scholarly journals 49 * CAN CARE HOME RESIDENTS ACHIEVE THE RECOMMENDED DOSE AND INTENSITY OF FALLS PREVENTION EXERCISE? - ANALYSIS FROM THE PREVENTION OF FALLS IN COGNITIVELY IMPAIRED OLDER ADULTS LIVING IN RESIDENTIAL CARE (PROF-COG) STUDY

2015 ◽  
Vol 44 (suppl 1) ◽  
pp. i13-i13
Author(s):  
C. Condon ◽  
S. H. D. Jackson ◽  
J. Whitney
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Care Home ◽  
Falls Prevention ◽  
Recommended Dose ◽  
Cognitively Impaired

31 Evidence, Assumptions, and Emerging Treatments for Falls Prevention

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Manuel Montero-Odasso
Keyword(s):  
Older Adults ◽  
Cognitive Processes ◽  
Fall Risk ◽  
Falls Prevention ◽  
Cognitively Impaired ◽  
Geriatric Syndrome ◽  
Therapeutic Approaches ◽  
Emerging Treatments ◽  
Falls In Older Adults

Abstract Falls is a common geriatric syndrome that increases morbidity and mortality. Much of our understanding of falls mechanisms derives from studies that excluded or did not evaluate cognitively impaired older adults. This has limited the evidence for managing falls in this population and generated gaps in our understanding of how cognitive processes affect the pathophysiology of falls. This presentation will provide an overview of the role of cognition in falls with potential implications for managing and preventing falls in older adults. A thorough review of observational and interventional studies addressing the role of cognition on falls will be appraised. The importance of the gait-cognition relationship in aging and neurodegeneration is revised to highlight the role of brain motor control deficits in fall risk. The benefits of dual-task gait assessments as a marker of fall risk is reviewed. Therapeutic approaches for reducing falls by improving certain aspects of cognition will be also appraised.

scholarly journals 185Evaluation of an Interdisciplinary Falls Prevention Team in Residential Care for Older Adults including Older Adults with an Intellectual Disability

2018 ◽  
Vol 47 (suppl_5) ◽  
pp. v1-v12
Author(s):  
Mary Doyle ◽  
Susan Curtis ◽  
Siobhan Kenny ◽  
Stella Murugesan ◽  
Shauna Clarke ◽  
...  
Keyword(s):  
Older Adults ◽  
Intellectual Disability ◽  
Residential Care ◽  
Falls Prevention

scholarly journals The Cognitive Daisy – A novel method for recognising the cognitive status of older adults in residential care: Innovative Practice

Dementia ◽  
2016 ◽  
Vol 18 (5) ◽  
pp. 1948-1958 ◽  
Author(s):  
John M Hudson ◽  
Petra MJ Pollux
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Spatial Perception ◽  
Care Home ◽  
Cognitive Status ◽  
Assessment System ◽  
Memory And Attention ◽  
Visual Spatial ◽  
Novel Method ◽  
Status Of Care

The Cognitive Daisy is an innovative assessment system created to provide healthcare staff with an instant snapshot of the cognitive status of older adults in residential care. The Cognitive Daisy comprises a flower head consisting of 15 colour coded petals depicting information about: visual-spatial perception, comprehension, communication, memory and attention. This study confirmed the practicality of the Cognitive Daisy protocol for assessing cognition in a sample of 33 older adults living in residential care and endorsed the use of the Cognitive Daisy as a tool for recognising the cognitive status of care home residents.

scholarly journals It takes time: Building relationships and understanding through an intergenerational ballet programme

Dementia ◽  
2018 ◽  
Vol 19 (2) ◽  
pp. 270-284
Author(s):  
Shelley E Canning ◽  
Michael Gaetz ◽  
Darren Blakeborough
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Long Term Care ◽  
Care Home ◽  
Care Homes ◽  
Term Care ◽  
Negative Stereotypes ◽  
Building Relationships ◽  
Meaningful Relationships

Individuals living in long-term residential care homes are often viewed through a negative lens. These residents have increasingly complex care needs, and their functional, communication and cognitive challenges can support conceptualizations of difference and disability perpetuating negative stereotypes of age and dementia. However, engaging in meaningful activities and relationships with older adults, including those with dementia, has been shown to promote positive attitudes. Specifically, intergenerational programming that provides opportunities for meaningful engagement between children and older adults has been shown to support positive emotional experiences through socializing and building relationships. This qualitative study explored the development of relationships between school-aged children and older adults with dementia living in a long-term residential care home. Residents in long-term care homes and children typically have limited opportunities to interact with each other; in this study, participating in an intergenerational dance programme provided an opportunity for meaningful relationships to develop. This paper focuses on the development of the children’s attitudes and understandings of their much older dance partners. Seven girls between the ages of seven and nine participated in ballet classes with residents in a long-term care home for one hour each week over a six-month period. All of the residents had a diagnosis of moderate to advanced dementia. Further, all of the residents also had other chronic health issues such as cardiac, respiratory and/or neurological diseases. The children were interviewed at the baseline, three- and six-month intervals. Prior to beginning the dance programme, the children anticipated their dance partners to be unwell and unable. However, by the end of six months, the children described the residents much more positively highlighting their abilities and strengths. Over time, through participating in a structured intergenerational programme, the children’s views of disability and difference disappeared as they formed dance partnerships and developed meaningful relationships.

Urinary tract infections (UTIs); a leaflet for older adults, and carers: the development of a UTI leaflet for older adults and their carers

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696833 ◽  
Author(s):  
Leah Ffion Jones ◽  
Emily Cooper ◽  
Cliodna McNulty
Keyword(s):  
Older Adults ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Care Home ◽  
Asymptomatic Bacteriuria ◽  
Theoretical Domains Framework ◽  
Antibiotic Use ◽  
Primary Care Providers ◽  
Care Providers ◽  
Tract Infections

BackgroundEscherichia coli bacteraemia rates are rising with highest rates in older adults. Mandatory surveillance identifies previous Urinary Tract Infections (UTI) and catheterisation as risk factors.AimTo help control bacteraemias in older frail patients by developing a patient leaflet around the prevention and self-care of UTIs informed by the Theoretical Domains Framework.MethodFocus groups or interviews were held with care home staff, residents and relatives, GP staff and an out of hours service, public panels and stakeholders. Questions explored diagnosis, management, prevention of UTIs and antibiotic use in older adults. The leaflet was modified iteratively. Discussions were transcribed and analysed using Nvivo.ResultsCarers of older adults reported their important role in identifying when older adults might have a UTI, as they usually flag symptoms to nurses or primary care providers. Information on UTIs needs to be presented so residents can follow; larger text and coloured sections were suggested. Carers were optimistic that the leaflet could impact on the way UTIs are managed. Older adults and relatives liked that it provided new information to them. Staff welcomed that diagnostic guidance for UTIs was being developed in parallel; promoting consistent messages. Participants welcomed and helped to word sections on describing asymptomatic bacteriuria simply, preventing UTIs, causes of confusion and when to contact a doctor or nurseConclusionA final UTI leaflet for older adults has been developed informed by the TDF. See the TARGET website www.RCGP.org.uk/targetantibiotics/

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

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