OLDER ADULTS’ PERCEPTIONS OF THE BUILT ENVIRONMENT AND ASSOCIATIONS WITH FRAILTY: A FEASIBILITY AND ACCEPTABILITY STUDY

2018 ◽  
pp. 1-4
Author(s):  
B. Arakawa Martins ◽  
H. Barrie ◽  
J. Dollard ◽  
N. Mahajan ◽  
R. Visvanathan
Keyword(s):  
Older Adults ◽  
South Australia ◽  
Care Program ◽  
Recruitment Rate ◽  
Frail Older People ◽  
Life Space ◽  
Transition Care ◽  
Euroqol 5D ◽  
Residential Transition ◽  
Activity Questionnaire

It is essential to evaluate frail older adults understanding and execution of survey tools to improve data quality and accurate representation in research. The study tested the feasibility and acceptability of a survey that assesses various measures of functional status in frail older people. The study evaluated: 1) recruitment rate; 2) time to complete questionnaires and difficulties encountered; and 3) acceptability by participants. Validated tools including: FRAIL Scale, EuroQoL 5D-5L, Charlson’s Comorbidities Index, Baecke’s Physical Activity Questionnaire, Life-Space Assessment, Katz and Lawton ADL and NEWS Walkability Scale were assessed. Twenty-five older patients (63% recruitment rate) of a post-acute restorative program (residential Transition Care Program) in Adelaide, South Australia were interviewed. Although not statistically different, time to complete the overall questionnaire differed between robust, pre-frail and frail participants. Overall, the survey was considered acceptable and feasible, with consideration with NEWS and Life-Space assessment regarding length, phrasing and layout.

scholarly journals Transition from hospital to home during COVID-19: A case report from an Australian transitional care program

2021 ◽  
Vol 2 (1) ◽  
pp. 1-19
Author(s):  
Claire Gough ◽  
Claire Hutchinson ◽  
Chris Barr ◽  
Anthony Maeder ◽  
Stacey George
Keyword(s):  
Older Adults ◽  
Case Report ◽  
Lived Experience ◽  
Social Isolation ◽  
Transitional Care ◽  
Care Program ◽  
Healthcare Services ◽  
Vulnerable Groups ◽  
Ageing Population ◽  
Transition Care

Aim and Background: With the ongoing COVID-19 global pandemic, consideration for vulnerable groups, including our ageing population has been of great concern. Social isolation has been recommended to protect older adults with chronic diseases and reduce the spread of the virus, as well as to prevent healthcare services becoming overwhelmed. Yet social isolation presents its own health risks. Methods: In this paper, we provide commentary on the lived experience of returning home from hospital during the COVID-19 pandemic. This case report details the experience of an 83-year-old female, who was living and mobilising independently in her own home, prior to hospital admission following a fall and resultant head injury. Results: The participant returned home during the COVID-19 pandemic with a community transition care program which included assistance with cleaning tasks, shopping, and physiotherapy over a 45-day period. Conclusions: COVID-19 has illuminated the issue of social isolation and increased awareness of its negative health effects at a global level. As society eases restrictions and returns to a new ‘normal’, many older adults will remain socially isolated. Ongoing allied health intervention is required to ensure quality of life through the latter years and to support older adults through periods of social distancing. Keywords: transition care; COVID-19, social isolation, community participation    

IMPACT OF POST-ACUTE TRANSITION CARE FOR FRAIL OLDER PEOPLE: A PROSPECTIVE STUDY

2013 ◽  
pp. 1-7
Author(s):  
N.M. PEEL ◽  
R.E. HUBBARD ◽  
L.C. GRAY
Keyword(s):  
Older People ◽  
Care Program ◽  
Aged Care ◽  
Functional Improvement ◽  
Residential Aged Care ◽  
Frail Older People ◽  
Care Needs ◽  
Post Discharge ◽  
Transition Care

Objectives:To describe the characteristics and outcomes of frail older people in a post-acutetransitional care program and to compare the recovery trajectories of patients with high and low care needs todetermine who benefits from transition care. Design:Prospective observational cohort. Participants and Setting:351 patients admitted to community-based transition care in two Australian states during an 11 monthrecruitment period. Intervention:Transition care provides a package of services including personal care,physiotherapy and occupational therapy, nursing care and case management post discharge from hospital. It istargeted at frail older people who, in the absence of an alternative, would otherwise be eligible for admission toresidential aged care. Measurements: A comprehensive geriatric assessment using the interRAI Home Careinstrument was conducted at transition care admission and discharge. Primary outcomes included changes infunctional ability during transition care, living status at discharge and six months follow-up, and hospital re-admissions over the follow-up period. For comparison of outcomes, the cohort was divided into two groups basedon risk factors for admission to high or low-level residential aged care. Results:There were no significantdifferences between groups on outcomes, with over 85% of the cohort living in the community at follow-up.More than 80% of the cohort showed functional improvement or maintenance of independence during transitioncare, with no significant differences between the groups. Conclusions:Post-acute programs should not betargeted solely at fitter older people: those who are frail also have the potential to gain from community-basedrehabilitation.

scholarly journals Habitual Physical Activity and Diabetes Control in Young and Older Adults with Type II Diabetes: A Longitudinal Correlational Study

2021 ◽  
Vol 18 (3) ◽  
pp. 1330
Author(s):  
Chia-Hsun Chang ◽  
Ching-Pyng Kuo ◽  
Chien-Ning Huang ◽  
Shiow-Li Hwang ◽  
Wen-Chun Liao ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Type Ii Diabetes ◽  
Daily Physical Activity ◽  
Diabetes Control ◽  
Moderate Intensity ◽  
Correlational Study ◽  
Activity Levels ◽  
Daily Physical Activities ◽  
Activity Questionnaire

This study aimed to determine whether daily physical activity in young and older adults with T2DM is associated with diabetes control. A prospective correlational study involving 206 young (≤65 years) and older (>65 years) adults was conducted. The International Physical Activity Questionnaire was used to assess their daily physical activity levels. Patients’ mean HbA1c level was 7.8% (±1.4), and 95.9% of patients had unsatisfactory diabetes control. Performing more minutes per week of moderate-intensity daily physical activity was associated with a lower risk of glycemia in both young and older adults. Furthermore, moderate daily physical activity significantly lowered the risk of glycemia. Health personnel must encourage patients to engage in moderate daily physical activities to improve diabetes control.

scholarly journals Impact of the COVID-19 pandemic on the life-space mobility of older adults with cancer

2021 ◽  
Author(s):  
Isabella Figaro Gattás-Vernaglia ◽  
Paola Teruya Ramos ◽  
Maria Laura Lazaretti Perini ◽  
Camila Suemi Higa ◽  
Daniel Apolinario ◽  
...  
Keyword(s):  
Older Adults ◽  
Life Space

The PREPARE for Your Care program increases advance care planning engagement among diverse older adults with cancer

Cancer ◽  
2021 ◽  
Author(s):  
Sarah S. Nouri ◽  
Deborah E. Barnes ◽  
Ying Shi ◽  
Aiesha M. Volow ◽  
Nikita Shirsat ◽  
...  
Keyword(s):  
Older Adults ◽  
Advance Care Planning ◽  
Care Program ◽  
Care Planning ◽  
Advance Care

scholarly journals Validation of the German Life-Space Assessment (LSA-D): cross-sectional validation study in urban and rural community-dwelling older adults

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049926
Author(s):  
Sandra Angelika Mümken ◽  
Paul Gellert ◽  
Malte Stollwerck ◽  
Julie Lorraine O'Sullivan ◽  
Joern Kiselev
Keyword(s):  
Older Adults ◽  
Construct Validity ◽  
Outcome Measures ◽  
Total Sample ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Life Space ◽  
Cross Sectional ◽  
The Past ◽  
Community Dwelling Older Adults

ObjectivesTo develop a German version of the original University of Alabama at Birmingham Study of Aging Life-Space Assessment (LSA-D) for measurement of community mobility in older adults within the past 4 weeks and to evaluate its construct validity for urban and rural populations of older adults.DesignCross-sectional validation study.SettingTwo study centres in urban and rural German outpatient hospital settings.ParticipantsIn total, N=83 community-dwelling older adults were recruited (n=40 from urban and n=43 from rural areas; mean age was 78.5 years (SD=5.4); 49.4% men).Primary and secondary outcome measuresThe final version of the translated LSA-D was related to limitations in activities and instrumental activities of daily living (ADL/iADL) as primary outcome measure (primary hypothesis); and with sociodemographic factors, functional mobility, self-rated health, balance confidence and history of falls as secondary outcome measures to obtain construct validity. Further descriptive measurements of health included hand grip strength, screening of cognitive function, comorbidities and use of transportation. To assess construct validity, correlations between LSA-D and the primary and secondary outcome measures were examined for the total sample, and urban and rural subsamples using bivariate regression and multiple adjusted regression models. Descriptive analyses of LSA-D included different scoring methods for each region. All parameters were estimated using non-parametric bootstrapping procedure.ResultsIn the multiple adjusted model for the total sample, number of ADL/iADL limitations (β=−0.26; 95% CI=−0.42 to −0.08), Timed Up and Go Test (β=−0.37; 95% CI=−0.68 to −0.14), shared living arrangements (β=0.22; 95% CI=0.01 to 0.44) and history of falls in the past 6 months (β=−0.22; 95% CI=−0.41 to −0.05) showed significant associations with the LSA-D composite score, while living in urban area (β=−0.19; 95% CI=−0.42 to 0.03) and male gender (β=0.15; 95% CI=−0.04 to 0.35) were not significant.ConclusionThe LSA-D is a valid tool for measuring life-space mobility in German community-dwelling older adults within the past 4 weeks in ambulant urban and rural settings.Trial registration numberDRKS00019023.

Validity of measures for life space mobility and physical activity in older adults with lower-limb amputation

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elham Esfandiari ◽  
William C Miller ◽  
Gordon Tao ◽  
Bita Imam ◽  
Ehsan Misaghi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Life Space
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