scholarly journals Hearing Screening for Residents in Long-Term Care Homes Who Live with Dementia: A Scoping Review

2021 ◽  
pp. 1-24
Author(s):  
Fiona Höbler ◽  
Katherine S. McGilton ◽  
Walter Wittich ◽  
Kate Dupuis ◽  
Marilyn Reed ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Nursing Staff ◽  
Scoping Review ◽  
Pure Tone ◽  
Long Term Care ◽  
Pure Tone Audiometry ◽  
Care Homes ◽  
Term Care

Background: Hearing loss is highly prevalent in older adults, particularly among those living with dementia and residing in long-term care homes (LTCHs). Sensory declines can have deleterious effects on functioning and contribute to frailty, but the hearing needs of residents are often unrecognized or unaddressed. Objective: To identify valid and reliable screening measures that are effective for the identification of hearing loss and are suitable for use by nursing staff providing care to residents with dementia in LTCHs. Methods: Electronic databases (Embase, Medline, PsycINFO, CENTRAL, and CINAHL) were searched using comprehensive search strategies, and a stepwise approach based on Arksey & O’Malley’s scoping review and appraisal process was followed. Results: There were 193 scientific papers included in the review. Pure-tone audiometry was the most frequently reported measure to test hearing in older adults living with dementia. However, measures including self- or other-reports and questionnaires, review of medical records, otoscopy, and the whisper test were found to be most suitable for use by nurses working with older adults living with dementia in LTCHs. Conclusion: Although frequently used, the suitability of pure-tone audiometry for use by nursing staff in LTCHs is limited, as standardized audiometry presents challenges for many residents, and specific training is needed to successfully adapt test administration procedures and interpret results. The whisper test was considered to be more suitable for use by staff in LTCH; however, it yields a limited characterization of hearing loss. There remains an urgent need to develop new approaches to screen hearing in LTCHs.

scholarly journals Eating Difficulties among Older Adults with Dementia in Long-Term Care Facilities: A Scoping Review

2021 ◽  
Vol 18 (19) ◽  
pp. 10109
Author(s):  
Dukyoo Jung ◽  
Kyuri Lee ◽  
Jennie C. De Gagne ◽  
Minkyung Lee ◽  
Hyesoon Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Long Term Care ◽  
Skill Training ◽  
Cochrane Library ◽  
Bibliographic Databases ◽  
Term Care ◽  
Feeding Difficulties ◽  
Care Facilities

This paper reports a scoping review of the literature on eating difficulties among older adults with dementia in long-term care facilities to identify key concepts, methods of measuring outcomes, interventions, and related factors. A scoping review was performed using the bibliographic databases PubMed, CINAHL, PsycINFO, and Cochrane Library. A combination of keywords and subject headings related to eating or feeding difficulties was used. Inclusion criteria were limited to materials published in English. A total of 1070 references were retrieved, of which 39 articles were selected after applying the inclusion and exclusion criteria. Articles that met the criteria were published between 1987 and 2020. “Eating disabilities” have been defined as problems related to choosing food and/or the ability to get food to one’s mouth, chew, and swallow. Interventions for eating difficulties described in the literature include spaced retrieval training, Montessori training, and feeding skill training. Intrapersonal, interpersonal, and environmental factors related to eating difficulties were identified. This scoping review will provide direct care workers, nursing educators, and administrators with an overview of eating performance and a broad understanding of eating difficulties for older adults with dementia in long-term care facilities.

scholarly journals Converting threats from COVID-19 in long term care into opportunities for improvement

2022 ◽  
Vol 9 (2) ◽  
pp. 36
Author(s):  
Leona Konieczny
Keyword(s):  
Older Adults ◽  
Policy Implementation ◽  
Nursing Staff ◽  
Policy Development ◽  
Shared Governance ◽  
Long Term Care ◽  
Models Of Care ◽  
Term Care ◽  
Nursing Advocacy

The effects of the COVID-19 pandemic on long term care (LTC) have been published in the literature and experienced by residents, their support persons and nursing staff. The morbidity and mortality, as well as the threats of isolation and psychosocial distress continue. Both LTC residents and staff experience physiological and psychological impacts. Nurses can use the current threats produced by the pandemic to advocate for alternate models of care and reduced isolation for residents. The pandemic is an opportunity for nursing advocacy in LTC for shared governance and empowerment, involvement in policy development, and oversight in policy implementation. Nurses are presented with the opportunities for advocacy related to resources and reshaping the paradigm of residential care for older adults.

scholarly journals COVID-19 and Ageism: Has the Pandemic Allowed Prevailing Ageist Attitudes to Go Viral?

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Paul Rooprai ◽  
Neel Mistry
Keyword(s):  
Older Adults ◽  
Older People ◽  
Older Persons ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care ◽  
Vaccine Administration ◽  
Human Worth

Current perceptions of older adults are often met with prejudice and misconceptions that constitute what has been characterized as ‘ageism’. Rarely are older persons considered indispensable members of the population who deserve our respect and support. While it is unclear if and when this pandemic will end, what is clear is how COVID-19 has unveiled the prevalent ageist attitudes against older people, underscoring an unsettling discourse about age and human worth that has allowed us to easily question the value of older adults. In this commentary, we highlight specific recommendations that can be made to combat ageism during and after the COVID-19 pandemic, with exploration of vaccine administration and inequities across long-term care homes.

scholarly journals Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 652-652
Author(s):  
Eunju Choi ◽  
Dukyoo Jung ◽  
Kyuri Lee
Keyword(s):  
Older Adults ◽  
Eating Behavior ◽  
Scoping Review ◽  
Long Term Care ◽  
Bibliographic Databases ◽  
Term Care ◽  
Measurement Tools ◽  
Care Facilities ◽  
Individual Domain

Abstract This study aims to synthesize existing literature concerning eating difficulties among older adults with dementia in long-term care facilities. A scoping review, using the framework proposed by Arksey & O'Malley (2005) and improved and supplemented by Levac et al. (2010), was conducted. Literature was searched from five bibliographic databases—Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), National Digital Science Library (NDSJ), Korean Medical Database (KMBASE), DataBase Periodical Information Academic(DBPia), Google Scholar, and gray literature. Literature selection and characteristics were approved by two independent reviewers, using pre-tested forms to determine final inclusion. Eventually, 111 articles from 2012–2020 were identified, and the 11 articles were used for the final analysis. We found that primarily utilized Eating behavior scale (EBS) and Edinburgh feeding evaluation in dementia scale (EdFED) had utilized as measurement tools for evaluating eating behavior. The most common factors related to eating behavior of older adults with dementia included cognitive and physical functions in the individual domain, the caregiver's attitude toward eating in the inter-individual domain, and types of meal in the environmental domain. Therefore, it is essential to develop measurement tools that reflect the eating behavior of older adults with dementia, a comprehensive understanding of the eating behavior of old adults with dementia, and create effective interventions that can be implemented in the specificity of long-term care facilities in Korea. The results of this analysis are intended to be used as basis to develop a meal support programs for older adults with dementia.

scholarly journals Risk Factors for Social Isolation Among Older Adults in Long Term Care: A Scoping Review

2020 ◽  
Author(s):  
Sheila A. Boamah ◽  
Rachel Weldrick ◽  
Tin-Suet Joan Lee ◽  
Nicole Taylor
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Social Isolation ◽  
Scoping Review ◽  
Long Term Care ◽  
Community Dwelling ◽  
Structural Factors ◽  
Term Care ◽  
Online Databases

Objectives: A wealth of literature has established risk factors for social isolation among older people, however much of this research has focused on community-dwelling populations. Relatively little is known about how risk of social isolation is experienced among those living in long-term care (LTC) homes. We conducted a scoping review to identify possible risk factors for social isolation among older adults living in LTC homes. Methods: A systematic search of five online databases retrieved 1535 unique articles. Eight studies met the inclusion criteria. Results: Thematic analyses revealed that possible risk factors exist at three levels: individual (e.g., communication barriers), systems (e.g., location of LTC facility), and structural factors (e.g., discrimination). Discussion: Our review identified several risk factors for social isolation that have been previously documented in literature, in addition to several risks that may be unique to those living in LTC homes. Results highlight several scholarly and practical implications.

Making tradeoffs between the reasons to leave and reasons to stay employed in long-term care homes: Perspectives of licensed nursing staff

2014 ◽  
Vol 51 (6) ◽  
pp. 917-926 ◽  
Author(s):  
Katherine S. McGilton ◽  
Veronique M. Boscart ◽  
Maryanne Brown ◽  
Barbara Bowers
Keyword(s):  
Nursing Staff ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care
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