scholarly journals Design and Evaluation of a Connected Insole to Support Healthy Aging of Frail Patients at Home

2019 ◽  
Vol 11 (05) ◽  
pp. 67-80
Author(s):  
Yoann Charlon ◽  
Antoine Piau ◽  
Damien Brulin ◽  
Eric Campo
Keyword(s):  
Healthy Aging ◽  
Frail Patients ◽  
At Home

scholarly journals Care in Chronic Diseases and in "Frail" Patients in General Practice

2020 ◽  
Vol 1 (1) ◽  
pp. 28-31
Author(s):  
Lucio Mango
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Health Service ◽  
Health Services ◽  
Chronic Diseases ◽  
Frail Patients ◽  
The World ◽  
Progressive Growth ◽  
At Home

The world of chronicity is an area in progressive growth that involves a considerable commitment of resources, requiring continuity of assistance for long periods of time and a strong integration of health services with social ones and those requiring residential and territorial services often not sufficiently designed and developed. The fundamental aim of the treatment of chronic systems is to keep as much as possible the patient at home and prevent or reduce the risk of institutionalization. GP could put their expertise to good use in the Complex of Primary Care Units and Territorial Functional Aggregations, reducing the costs of the health service.

scholarly journals A Sensor-Based mHealth Platform for Remote Monitoring and Intervention of Frailty Patients at Home

2021 ◽  
Vol 18 (21) ◽  
pp. 11730
Author(s):  
Jorge Calvillo-Arbizu ◽  
David Naranjo-Hernández ◽  
Gerardo Barbarov-Rostán ◽  
Alejandro Talaminos-Barroso ◽  
Laura M. Roa-Romero ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Independent Risk Factor ◽  
Clinical Validation ◽  
Frailty Syndrome ◽  
Validation Process ◽  
Frail Patients ◽  
Sensor Devices ◽  
Technical Validation ◽  
The Impact ◽  
At Home

Frailty syndrome is an independent risk factor for serious health episodes, disability, hospitalization, falls, loss of mobility, and cardiovascular disease. Its high reversibility demands personalized interventions among which exercise programs are highly efficient to contribute to its delay. Information technology-based solutions to support frailty have been recently approached, but most of them are focused on assessment and not on intervention. This paper describes a sensor-based mHealth platform integrated in a service-based architecture inside the FRAIL project towards the remote monitoring and intervention of pre-frail and frail patients at home. The aim of this platform is constituting an efficient and scalable system for reducing both the impact of aging and the advance of frailty syndrome. Among the results of this work are: (1) the development of elderly-focused sensors and platform; (2) a technical validation process of the sensor devices and the mHealth platform with young adults; and (3) an assessment of usability and acceptability of the devices with a set of pre-frail and frail patients. After the promising results obtained, future steps of this work involve performing a clinical validation in order to quantify the impact of the platform on health outcomes of frail patients.

scholarly journals Do perceived social neighborhood factors explain the association between neighborhood age composition and mental health among Dutch older adults?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eline Verspoor ◽  
Mariëlle A. Beenackers ◽  
Joost Oude Groeniger ◽  
Frank J. van Lenthe
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Cohesion ◽  
Social Participation ◽  
Age Structure ◽  
Healthy Aging ◽  
Well Being ◽  
Age Composition ◽  
Feeling At Home ◽  
At Home

Abstract Background In the light of urbanization and aging, a crucially relevant policy question is how to shape neighborhoods to foster healthy aging. An important debate is whether older adults should group in neighborhoods, or whether a more mixed neighborhood age composition is more beneficial to health and well-being. We therefore assessed the association between neighborhood age structure and mental health and the mediating role of individual perceptions of neighborhood social factors. Methods We conducted multivariable linear regression models and causal mediation analyses in 1255 older adults of the Dutch Globe study. The neighborhood age structure was measured in 2011 as the homogeneity of the age composition (using the Herfindahl-Hirschman index, range from 0 to 100, a higher score indicating more homogeneity) and the percentage of specific age groups in a neighborhood. Mental health was measured in 2014 by the Mental Health Inventory-5 score (range 0 to 100, a higher score indicating better mental health). Potential mediators were assessed in 2011 and included perceptions of neighborhood social cohesion, feeling at home in a neighborhood, and social participation. Results A more homogeneous age composition (not specified for age) and a higher percentage of children living in a neighborhood were associated with better mental health, the other age categories were not. Social cohesion, feeling at home and social participation did not mediate the associations. Conclusions The neighborhood age composition may be an interesting but currently insufficiently understood entry point for policies to improve older adult’s mental health status.

Frailty Is Associated With Decreased Time Spent at Home After Critical Illness: A Population-Based Study

2020 ◽  
pp. 088506662093905 ◽  
Author(s):  
Ariel Hendin ◽  
Peter Tanuseputro ◽  
Daniel I. McIsaac ◽  
Amy T. Hsu ◽  
Glenys A. Smith ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Illness ◽  
Long Term Care ◽  
Assessment Instrument ◽  
Index Hospitalization ◽  
Term Care ◽  
Icu Admission ◽  
Frail Patients ◽  
At Home

Background: Frailty is characterized by vulnerability to stressors due to an accumulation of multiple functional deficits. Frailty is increasingly recognized as a risk factor for accelerated functional decline, increasing dependency, and risk of mortality. The objective of this study was to examine the association of frailty, at the time of critical care admission, with days alive at home and health care costs post-discharge. Methods: This retrospective cohort study used linked administrative data (2010-2016) in Ontario, Canada. We identified all patients admitted at the intensive care unit (ICU), aged 19 years and above, assessed using the Resident Assessment Instrument for Home Care (RAI-HC), within 6 months prior to index hospitalization including an ICU stay. Patients were stratified as robust, pre-frail, or frail based on a validated Frailty Index. The primary outcome was days alive at home in the year after admission. Secondary outcomes included mortality, health care–associated costs, ICU interventions, long-term care admissions, and hospital readmissions. Results: Frail patients spent significantly fewer days at home within 1 year of index hospitalization (mean 159 days vs 223 days in robust cohort, P < .001). Mortality was higher among frail patients at 1 year (59.6% in the frail cohort vs 45.9% in robust patients; odds ratio for death 1.59 [1.49-1.69]). Frail patients also had higher rates of long-term care admission within 1 year (30.1% vs 10.6% in robust patients). Total health care–associated costs per person alive were $30 450 higher the year after admission in the frail cohort. Conclusions: Frailty prior to ICU admission among patients who were eligible for RAI-HC assessment was associated with higher mortality and fewer days spent at home following admission. Frail patients had markedly higher rates of long-term care admission and increased costs per life saved following critical illness. These findings add to the discussion of risk–benefit trade-offs for ICU admission.

scholarly journals 45 Implementing A Frailty at the Front Door Service in the Emergency Department

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i11-i13
Author(s):  
B McGurn ◽  
J McDicken ◽  
H McKee ◽  
D Docharty ◽  
A Duffty ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nurse Practitioners ◽  
Admission Rate ◽  
The Elderly ◽  
Medical Specialties ◽  
Front Door ◽  
Frail Patients ◽  
The Right ◽  
The Impact ◽  
At Home

Abstract Background University Hospital Hairmyres is a small District General Hospital in Lanarkshire Scotland. We have an active Care of the Elderly Department with a well-established Acute Care of the Elderly (ACE) team of Advanced Nurse Practitioners, supported by Consultants. This team delivers Comprehensive Geriatric Assessment (CGA) to frail older people in acute medical receiving as well as offering liaison to medical, surgical and orthopaedic wards. Local problem and intervention: Our patients were not always being managed by the correct professionals in a timely manner, leading to delays especially in the Emergency Department (ED). We set up a Frailty at the Front Door (FAFD) service to address this, commencing July 2018. Supported by additional consultant sessions, we re-focused the ACE team on assessing and managing frail patients in the ED. The aim was to get the right patient to the right place at the right time and to manage acutely ill people at home where this was safe. Where admission was required we aimed to admit directly to a specialty bed, bypassing acute receiving wards. Methods We routinely collect important data including number of frail patients, %patients receiving CGA within 24 hours, number of discharges. To assess the impact of our change we analysed the data by plotting on run charts and statistical process control charts. In addition we assessed the effect on referrals from medical specialties and the number of direct-to-specialty admissions. Results After the 22 July 2018 we noticed a significant increase in patients screened for frailty, and a significant increase in discharges. We were able to reliably sustain over 95% of frail patients getting CGA within 24 hrs. There was an increased use of hospital at home. There was a reduction in referrals from medical wards (median = 10/week before, 5/week after intervention). Between August 2018 and May 2019 we were able to admit 163 patients directly to specialty beds. There was no change in re-admission rate. Conclusions We successfully changed our service to have consultant delivered Frailty at the Front Door, assessing more frail patients. Most importantly, we have an improved patient pathway, both managing more people at home but also reducing ward moves by achieving direct to specialty admissions. CGA can be safely delivered in the ED.

scholarly journals Psychological, Social and Health-Related Challenges in Spanish Older Adults During the Lockdown of the COVID-19 First Wave

2020 ◽  
Vol 11 ◽  
Author(s):  
Raquel Rodríguez-González ◽  
David Facal ◽  
Alba-Elena Martínez-Santos ◽  
Manuel Gandoy-Crego
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Healthy Aging ◽  
Open Space ◽  
Community Dwelling ◽  
Negative Experience ◽  
Intellectual Activity ◽  
Health Related ◽  
Negative Feelings ◽  
At Home

Background: The global pandemic of COVID-19 has required a population lockdown. Spain has one of the oldest/most aging populations in the world and was one of the most affected countries. We aim to describe the psychological and social implications as well as health-related behaviors as a result of the lockdown in community-dwelling older adults.Materials and Methods: Observational cross-sectional study. A total of 528 participants of over 60 years of age were recruited using snowball sampling technique during the lockdown of the COVID-19 first wave using an anonymous self-administered questionnaire composed of descriptive questions and validated scales for resilience (Brief Resilient Coping Scale) and emotions (Scale of Positive And Negative Experience).Results: Most participants (76.9%) live with other people and have an open space at home (64%). Only 33.7% continued doing activities to promote healthy aging, 65.7% did less physical activity and 25.6% increased their intellectual activity. Most of them (83%) used electronic communication with family and friends to a greater extent, and left the house to run basic errands. Greater scores on resilience showed significant negative correlations with age and negative feelings, and positive correlations with the size of the social network and positive feelings. Lacking an open space at home was associated with more negative feelings.Discussion: Older people are a vulnerable group severely affected by this pandemic crisis at multiple levels, requiring specific interventions to minimize the effects of changes in lifestyle that may be harmful. Detecting needs is essential to improve care and support from community health and social services, both nowadays and in future similar situations.

scholarly journals Improved indoor lighting improved healthy aging at home – an intervention study in 77-year-old Norwegians

2019 ◽  
Vol Volume 12 ◽  
pp. 315-324
Author(s):  
Helle K. Falkenberg ◽  
Tor Martin Kvikstad ◽  
Grethe Eilertsen
Keyword(s):  
Healthy Aging ◽  
Intervention Study ◽  
Indoor Lighting ◽  
Aging At Home ◽  
At Home

P006: Multimorbidity: development of organisation models and integrated health assessment for frail patients at home

2014 ◽  
Vol 5 ◽  
pp. S84-S85
Author(s):  
D. Salerno ◽  
G. Cosenza ◽  
L. Cesari ◽  
A.M. Lussiana ◽  
M.P. Boscolo ◽  
...  
Keyword(s):  
Health Assessment ◽  
Frail Patients ◽  
Integrated Health ◽  
At Home

scholarly journals A Platform Based on Personalized Exergames and Natural User Interfaces to Promote Remote Physical Activity and Improve Healthy Aging in Elderly People

2021 ◽  
Vol 13 (14) ◽  
pp. 7578
Author(s):  
Cristian Gómez-Portes ◽  
David Vallejo ◽  
Ana-Isabel Corregidor-Sánchez ◽  
Marta Rodríguez-Hernández ◽  
José L. Martín-Conty ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
User Interfaces ◽  
Healthy Aging ◽  
Low Cost ◽  
Natural User Interfaces ◽  
Promotion Of Physical Activity ◽  
Empirical Experiment ◽  
At Home

In recent years, there has been a significant growth in the number of research works focused on improving the lifestyle and health of elderly people by means of technology. Telerehabilitation and the promotion of physical activity at home have been two of the fields that have attracted more attention, especially currently due to the COVID-19 pandemic. However, elderly people are sometimes reluctant to use technology at home, mainly due to fear of technology and lack of familiarity. In this context, this article presents a low-cost platform that relies on exergames and natural user interfaces to promote physical activity at home and improve the quality of life in elderly people. The underlying system is easy to use and accessible, offering a number of interaction mechanisms that guide users through the execution of routines and exercises. A relevant feature of the proposal is the ability to customize the exergames, making it possible for the therapist to adapt them according to the user’s needs. Motivation is also addressed within the developed platform to maintain the user’s engagement level as time passes by. An empirical experiment is conducted to measure the usability and motivational aspects of the proposal, which was evaluated by 17 users between 62 and 89 years of age. The obtained results showed that the proposal was well received, considering that most of the users were not experienced at all with exergame-based systems.

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