scholarly journals O jogo como sistema de avaliação no idoso institucionalizado – um estudo piloto (El juego como sistema de evaluación en ancianos institucionalizados - estudio piloto) (Game performance to assess elderly people in long term care – a pilot study)

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 370-378
Author(s):  
Marlene Rosa ◽  
Raquel Marinho ◽  
Sara Gordo ◽  
Ricardo Pocinho
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Executive Functions ◽  
Motor Coordination ◽  
Assessment Tool ◽  
Frontal Assessment Battery ◽  
Term Care ◽  
Convenience Sample ◽  
Assessment Battery

  Objetivo: Validar o Jogo das Mãos TATI enquanto instrumento de avaliação da coordenação motora e das funções executivas, em idosos institucionalizados. Metodologia: Foi recrutada uma amostra de conveniência de 10 idosos institucionalizados (idades entre os 81-92 anos) e cognitivamente preservados (considerando o resultado no Six Item Cognitive Impairment Test -6CIT). O protocolo de implementação incluiu o procedimento do Jogo das Mãos TATI, nas modalidades unilateral e bilateral, a Frontal Asssessment Battery (FAB, para avaliar as funções executivas), o teste de toque em discos da bateria de testes de aptidão física do EUROFIT (para avaliar a coordenação dos membros superiores) e a avaliação da experiência com o jogo. Resultados: Foram obtidas correlações elevadas e estatisticamente significativas entre a pontuação total da FAB e os resultados obtidos no procedimento do Jogo das Mãos TATI (ρ = - 0.74; p < 0.05; e ρ = - 0.77; p < 0.01, para as modalidades unilateral e bilateral, respetivamente) e entre os resultados obtidos no teste de toque de discos da bateria de testes de aptidão física do EUROFIT e no procedimento do Jogo das Mãos TATI (ρ = 0.72; p < 0.05; e ρ = 0.89; p < 0.01, para as modalidades unilateral e bilateral, respetivamente). Os idosos classificaram a experiência como globalmente positiva. Conclusões: Os resultados obtidos evidenciam o potencial do Jogo das Mãos TATI enquanto instrumento de avaliação das funções executivas e da coordenação motora, em idosos institucionalizados. Estudos futuros de validação deverão incluir amostras mais amplas e heterogéneas.  Resumen. Objetivo: Validar el Juego de Manos TATI como instrumento para evaluar la coordinación motora y las funciones ejecutivas en ancianos institucionalizados. Metodología: Se reclutó una muestra de conveniencia de 10 ancianos institucionalizados (edades 81-92 años) y conservados cognitivamente (considerando el resultado en Six Item Cognitive Impairment Test - 6CIT). El protocolo de implementación incluyó el el procedimiento del Juego de Manos TATI, en las modalidade unilateral y bilateral, la Frontal Assessment Battery (FAB, para evaluar funciones ejecutivas), la prueba de toque en la batería de pruebas de fitness de EUROFIT (para evaluar la coordinación de miembros superiores) y la evaluación de la experiencia con el juego. Resultados: Se obtuvieron correlaciones altas y estadísticamente significativas entre la puntuación total FAB y los resultados obtenidos en el procedimiento TATI Hand Game (ρ = - 0,74; p <0,05; y ρ = - 0,77; p <0,01, para modalidades unilaterales y bilaterales, respectivamente) y entre los resultados obtenidos en el test de aptitud física EUROFIT test de contacto con el disco de la batería y en el procedimiento TATI Game of Hands (ρ = 0,72; p <0,05; y ρ = 0,89; p <0,01, para modalidades unilaterales y bilaterales, respectivamente ). Los ancianos calificaron la experiencia como globalmente positiva. Conclusiones: Los resultados obtenidos muestran el potencial del Juego de Manos TATI como instrumento para evaluar las funciones ejecutivas y la coordinación motora en ancianos institucionalizados. Los estudios de validación futuros deben incluir muestras más amplias y heterogéneas.  Abstract. Aim: To validate the Jogo das Mãos TATI as a motor coordination and executive functions assessment tool in institutionalized older adults. Methods: A convenience sample of 10 institutionalized participants (aged 81-92 years old) and cognitively preserved (according to Six Item Cognitive Impairment Test - 6CIT result) was recruited. The applied protocol included the TATI Hands Game procedure (unilateral and bilateral mode), the Frontal Assessment Battery (FAB, forexecutive functions assessment), the plate-tapping test of the EUROFIT testing battery (upper-limb coordination assessment), and the assessment of the game-based experience. Results: Large statistically significative correlations were found between the FAB total result and the Jogo das Mãos TATI results (ρ = - 0.74; p < 0.05; ρ = - 0.77; p < 0.01, for the unilateral and the bilateral mode, respectively), and the plate-tapping test of the EUROFIT testing battery results and the Jogo das Mãos TATI results (ρ = 0.72; p < 0.05; and ρ = 0.89; p < 0.01, for the unilateral and the bilateral mode, respectively). The game-based experience was globally classified as positive. Conclusion: Our results suggest that the Jogo das Mãos TATI can be used to assess motor coordination and executive functions in institutionalized older adults. Further studies are needed to replicate the results in larger and more heterogeneous samples.

scholarly journals ACHIEVING THE TRIPLE AIM THROUGH A FALLS PREVENTION INNOVATION IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S475-S475
Author(s):  
Deanna L Gray-Miceli ◽  
Sarah J Ratcliffe ◽  
Matthew L Smith ◽  
Jeannette Rogowski
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Practice Change ◽  
Falls Prevention ◽  
Organizational Level ◽  
Triple Aim ◽  
Term Care ◽  
Convenience Sample ◽  
The Impact

Abstract Falls disproportionately burden frail older adults in long-term care, which is evidenced by the 60% fall rate annually in this setting. Our health systems improvement model, framed by the Health Outcomes Model for falls prevention, is targeted to achieve the triple aim of better health, better care, and better value. Highlighting evidence from three inter-related studies, this presentation describes the impact of a practice change model and its impact on patient, unit/staff, and organizational level factors as related to facility-wide falls prevention. In study one, we used an evidenced-based practice approach and assessment tool to achieve total and recurrent falls reduction over one year by 32% and 25%, respectively (p&lt;0.001). In study two, the annual savings of using this approach was assessed and showed a total savings of $53,531.00, which equates to $700.00 per falling person. In pilot study three, a convenience sample of 15 older adults who were interviewed about their fall by nurses using this approach stated they felt valued and that the nurse cared about their story (n= 6; 40%). Purposive efforts to embed the model and effective strategies for adoption and implementation are presented.

Do Assessment Tools Shape Policy Preferences? Analysing Policy Framing Effects on Older Adults’ Conceptualisation of Autonomy

2021 ◽  
pp. 1-18
Author(s):  
DANIEL DICKSON ◽  
PATRIK MARIER ◽  
ANNE-SOPHIE DUBÉ
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Assessment Tool ◽  
Functional Independence ◽  
Assessment Tools ◽  
Assessment Instruments ◽  
Service Users ◽  
Term Care ◽  
Functional Autonomy

Abstract The concept of autonomy is essential in the practice and study of gerontology and in long-term care policies. For older adults with expanding care needs, scores from tightly specified assessment instruments, which aim to measure the autonomy of service users, usually determine access to social services. These instruments emphasise functional independence in the performance of activities of daily living. In an effort to broaden the understanding of autonomy into needs assessment practice, the province of Québec (Canada) added social and relational elements into the assessment tool. In the wake of these changes, this article studies the interaction between the use of assessment instruments and the extent to which they alter how older adults define their autonomy as service users. This matters since the conceptualisation of autonomy shapes the formulation of long-term care policy problems, influencing both the demand and supply of services and the types of services that ought to be prioritised by governments. Relying on focus groups, this study shows that the functional autonomy frame dominates problem definitions, while social/relational framings are marginal. This reflects the more authoritative weight of functional autonomy within the assessment tool and contributes to the biomedicalisation of aging.

Importance of satisfaction with food for older adults’ quality of life

2014 ◽  
Vol 116 (8) ◽  
pp. 1276-1290 ◽  
Author(s):  
Jihye Jeong ◽  
Sunhee Seo
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Long Term Care ◽  
Strong Association ◽  
Significant Positive Association ◽  
Term Care ◽  
Convenience Sample ◽  
Content Type

Purpose – The purpose of this paper is to examine the relationships among satisfaction with food-related life (SWFL), perceived foodservice quality, and quality of life for older adults. Design/methodology/approach – A survey done using face-to-face interviews of older adults residing in long-term care facilities. A total of 238 older adults participated in this study. Findings – The results showed that perceived foodservice quality had a strong association with SWFL; SWFL had a significant positive association with quality of life; perceived foodservice quality positively related to quality of life. Increased SWFL would improve quality of older adults. Research limitations/implications – This study has limitations related to convenience sample. Different sampling could help with generalization of results. Practical implications – Foodservice managers in long-term care facilitates should try to maximize food and service qualities for residents because improving food and service quality improves their quality of life. For example, offering a variety of menus to allow older adults to enjoy food and improve their SWFL. Originality/value – This study emphasized that food was important to older adults and helped determine quality of life for them. SWFL was rarely empirically examined in the previous research.

scholarly journals Mental Health Among Informal Caregivers of Older Adults in Asia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 244-244
Author(s):  
Xiang Gao ◽  
Kaipeng Wang ◽  
Fei Sun
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Caregiver Burden ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Health Needs ◽  
Mental Health Needs ◽  
Term Care

Abstract The purpose of this symposium is to highlight the mental health needs and factors associated with mental health among informal caregivers of older adults in Asia. The symposium consists of five papers. The first paper explores the perceived role, needs, and rewards of informal caregiving among caregivers of residents in independent long-term care facilities in South India. The second paper presents a systematic review and meta-analysis on the association between long-term care service use and informal caregiver burden, depression, and health status. The third paper examines the association between caregivers’ characteristics and quality of life among informal caregivers of older adults with cognitive impairment in China. The fourth paper examines the association between coping strategies and caregiver burden and depression among Chinese caregivers of older adults with cognitive impairment. The last paper examines the association between cohort, meaning making, and depression among adult caregivers during the COVID-19 pandemic in Hong Kong. Taken together, these five papers underscore of the mental health needs and protective and risk factors of mental well-being among caregivers in Asia. Findings of those papers inform the development and adaptation of culturally sensitive interventions to improve mental health outcomes among informal caregivers in Asia. The disccuant will comment on the strengths and limitations of these papers in terms of their contributions to the theory, research, and practice on mental health among informal caregivers in Asia.

scholarly journals Pain Reports by Older Adults in Long-Term Care: A Pilot Study of Changes Over Time

2005 ◽  
Vol 10 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Margaret C Gibson ◽  
M Gail Woodbury ◽  
Kim Hay ◽  
Nancy Bol
Keyword(s):  
Older Adults ◽  
Psychosocial Functioning ◽  
Long Term Care ◽  
Care Facility ◽  
Cross Sectional ◽  
Term Care ◽  
Convenience Sample ◽  
Pain Expression ◽  
Pain Reports

PURPOSE: To document self-reported pain descriptions throughout residency in a long-term care facility for a convenience sample of older adults (Canadian war veterans).DESIGN AND METHODS: The present study was a longitudinal, fixed-cohort study with anticipated attrition. Participants (n=33) were assessed every three months from admission until attrition or end of study (three years). The assessments included standardized measures of psychosocial functioning and a comprehensive pain questionnaire for residents who reported a pain problem.RESULTS: On average, respondents completed five assessments before attrition and reported pain in 69% of assessments. The likelihood of pain report decreased as the number of assessments increased. Cross-sectional analysis indicated that, at admission, pain duration was greater and nonverbal pain expression less prominent than later in residency. Longitudinal analysis indicated greater than 50% within-subject variability across three consecutive pain reports for nonpharmacological pain relief, pain expression and functional impact of pain.CONCLUSION: The present study highlights the need for patient-centred, longitudinal investigations of both the natural progression of pain and environmental factors that mediate pain management in the interests of improving pain control for this population.

scholarly journals Recommendations for successful sensory screening in older adults with dementia in long-term care: a qualitative environmental scan of Canadian specialists

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019451 ◽  
Author(s):  
Walter Wittich ◽  
Fiona Höbler ◽  
Jonathan Jarry ◽  
Katherine S McGilton
Keyword(s):  
Older Adults ◽  
Content Analysis ◽  
Healthcare Professionals ◽  
Long Term Care ◽  
Screening Tools ◽  
Additional Time ◽  
Term Care ◽  
Convenience Sample ◽  
Environmental Scan

ObjectivesThis study aimed to identify screening tools, technologies and strategies that vision and hearing care specialists recommend to front-line healthcare professionals for the screening of older adults in long-term care homes who have dementia.SettingAn environmental scan of healthcare professionals took place via telephone interviews between December 2015 and March 2016. All interviews were audio recorded, transcribed, proofed for accuracy, and their contents thematically analysed by two members of the research team.ParticipantsA convenience sample of 11 professionals from across Canada specialising in the fields of vision and hearing healthcare and technology for older adults with cognitive impairment were included in the study.Outcome measuresAs part of a larger mixed-methods project, this qualitative study used semistructured interviews and their subsequent content analysis.ResultsFollowing a two-step content analysis of interview data, coded citations were grouped into three main categories: (1) barriers, (2) facilitators and (3) tools and strategies that do or do not work for sensory screening of older adults with dementia. We report on the information offered by participants within each of these themes, along with a summary of tools and strategies that work for screening older adults with dementia.ConclusionsRecommendations from sensory specialists to nurses working in long-term care included the need for improved interprofessional communication and collaboration, as well as flexibility, additional time and strategic use of clinical intuition and ingenuity. These suggestions at times contradicted the realities of service provision or the need for standardised and validated measures.

scholarly journals Long-term Services and Supports, Cognitive Impairment, and Disease Management among Older Chinese Adults

2021 ◽  
Author(s):  
Zhuoer Lin ◽  
Xi Chen
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Disease Management ◽  
Disease Prevention ◽  
Critical Role ◽  
Cognitively Impaired ◽  
Term Care ◽  
Targeted Interventions ◽  
Services And Supports

Rapid population aging elevates burden of chronic and non-communicable diseases among older adults. Despite the critical role of self-management in disease prevention and control, effective management of diseases can be cognitively demanding and may require additional supports from family, friends and social services. Using nationally representative data from China, this paper documents the gradient relationship between cognitive impairment and disease management, and characterizes the differential effects of long-term care services and supports (LTSS) on disease management among older adults in different stages of cognitive impairment. In specific, we examine preventive care use and the management of hypertension, a highly prevalent but inadequately addressed chronic disease in China. We find that a severer stage of cognitive impairment is associated with poorer performance in disease prevention, hypertension awareness and management. While some of the LTSS offered by spouse, friends or community significantly facilitate active disease management behaviors, the effects are only evident among older adults with no cognitive impairment. By contrast, we find no significant effect of LTSS among cognitively impaired individuals. These findings reveal the vulnerability of older adults with cognitive impairment in disease management, and point to the importance of promoting targeted interventions to reduce barriers of receiving and utilizing LTSS, especially among cognitively impaired population.

Sign in / Sign up

Export Citation Format

Share Document