Outcomes of cognitively impaired older people in Transition Care

2014 ◽  
Vol 34 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Nancye May Peel ◽  
Kah Wai Chan ◽  
Ruth Eleanor Hubbard
Keyword(s):  
Older People ◽  
Cognitively Impaired ◽  
Transition Care

Managing Problem Behaviors in Cognitively Impaired Older People

2010 ◽  
Vol 18 (3) ◽  
pp. 164-173 ◽  
Author(s):  
Chia-Hsiu Chang ◽  
Yu-Hung Lin ◽  
Shu-Hui Yeh ◽  
Li-Wei Lin
Keyword(s):  
Older People ◽  
Problem Behaviors ◽  
Cognitively Impaired

A Tablet-Based Volunteer-Mediated Intervention for Cognitively Impaired Older People: A Pretest–Posttest

2019 ◽  
Vol 30 (3) ◽  
pp. 288-297
Author(s):  
Ke Chen ◽  
Vivian Wei Qun Lou ◽  
Selina Siu Ching Lo
Keyword(s):  
Older People ◽  
Daily Living ◽  
Emotional Health ◽  
Behavioral Problem ◽  
Community Dwelling ◽  
Cognitively Impaired ◽  
Activity Of Daily Living ◽  
Cognition And Emotion ◽  
Instrumental Activity ◽  
Home Training

Purpose: This study evaluated the potential effectiveness of a tablet-based, volunteer-led intervention (Lok Chi In-home Training) for cognitively impaired older people in improving cognitive and emotional health. Method: A one-group pretest and posttest design was adopted, involving 57 community-dwelling older people with cognitive impairments (Montreal Cognitive Score between 13 and 22, without neuropsychiatric behavioral problem). Trained volunteers performed eight in-home training sessions using a tablet to facilitate. Outcome measures include cognitive function, depression, activity of daily living, and instrumental activity of daily living. Results: A paired sample t test indicated that after receiving Lok Chi In-home Training, participants showed significantly large improvements on cognitive ability, moderate improvements on depression, and small improvements on instrumental activity of daily living. Conclusions: This study demonstrated the feasibility and potential benefits of Lok Chi intervention for improving cognition and emotion.

scholarly journals The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program

2016 ◽  
Vol 45 (2) ◽  
pp. 317-320 ◽  
Author(s):  
Tracy A. Comans ◽  
Nancye M. Peel ◽  
Ruth E. Hubbard ◽  
Andrew D. Mulligan ◽  
Leonard C. Gray ◽  
...  
Keyword(s):  
Older People ◽  
Healthcare Costs ◽  
Care Program ◽  
Transition Care

Physiological Fall Risk Factors in Cognitively Impaired Older People: A One-Year Prospective Study

2012 ◽  
Vol 34 (3-4) ◽  
pp. 181-189 ◽  
Author(s):  
Morag E. Taylor ◽  
Stephen R. Lord ◽  
Kim Delbaere ◽  
A. Stefanie Mikolaizak ◽  
Jacqueline C.T. Close
Keyword(s):  
Risk Factors ◽  
Older People ◽  
Prospective Study ◽  
Fall Risk ◽  
Cognitively Impaired ◽  
Fall Risk Factors ◽  
One Year

scholarly journals Factors associated with success in transition care services among older people in Australia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Monica Cations ◽  
Catherine Lang ◽  
Maria Crotty ◽  
Steven Wesselingh ◽  
Craig Whitehead ◽  
...  
Keyword(s):  
Older People ◽  
Regression Models ◽  
Care Service ◽  
Functional Independence ◽  
Control Group ◽  
Residential Setting ◽  
Clinical Factors ◽  
Factors Associated ◽  
Transition Care ◽  
Younger Age

Abstract Background The Australian Transition Care Program (TCP) is a national intermediate care service aiming to optimise functional independence and delay entry to permanent care for older people leaving hospital. The aim of this study was to describe the outcomes of TCP and identify demographic and clinical factors associated with TCP ‘success’, to assist with clinical judgements about suitable candidates for the program. Method We conducted a descriptive cohort study of all older Australians accessing TCP for the first time between 2007 and 2015. Logistic regression models assessed demographic and clinical factors associated with change in performance on a modified Barthel Index from TCP entry to discharge and on discharge to community. Fine-Gray regression models estimated factors associated with transition to permanent care within 6 months of TCP discharge, with death as a competing event. Results Functional independence improved from entry to discharge for 46,712 (38.4%) of 124,301 TCP users. Improvement was more common with younger age, less frailty, shorter hospital stay prior to TCP, and among women, those without a carer, living outside a major city, and without dementia. People who received TCP in a residential setting were far less likely to record improved functional impairment and more likely to be discharged to permanent care than those in a community setting. Discharge to community was more common with younger age and among women and those without dementia. Nearly 12% of community TCP and 63% of residential TCP users had transitioned to permanent care 6 months after discharge. Entry to permanent care was more common with older age, higher levels of frailty, and among those with dementia. Conclusions More than half of TCP users are discharged to home and remain at home after 6 months. However, residential-based TCP may have limited efficacy. Age, frailty, carer status, and dementia are key factors to consider when assessing program suitability. Future studies comparing users to a suitably matched control group will be very helpful for confirming whether the TCP program is meeting its aims.

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