Insomnia in Long-Term Care Facilities: A Comparison of Seven European Countries and Israel: The Services and Health for Elderly in Long TERm care Study

2014 ◽  
Vol 62 (11) ◽  
pp. 2033-2039 ◽  
Author(s):  
Jacob Gindin ◽  
Tamar Shochat ◽  
Angela Chetrit ◽  
Shulamit Epstein ◽  
Yehoshua Ben Israel ◽  
...  
Keyword(s):  
Long Term Care ◽  
European Countries ◽  
Term Care ◽  
Care Facilities ◽  
Care Study

scholarly journals Antibiotic consumption in long-term care facilities in Poland and other European countries in 2017

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Jadwiga Wojkowska-Mach ◽  
Michał Brudło ◽  
Mariusz Topolski ◽  
Tomasz Bochenek ◽  
Estera Jachowicz ◽  
...  
Keyword(s):  
General Population ◽  
Antimicrobial Agent ◽  
Long Term Care ◽  
Enzyme Inhibitor ◽  
Anatomical Therapeutic Chemical ◽  
European Countries ◽  
Term Care ◽  
Care Facilities ◽  
Tract Infections

Abstract Introduction The aim of this research study was to compare the situation concerning the use of microbiology testing, the epidemiology of healthcare-associated infection (HAI) and antimicrobial consumption (AMC) in Polish long-term care facilities (LTCFs) with other European countries, using the most recent findings available in the European databases. Furthermore, this study aimed to highlight several basic factors that contribute to the observable differences in AMC between countries participating in the HALT-3 study, especially the relationship with demographic indicators, as well as the health care resources utilization rates. Patients and methods The most recent HAIs in Long-Term care facilities Point Prevalence Survey (HALT PPS) was carried out in EU/EEA countries in 2016–2017, and in Poland it was carried out in April–June 2017 in 24 LTCFs. AMC data was collected with use of methodology of the Anatomical Therapeutic Chemical (ATC) classification system of the WHO. Results In total total in HALT-3 study on the day of the PPS, 5035 out of the 102,301 eligible residents received at least one antimicrobial agent, with prevalence of 4.9%, and in Poland 3.2%. The most common HAIs in the countries included into the study was urinary tract infection with relative frequency of 32%, in Poland it was skin infection, 30.4%. The respiratory tract infections, excluding pneumonia (PNU) were observed in 29.5% of residents in total, in Poland 17.4%, the prevalence rate of PNU were 1.4% and 5.4%, respectively. The lack of microbiological results of HAIs testing concerned the vast majority of all HAIs, 75.8% in total and 81.5% in Poland. The most frequently used antibacterial for systemic use were beta-lactams and the most frequently prescribed antimicrobial agent was ‘amoxicillin and enzyme inhibitor’. AMC was closely correlated with the age of the general population (65 years of age and more) and the availability of doctors in general population. Conclusions A significant problem observed in LTCFs was the empirical use of antibiotics and the scarcity of microbiological testing. In the studied Polish LTCFs, where the age of residents was low, also the AMC was found to be lower.

scholarly journals Palliative care integration indicators: an European regional analysis

2021 ◽  
pp. bmjspcare-2021-003181
Author(s):  
Miguel Antonio Sánchez-Cárdenas ◽  
Eduardo Garralda ◽  
Natalia Sofia Arias-Casais ◽  
Edgar Ricardo Benitez Sastoque ◽  
Danny Van Steijn ◽  
...  
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Health Systems ◽  
Long Term Care ◽  
European Countries ◽  
Term Care ◽  
Care Level ◽  
Primary Care Level ◽  
Care Facilities

ObjectiveTo estimate the capacity of European countries to integrate palliative care (PC) into their health systems through PC service provision for patients of all ages, with different care needs and diseases, in various settings and by a range of providers.MethodsSecondary analysis of survey data from 51 countries with 22 indicators explored the integration of available PC resources for children, for patients of all ages, at the primary care level, for oncology and cardiac patients, and in long-term care facilities. We also measured volunteer participation. Results were quantified, converted into weighted subscores by area and combined into a single ‘Integration Capacity Score (ICS)’ for each country.ResultsThirty-eight countries reported 543 specialised paediatric PC services. One-third of all surveyed countries reported 20% or more of patients with PC needs at the primary care level. Twenty-four countries have a total of 155 designated centres that integrate oncology and PC. Eight countries were pioneering cardiology services that integrate PC. Eight reported a volunteer workforce of over 1000 and 12 had policies regulating PC provision and interventions in long-term care facilities. Across all indicators, 39 countries (76%) score from low to very low integration capacity, 8 (16%) score at an intermediate level, and 4 (8%; the Netherlands, UK, Germany and Switzerland) report a high-level integration of PC into their health systems.ConclusionVariable progress according to these indicators shows that most European countries are still in the process of integrating PC into their health systems.

scholarly journals Opioid, antipsychotic and hypnotic use in end of life in long-term care facilities in six European countries: results of PACE

2018 ◽  
Vol 29 (1) ◽  
pp. 74-79 ◽  
Author(s):  
Marc Tanghe ◽  
Nele Van Den Noortgate ◽  
Lara Pivodic ◽  
Luc Deliens ◽  
Bregje Onwuteaka-Philipsen ◽  
...  
Keyword(s):  
End Of Life ◽  
Long Term Care ◽  
European Countries ◽  
Term Care ◽  
Care Facilities

scholarly journals Comparing Symptom Ratings by Staff and Family Carers in Residents Dying in Long-Term Care Facilities in Three European Countries, Results From a PACE Survey

2020 ◽  
Vol 60 (2) ◽  
pp. 362-371.e2
Author(s):  
Marc Tanghe ◽  
Nele Van Den Noortgate ◽  
Luc Deliens ◽  
Tinne Smets ◽  
Bregje Onwuteaka-Philipsen ◽  
...  
Keyword(s):  
Long Term Care ◽  
European Countries ◽  
Family Carers ◽  
Term Care ◽  
Care Facilities ◽  
Symptom Ratings

scholarly journals Advance directives in European long-term care facilities: a cross-sectional survey

2019 ◽  
pp. bmjspcare-2018-001743 ◽  
Author(s):  
Paula Andreasen ◽  
Ulla Harriet Finne-Soveri ◽  
Luc Deliens ◽  
Lieve Van den Block ◽  
Sheila Payne ◽  
...  
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
Advance Directive ◽  
Long Term Care ◽  
European Countries ◽  
The European Union ◽  
Do Not Resuscitate ◽  
Term Care ◽  
Care Facilities

BackgroundEnd-of-life care practices in long-term care facilities (LTCFs) are the focus of growing attention in Europe, due to rapidly increasing number of older persons living in LTCFs. The knowledge about end-of-life discussions or existence of written advance directives in the European LTCFs is scarce. This study’s aim is to investigate the prevalence of written advance directives and their sociodemographic associates, among recently deceased LTCF residents, in six European countries.MethodsData from the European Union-funded PACE database were collected from 322 LTCFs in six European countries in 2014. The assessments were performed by using two questionnaires designed for LTCF administrative staff and for staff member.LTCFs were selected within each country by using proportional stratified random sampling procedure. Facilities with certain types and sizes were included from each country.Multilevel multivariate analyses were performed to evaluate associations between written advance directives and selected predictors.ResultsIn total, 32.5 % of the 1384 deceased LTCF residents had a written advance directive with a range from 0% to 77 % between countries. The proportion of the most common advance directive, ‘Do not resuscitate in case of cardiac or respiratory arrest (DNR)’, varied correspondingly from 0% to 75%.LTCF type (OR 2.86 95% CI 1.59 to 5.23) and capability of expressing at the time of admission (OR 3.26 95% CI 2.26 to 4.71) were the independent predictors for advance directive. Residents living in LTCFs where physician was available were less likely to have advance directive compared with residents from LTCFs where physician was not available.ConclusionExtensive differences for prevalence of written advance directive exist between countries among older LTCF residents in Europe. Timely and appropriate response to LTCF resident’s health needs and preferences efforts advance care planning.

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