust to change, and life satisfaction influence the level of loneliness felt.Conclusion40% of nursing home residents exhibit a sense of loneliness, while the greater loneliness and solitude, the lower the quality of life.

The Role of Nursing Homes Architectural Design in Mitigating the Risk of COVID-19 Pandemics: The Case of Slovenia

2022 ◽  
Vol 8 (1) ◽  
pp. 51-66
Author(s):  
Vesna Žegarac Leskovar ◽  
Vanja Skalicky Klemenčič
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Older People ◽  
Architectural Design ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Evaluation Tool ◽  
Negative Effect ◽  
Disproportionate Number ◽  
Role Of Nursing

Currently, many older people live in institutions for various social and health reasons. In Slovenia, this proportion is almost 5% of the population aged 65 and over. In the COVID-19 pandemic, the elderly proved to be the most vulnerable social group, as they are exposed to a number of comorbidities that increase the risk of mortality. At that time, nursing homes represented one of the most critical types of housing, as seen from a disproportionate number of infections and deaths among nursing home residents worldwide, including Slovenia. During the emergency, a number of safety protocols had to be followed to prevent the spread of infection. Unfortunately, it turned out that while the safety measures protected the nursing home residents, they also had a negative effect on their mental health, mainly due to isolation and social distancing. It follows that especially in times of epidemics of infectious respiratory diseases, the quality of life in nursing homes requires special attention. In this context, it is also necessary to consider whether and how an appropriate architectural design can help mitigating the spread of infections, while at the same time enable older people to live in dignity and with a minimum of social exclusion. To this end, the present study examined 97 nursing homes in Slovenia, analysing the number of infections in nursing homes and their correlation with the degree of infection in the corresponding region in Slovenia. Additionally, 2 nursing homes were studied in more detail with the use of newly developed “Safe and Connected” evaluation tool, analysing the architectural features of each building. The advantages identified so far include living in smaller units, single rooms with balconies, the possibility of using green open spaces and the use of an adequate ventilation. Conclusions of this study are useful for further consideration of design of new nursing homes and the refurbishment of existing ones.

scholarly journals COVID Seroprevalence, Symptoms and Mortality During the First Wave of SARS-CoV-2 in Canada

2021 ◽  
Author(s):  
◽  
Prabhat Jha
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
High Sensitivity ◽  
High Specificity ◽  
The Elderly ◽  
Dried Blood Spots ◽  
Mortality Data ◽  
Infection Prevalence ◽  
Antibody Testing

Background: Efforts to stem the SARS-CoV-2 pandemic in Canada can benefit from direct understanding of the prevalence, infection fatality rates (IFRs), and information on asymptomatic infection. Methods: We surveyed a representative sample of 19,994 adult Canadians about COVID symptoms and analyzed IgG antibodies against SARS-CoV-2 from self-collected dried blood spots (DBS) in 8,967 adults. A sensitive and specific chemiluminescence ELISA detected IgG to the spike trimer. We compared seroprevalence to deaths to establish IFRs and used mortality data to estimate infection levels in nursing home residents. Results: The best estimate (high specificity) of adult seroprevalence nationally is 1.7%, but as high as 3.5% (high sensitivity) depending on assay cut-offs. The highest prevalence was in Ontario (2.4-3.9%) and in younger adults aged 18-39 years (2.5-4.4%). Based on mortality, we estimated 13-17% of nursing home residents became infected. The first viral wave infected 0.54-1.08 million adult Canadians, half of whom were <40 years old. The IFR outside nursing homes was 0.20-0.40%, but the COVID mortality rate in nursing home residents was >70 times higher than that in comparably-aged adults living in the community. Seropositivity correlated with COVID symptoms, particularly during March. Asymptomatic adults constituted about a quarter of definite seropositives, with a greater proportion in the elderly. Interpretation: Canada had relatively low infection prevalence and low IFRs in the community, but not in nursing homes, during the first viral wave. Self-collected DBS for antibody testing is a practicable strategy to monitor the ongoing second viral wave and, eventually, vaccine-induced immunity among Canadian adults.

scholarly journals Is there any correlation between Magnesium status and depression in elderly people? A descriptive-analytical study among Tehran-nursing home residents

2021 ◽  
Vol 12 (2) ◽  
pp. 632-639
Author(s):  
Lyly Nazemi ◽  
Ingmar Skoog ◽  
Ingvar Karlsson ◽  
Margda Waern ◽  
Agneta Yngve ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly Population ◽  
Analytical Study ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Flame Atomic Absorption ◽  
Significant Difference

Background: Very few studies have shown the possible relationship between magnesium (Mg) status and depression. In the present study, the intracellular Mg status of the elderly population living in nursing homes (NHs) was assessed to determine its relationship with depression. Methods: A descriptive-analytical study was conducted on the elderly population living in nursing homes (Tehran-Iran; 2010-2012). Participants' demographic and clinical characteristics were collected and recorded in a checklist. Evaluating the participants’ nutritional status, Mini Nutritional Assessment Method was implemented. Determining participant's depressive symptoms, 15-item Geriatric Depression Scale was used. Final scores were classified into4 categories not depressed, mild, moderate, and severe depression. Mg level in leukocytes was also measured by flame atomic absorption spectrometry. Results: Totally 113 elderly were included and only 9.8% of subjects were not depressed. About 21% of the subjects were well nourished. Of participants who suffered from heart disease, 80.2% were depressed (p=0.03). Regarding correlations between Mg status and depression, results showed no significant difference in Mg levels of two depressed and non-depressed participants (p=0.73). Conclusion: The results of the present study showed notable prevalence rates of depression and malnutrition among nursing home residents. It was also found that the relationship between intracellular Mg levels and depression was not significant. Further studies are needed to determine the major factors related to these preventable psychological and nutritional disorders among elderly NH residents.

The mechanisms underlying the negative effect of depression on life satisfaction among the elderly: the roles of ostracism and economic income

2021 ◽  
pp. 1-10
Author(s):  
Lei Shao ◽  
Guoliang Yu ◽  
Denghao Zhang
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Satisfaction With Life ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Negative Effect ◽  
Economic Income ◽  
Rural Older Adults

ABSTRACT Objectives: Depression is prevalent among older persons, which seriously threatens their life satisfaction. This study aimed to explore the internal mechanisms by which depression influences life satisfaction among the elderly, as well as the mediating and moderating effects of ostracism and economic income, respectively, in a sample of rural older adults across China. Design: This was a cross-sectional survey conducted as part of the project “Thousands of People and Hundreds of Villages (2019).” Setting: Participants were rural older adults from 31 provincial-level administrative units across China. Participants: The sample composed of 1,754 participants aged 60 years and over. Measurements: Depression was assessed with the depression subscale of the Depression Anxiety Stress Scales, life satisfaction with the Satisfaction with Life Scale, ostracism with the Ostracism Experience Scale (OES), and economic income and other control variables with related demographic scales. Moderation and mediation analyses were performed using the regression-based approach as conducted by Hayes (2013). Results: Depression negatively predicted life satisfaction among the elderly. Ostracism played a partially mediating role between depression and life satisfaction. Economic income moderated the effect of depression and ostracism on life satisfaction: High economic income weakened the negative effect of depression on life satisfaction and enhanced the negative effect of ostracism on life satisfaction. Conclusion: Improving depressed elderly people’s interpersonal relationships and financial support could improve their life satisfaction.

Environmental satisfaction levels of the elderly individuals in nursing home gardens

2020 ◽  
pp. 1420326X2096772
Author(s):  
Emine Tarakci Eren ◽  
Tuğba Düzenli ◽  
Mustafa Var
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Correlation Analysis ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Individual Characteristics ◽  
Home Gardens ◽  
Satisfaction Level ◽  
Psychosocial Needs ◽  
Elderly Individuals

The present study presents a three-step methodology to determine the environmental satisfaction levels of the elderly individuals in nursing home gardens. The first step comprised the selection of seven nursing homes in five provinces in the Eastern Black Sea region in Turkey. In the second step, 130 participants were selected among the residents of these seven nursing homes via random sampling. In the third step, the satisfaction level of the nursing home residents with the institution gardens was determined. A correlation analysis showed a positive relationship between the environmental and individual characteristics ( r =  0.554; p < 0.01). Simple regression analysis was conducted to determine the effect of environmental characteristics on the satisfaction of individual needs, after determining the direction and level of the relationship between the environmental and the individual characteristics via correlation analysis. The analysis indicated a significant relationship between the environmental and individual characteristics ( R = 0.610; R2 = 0.373; F = 75.991; p <0.001). In conclusion, increased level of satisfaction with the existing physical characteristics of the gardens resulted in an increased level in meeting the psychosocial needs of the elderly individuals, thus, the environmental satisfaction level of nursing home residents increased as well.

scholarly journals Cognitive Functioning, Life Satisfaction, and Their Relationship with the Financial Attitudes of Older Individuals Who Participate in an Active Aging Program

2020 ◽  
Vol 10 (12) ◽  
pp. 189
Author(s):  
Claudia Idárraga-Cabrera ◽  
Jorge-Manuel Dueñas ◽  
Marina-Begoña Martínez-González ◽  
Regina Navarro-Blanco ◽  
Marianela Denegri-Coria ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Cognitive Functioning ◽  
Satisfaction With Life ◽  
Well Being ◽  
The Elderly ◽  
Satisfaction With Life Scale ◽  
Active Aging ◽  
Older Individuals ◽  
Financial Attitudes ◽  
Aging Program

Life expectancy has increased in many countries throughout the world over recent years, leading to new challenges related to aging. A large part of the population is over 60 years old, and therefore studies that focus on financial autonomy and active aging are necessary. In this paper, we analyze the relationship between cognitive functioning and life satisfaction in relation to financial attitudes in a sample of 251 elderly adults (71% women) participating in an active aging program (M = 67.5, SD = 4.5). We used the Mini-Mental State Examination, the Satisfaction with Life scale, and a questionnaire about financial attitudes to gather data. Our results show that cognitive functioning and life satisfaction are related to certain financial attitudes. We also observed differences associated with gender, education level, and financial independence. According to our findings, life satisfaction should be taken into account when the financial attitudes of older adults are evaluated. The importance of support groups for the elderly is highlighted as well as of all those recreation and health programs, since they constitute a means of promoting well-being.

Variability of total phenytoin serum concentrations within elderly nursing home residents

Neurology ◽  
2003 ◽  
Vol 60 (4) ◽  
pp. 555-559 ◽  
Author(s):  
A. Birnbaum ◽  
N. A. Hardie ◽  
I. E. Leppik ◽  
J. M. Conway ◽  
S. E. Bowers ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
The Elderly ◽  
The United States ◽  
Serum Concentrations ◽  
Minimum Concentration ◽  
Elderly Nursing Home Resident ◽  
The Mean

Background: Approximately 6% of all elderly nursing home residents receive phenytoin. Phenytoin concentrations are often measured to guide therapy.Objective: To evaluate the intraresident variability among multiple measurements of total phenytoin serum concentrations in nursing home residents.Methods: This was an observational study of 56 elderly (≥65 years) nursing home residents from 32 nursing homes who had at least 3 phenytoin concentrations measured while on the same dose of phenytoin for at least 4 weeks and who were not taking any interfering concomitant medications. These were a subset of 387 elderly nursing home residents from 112 nursing homes across the United States who had total phenytoin concentration measurements between June 1998 and December 2000.Results: The mean age was 80.1 years (range, 65 to 100 years) and 58.9% were women. The mean daily dose of phenytoin per resident was 4.9 ± 1.5 mg/kg. Total phenytoin concentrations within an elderly nursing home resident varied as much as two- to threefold, even though there was no change in dose. The person with the smallest variability had a minimum concentration of 10.0 μg/mL and a maximum of 10.4 μg/mL. The person with the largest variability had a minimum concentration of 9.7 μg/mL and a maximum of 28.8 μg/mL.Conclusions: There is considerable variability in the total phenytoin concentrations in the elderly nursing home resident and measurement of a single total phenytoin concentration should not be used to guide treatment.

scholarly journals The prior infection with SARS-CoV-2 study (PICOV) in nursing home residents and staff - study protocol description and presentation of preliminary findings on symptoms.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Maria E. Goossens ◽  
Kristof Y. Neven ◽  
Pieter Pannus ◽  
Cyril Barbezange ◽  
Isabelle Thomas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Population Characteristics ◽  
Past Infection ◽  
Geriatric Population ◽  
Staff Members ◽  
Tract Infections ◽  
The Impact

Abstract Background The COVID-19 pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has presented itself as one of the most important health concerns of the 2020’s, and hit the geriatric population the hardest. The presence of co-morbidities and immune ageing in the elderly lead to an increased susceptibility to COVID-19, as is the case for other influenza-like illnesses (ILI) or acute respiratory tract infections (ARI). However, little is known, about the impact of a previous or current infection on the other in terms of susceptibility, immune response, and clinical course. The aim of the “Prior Infection with SARS-COV-2” (PICOV) study is to compare the time to occurrence of an ILI or ARI between participants with a confirmed past SARS-CoV-2 infection (previously infected) and those without a confirmed past infection (naïve) in residents and staff members of nursing homes. This paper describes the study design and population characteristics at baseline. Methods In 26 Belgian nursing homes, all eligible residents and staff members were invited to participate, resulting in 1,226 participants. They were classified as naïve or previously infected based on the presence of detectable SARS-CoV-2 antibodies and/or a positive RT-qPCR result before participation in the study. Symptoms from a prior SARS-CoV-2 infection between March and August 2020 were compared between previously infected residents and staff members. Results Infection naïve nursing home residents reported fewer symptoms than previously infected residents: on average 1.9 and 3.1 symptoms, respectively (p = 0.016). The same effect was observed for infection naïve staff members and previously infected staff members (3.1 and 6.1 symptoms, respectively; p <0.0001). Moreover, the antibody development after a SARS-CoV-2 infection differs between residents and staff members, as previously infected residents tend to have a higher rate of asymptomatic cases compared to previously infected staff members (20.5% compared to 12.4%; p <0.0001). Conclusions We can postulate that COVID-19 disease development and symptomatology are different between a geriatric and younger population. Therefore, the occurrence and severity of a future ILI and/or ARI might vary from resident to staff.

scholarly journals Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study

2021 ◽  
Author(s):  
Madeleine Fricke ◽  
Adele Kruse ◽  
Michael Schwenk ◽  
Carl-Philipp Jansen ◽  
Thomas Muehlbauer ◽  
...  
Keyword(s):  
Nursing Home ◽  
Spatial Orientation ◽  
Satisfaction With Life ◽  
Task Complexity ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Satisfaction With Life Scale ◽  
Motor Training ◽  
Positive Trend ◽  
Set Up

AbstractA sedentary lifestyle in nursing home residents is often accompanied with reduced life space mobility and in turn affects satisfaction with life. One of the reasons for this may be limited ability to find one’s way around the care facility and its environment. However, spatial orientation exercises might reduce these problems if they are integrated into an adequate cognitive-motor training. Therefore, we integrated six novel and target group-specific spatial orientation exercises into an established multicomponent cognitive-motor group training for nursing home residents and evaluated its feasibility. Forty nursing home residents (mean age: 87.3 ± 7 years) participated in the spatial orientation cognitive motor training (45–60 min, twice a week over a period of 12 weeks). The main outcomes included the feasibility criteria (adherence, completion time, acceptance, instructions, motor performance, materials/set up, complexity) and first measurements of mobility and satisfaction with life (SPPB [Short Physical Performance Battery], SWLS [Satisfaction with Life Scale]). Adherence increased over time. The increase was associated with the adaptions and modifications of the spatial orientation exercises that were made to meet the participants’ requirements. A positive trend was discerned for mobility and life satisfaction, comparing pre- and posttraining data. In summary, the feasibility analysis revealed that future interventions should consider that (a) instructions of demanding spatial tasks should be accompanied by an example task, (b) trainers should be encouraged to adjust task complexity and materials on an individual basis, (c) acceptance of the training should be promoted among nursing staff, and (d) surroundings with as little disturbance as possible should be selected for training.

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