scholarly journals Needs of older adults living in long-term care institutions: an observational study using Camberwell Assessment of Need for the Elderly

2018 ◽  
Vol Volume 13 ◽  
pp. 2389-2395 ◽  
Author(s):  
Sławomir Tobis ◽  
Katarzyna Wieczorowska-Tobis ◽  
Dorota Talarska ◽  
Mariola Pawlaczyk ◽  
Aleksandra Suwalska
Keyword(s):  
Older Adults ◽  
Observational Study ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Camberwell Assessment Of Need ◽  
Assessment Of Need

scholarly journals The Camberwell Assessment of Need for the Elderly questionnaire as a tool for the assessment of needs in elderly individuals living in long-term care institutions

2016 ◽  
Vol 62 ◽  
pp. 163-168 ◽  
Author(s):  
Katarzyna Wieczorowska-Tobis ◽  
Dorota Talarska ◽  
Sylwia Kropińska ◽  
Krystyna Jaracz ◽  
Sławomir Tobis ◽  
...  
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Elderly Individuals ◽  
Camberwell Assessment Of Need ◽  
Assessment Of Need

scholarly journals The perceptions of workers in a long-term care institution for older adults regarding the family

2014 ◽  
Vol 23 (4) ◽  
pp. 971-978 ◽  
Author(s):  
Naiana Oliveira dos Santos ◽  
Margrid Beuter ◽  
Nara Marilene Oliveira Girardon-Perlini ◽  
Lisiane Manganelli Girardi Paskulin ◽  
Marinês Tambara Leite ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
The Elderly ◽  
Structured Interviews ◽  
Term Care ◽  
Care Institution ◽  
The Family

This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions.

scholarly journals Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study

2020 ◽  
Author(s):  
Robert De Smet ◽  
Bea Mellaerts ◽  
Hannelore Vandewinckele ◽  
Peter Lybeert ◽  
Eric Frans ◽  
...  
Keyword(s):  
Older Adults ◽  
Observational Study ◽  
Long Term Care ◽  
Rt Pcr ◽  
Ethical Guidelines ◽  
Clinical Frailty Scale ◽  
Term Care ◽  
Model Combining ◽  
Increased Risk

ABSTRACTBackgroundOlder adults with coronavirus disease 2019 (COVID-19) face an increased risk of adverse health outcomes including mortality. Ethical guidelines consider allocation of limited resources based on likelihood of survival, frilty, co-morbidities and age. However, the association of frailty with clinical outcomes in older COVID-19 patients remains unclear.ObjectivesTo determine the association between frailty and short-term mortality in older adults hospitalized for COVID-19.DesignRetrospective single-center observational study.Setting and participantsN = 81 patients with COVID-19 confirmed by reverse-transcriptase polymerase chain reaction (RT-PCR), at the Geriatrics department of Imelda general hospital, Belgium.MeasurementsFrailty was graded according to the Rockwood Clinical Frailty Scale (CFS). Demographic, biochemical and radiological variables, co-morbidities, symptoms and treatment were extracted from electronic medical records.ResultsParticipants (N = 48 women, 59%) had a median age of 85 years (range 65-97 years), median CFS score of 7 (range 2 - 9), and 42 (52%) were long-term care residents. Within six weeks, eighteen patients died. Mortality was significantly but weakly associated with age (Spearman r = 0.241, P = 0.03) and CFS score (r = 0.282, P = 0.011), baseline lactate dehydrogenase (LDH) (r = 0.301, P = 0.009), lymphocyte count (r = -0.262, P = 0.02) and RT-PCR Ct value (r = -0.285, P = 0.015). Mortality was not associated with long-term care residence, dementia, delirium or polypharmacy. In multivariable logistic regression analyses, CFS, LDH and RT-PCR Ct values (but not age) remained independently associated with mortality. Both age and frailty had poor specificity to predict survival. A multivariable model combining age, CFS, LDH and viral load significantly predicted survival.Conclusions and implicationsAlthough their prognosis is worse, even the oldest and most severely frail patients may benefit from hospitalization for COVID-19, if sufficient resources are available.BRIEF SUMMARYOutcomes of frail older adults hospitalized for COVID-19, particularly long-term care residents, remain unclear. In this retrospective cohort, frailty predicted mortality independently of age or established biomarkers.

Implementing Sociometry in a Long-Term Care Institutional Setting for the Elderly: Exploring Social Relationships and Choices

2017 ◽  
Vol 65 (1) ◽  
pp. 85-98
Author(s):  
Daniela Simmons
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
Institutional Setting ◽  
Term Care ◽  
Psychological Conditions ◽  
Therapeutic Modalities ◽  
Alternative Approaches

In this article, I explore the convergence of sociometry and gerontology in order to demonstrate successful practices and to suggest alternative approaches in interacting with elderly people, which would result in stabilizing and improving their mental health and emotional status. As elderly people may experience various psychological conditions, applying sociometry requires innovative approaches and a certain flexibility in the application of some of the techniques. The article specifically deals with older adults residing in long-term care communities and my personal experience in creating and implementing therapeutic modalities for the older population. In this article, “older adults” are those older than 65 years. The “elderly” are those aged 85+ years. The approaches and techniques described in this article are adapted and effective for elderly people at any age.

scholarly journals Factors associated with older adults' ADL in urban area of Hangzhou, China — a cross-sectional study

2019 ◽  
Author(s):  
Chao Rong ◽  
Xiao-Lan Wang ◽  
Xiao Ye ◽  
Yan-Chun Sun ◽  
Shu-Han Jiang ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Status ◽  
Generalized Linear Model ◽  
Long Term Care ◽  
The Elderly ◽  
Living Situation ◽  
Term Care ◽  
Self Rated Health

Abstract Background : To explore socioeconomic associated factors of activities of daily living (ADL) among the elderly in an urban setting, and to provide evidence for designing appropriate long-term care system. Methods : Participants were selected using the method of combining stratified sampling with judgment sampling. 500 older adults were effectively surveyed. Rank sum test was used to compare the ADL of the elderly with different socio-demographic characteristics. The multiple generalized linear model and ordinal logistic regression model were conducted to analyze factors correlated with ADL. Results : Rank sum test showed that the ADL total scores of the elderly with different gender, age, marital status and living situation were statistically different ( P <0.05). The generalized linear model showed that age, self-rated health status and living situation were significantly associated with ADL total scores ( P <0.05). The ordinal logistic regression showed that gender, age, self-rated health status, the number of chronic diseases and living situation were significantly associated with ADL level ( P <0.05). Conclusion : Future interventions to improve elderly care service for urban elderly in eastern China should focus on instrumental functions, rather than on basic ADL. Further strengthen medical service functions in nursing homes. Community health service center should provide high quality health services for the elderly living in communities and homes. Build more nursing homes in China. The elderly who are not in marriage should be the focus population of long-term care.

Mobility performance among healthy older adults eligible for long-term care in Japan: a prospective observational study

2019 ◽  
Vol 32 (10) ◽  
pp. 1931-1937
Author(s):  
Hiromasa Otsuka ◽  
Hiroki Kobayashi ◽  
Kiyozumi Suzuki ◽  
Yuta Hayashi ◽  
Jin Ikeda ◽  
...  
Keyword(s):  
Older Adults ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Long Term Care ◽  
Term Care ◽  
Healthy Older Adults ◽  
Mobility Performance
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