scholarly journals Transitional Care Management from Emergency Services to Communities: An Action Research Study

2021 ◽  
Vol 18 (22) ◽  
pp. 12052
Author(s):  
José Batista ◽  
Carla Munhoz Pinheiro ◽  
Carla Madeira ◽  
Pedro Gomes ◽  
Óscar Ramos Ferreira ◽  
...  
Keyword(s):  
Action Research ◽  
Elderly People ◽  
Health Care Services ◽  
Emergency Services ◽  
Transitional Care ◽  
Statistical Treatment ◽  
The Elderly ◽  
Structured Interviews ◽  
Team Meetings ◽  
Phone Calls

In recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. The participants were nurses, elderly people 70 years old or older, and their caregivers. The study was carried out from October 2018 to August 2019. The data were collected by means of semi-structured interviews with the nurses, analysis of medical records, participatory observation, phone calls to the elderly people and caregivers, and team meetings. The qualitative data were submitted to Bardin’s content analysis. Statistical treatment was carried out by applying SPSS version 23.0. The institution’s research ethics committee approved the research. Only 31.4% of the sample experienced care continuity after discharge, and the rate of readmission to emergency services during the first 30 days after discharge was 33.4%. The referral letters lacked data on information provided to patients or caregivers, and nurses mentioned difficulties in communication between care levels, as well as obstacles to teamwork; they also mentioned that the lack of health policies and clinical rules to formalize transitional care between the hospital and the community perpetuated non-coordination of care between the two contexts. The low level of literacy of patients and their relatives are mentioned as a cause for not understanding the information regarding seeking primary health care services and handing the discharge letter. It was concluded that there is an urgent need to mobilize health teams toward action in the patients’ process of returning home, and this factor must be taken into account in care planning.

Reaction of New Soviet Immigrants to Primary Health Care Services in Israel

1998 ◽  
Vol 28 (3) ◽  
pp. 555-574 ◽  
Author(s):  
Larissa I. Remennick ◽  
Naomi Ottenstein-Eisen
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
The Elderly ◽  
Medical Services ◽  
Structured Interviews ◽  
Cultural Aspects ◽  
Care Services ◽  
Israeli Population ◽  
Primary Health Care Services ◽  
Diverse Cultures

The post-1989 immigration wave from the former U.S.S.R. has increased the Israeli population by over 12 percent, seriously affecting the host health care system. This study draws on semi-structured interviews with the immigrants visiting outpatient clinics in the Tel-Aviv area in order to explore organizational and cultural aspects of their encounter with the Israeli medical services. While instrumental aspects of care were seen as an improvement over the Soviet standards, communication between providers and clients was seriously flawed, reflecting both a language barrier and diverse cultures of illness and cure. Many interviewees complained of the impersonal, “technical” attitude of Israeli physicians toward patients and the lack of holism in care, which they allegedly enjoyed before emigration. Some immigrant patients feel deprived of the paternalism of the Soviet medical system, complaining that Israeli providers “forego responsibility” for patients' health. A consumerist approach to medical services is also a novelty, and immigrants have to learn to be informed and assertive clients. Most problems are experienced by the elderly patients; overall, women seem to adjust to the new system better than men.

scholarly journals Primary health care services utilization and satisfaction among the elderly in Asir region, Saudi Arabia

2004 ◽  
Vol 10 (3) ◽  
pp. 365-371
Author(s):  
A. A. Mahfouz ◽  
A. I. Al Sharif ◽  
M. N. El Gamal ◽  
A. H. Kisha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Tertiary Care ◽  
The Elderly ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Long Time

Use of primary health care [PHC] services and satisfaction among elderly people [60 + years] in Asir was studied in 26 PHC centers. They visited PHC centers significantly less often than younger adults but they were referred significantly more often to secondary and tertiary care and for more laboratory tests. A r and om sample of 253 elderly people attending the centers was interviewed about accessibility, continuity, humaneness, informativeness and thoroughness of care. Overall, 79.0% were satisfied with the services provided. The leading 3 items of dissatisfaction were:not enough audiovisual means for health education [65.1%], long time spent in the centre [46.4%], and not enough specialty clinics [42.5%]

scholarly journals Late diagnosis and vulnerabilities of the elderly living with HIV/AIDS

2015 ◽  
Vol 49 (2) ◽  
pp. 0229-0235 ◽  
Author(s):  
Rúbia Aguiar Alencar ◽  
Suely Itsuko Ciosak
Keyword(s):  
Qualitative Research ◽  
Elderly People ◽  
Health Professionals ◽  
The Elderly ◽  
Late Diagnosis ◽  
Sexual Life ◽  
Structured Interviews ◽  
Living With Hiv ◽  
Elderly Living ◽  
Hiv Aids

OBJECTIVE To identify vulnerabilities of elderly people with HIV/AIDS and the trajectory that they follow until reaching the diagnosis of the disease. METHOD Qualitative research conducted in specialized clinics in the state of São Paulo, from January to June 2011. Semi-structured interviews were conducted with 11 elderly people who were found to be infected with the virus at the age of 60 years or older. The interviews were analyzed using content analysis. RESULTS In this process four categories emerged, then analyzed with reference to the theoretical framework of vulnerability. CONCLUSION Late diagnosis of HIV infection or AIDS among the elderly happens in the secondary or tertiary service. Issues related to sexual life of the elderly are only questioned by health professionals after the diagnosis, also the time that condom use becomes absolute. It is believed that the investigation of the vulnerability of the elderly to HIV/AIDS allows for carrying out appropriate interventions for this population.

The meaning of loss in the context of elderly homes

2016 ◽  
Vol 33 (S1) ◽  
pp. S414-S415
Author(s):  
C. Laranjeira
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Health Care Facilities ◽  
Three Dimensions ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Loved One ◽  
Elderly Home ◽  
Loss And Grief ◽  
Competing Interest

IntroductionFamily plays a pivotal function in life of all human being and their significance even increases with the age. However, living in a elderly home may result in a multitude of losses which must be addressed by individual through the process of grief.AimThe purpose of this study was to explore situations of loss and grief among institutionalizes elders.MethodsIt is a qualitative, descriptive and exploratory research. Data was collected from two Portuguese elderly homes in the municipality of Viseu, Portugal. A purposeful sample of 7 elders was recruited, and audiotaped face-to-face semi-structured interviews were conducted.ResultsThree dimensions of emotional loss were created: loss by death, loss by separation and other losses. Loss by separation was further divided into three subcategories: marriage separation, family separation and separation of peers living in the elderly home. The death of a loved one reminds the elderly individual of his/her own mortality, complicating the process of mourning. Separation, however is much more difficult to overcome because there is a loss among the living, with the possibility to lose the meaning of life with the other one.ConclusionsUnderstanding loss and grief among elderly people is fundamental for nursing care, in order to help them with the process of coping and to prevent institutionalization to become an unpleasant experience. This will also offer health care facilities suggested ways to reduce or combat loneliness and depression among the elderly people.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Factors Influencing Quality of Life and Longevity in Elderly People, Phrae City, Thailand

2020 ◽  
Vol 5 (2) ◽  
pp. 48-54
Author(s):  
Laddawan Daengthern ◽  
Somsak Thojampa ◽  
Kittisak Kumpeera ◽  
Chommanard Wannapornsiri ◽  
Roongtiva Boonpracom
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Stress Reduction ◽  
The Elderly ◽  
Exercise Stress ◽  
P Value ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Thai People

The purpose of this descriptive research was to study the factors that influence the quality of life (QOL) and longevity of the elderly in Thailand. The sample was made up of 280 elderly people in Phrae province, Thailand. The research found that (1) the QOL of the elderly in Phrae province was overall at a good level of 66.30%, (2) the factors that have significant influence on the QOL of the elderly at the p value = .01 are healing and exercise factors which are able to jointly predict the QOL of the elderly in Phrae Province by 12.2% (R2 = .122), and (3) from the structured interviews of 10 elderly people aged 80 years and older, it was found that diet, exercise, stress reduction, and healing are factors that allow the elderly to live for an average of 80 years which is above the average age of Thai people (the average age for men is 71.8 years old and for women is 78.6 years old).

scholarly journals Exploring the Experience and Determinants of the Food Choices and Eating Practices of Elderly Thai People: A Qualitative Study

2020 ◽  
Author(s):  
Chalobol Chalermsri ◽  
Sibylle Herzig van Wees ◽  
Shirin Ziaei ◽  
Eva-Charlotte Ekström ◽  
Weerasak Muangpaisan ◽  
...  
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Food Choices ◽  
Community Dwelling ◽  
Structured Interviews ◽  
Group Discussions ◽  
Food Markets ◽  
Dietary Practices ◽  
Societal Factors ◽  
Eating Practices

Over the past decade, Thailand has experienced a rapid increase in its elderly population. Many unfavorable health outcomes among elderly people are associated with nutrition. Nutrition in elderly people is affected by physical, mental, and social factors. This study explored the food choices and dietary practices among community-dwelling elderly people in Thailand from the perspective of both caregivers and the elderly people themselves. Six focus group discussions and six semi-structured interviews were conducted in the Samut Sakhon Province of Thailand. A combination of deductive and inductive thematic analyses was adopted, and the results show that physical and mental factors and societal factors are important determinants of food choices. Moreover, a changing food environment and economic factors were found to affect food choices. Issues of trust in food safety and food markets were highlighted as growing issues. Therefore, fostering healthy food choice interventions that consider both environmental and societal aspects is necessary.

scholarly journals Determination of needs of black aged persons in Port Elizabeth: Direction for future interventions

Curationis ◽  
1995 ◽  
Vol 18 (4) ◽  
Author(s):  
M. M. S. Ntshona
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Well Being ◽  
The Elderly ◽  
Home Care Services ◽  
Care Needs ◽  
Care Services ◽  
Port Elizabeth ◽  
The Government

Social, economic and health care needs of elderly black persons in Port Elizabeth and areas in its immediate vicinity are investigated. Conclusions are drawn from a sample study of 301 elderly people. The investigation reveals that the majority of pensioners are -women, their educational standard is below standard 10, and they have little vocational or specialized training. A high proportion (86%) of them are breadwinners and therefore they are unwilling to reside in institutions. Recreational facilities are inadequate. Pension payout points are overcrowded and disorganized. Also health care services are inaccessible to most elderly people. In view of these findings, a community-based approach to care for the elderly is recommended. The approach should promote social interaction among elderly through establishment of luncheon clubs and service centres and well-being of all elderly through geriatric clinics as well as home care services for the infirm. This entails an intersectorial collaboration, with the elderly being fully involved and participating. Considering the exponential growth of the elderly population in South Africa, it is imperative that the government and other organizations should take cognizance of studies of this nature when making future decisions as regards the care of this group.

scholarly journals Preparing to meet the oral health needs of the elderly in Qatar - A model for Domiciliary Oral Health Care Services

2020 ◽  
Vol 8 (3) ◽  
pp. 184-191
Author(s):  
Najat Abdrabbo AlYafei ◽  
Bushra Naaz Fathima Jaleel
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Elderly People ◽  
Health Care Services ◽  
Oral Care ◽  
The Elderly ◽  
Oral Health Care ◽  
Home Healthcare ◽  
Oral Health Promotion ◽  
Care Services

Aging is a natural and irreversible process of life. Oral health of elderly people is an important public health issue and good oral health is an essential part of their health care. Currently, the challenge lies in aligning the existing health system with the needs and preferences of the elderly people. The aim of this article is to propose a model for Domiciliary Oral Health Care Services for elderly in Qatar, wherein a definite pathway for oral care is identified and the Domiciliary Oral Health Care Services program is standardized, from the initial phase of oral assessment, through the oral health promotion and preventative phase until the dental treatment phase. This model will help to deliver oral health care to elderly who may be unable to access or face difficulties to access the dental services in conventional dental clinical settings due to disability, infirmity or old age. It will ensure oral comfort, pain relief, essential oral care and enhancement of oral hygiene for the elderly. Working in collaboration with organizations offering Home Healthcare Services, Domiciliary Oral Health Care Services will help in realization of the shared goal of achieving ‘Healthy Ageing’, holistic health and welfare for the elderly in Qatar. By favoring the policy to initiate the DOHCS as “Essential health services that benefits all elderly people living in Qatar”, the State of Qatar would probably be the pioneer in Middle East region to initiate such a program at National level for improving the oral health of the elderly.

scholarly journals Health Service Utilization by Elderly Population in Urban Nepal: A Cross-Sectional Study

2016 ◽  
Vol 2 ◽  
pp. 27-36 ◽  
Author(s):  
L.B. Gurung ◽  
G. Paudel ◽  
U.N. Yadav
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Elderly Population ◽  
Family Income ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Monthly Family Income

Background The elderly population is in increasing trend all over the world. Elderly people experience many physiological, biological and psychological changes. The general objective of the study is to assess the utilization of health care services among the elderly population of Butwal sub-metropolitan city.Methods A quantitative descriptive-cross sectional study, with a total number of 212 elderly people residing in Butwal sub-metropolitan city, was selected for the study purpose. The study period was from March to October 2015. The samples were randomly selected from the sampling frame of 3 different wards of Butwal sub-metropolitan city. Information was collected using an interviewer administered semi-structured questionnaire. Chi-square test was used to identify the factors associated with the utilization of health care services among elderly population.Results Our findings reveal that 84.4% of elderly people visited to the health facility during past 1 year. There were more females (50.9%) than males (49.1%). Majority of elderly people were diagnosed with one of the chronic ailment; were under regular medication. More than 4/5th (84.9%) of older adults rated “satisfactory” to their health condition. Monthly family income, chronic disease, elderly on medication and self-rated health status are statistically significant with utilization of health care services at 95% level of confidence.Conclusions The finding suggests that monthly family income, chronic disease, elderly on medication and self rated health are strongly associated with utilization of health care services by elderly people. Thus the study suggests further interventions to improve the health care service utilization by elderly people.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.27-36

Sign in / Sign up

Export Citation Format

Share Document