Walking speed and short physical performance battery are associated with conversion to long‐term care need: A study in outpatients of a locomotive syndrome‐frailty clinic

2021 ◽  
Author(s):  
Koki Kawamura ◽  
Izumi Kondo ◽  
Aiko Osawa ◽  
Masanori Tanimoto ◽  
Yasumoto Matsui ◽  
...  
Keyword(s):  
Physical Performance ◽  
Long Term Care ◽  
Walking Speed ◽  
Short Physical Performance Battery ◽  
Locomotive Syndrome ◽  
Term Care

scholarly journals Exploring the Attendance and Potential Benefits of Reducing Sitting Time for Residents in a Canadian Long-Term Care Setting: A Pilot Study

2020 ◽  
Vol 6 ◽  
pp. 233372142098132
Author(s):  
Amanda Lee ◽  
Martin Sénéchal ◽  
Emily Read ◽  
Danielle R. Bouchard
Keyword(s):  
Functional Outcomes ◽  
Care Setting ◽  
Long Term Care ◽  
Walking Speed ◽  
Care Facility ◽  
Sitting Time ◽  
Term Care ◽  
Long Term Care Facility ◽  
Potential Benefits

Background: This study aimed to assess the attendance to a novel intervention aiming to reduce sitting time in a long-term care facility and exploring the potential functional benefits. Methods: The intervention consisted of research staff visiting a resident to promote standing for 10-minute sessions, three times per day (morning, afternoon and evening), 4 days per week (Monday-Wednesday-Friday and Sunday) over 10 weeks. The main outcome was attendance. Functional outcomes included walking speed, power, and strength. Results: A total of 28 participants agree to participate and 24 completed the trial. The average attendance averaged four sessions per week and averaged 45 minutes of standing weekly out of 120 minutes offered. Attendance was highest during the morning session ( p = .02) and weekdays ( p < .01). There was a significant improvement in the 30-second chair stand test ( p < .05). Conclusion: Although well accepted, the attendance was low. Based on the information gathered suggestions can be made to improve the intervention, attendance, and potential benefits of such intervention.

scholarly journals Relationship between whether the planned discharge destination is decided and locomotive syndrome for admitted patients in psychiatric long-term care wards

2020 ◽  
Vol 23 (2) ◽  
pp. 180-187
Author(s):  
Munetsugu KOTA ◽  
Sae UEZONO ◽  
Yusuke ISHIBASHI ◽  
Sousuke KITAKAZE ◽  
Hideki ARAKAWA
Keyword(s):  
Long Term Care ◽  
Discharge Destination ◽  
Locomotive Syndrome ◽  
Term Care

scholarly journals Characteristics of patients discontinuing outpatient services under long-term care insurance and its effect on frailty during COVID-19

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11160
Author(s):  
Tamaki Hirose ◽  
Yohei Sawaya ◽  
Takahiro Shiba ◽  
Masahiro Ishizaka ◽  
Ko Onoda ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Walking Speed ◽  
Community Dwelling ◽  
Outpatient Rehabilitation ◽  
Rehabilitation Services ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Community Dwelling Older Adults

Background Among community-dwelling older adults who require long-term care and use outpatient rehabilitation services, we aimed to examine the characteristics of patients who discontinued using outpatient rehabilitation services to prevent exposure to COVID-19 and the effects of this discontinuation on patient frailty. Methods Participants were 119 older adults (69 males, 50 females; average age 77.3 ± 8.3 years) requiring long-term care who used outpatient rehabilitation services. Our outpatient rehabilitation service involved day care for older adults undergoing rehabilitation including pick-up and drop-off services under the long-term care insurance system. They were divided into two groups: participants who discontinued using outpatient rehabilitation services and participants who continued their use. To find the factors associated with this discontinuation, binomial logistic regression analysis was performed, in which the following independent variables were used: gender, age, height, weight, long-term care level, grip strength, and normal walking speed. Frailty status was investigated in April 2020 and again in September 2020 through interviews and telephone surveys utilizing the Frailty Screening Index. Results Women and normal walking speed were independent factors associated with the discontinuation of outpatient rehabilitation due to COVID-19. According to the results of the Frailty Screening Index, similar tendencies were exhibited in both April and September. The discontinued group indicated that they were getting less exercise and having stronger feelings of fatigue than the continuing group. Conclusions The findings are in accordance with other studies indicating that women are more likely to employ prevention measures against COVID-19, as seen among the community-dwelling older adults requiring long-term care who used outpatient rehabilitation services. People with higher levels of physical function were also likely to refrain from using outpatient rehabilitation services. Results further suggested that the discontinued group had more frailty-related factors (i.e., low physical activity and strong exhaustion) than the continuing group.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

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