Incidence of Poor Health and Long-Term Care: Health Transitions in Europe – Results from the European Community Household Panel

2006 ◽  
Author(s):  
Andrew Bebbington ◽  
Judith Shapiro
Keyword(s):  
European Community ◽  
Long Term Care ◽  
Poor Health ◽  
Term Care ◽  
European Community Household Panel ◽  
Care Health ◽  
Health Transitions

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.

scholarly journals THE EXTREME FACE OF SOCIAL ISOLATION: A COHORT STUDY OF UNBEFRIENDED INDIVIDUALS IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S532-S533
Author(s):  
Stephanie Chamberlain ◽  
Wendy Duggleby ◽  
Pamela B Teaster ◽  
Janet Fast ◽  
Carole Estabrooks
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Health Outcomes ◽  
Social Isolation ◽  
Long Term Care ◽  
Poor Health ◽  
Term Care ◽  
Data Set ◽  
Family Contact

Abstract Even though social isolation is a significant predictor of poor health and mortality in older adults, very little is known about social isolation in long-term care (LTC) settings. The aim of this study was to describe the prevalence, demographic characteristics, health outcomes, and disease diagnoses of residents without family contact in Alberta LTC homes. Using data collected between April 2008 and March 2018, we conducted a retrospective cohort study using the Resident Assessment Instrument, Minimum Data Set, (RAI-MDS 2.0) data from 34 LTC facilities in Alberta. We identified individuals who had no contact with family or friends. Using descriptive statistics and binary logistic regression, we compared the characteristics, disease diagnoses, and functional status of individuals who had no contact with family and individuals who did have contact with family. We identified a cohort of 25,330 individuals, of whom 945 had no contact with family or friends. Different from residents who had family, the cohort with no contact was younger (81.47 years, SD=11.79), and had a longer length of stay (2.71 years, SD=3.63). For residents who had contact with family, residents with no contact had a greater number of mental health diagnoses, including depression (OR: 1.21, [95% CI: 1.06-1.39]), bipolar disorder (OR: 1.80, [95% CI: 1.22-2.68]), and schizophrenia (OR: 3.9, [95% CI: 2.96-5.14]). Interpretation: Residents without family contact had a number of unique care concerns, including mental health issues and poor health outcomes. These findings have implications for the training of staff and LTC services available to these vulnerable residents.

scholarly journals Donepezil can improve daily activities and promote rehabilitation for severe Alzheimer’s patients in long-term care health facilities

BMC Neurology ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Kenichi Meguro ◽  
Yoshitaka Ouchi ◽  
Kyoko Akanuma ◽  
Mitsue Meguro ◽  
Mari Kasai
Keyword(s):  
Long Term Care ◽  
Health Facilities ◽  
Daily Activities ◽  
Term Care ◽  
Care Health

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 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.

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