scholarly journals Improvement of physical and oral function in community‐dwelling older people after a 3‐month long‐term care prevention program including physical exercise, oral health instruction, and nutritional guidance

2019 ◽  
Vol 5 (6) ◽  
pp. 611-619 ◽  
Author(s):  
Yoshimi Iwao ◽  
Hideo Shigeishi ◽  
Shouichi Takahashi ◽  
Shino Uchida ◽  
Shirou Kawano ◽  
...  
Keyword(s):  
Oral Health ◽  
Physical Exercise ◽  
Older People ◽  
Prevention Program ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
Nutritional Guidance ◽  
Community Dwelling Older People

Determinants of Long-Term Care Needs of Community-Dwelling Older People in Singapore

2014 ◽  
Vol 62 (12) ◽  
pp. 2453-2454 ◽  
Author(s):  
Shiou-Liang Wee ◽  
Ye Li ◽  
Yan Sun ◽  
Ying-Xian Chua
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Community Dwelling ◽  
Care Needs ◽  
Term Care ◽  
Community Dwelling Older People

scholarly journals The Prevalence of Orthostatic Hypotension: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 75 (1) ◽  
pp. 117-122 ◽  
Author(s):  
Nor I’zzati Saedon ◽  
Maw Pin Tan ◽  
James Frith
Keyword(s):  
Older People ◽  
Orthostatic Hypotension ◽  
Long Term Care ◽  
Meta Analysis ◽  
Community Dwelling ◽  
Significant Heterogeneity ◽  
Term Care ◽  
Increased Risk ◽  
Community Dwelling Older People

Abstract Background Orthostatic hypotension (OH) is associated with increased risk of falls, cognitive impairment and death, as well as a reduced quality of life. Although it is presumed to be common in older people, estimates of its prevalence vary widely. This study aims to address this by pooling the results of epidemiological studies. Methods MEDLINE, EMBASE, PubMed, Web of Science, and ProQuest were searched. Studies were included if participants were more than 60 years, were set within the community or within long-term care and diagnosis was based on a postural drop in systolic blood pressure (BP) ≥20 mmHg or diastolic BP ≥10 mmHg. Data were extracted independently by two reviewers. Random and quality effects models were used for pooled analysis. Results Of 23,090 identified records, 20 studies were included for community-dwelling older people (n = 24,967) and six were included for older people in long-term settings (n = 2,694). There was substantial variation in methods used to identify OH with differing supine rest duration, frequency and timing of standing BP, measurement device, use of standing and tilt-tables and interpretation of the diagnostic drop in BP. The pooled prevalence of OH in community-dwelling older people was 22.2% (95% CI = 17, 28) and 23.9% (95% CI = 18.2, 30.1) in long-term settings. There was significant heterogeneity in both pooled results (I2 > 90%). Conclusions OH is very common, affecting one in five community-dwelling older people and almost one in four older people in long-term care. There is great variability in methods used to identify OH.

scholarly journals Use of personal call alarms among community-dwelling older people

2012 ◽  
Vol 34 (1) ◽  
pp. 67-89 ◽  
Author(s):  
SAMUEL R. NYMAN ◽  
CHRISTINA R. VICTOR
Keyword(s):  
Older People ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Community Dwelling ◽  
Living Alone ◽  
Cross Sectional ◽  
Term Care ◽  
Community Dwelling Older People ◽  
Serious Injury

ABSTRACTHaving a fall and then lying on the floor for an hour or more is known as a ‘long lie’, which is associated with serious injury and an elevated risk of admission to hospital, long-term care and death. Personal call alarms are designed to prevent long lies, although little is known about their use. Using cross-sectional data from the English Longitudinal Study on Ageing, this study investigated the proportion of self-reported users of personal call alarms among 3,091 community-dwelling adults aged 65+ who reported difficulties of mobility or activities of daily living. The characteristics of users were then explored through logistic regressions comparing those living alone with those living with others. One hundred and eighty people self-reported using a personal call alarm (6%). Multivariate regression found the following to significantly predict personal call alarm use among both those living alone and with others: greater difficulty with activities/instrumental activities of daily living, older age, and for those living with others only: lower score on the quality of life subscale for control. Personal call alarm use may be markedly lower than the 30 per cent annual incidence of falls among community-dwelling older people. Better understanding is needed of the reasons for low usage, even amongst those at highest falls risk for whom such alarms are most likely to be beneficial.

Oral health care in older people in long term care facilities: A systematic review of implementation strategies

2013 ◽  
Vol 50 (4) ◽  
pp. 569-582 ◽  
Author(s):  
L. Weening-Verbree ◽  
G. Huisman-de Waal ◽  
L. van Dusseldorp ◽  
T. van Achterberg ◽  
L. Schoonhoven
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Long Term Care ◽  
Implementation Strategies ◽  
Oral Health Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Association between multimorbidity patterns and disability among older people covered by long-term care insurance in Shanghai, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zijing Wang ◽  
Wenjia Peng ◽  
Mengying Li ◽  
Xinghui Li ◽  
Tingting Yang ◽  
...  
Keyword(s):  
Older People ◽  
Functional Disability ◽  
Long Term Care ◽  
Strong Association ◽  
Binary Logistic Regression ◽  
Term Care ◽  
Logistic Regression Models ◽  
Disease Pattern ◽  
Long Term Care Insurance

Abstract Background Functional disability and multimorbidity are common among older people. However, little is known about the relationship between functional disability and different multimorbidity combinations. We aimed to identify multimorbidity patterns and explore the associations between these patterns and functional disability. Methods We investigated a multi-stage random sample of 1871 participants aged ≥60 years and covered by long-term care insurance in Shanghai, China. Multimorbidity was defined as the simultaneous presence of two or more chronic diseases in an individual. Participants completed scales to assess basic and instrumental activities of daily living (BADL and IADL, respectively). Multimorbidity patterns were identified via exploratory factor analysis. Binary logistic regression models were used to determine adjusted associations between functional disability and number and patterns of multimorbidity. Results Multimorbidity was present in 74.3% of participants. The prevalence of BADL disability was 50.7% and that of IADL disability was 90.7%. There was a strong association between multimorbidity and disability. We identified three multimorbidity patterns: musculoskeletal, cardio-metabolic, and mental-degenerative diseases. The cardio-metabolic disease pattern was associated with both BADL (OR 1.28, 95%CI 1.16–1.41) and IADL (OR 1.41, 95%CI 1.19–1.68) disability. The mental-degenerative disease pattern was associated with BADL disability (OR 1.55, 95%CI 1.40–1.72). Conclusions Multimorbidity and functional disability are highly prevalent among older people covered by long-term care insurance in Shanghai, and distinct multimorbidity patterns are differentially associated with functional disability. Appropriate long-term healthcare and prevention strategies for older people may help reduce multimorbidity, maintain functional ability, and improve health-related quality of life.

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