scholarly journals Lessons learned from an osteoporosis clinical trial in frail long-term care residents

2011 ◽  
Vol 9 (2) ◽  
pp. 247-256 ◽  
Author(s):  
SL Greenspan ◽  
D Nace ◽  
S Perera ◽  
M Ferchak ◽  
G Fiorito ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Long Term Care ◽  
Lessons Learned ◽  
Term Care

Evaluating and Motivating Activation in Long Term Care: Lessons From a Pilot Study

2021 ◽  
Vol 10 (1) ◽  
pp. 42-46
Author(s):  
J. Jbilou ◽  
A. El Bouazaoui ◽  
B. Zhang ◽  
J.L. Henry ◽  
L McDonald ◽  
...  
Keyword(s):  
Long Term Care ◽  
Driving Simulator ◽  
Care Home ◽  
Lessons Learned ◽  
Term Care ◽  
Care Facilities ◽  
Technological Intervention ◽  
The Impact ◽  
Research Recommendations

Older adults living in long-term care facilities typically receive insufficient exercise and have long periods of the day when they are not doing anything other than sitting or lying down, watching television, or ruminating (Wilkinson et al., 2017). We developed an intervention called the Experiential Centivizer, which provides residents with opportunities to use a driving simulator, watch world travel videos, and engage in exercise. We assessed the impact of the intervention on residents of a long-term care home in Fredericton, NB, Canada. In this paper, we report on the results observed and highlight the lessons learned from implementing a technological intervention within a long-term care setting. Practical and research recommendations are also discussed to facilitate future intervention implementation in long-term care.

Transcending Distance in Long-Term Care: Can Serious Games Increase Resident Resilience?

2021 ◽  
Vol 65 (1) ◽  
pp. 1362-1366
Author(s):  
Trevor Hall ◽  
Monika Kastner ◽  
Susan Woollard ◽  
Christine Ramdeyol ◽  
Julie Makarski ◽  
...  
Keyword(s):  
Human Factors ◽  
Serious Games ◽  
Long Term Care ◽  
Health Centre ◽  
Lessons Learned ◽  
Healthcare Organizations ◽  
Physical Frailty ◽  
Term Care ◽  
Resident Resilience

In Canada, over 15,000 residents of long-term care have died from COVID-19 since the start of the pandemic representing 59 percent of all COVID-19 deaths (National Institute of Ageing, 2021). Urgent research and subsequent applied action are needed to save life and quality of life including the presence of family (CFHI, 2020). Social and physical frailty are major systemic patient safety gaps and are challenges for most healthcare organizations. This practitioner-led panel of experienced human factors, implementation science and healthcare experts used a case study of a project at North York General Hospital’s Seniors’ Health Centre in Toronto to discuss how these challenges can be addressed with serious games. The project discussed used games that aim to reduce social and physical frailty through exercise while interacting with remote families. Lessons learned to-date and challenges observed, in rapidly implementing safety and human factors programs intended to create resilient residents in a real healthcare context were discussed.

scholarly journals EVACUATING OR SHELTERING IN PLACE DURING A DISASTER: HOW ASSISTED LIVING ADMINISTRATORS MAKE THE DECISION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S699-S699
Author(s):  
Lindsay J Peterson ◽  
Kathryn Hyer ◽  
David Dosa ◽  
Joseph June ◽  
Debra J Dobbs ◽  
...  
Keyword(s):  
Assisted Living ◽  
Long Term Care ◽  
Lessons Learned ◽  
Structured Interviews ◽  
Term Care ◽  
Nursing Home Administrators ◽  
Axial Coding ◽  
Storm Characteristics ◽  
Hurricane Irma

Abstract The decision to evacuate or shelter in place during a natural disaster such as a hurricane is complicated and poses risks to long-term care residents. While research has documented the difficulty of the evacuation decision for nursing home administrators, little is known about how assisted living residence (ALR) administrators make this decision. This is a concern given the physical and cognitive impairment level of many ALR residents, the increasing number of ALRs in the U.S., and the frequency of natural disasters. The purpose of this paper was to explore the factors that influenced whether assisted living administrators evacuated their ALRs for Hurricane Irma, a large hurricane that made landfall on Florida’s Southwest coast in September, 2017. This qualitative study used semi-structured interviews and focus groups with ALR owners or administrative staff (N=60) with questions including how they prepared for Hurricane Irma, their experiences during the hurricane, including whether they evacuated or sheltered in place, and lessons learned. The sample includes small (< 25 beds) and large ALRs in the multiple Florida counties affected by the hurricane. A content analysis approach was used. Atlas.ti version 7 was used for initial and axial coding. Prevalent themes included “emergency management planning”, “logistics”, “pressure”, “storm characteristics,” and “staffing”. The results of this study have implications for long-term care policy and training, potentially leading to changes in how ALR leaders prepare for and respond to disasters to improve the safety of residents.

scholarly journals Long‐Term Care Facilities and the COVID ‐19 Pandemic: Lessons Learned in Madrid

2020 ◽  
Vol 68 (9) ◽  
pp. 1920-1922 ◽  
Author(s):  
Javier Martinez‐Peromingo ◽  
Jose A. Serra‐Rexach
Keyword(s):  
Long Term Care ◽  
Lessons Learned ◽  
Term Care ◽  
Care Facilities

A randomized, controlled, clinical trial of activity therapy for apathy in patients with dementia residing in long-term care

2004 ◽  
Vol 19 (11) ◽  
pp. 1087-1094 ◽  
Author(s):  
Antonios M. Politis ◽  
Stephen Vozzella ◽  
Lawrence S. Mayer ◽  
Chiadi U. Onyike ◽  
Alva S. Baker ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Long Term Care ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Term Care ◽  
Randomized Controlled ◽  
Activity Therapy

scholarly journals Lessons Learned From the Function and Behavior Focused Care Trial: From Efficacy to Implementation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 776-776
Author(s):  
Elizabeth Galik ◽  
Marie Boltz
Keyword(s):  
Physical Activity ◽  
Cognitive Theory ◽  
Long Term Care ◽  
Lessons Learned ◽  
Care Staff ◽  
Cognitively Impaired ◽  
Dissemination And Implementation ◽  
Term Care ◽  
And Behavior

Abstract Long term care residents with dementia are sedentary, experience rapid functional decline, and frequently exhibit behavioral and psychological symptoms of dementia. Our prior cluster, randomized controlled trial among 336 residents with moderate to severe dementia in 12 nursing homes demonstrated that it is possible to increase time spent in physical activity and decrease resistiveness to care through a theory based intervention, Function and Behavior Focused Care (FBFC). FBFC is based on the Social Ecological Model and Social Cognitive Theory and focuses on having long term care staff cue, model, and assist residents with dementia to engage in physical activity and perform functional tasks. Learning from prior work, it was noted that future implementation of FBFC would benefit from de-implementing inaccurate care practices, such as restricting resident mobility and providing custodial care and also by engaging a full stakeholder team in intervention activities. Additionally, there were measurement issues, such as the use of actigraphy with a sedentary, cognitively impaired population, and the need to assess the quality of care interactions between residents and staff. This symposium will review lessons learned from the FBFC trial and will discuss 1) facilitators and barriers to the implementation of the FBFC intervention within long term care settings; 2) measurement opportunities and challenges with a cognitively impaired long term care population; and 3) adaptation of the FBFC intervention to be appropriate for a dissemination and implementation trial that incorporates the Synthesis Model of De-Adoption and the Evidence Integration Triangle implementation strategy.

To Empower with Meaningful Data: Lessons Learned in Building an Alliance Between Researchers and Long-Term Care Ombudsmen

1997 ◽  
Vol 4 (4) ◽  
pp. 81-101 ◽  
Author(s):  
Ruth Huber ◽  
Kevin Borders ◽  
F. Ellen Netting ◽  
James R. Kautz
Keyword(s):  
Long Term Care ◽  
Lessons Learned ◽  
Term Care ◽  
Meaningful Data
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