scholarly journals The frailty index is associated with the need for care in an aging Swedish population

2017 ◽  
Author(s):  
J Jylhävä ◽  
M Jiang ◽  
AD Foebel ◽  
NL Pedersen ◽  
S Hägg
Keyword(s):  
Sex Education ◽  
Smoking Status ◽  
Frailty Index ◽  
Risk Indicator ◽  
Need For Care ◽  
Pair Member ◽  
Care Needs ◽  
Swedish Population ◽  
The Future ◽  
Future Care

AbstractBackgroundThe Rockwood frailty index (FI) has proven a valid predictor of mortality, institutionalization and requirement for health services. However, little is known about the relationship between the FI and the need for care – an indication of dependency. To this end, we ascertained the associations between the FI and the need for current and future care. MethodsA Rockwood-based FI was tested for association with the current need for care and care needs in the future during a 23-year follow-up in the Swedish Adoption/Twin Study of Aging (n=1477; 623 men, 854 women; aged 29-95 years at baseline). Need for care was defined as receiving help at least once a week in daily routines. Age, sex, education, living alone, smoking status and body mass index were considered as covariates.ResultsThe FI was independently associated with current need for care (OR=1.27 for accumulation of one deficit, 95%CI 1.20–1.34) and future need for care (HR=1.12 for accumulation of one deficit, 95%CI 1.08–1.15). Co-twin control analyses confirmed the results; the pair member currently needing care had higher median FI levels compared to their co-twin not needing care, and the pair member having higher baseline FI had shorter median time to the onset of future care need compared to their co-twin with lower FI.ConclusionsThe FI is a determinant of current care needs and predictive of care needs in the future. The FI may thus represent a risk indicator for dependency and offer an amenable target for preventive measures.

Preparation for Death and Preparation for Care in Older Community-Dwelling Adults

2002 ◽  
Vol 45 (1) ◽  
pp. 69-88 ◽  
Author(s):  
Martin Pinquart ◽  
Silvia SÖrensen
Keyword(s):  
United States ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Psychosocial Interventions ◽  
Community Dwelling ◽  
Future Research ◽  
Care Needs ◽  
The Future ◽  
Future Care

Preparation for one's death (e.g., having signed a will, having made preparations for one's funeral) and preparation for future care needs (e.g., having selected a source of support) were investigated in 593 United States and 582 German independently living seniors. The older adults reported higher levels of preparation for death than preparation for care. The lower level of preparation for care is interpreted as reflecting the uncertainty whether care needs will emerge in the future. Seniors who reported some preparation for death were more likely to report preparation for future care needs as well. Older, more educated, and more religious individuals were more likely to prepare for death. In addition, U.S. seniors were more likely to report some death preparation than German seniors. Limitations in activities of daily living did not predict levels of preparation for death. Implications for future research and for psychosocial interventions are discussed.

Hoping for the Best or Planning for the Future: Decision Making and Future Care Needs

2015 ◽  
Vol 36 (8) ◽  
pp. 953-970 ◽  
Author(s):  
Odette N. Gould ◽  
Suzanne Dupuis-Blanchard ◽  
Lita Villalon ◽  
Majella Simard ◽  
Sophie Ethier
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Well Being ◽  
Proactive Coping ◽  
Care Needs ◽  
The Future ◽  
Future Care ◽  
Thinking Processes ◽  
Living Circumstances ◽  
Do So

Research has shown that relatively few older adults make plans for future care needs. In this study, we explore the thinking processes involved in planning or failing to plan for the future. Interviews were carried out with 39 older adults ( M age = 81 years) who were experiencing disability and illness but who lived in their own home. Guiding questions for the interview focused on present living circumstances, but for the present qualitative analysis, all references to the future, and to future residence changes, were extracted. This approach allowed us to observe how older adults spontaneously address issues of future planning when not constrained to do so. Results supported the use of a positivity bias, as well as a risk-aversive decision-making style. These older adults seemed to be prioritizing present emotional well-being by avoiding thoughts of future risks and thereby eschewing proactive coping.

scholarly journals A comparative study of chest CT findings regarding the effects of regional dust exposure on patients with COPD living in urban areas and rural areas near cement plants

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Junghyun Kim ◽  
Bom Kim ◽  
So Hyeon Bak ◽  
Yeon-Mok Oh ◽  
Woo Jin Kim
Keyword(s):  
Sex Education ◽  
Rural Areas ◽  
Urban Areas ◽  
Smoking Status ◽  
Statistical Significance ◽  
Dust Exposure ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Wall Area ◽  
Copd Patients

Abstract Background The clinical and radiological presentation of chronic obstructive pulmonary disease (COPD) is heterogenous depending on the characterized sources of inflammation. This study aimed to evaluate COPD phenotypes associated with specific dust exposure. Methods This study was designed to compare the characteristics, clinical outcomes and radiological findings between two prospective COPD cohorts representing two distinguishing regions in the Republic of Korea; COPD in Dusty Area (CODA) and the Korean Obstructive Lung Disease (KOLD) cohort. A total of 733 participants (n = 186 for CODA, and n = 547 for KOLD) were included finally. A multivariate analysis to compare lung function and computed tomography (CT) measurements of both cohort studies after adjusting for age, sex, education, body mass index, smoking status, and pack-year, Charlson comorbidity index, and frequency of exacerbation were performed by entering the level of FEV1(%), biomass exposure and COPD medication into the model in stepwise. Results The mean wall area (MWA, %) became significantly lower in COPD patients in KOLD from urban and metropolitan area than those in CODA cohort from cement dust area (mean ± standard deviation [SD]; 70.2 ± 1.21% in CODA vs. 66.8 ± 0.88% in KOLD, p = 0.028) after including FEV1 in the model. COPD subjects in KOLD cohort had higher CT-emphysema index (EI, 6.07 ± 3.06 in CODA vs. 20.0 ± 2.21 in KOLD, p < 0.001, respectively). The difference in the EI (%) was consistently significant even after further adjustment of FEV1 (6.12 ± 2.88% in CODA vs. 17.3 ± 2.10% in KOLD, p = 0.002, respectively). However, there was no difference in the ratio of mean lung density (MLD) between the two cohorts (p = 0.077). Additional adjustment for biomass parameters and medication for COPD did not alter the statistical significance after entering into the analysis with COPD medication. Conclusions Higher MWA and lower EI were observed in COPD patients from the region with dust exposure. These results suggest that the imaging phenotype of COPD is influenced by specific environmental exposure.

Association between E-cigarette use and chronic obstructive pulmonary disease in non-asthmatic adults in the USA

2020 ◽  
Author(s):  
Godfred O Antwi ◽  
Darson L Rhodes
Keyword(s):  
Sex Education ◽  
Smoking Status ◽  
Secondary Data ◽  
Chronic Obstructive ◽  
Behavioral Risk ◽  
Cigarette Use ◽  
Obstructive Pulmonary Disease ◽  
The Usa ◽  
Potential Link ◽  
Using Data

Abstract Background Concern about the health impacts of e-cigarette use is growing; however, limited research exists regarding potential long-term health effects of this behavior. This study explored the relationship between e-cigarette use and COPD in a sample of US adults. Methods A secondary data analysis using data from the 2018 Behavioral Risk Factor Surveillance Survey in the USA was computed to examine associations between e-cigarette use and COPD controlling for conventional cigarette smoking status, past month leisure physical activity and demographic characteristics including age, sex, education, race, marital status and body mass index. Results Significant associations between e-cigarette use and COPD among former combustible cigarette smokers and those who reported never using combustible cigarettes were found. Compared with never e-cigarette users, the odds of having COPD were significantly greater for daily e-cigarette users (OR = 1.53; 95% CI: 1.11–2.03), occasional users (OR = 1.43, 95% CI: 1.13–1.80) and former users (OR = 1.46 95% CI: 1.28–1.67). Conclusions Findings from this study indicate a potential link between e-cigarette use and COPD. Further research to explore the potential effects of e-cigarette on COPD is recommended.

Older Adults in Rural Appalachia

2017 ◽  
Vol 86 (4) ◽  
pp. 364-381 ◽  
Author(s):  
Raven H. Weaver ◽  
Karen A. Roberto ◽  
Rosemary Blieszner
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Structural Equation ◽  
Community Services ◽  
Equation Modeling ◽  
Care Needs ◽  
Formal Services ◽  
Future Care ◽  
Rural Appalachia ◽  
Informal Help

Little is known about how rural-dwelling older adults anticipate and plan for future care needs. Using a mixed-method explanatory design, structural equation modeling ( n = 535) revealed significant associations between concerns about using services on preference for type of help; preference was associated with likelihood of using future services. Content analysis of interview data from 19 older adults who needed but were not receiving help revealed how they conceptualize their need for assistance and anticipated future care arrangements. Nine older adults were not thinking about future care needs. While most older adults articulated preferences for informal help, they indicated some openness to formal assistance. Preferences did not always align with expectations for the future. Rather, concerns about burdening family and friends outweighed concerns about community services and influenced expectations of using formal services. Understanding rural older adults’ expectations for future care arrangements is necessary for advancing policy and implementing successful services options.

scholarly journals Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19

2021 ◽  
Vol 6 ◽  
Author(s):  
Theresa E. Gildner ◽  
Zaneta M. Thayer
Keyword(s):  
United States ◽  
Maternity Care ◽  
Community Care ◽  
Insurance Coverage ◽  
The United States ◽  
Care Needs ◽  
Perceived Safety ◽  
Predominately White ◽  
Centered Care ◽  
Future Care

The COVID-19 pandemic has impacted maternity care decisions, including plans to change providers or delivery location due to pandemic-related restrictions and fears. A relatively unexplored question, however, is how the pandemic may shape future maternity care preferences post-pandemic. Here, we use data collected from an online convenience survey of 980 women living in the United States to evaluate how and why the pandemic has affected women’s future care preferences. We hypothesize that while the majority of women will express a continued interest in hospital birth and OB/GYN care due to perceived safety of medicalized birth, a subset of women will express a new interest in out-of-hospital or “community” care in future pregnancies. However, factors such as local provider and facility availability, insurance coverage, and out-of-pocket cost could limit access to such future preferred care options. Among our predominately white, educated, and high-income sample, a total of 58 participants (5.9% of the sample) reported a novel preference for community care during future pregnancies. While the pandemic prompted the exploration of non-hospital options, the reasons women preferred community care were mostly consistent with factors described in pre-pandemic studies, (e.g. a preference for a natural birth model and a desire for more person-centered care). However, a relatively high percentage (34.5%) of participants with novel preference for community care indicated that they expected limitations in their ability to access these services. These findings highlight how the pandemic has potentially influenced maternity care preferences, with implications for how providers and policy makers should anticipate and respond to future care needs.

scholarly journals Lifestyle of Students Studying in the Specialty «Nursing»

2017 ◽  
pp. 131-134 ◽  
Author(s):  
Nataliia Semenova ◽  
Romana Sirenko ◽  
Maryana Ripak ◽  
Liubov Chekhovska
Keyword(s):  
Physical Activity ◽  
Medical Care ◽  
Young Men ◽  
Female Students ◽  
After School ◽  
Care Needs ◽  
The Future ◽  
Alcoholic Drinks ◽  
Medical Colleges

The article analyzes the lifestyle of students studying in the specialty «Nursing». Among students of medical colleges there was conducted a survey, which was attended by young men (n = 10) and women (n = 106), aged 15 to 21 years. The study revealed a small number of students who smoke cigarettes, but alcohol and low alcoholic drinks were consumed by about 73 % of female students, of which 28 people were underage. There was discovered low physical activity among students after school - 107,08 ± 14,9 min. per week, which is about 15 minutes. for a day. It is already stated, that the lifestyle of students studying with a speciality called «Medical care» needs a constant and purposeful forming during the whole learning period.The realizing of the importance of health preservation for patients and first of all for yourself the change of students attitude according to the lifestyle and forming of the value relation to own health – all of it will promote a success full realization of social and professional functions of the future nurses.

Preparation for Future Care Needs Measure

2000 ◽  
Author(s):  
Silvia Sörensen ◽  
Martin Pinquart
Keyword(s):  
Care Needs ◽  
Future Care

15-Item Preparation for Future Care Needs Measure

2017 ◽  
Author(s):  
Silvia Sörensen ◽  
Benjamin P. Chapman ◽  
Paul R. Duberstein ◽  
Martin Pinquart ◽  
Jeffrey M. Lyness
Keyword(s):  
Care Needs ◽  
Future Care

Unmet Need for Care Coordination Among Children with Special Health Care Needs

2019 ◽  
Vol 22 (3) ◽  
pp. 255-261 ◽  
Author(s):  
Rebecca Miller ◽  
Dmitry Tumin ◽  
Don Hayes ◽  
Joshua C. Uffman ◽  
Vidya T. Raman ◽  
...  
Keyword(s):  
Health Care ◽  
Care Coordination ◽  
Unmet Need ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Need For Care ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health
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