scholarly journals Falls and Fall Risk among Wheelchair Users in a Long-term Care Health Facility

2012 ◽  
Vol 27 (3) ◽  
pp. 257-261
Author(s):  
Masakazu IMAOKA ◽  
Yumi HIGUCHI ◽  
Touma KUREMOTO ◽  
Emiko TOUDOU
Keyword(s):  
Health Facility ◽  
Fall Risk ◽  
Long Term Care ◽  
Term Care ◽  
Wheelchair Users ◽  
Care Health

scholarly journals Fall Risk Factor of Long-term Care Health Facility Residents

2016 ◽  
Vol 31 (2) ◽  
pp. 195-198
Author(s):  
Naoki KAKOGAWA ◽  
Takeshi FUCHIGAMI ◽  
Hiroaki KOSHIMOTO
Keyword(s):  
Risk Factor ◽  
Health Facility ◽  
Fall Risk ◽  
Long Term Care ◽  
Term Care ◽  
Fall Risk Factor ◽  
Care Health

scholarly journals Risk Factors for Falls among Wheelchair Users in a Long-term Care Health Facility

2014 ◽  
Vol 51 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Masakazu IMAOKA ◽  
Yumi HIGUCHI ◽  
Emiko TODO ◽  
Tomomi KITAGAWA ◽  
Jun YAMAGUCHI
Keyword(s):  
Risk Factors ◽  
Health Facility ◽  
Long Term Care ◽  
Term Care ◽  
Wheelchair Users ◽  
Care Health ◽  
Risk Factors For Falls

scholarly journals National trends in the proportion of in-hospital deaths by cause of death among older adults with long-term care: a nationwide observational study in Japan from 2007 to 2017

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Taniguchi ◽  
Masao Iwagami ◽  
Xueying Jin ◽  
Nobuo Sakata ◽  
Mikiya Sato ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Facility ◽  
Cause Of Death ◽  
Long Term Care ◽  
Heart Diseases ◽  
Joinpoint Regression ◽  
Term Care ◽  
Hospital Deaths ◽  
Care Health

Abstract Background Japan has promoted end-of-life care at home and in long-term care facilities, and the total proportion of in-hospital deaths has decreased recently. However, the difference in trends of in-hospital deaths by the cause of death remains unclear. We investigated the variation in trends of in-hospital deaths among older adults with long-term care from 2007 to 2017, by cause of death and place of care. Methods Using the national long-term care insurance registry, long-term care claims data, and national death records, we identified people aged 65 years or older who died between 2007 and 2017 and used long-term care services in the month before death. Using a joinpoint regression model, we evaluated time trends of the proportion of in-hospital deaths by cause of death (cancer, heart diseases, cerebrovascular diseases, pneumonia, and senility) and place of care (home, long-term care health facility, or long-term care welfare facility). Results Of the 3,261,839 participants, the mean age was 87.0 ± 8.0 years, and 59.2% were female. Overall, the proportion of in-hospital deaths decreased from 66.2% in 2007 to 55.3% in 2017. By cause of death, the proportion of in-hospital deaths remained the highest for pneumonia (81.6% in 2007 and 77.2% in 2017) and lowest for senility (25.5% in 2007 and 20.0% in 2017) in all types of places of care. The joinpoint regression analysis showed the steepest decline among those who died of senility, especially among long-term care health facility residents. Conclusions The findings of this nationwide study suggest that there was a decreasing trend of in-hospital deaths among older adults, although the speed of decline and absolute values varied widely depending on the cause of death and place of care.

scholarly journals Nutritional status is associated with the return home in a long-term care health facility

2017 ◽  
Vol 19 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Yuri Nishida ◽  
Hidetaka Wakabayashi ◽  
Keisuke Maeda ◽  
Shinta Nishioka
Keyword(s):  
Nutritional Status ◽  
Health Facility ◽  
Long Term Care ◽  
Term Care ◽  
Care Health ◽  
Return Home

scholarly journals Assessing Quality for People Living With Dementia in Residential Long-Term Care: Trends and Challenges

2019 ◽  
Vol 5 ◽  
pp. 233372141986119
Author(s):  
Eleanor S. McConnell ◽  
Julienne Meyer
Keyword(s):  
Performance Indicators ◽  
Long Term Care ◽  
Well Being ◽  
Subjective Assessment ◽  
Term Care ◽  
Centered Care ◽  
Care Health ◽  
Residential Long Term Care

The global prevalence of dementia is growing rapidly, driving an increased use of residential long-term care (LTC) services. Performance indicators for residential LTC should support targeting of limited resources to promote person-centered care, health, and well-being for both patients and caregivers (formal and informal), yet many performance indicators remain focused on structure, process, or outcome measures that are only assumed to support personally relevant outcomes for those with dementia, without direct evidence of meaningfulness for these individuals. In this article, two complementary approaches to assessing quality in residential LTC serve as a lens for examining a series of tensions related to assessment in this setting. These include measurement-focused approaches using generic psychometrically valid instruments, often used to monitor quality of services, and meaning-focused approaches using individual subjective assessment of personally relevant outcomes, often used to monitor care planning. Examples from the European and U.S. literature suggest an opportunity to strengthen an emphasis on personally meaning-focused outcomes in quality assessment.

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