Identification of high risk fallers among older people living in residential care facilities: A simple screen based on easily collectable measures

2012 ◽  
Vol 55 (3) ◽  
pp. 690-695 ◽  
Author(s):  
Julie Whitney ◽  
Jacqueline C.T. Close ◽  
Stephen R. Lord ◽  
Stephen H.D. Jackson
Keyword(s):  
High Risk ◽  
Older People ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Berg Balance Scale: Intrarater Test-Retest Reliability Among Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities

2007 ◽  
Vol 87 (9) ◽  
pp. 1155-1163 ◽  
Author(s):  
Mia Conradsson ◽  
Lillemor Lundin-Olsson ◽  
Nina Lindelöf ◽  
Håkan Littbrand ◽  
Lisa Malmqvist ◽  
...  
Keyword(s):  
Older People ◽  
Activities Of Daily Living ◽  
Residential Care ◽  
Daily Living ◽  
Retest Reliability ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
The Absolute ◽  
Test Retest Reliability ◽  
Absolute Reliability

Background and Purpose: The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities.Subjects: The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68–96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4–30).Methods: The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC).Results: The mean score was 30.1 points (SD=15.9, range=3–53) for the first BBS test and 30.6 points (SD=15.6, range=4–54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0–11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97.Discussion and Conclusion: Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.

scholarly journals Factors Associated with Older Peoples′ Perceptions of Dignity and Well-being at Residential Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 976-976
Author(s):  
Charlotte Roos ◽  
Moudud Alam ◽  
Anna Swall ◽  
Anne-Marie Boström ◽  
Lena Hammar
Keyword(s):  
Older People ◽  
Residential Care ◽  
Well Being ◽  
Cross Sectional ◽  
Care Environment ◽  
Residential Care Facilities ◽  
Self Rated Health ◽  
Care Facilities ◽  
Being There ◽  
Mealtime Environment

Abstract Dignity and well-being should be promoted in care of older people living at residential care facilities (RCFs). In addition, care should be person-centred. Dignity and well-being can be interpreted as person-centred outcomes. Older people living at RCFs experience a lack of dignity and well-being. To promote this, it is important to understand the associated factors to target. The aim of this study was to examine the associations between perceived dignity and well-being and factors related to attitudes of staff, the care environment and individual issues (age, gender, self-rated health and dementia) among older people living at RCFs. A national cross-sectional study was conducted retrospectively. All older people 65 years and older (n=71,696) living at RCFs in 2018 were invited to respond to the survey. The survey included the areas: self-rated health, indoor-outdoor-mealtime environment, performance of care, treatment from staff, safety, social activities, availability of staff and care in its entirety. Age, gender and diagnosed dementia were collected from two national databases. Data was analysed using ordinal logistic regression models. The result indicated that respondents who had experienced disrespectful treatment, who did not thrive in the indoor-outdoor-mealtime environment, who rated their health as poor and respondents with dementia had higher odds of being dissatisfied with dignity and well-being. There is a need to improve the prerequisites of staff regarding respectful attitudes and to improve the care environment. The Person-centred Practice framework, targeting the prerequisites of staff and the care environment, can be used as a theoretical framework for designing future improvements.

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