Activities of daily living and rehabilitation needs for older adults with a stroke: A comparison of home care and nursing home care

2016 ◽  
Vol 14 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Kyongeun Lee ◽  
Eunhee Cho
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Home Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nursing Home Care ◽  
Rehabilitation Needs

scholarly journals Developing composite indices of geographical access and need for nursing home care in Ireland using multiple criteria decision analysis

2020 ◽  
Vol 3 ◽  
pp. 65 ◽  
Author(s):  
Brian P. Reddy ◽  
Stephen O'Neill ◽  
Ciaran O'Neill
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Activities Of Daily Living ◽  
Decision Analysis ◽  
Daily Living ◽  
Multiple Criteria ◽  
Nursing Home Care ◽  
Spatial Accessibility ◽  
Multiple Criteria Decision Analysis ◽  
Composite Indices

Background: Spatial accessibility has consistently been shown to influence utilisation of care and health outcomes, compared against local population needs. We sought to identify how appropriately nursing homes (NHs) are distributed in Ireland, as its NH market lacks central planning. Methods: We used multiple criteria decision analysis (MCDA) approaches to develop composite indices of both access (incorporating measures of availability, choice, quality and affordability) and local NH need for over 65s (relating to the proportion living alone, with cognitive disabilities or with low self-rated health, estimated scores for activities of daily living and instrumental activities of daily living, the average number of disabilities per person and the average age of this group). Data for need were derived from census data. Results were mapped to better understand underlying geographical patterns. Results: By comparing local accessibility and need, underserved areas could be identified, which were clustered particularly in the country’s northwest. Suburbs, particularly around Dublin, were by this measure relatively overserved. Conclusions: We have developed multi-dimensional indices of both accessibility to, and need for, nursing home care. This was carried out by combining granular, open data sources and elicited expert/stakeholder opinion from practitioners. Mapping these data helped to highlight clear evidence of inequitable variation in nursing home distribution.

Activities of Daily Living in Nursing Home and Home Care Settings: A Retrospective 1-Year Cohort Study

2015 ◽  
Vol 16 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Tae Wha Lee ◽  
Eunhee Cho ◽  
Eun Shil Yim ◽  
Hye Sun Lee ◽  
Yu Kyung Ko ◽  
...  
Keyword(s):  
Cohort Study ◽  
Nursing Home ◽  
Home Care ◽  
Activities Of Daily Living ◽  
Daily Living

The High Price of Obesity in Nursing Homes

2015 ◽  
Vol 16 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Cindy L. Marihart ◽  
Ardith R. Brunt ◽  
Angela A. Geraci
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
The United States ◽  
Nursing Home Care ◽  
Health Concern ◽  
High Price ◽  
Obese Adults ◽  
Obese People

This article provides a commentary on the costs of obese nursing home patients. We conducted a comprehensive literature search, which found 46 relevant articles on obesity in older adults and effects on nursing home facilities. This review indicated obesity is increasing globally for all age groups and older adults are facing increased challenges with chronic diseases associated with obesity more than ever before. With medical advances comes greater life expectancy, but obese adults often experience more disabilities, which require nursing home care. In the United States, the prevalence of obesity in adults aged 60 years and older increased from 9.9 million (23.6%) to 22.2 million (37.0%) in 2010. Obese older adults are twice as likely to be admitted to a nursing home. Many obese adults have comorbidities such as Type 2 diabetes; patients with diabetes incurred 1 in every 4 nursing home days. Besides the costs of early entrance into nursing facilities, caring for obese residents is different than caring for nonobese residents. Obese residents have more care needs for additional equipment, supplies, and staff costs. Unlike emergency rooms and hospitals, nursing homes do not have federal requirements that require them to serve all patients. Currently, some nursing homes are not prepared to deal with very obese patients. This is a public health concern because there are more obese people than ever in history before and the future appears to have even a heavier generation moving forward. Policymakers need to become aware of this serious gap in nursing home care.

scholarly journals Nurse-Patient Interaction: A Vital Salutogenic Resource in Nursing Home Care

2021 ◽  
pp. 117-136
Author(s):  
Gørill Haugan
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Nursing Home Residents ◽  
Nursing Home Care ◽  
Patient Interaction ◽  
Health Promoting ◽  
To Come

AbstractWe are now witnessing a major change in the world’s population. Many people globally grow very old: 80, 90, and 100 years. Increased age is followed by an increased incidence of functional and chronic comorbidities and diverse disabilities, which for many leads to the need for long-term care in a nursing home. Quality of life and health promotive initiatives for older persons living in nursing homes will become ever more important in the years to come. Therefore, this chapter focuses on health promotion among older adults living in nursing homes. First, this chapter clarifies the concepts of health, salutogenesis, and pathogenesis, followed by knowledge about health promotion. Then insight and knowledge about the nursing home population is provided; what promotes health and well-being in nursing home residents?Health promotion in the health services should be based on integrated knowledge of salutogenesis and pathogenesis. The salutogenic understanding of health is holistic and considers man as a wholeness including physical, mental, social, and spiritual/existential dimensions. Research indicates that various health-promoting interventions, specifically the nurse–patient interaction, influence on older adults in nursing homes as a wholeness of body–soul–spirit, affecting the whole being. Hence, dimensions such as pain, fatigue, dyspnea, nausea, loneliness, anxiety, and depressive symptoms will be influenced through health-promoting approaches. Therefore, two separate studies on the health-promoting influences of nurse–patient interaction in nursing home residents were conducted. In total, nine hypotheses of directional influence of the nurse–patient interaction were tested, all of which finding support.Along with competence in pain and symptom management, health-promoting nurse–patient interaction based on awareness and attentional skills is essential in nursing home care. Thus, health care workers should be given the opportunity to further develop their knowledge and relational skills, in order to “refine” their way of being present together with residents in nursing homes. Health professionals’ competence involves the “being in the doing”; that is, both the doing and the way of being are essential in health and nursing care.

scholarly journals Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care

2021 ◽  
Vol 29 ◽  
Author(s):  
Mariane Lurdes Predebon ◽  
Gilmara Ramos ◽  
Fernanda Laís Fengler Dal Pizzol ◽  
Naiana Oliveira dos Santos ◽  
Lisiane Manganelli Girardi Paskulin ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Home Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Timed Up And Go ◽  
Primary Health ◽  
Instrumental Activities ◽  
Total Dependence

Objective: to analyze the association of global functionality with the main functional systems and the sociodemographic variables of older adults followed by Home Care in Primary Health Care. Method: a cross-sectional study with 124 older people developed through home interviews. Functionality was assessed by Basic Activities of Daily Living (Barthel) and Instrumental Activities of Daily Living (Lawton and Brody); the main functional systems were assessed using the Mini-Mental State Exam, by the Timed Up and Go test, by the Geriatric Depression Scale (15 items), and questionnaire with sociodemographic variables. Bivariate and multivariate analyses were applied (Poisson Regression). Results: 46% of the older adults showed moderate/severe/total dependence for basic activities and instrumental activities had a median of 12. In the multivariate analysis, there was an association between moderate/severe/total dependence on basic activities with cognitive decline (p=0.021) and bedridden/wheelchair users (p=0.014). Regarding the dependence on instrumental activities, there was an association with age ≥80 years (p=0.006), single/divorced marital status (p=0.013), cognitive decline (p=0.001), bedridden/wheelchair (p=0.020), and Timed Up and Go ≥20 seconds (p=0.048). Conclusion: the decline in cognitive and mobility was associated with poor functionality in basic and instrumental activities. The findings highlight the need to monitor Home Care for these individuals and serve as guidelines for health actions.

scholarly journals Prevalence and Impact of Comorbid Cancer and Dementia on Health Outcomes in Older Adults: A Longitudinal Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 184-184
Author(s):  
Jyotsana Parajuli ◽  
Diane Berish ◽  
Ying-Ling Jao ◽  
Yo-Jen Liao ◽  
Lee Ann Johnson
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Health Outcomes ◽  
Activities Of Daily Living ◽  
Hospital Stay ◽  
Daily Living ◽  
Medical Expenditure ◽  
Future Research ◽  
Longitudinal Impact ◽  
Nursing Home Stay

Abstract Dementia and cancer are two common chronic conditions in older adults. However, there are few studies examining the prevalence of comorbid cancer and dementia and the longitudinal impact of these comorbid conditions on health outcomes. This study investigated the prevalence and longitudinal impact on health outcomes in older adults with comorbid cancer and dementia. This is a secondary analysis, using data from the 2010 and 2016 waves of the Health and Retirement Study (HRS). The health outcomes of the study included nursing home stay, hospital stay, home care use, activities of daily living (ADL) limitations, instrumental activities of daily living (IADL), self-rated health status, mortality, and the out-of-pocket medical expenditure in older adults with cancer and dementia. Data were analyzed using descriptive statistics, logistic regression, and linear regression analyses. The results revealed that the prevalence of comorbid cancer and dementia ranged from 2.6% to 2.8% over the 6-year period. Older adults with comorbid cancer and dementia demonstrated higher likelihood of nursing home stay, ADL and IADL limitations, and mortality; but a decreased likelihood of homecare use and hospital stay compared to older adults with cancer only or dementia only (some outcomes were not significant for dementia only group). Findings point out the risk of increased functional decline and mortality in older adults with comorbid cancer and dementia. Future research is needed to explore the contributing factors of the risk and identify interventions to promote physical function and reduce mortality for this population.

Sign in / Sign up

Export Citation Format

Share Document