scholarly journals Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

2013 ◽  
pp. 1561 ◽  
Author(s):  
Mia Conradsson ◽  
Håkan Littbrand ◽  
Gustaf Boström ◽  
Nina Lindelof ◽  
Yngve Gustafson ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Activities Of Daily Living ◽  
Residential Care ◽  
Functional Capacity ◽  
Daily Living ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Berg Balance Scale: Intrarater Test-Retest Reliability Among Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities

2007 ◽  
Vol 87 (9) ◽  
pp. 1155-1163 ◽  
Author(s):  
Mia Conradsson ◽  
Lillemor Lundin-Olsson ◽  
Nina Lindelöf ◽  
Håkan Littbrand ◽  
Lisa Malmqvist ◽  
...  
Keyword(s):  
Older People ◽  
Activities Of Daily Living ◽  
Residential Care ◽  
Daily Living ◽  
Retest Reliability ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
The Absolute ◽  
Test Retest Reliability ◽  
Absolute Reliability

Background and Purpose: The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities.Subjects: The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68–96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4–30).Methods: The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC).Results: The mean score was 30.1 points (SD=15.9, range=3–53) for the first BBS test and 30.6 points (SD=15.6, range=4–54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0–11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97.Discussion and Conclusion: Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.

scholarly journals A High-Intensity Functional Weight-Bearing Exercise Program for Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities: Evaluation of the Applicability With Focus on Cognitive Function

2006 ◽  
Vol 86 (4) ◽  
pp. 489-498 ◽  
Author(s):  
Håkan Littbrand ◽  
Erik Rosendahl ◽  
Nina Lindelöf ◽  
Lillemor Lundin-Olsson ◽  
Yngve Gustafson ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Older People ◽  
Activities Of Daily Living ◽  
Residential Care ◽  
High Intensity ◽  
Daily Living ◽  
Weight Bearing ◽  
Exercise Program ◽  
Residential Care Facilities ◽  
Care Facilities

Abstract Background and Purpose. Knowledge concerning the applicability and the effect of high-intensity exercise programs is very limited for older people with severe cognitive and physical impairments. The primary aim of this study was to evaluate the applicability of a high-intensity functional weight-bearing exercise program among older people who are dependent in activities of daily living and living in residential care facilities. A second aim was to analyze whether cognitive function was associated with the applicability of the program. Subjects. The subjects were 91 older people (mean age=85.3 years, SD=6.1, range=68–100) who were dependent in personal activities of daily living and randomly assigned to participate in an exercise intervention. Their mean score for the Mini-Mental State Examination (MMSE) was 17.5 (SD=5.0, range=10–29). Methods. A high-intensity functional weight-bearing exercise program was performed in groups of 3 to 7 participants who were supervised by physical therapists. There were 29 exercise sessions over 13 weeks. Attendance, intensity of lower-limb strength and balance exercises, and occurrence and seriousness of adverse events were the outcome variables in evaluating the applicability of the program. Results. The median attendance rate was 76%. Lower-limb strength exercises with high intensity were performed in a median of 53% of the attended exercise sessions, and balance exercises with high intensity were performed in a median of 73% of the attended exercise sessions. The median rate of sessions with adverse events was 5%. All except 2 adverse events were assessed as minor and temporary, and none led to manifest injury or disease. No significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, there was no significant correlation between applicability and the MMSE score. Discussion and Conclusion. The results suggest that a high-intensity functional weight-bearing exercise program is applicable for use, regardless of cognitive function, among older people who are dependent in activities of daily living, living in residential care facilities, and have an MMSE score of 10 or higher. [Littbrand H, Rosendahl E, Lindelöf N, et al. A high-intensity functional weight-bearing exercise program for older people dependent in activities of daily living and living in residential care facilities: evaluation of the applicability with focus on cognitive function. Phys Ther. 2006;86:489–498.]

scholarly journals How Do Regulated Nurse Professionals in Alberta Assess Geriatric Depression in Residential Care Facilities?

2019 ◽  
Vol 39 (3) ◽  
pp. 468-484
Author(s):  
Anna Azulai ◽  
Christine A. Walsh
Keyword(s):  
Mental Health ◽  
Residential Care ◽  
Mental Health Professionals ◽  
Qualitative Interviews ◽  
Health Condition ◽  
Future Research ◽  
Geriatric Depression ◽  
Residential Care Facilities ◽  
Assessment Protocol ◽  
Care Facilities

ABSTRACTAlthough geriatric depression is a prevalent, serious, and under-recognized mental health condition in residential care facilities, there is a dearth of related research in Canada. This exploratory mixed methods study examines the perspectives and practices of regulated nurse professionals on assessment of geriatric depression in residential care facilities in Alberta. Findings from the quantitative surveys (n = 635) and qualitative interviews (n = 14) suggest that geriatric depression is not systematically assessed in these care settings due to multiple challenges, including confusing assessment protocol, inconsistent use and contested clinical utility of current assessment methods in facilities, limited availability of mental health professionals in facilities, and the varied views of regulated nurse professionals on who is responsible for depression assessment in facilities. Implications and future research directions are discussed.

Instrumental activities of daily living performance in healthy and cognitively intact seniors from a Brazilian sample and its relation to age and other socio-demographic variables

2012 ◽  
Vol 24 (5) ◽  
pp. 784-793 ◽  
Author(s):  
Pedro Fonseca Zuccolo ◽  
Renata Ávila ◽  
Eduardo Y. Nakano ◽  
Júlio Litvoc ◽  
Marcos A. Lopes ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Older People ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Demographic Variables ◽  
Community Dwelling ◽  
Medical Conditions ◽  
Instrumental Activities ◽  
Cognitively Intact

ABSTRACTBackground: Studies on functional capacity in community-dwelling older people have shown associations between declines in instrumental activities of daily living (IADL) and several factors. Among these, age has been the most consistently related to functional capacity independent of other variables. We aimed at evaluating the performance of a sample of healthy and cognitively intact Brazilian older people on activities of daily living and to analyze its relation to social-demographic variables.Methods: We conducted a secondary analysis of data collected for previous epidemiological studies with community-dwelling subjects aged 60 years or more. We selected subjects who did not have dementia or depression, and with no history of neurological diseases, heart attack, HIV, hepatitis or arthritis (n = 1,111). Functional capacity was assessed using the Brazilian version of the Older American Resources and Services Questionnaire (BOMFAQ). ADL performance was analyzed according to age, gender, education, and marital status (Pearson's χ2, logistic regression).Results: IADL difficulties were present in our sample, especially in subjects aged 80 years or more, with lower levels of education, or widowed. The logistic regression analysis results indicated that “higher age” and “lower education” (p ≤ 0.001) remained significantly associated with IADL difficulty.Conclusions: Functional decline was present in older subjects even in the absence of medical conditions and cognitive impairment. Clinicians and researchers could benefit from knowing what to expect from older people regarding IADL performance in the absence of medical conditions.

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