Cardiopulmonary Resuscitation Outcomes in Hospitalized Community-Dwelling Individuals and Nursing Home Residents Based on Activities of Daily Living

2013 ◽  
Vol 61 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Elmer D. Abbo ◽  
Trevor C. Yuen ◽  
Luke Buhrmester ◽  
Romergryko Geocadin ◽  
Angelo E. Volandes ◽  
...  
Keyword(s):  
Nursing Home ◽  
Cardiopulmonary Resuscitation ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nursing Home Residents ◽  
Community Dwelling

scholarly journals Incidence of falls in the elderly population

2017 ◽  
Vol 70 (9-10) ◽  
pp. 277-282
Author(s):  
Jelena Pavlovic ◽  
Maja Racic ◽  
Divna Kekus ◽  
Mile Despotovic ◽  
Sandra Jokovic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Nursing Home ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Significant Difference ◽  
Risk Factors For Falls

Introduction. Falls and fall-related injuries are common in the geriatric population and may be associated with significant morbidity and mortality. The aim of this study was to determine differences in the incidence of falls and risk factors for falls between the community-dwelling and institutionalized elderly people. Material and Methods. The cross sectional study was conducted in the period from May 1, 2015 to December 1, 2015, including 300 community-dwelling elderly people and 110 nursing home residents. The research instruments were a sociodemographic questionnaire, Mini nutritional assessment, Katz index, and Lawton scale. Results. During the previous 12 months, at least one fall was reported in 17.1% of the total number of respondents. The incidence of falls was higher among nursing home residents (c2 = 13.550; p = 0.001). The risk factors for falls were multifactorial. Community-dwelling elderly suffered from urinary incontinence more frequently compared to nursing home residents (p = 0.004), but a significantly worse nutritional status was found in community-dwelling elderly people (p < 0.001). Assistance in basic activities of daily living was required by 3.9% of nursing home residents, and 8.3% of community-dwelling elderly people (p < 0.001). Statistically significant difference was not found in the performance of instrumental activities of daily living (p < 0.145). Conclusion. The incidence of falls was higher in nursing home residents. Risk factors for falls in both examined groups were visual and hearing impairments, urinary incontinence, use of 3 medications per day, damaged functional status, and malnutrition. Prevention of falls requires modification of environmental hazards, reduction of risk factors, their evaluation and strategy implementation.

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.

scholarly journals Prevalence of epilepsy/seizures as a comorbidity of neurologic disorders in nursing homes

Neurology ◽  
2017 ◽  
Vol 88 (8) ◽  
pp. 750-757 ◽  
Author(s):  
Angela K. Birnbaum ◽  
Ilo E. Leppik ◽  
Kenneth Svensden ◽  
Lynn E. Eberly
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Clinical Characteristics ◽  
The United States ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Data Set ◽  
Neurologic Disorders ◽  
Comorbidity Burden

Objective:To determine the prevalence of epilepsy/seizure (epi/sz) comorbid with other neurologic disorders in elderly nursing home residents and to examine demographic and regional variability and associations with clinical characteristics.Methods:We studied 5 cross-sectional cohorts of all residents in any Medicare/Medicaid–certified nursing home in the United States on July 15 of each year from 2003 to 2007. Epi/sz was identified by ICD-9 codes (345.xx or 780.39) or check box (Minimum Data Set). Epi/sz prevalence was stable across all years, so only 2007 data were examined further. Logistic regression with generalized estimating equations was used to model cross-sectional prevalence of epi/sz as a function of demographics and neurologic comorbidities of interest, with adjustment for clinical characteristics, including cognitive status, comorbidity burden, medication burden, and activities of daily living.Results:Point prevalence of epi/sz in 2007 was 7.7% (n = 91,372 of N = 1,186,579) differing by geographical region, race/ethnicity, age group, and sex. Neurologic conditions having the highest association with epi/sz were brain tumor (epi/sz prevalence 23.4%–35.2%), head injury (17.9%), hemiplegia (17.7%), and stroke (13.7%). Epi/sz comorbid with stroke or dementia had a strong decreasing association with age (65–74 years had ≈3.8-times higher odds of epi/sz than 85+ years). Activities of daily living, comorbidity burden, and cognition scores were worse in persons with than without epi/sz.Conclusions:The prevalence of epi/sz in the elderly nursing home population is >7-fold higher compared to community-dwelling elderly and is 7 to 30 times higher among those with certain comorbid neurologic conditions. Demographics and clinical characteristics had weaker associations with epi/sz prevalence.

scholarly journals A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults

2020 ◽  
Vol 49 (2) ◽  
pp. 175-183
Author(s):  
Michael David Cory O’Brien ◽  
Anne Pamela Frances Wand
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Cancer Pain ◽  
Activities Of Daily Living ◽  
Social Engagement ◽  
Daily Living ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Opioid Use ◽  
Opioid Prescription

Abstract Introduction the ageing global population and concomitant increase in the use of opioid analgesia have highlighted the need to evaluate the effectiveness of opioids for chronic pain in older people. Methods a systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling people aged 65 years or more was conducted using PRISMA guidelines. The databases MEDLINE, EMBASE, Pubmed and PsychINFO were searched. The quality of studies was assessed. Secondary aims were to assess correlates of opioid use and the decision-making processes of prescribers. Results seven studies were identified of low to high quality. The majority of older people experienced ongoing pain despite continuing opioid therapy. There were mixed results regarding benefits of opioids in terms of activities of daily living and social engagement. In nursing home residents, opioid use at baseline was associated with severe pain, severe impairment in activities of daily living and a diagnosis of depression. Fear of causing harm to older people was common amongst opioid prescribers, limiting prescription. Facilitators of opioid prescription included educational interventions and access to an evidence base for opioid use. Conclusion there is limited evidence supporting the use of long-term opioid use in older people for chronic non-cancer pain and a lack of trials in this age group. Age-specific guidelines are required addressing initial assessment, indications, monitoring and de-prescribing.

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

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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