Chronic Kidney Disease, Anemia, and the Association Between Chronic Kidney Disease-Related Anemia and Activities of Daily Living in Older Nursing Home Residents

2009 ◽  
Vol 10 (2) ◽  
pp. 120-126 ◽  
Author(s):  
John Schnelle ◽  
Dan Osterweil ◽  
Denise Globe ◽  
Angela Sciarra ◽  
Paul Audhya ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Nursing Home ◽  
Kidney Disease ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nursing Home Residents

Pretransplant Comprehensive Geriatric Assessment in Older Patients with Advanced Chronic Kidney Disease

Nephron ◽  
2021 ◽  
pp. 1-10
Author(s):  
Teddy Novais ◽  
Elodie Pongan ◽  
Frederic Gervais ◽  
Marie-Hélène Coste ◽  
Emmanuel Morelon ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Activities Of Daily Living ◽  
Physical Function ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
Older Patients ◽  
Advanced Chronic Kidney Disease ◽  
Comorbidity Burden

<b><i>Background:</i></b> In older patients with advanced chronic kidney disease (CKD), the decision of kidney transplantation (KT) is a challenge for nephrologists. The use of comprehensive geriatric assessment (CGA) is increasingly gaining interest into the process of decision-making about treatment modality choice for CKD. The aim of this study was to assess the prevalence of geriatric impairment and frailty in older dialysis and nondialysis patients with advanced CKD using a pretransplant CGA model and to identify geriatric impairments influencing the geriatricians’ recommendations for KT. <b><i>Methods:</i></b> An observational study was conducted with retrospective data from July 2017 to January 2020. Patients aged ≥65 years with advanced CKD, treated or not with dialysis, and referred by the nephrologist were included in the study. The CGA assessed comorbidity burden, cognition, mood, nutritional status, (instrumental) activities of daily living, physical function, frailty, and polypharmacy. Geriatric impairments influencing the geriatricians’ recommendations for KT were identified using univariate and multivariate logistic regressions. <b><i>Results:</i></b> 156 patients were included (74.2 ± 3.5 years and 62.2% on dialysis). Geriatric conditions were highly prevalent in both dialysis and nondialysis groups. The rate of geriatric impairments was higher in dialysis patients regarding comorbidity burden, symptoms of depression, physical function, autonomy, and frailty. Geriatrician’s recommendations for KT were as follows: favorable (79.5%) versus not favorable or multidisciplinary discussion needed with nephrologists (20.5%). Dependence for Instrumental Activities of Daily Living (IADL) (odds ratio [OR] = 3.01 and 95% confidence interval [CI] = 1.30–7.31), physical functions (OR = 2.91 and 95% CI = 1.08–7.87), and frailty (OR = 2.66 and 95% CI = 1.07–6.65) were found to be independent geriatric impairments influencing geriatrician’s recommendations for KT. <b><i>Conclusions:</i></b> Understanding the burden of geriatric impairment provides an opportunity to direct KT decision-making and to guide interventions to prevent functional decline and preserve quality of life.

A Prospective Study of Outcomes of Nursing Home Residents with Chronic Kidney Disease with and without Anemia

2012 ◽  
Vol 60 (5) ◽  
pp. 877-883 ◽  
Author(s):  
Ellen F. Binder ◽  
Heidi K. White ◽  
Barbara Resnick ◽  
William M. McClellan ◽  
Lei Lei ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Nursing Home ◽  
Kidney Disease ◽  
Prospective Study ◽  
Nursing Home Residents ◽  
A Prospective Study

Predictors of the Level of Care assigned to New Nursing Home Residents

1985 ◽  
Vol 4 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Peter R. Grant
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Behavioral Problems ◽  
Daily Living ◽  
Stressful Life Event ◽  
Nursing Home Residents ◽  
Level Of Care ◽  
Admission Data ◽  
Major Predictor ◽  
High Level

ABSTRACTAdmission data from 159 residents of four Saskatchewan nursing homes were analysed in order to identify predictors of level of care. Multiple regression analyses showed that a high level of care was assigned to those who were unable to perform various activities of daily living, those who had behavioral problems, and those who had recently experienced a stressful life event; with these variables and a nursing home variable explaining 47.2% of the variance. Appropriately, the most important predictor is activities of daily living. The other major predictor is behavioral problems which, the results suggest, are caused by either an organic psychotic disorder or a high level of stress. It is recommended that, following admission, new residents with behavioral problems caused by stress should be the recipients of programs designed to help them cope with this stress and mitigate their behavioral problems. Then, they should be reassessed and, where appropriate, reassigned to a lower level of care.

Prevalence, associated factors and impact on mortality of chronic kidney disease in nursing home residents: A single-center experience

2014 ◽  
Vol 15 (6) ◽  
pp. 715-720 ◽  
Author(s):  
Zehra Eren ◽  
Yaşar Küçükardalı ◽  
Mehmet Akif Öztürk ◽  
Betül Küçükardalı ◽  
Elif Çiğdem Kaspar ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Nursing Home ◽  
Kidney Disease ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Single Center ◽  
Single Center Experience

scholarly journals Restorative Care’s Effect on Activities of Daily Living Dependency in Long-stay Nursing Home Residents

2015 ◽  
Vol 55 (Suppl 1) ◽  
pp. S88-S98 ◽  
Author(s):  
Kristine M. C. Talley ◽  
Jean F. Wyman ◽  
Kay Savik ◽  
Robert L. Kane ◽  
Christine Mueller ◽  
...  
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nursing Home Residents

scholarly journals Limitations in Activities of Daily Living in Individuals With Chronic Kidney Disease: Biopsychosocial Factors of the Brazilian Population

2021 ◽  
Author(s):  
Hellen Carvalho Lima ◽  
Carla Daniele Ferreira Dantas ◽  
Adson Aragão Araújo Santos ◽  
Adirlene Pontes Oliveira Tenório ◽  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Cox Regression ◽  
Prevalence Ratio ◽  
National Health Survey ◽  
Brazilian Population ◽  
Significance Level ◽  
The Relationship

Abstract This study assesses the relationship between biopsychosocial factors and limitations in activities of daily living (ADL) in individuals with chronic kidney disease (CKD). Individual data from the National Health Survey were analyzed, with a sample size of 839 participants. The outcome was dichotomous, presenting limitations in ADL, and the factors considered were clinical and health characteristics, self-perceived behavior, contextual social support, and housing. Cox regression was applied to control the interaction between factors, using the prevalence ratio as a measure of effect and a significance level of 5%. A total of 839 individuals with CKD were reported, of which 373 (40.7%: 35.4 - 46.1%) reported having limitations in ADL. The presence of limitations in ADL was related to residing in a rural area, as well as to the absence of private health insurance, worse self-perceived health, presence of depressive symptoms, and disabilities, in addition to the use of medications and hemodialysis. Limitations in ADL in individuals with CKD are associated with biopsychosocial factors in the Brazilian population, requiring public policies that enable better therapeutic management and support for behavioral health and contextual needs.

Dance as Prevention of Late Life Functional Decline Among Nursing Home Residents

2015 ◽  
Vol 36 (12) ◽  
pp. 1453-1470 ◽  
Author(s):  
Katerina Machacova ◽  
Hana Vankova ◽  
Ladislav Volicer ◽  
Petr Veleta ◽  
Iva Holmerova
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Daily Living ◽  
Functional Decline ◽  
Nursing Home Residents ◽  
Late Life ◽  
Cost Of Care ◽  
Control Group ◽  
Adverse Health Outcomes

Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervention and control groups. More detailed data were collected in a subsample of 52 participants. Intervention consisted of 3-month dance-based exercise. Functional status was assessed by the get-up-and-go test, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and senior fitness tests (SFTs). Participants in the control group experienced a significant decline in get-up-and-go test, IADL, and in four of the six SFTs. The intervention proved to be effective in preventing this deterioration and improved chair stand test and chair sit-and-reach test. The findings indicate that a relatively simple dance-based exercise can slow down deterioration of functional status in NH residents.

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