Download or read book Geriatric Aspects of Frail Nursing Home Residents written by Björn Westerlind and published by Linköping University Electronic Press. This book was released on 2019-03-25 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The number and proportion of older people are increasing in Sweden as well as throughout the western world. Older people with increasing assistance needs that can no longer be met in their own home need institutional long-term care in nursing homes. A successive reduction of nursing home beds in combination with a future demographic development with a rapidly increasing number of older people will lead to higher demands on future medical care in nursing homes. Consequently, increased knowledge about the medical needs of nursing home residents is of great value. Objectives: This thesis explores some important geriatric aspects of frail nursing home residents. The specific aims was to characterise the population of nursing home residents, to explore the prevalence of anaemia, paying particular attention to risk factors and mortality, to investigate associations between falls and use of possible fall risk drug classes and to estimate the prevalence of diagnostic failure of cognitive impairment and to investigate whether diagnostic failure was associated with impaired medical care. Methods: All data originate from SHADES (the Study of Health and Drugs in Elderly nursing home residents in Sweden), a prospective cohort study that included nursing home residents at 12 nursing homes situated in three municipalities in southern Sweden between 2008 and 2011. The subjects were followed every six months with data collection from medical records concerning medications, diagnoses, hospital referrals and mortality, examinations including blood sample analyses, assessments with validated rating scales for cognitive evaluation, depression, risk of pressure ulcers, malnutrition or falls, and the need for care was rated through a questionnaire. Results: SHADES included a total of 428 subjects with a mean age of 85 years, of whom 71% were women. They demonstrated comorbidity with a mean of three registered medical diagnoses, and polypharmacy with a mean of seven regularly used drugs. More than half of the sample (60%) were at risk of malnutrition and one third were at risk of developing pressure ulcers. A set of single items from the performed risk assessments was found to be important in understanding frailty and need for care. One third of the women and half of the men had anaemia. For the men, anaemia was associated with significantly higher mortality. Haemoglobin decline was also associated with higher mortality. Almost everyone (93%) had an increased fall risk and 62% had fallen during the last year. There was an association between falls during the last year and regular use of non-benzodiazepine hypnotics. In the older age group there was also an association between these drugs and serious falls the next 6 months. Dementia was previously diagnosed in 42%. However, among subjects without a dementia diagnosis, 72% were cognitively impaired (Mini Mental State Examination <24). These subjects were significantly older, did not get anti-dementia treatment and had higher levels of brain natriuretic peptide compared to the diagnosed dementia group, possibly indicating heart failure. Their risks of malnutrition and pressure ulcers were similar to the dementia group. Conclusions: Nursing home residents are generally frail. Anaemia is associated with higher mortality among men. The fall risk is generally high and use of non-benzodiazepine hypnotics is associated with a higher occurrence of falls. Cognitive impairment is undiagnosed in half of the cases and may indicate underlying heart failure. Consequently, regular medical follow-ups in this population are proposed to include blood count, drug review, and cognitive evaluation. In the case of cognitive impairment, exclusion of underlying disease such as heart failure should be considered.
Download or read book Restraint Free Care written by Lois K. Evans, DNSc, FAAN, RN and published by Springer Publishing Company. This book was released on 1998-09-15 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to help clinicians, administrators, students, and families attain the goal of restraint-free care of the elderly. Written by leading experts in the field, the book contains specific strategies for understanding behavior, making constructive changes in the individualís environment, and managing the risk of falls and interference with necessary treatments. It is organized in outline form to highlight critical material and to be readily adaptable as a quick reference. The authors use individualized care as the bookís underlying philosophy. The goals of individualized care include promoting comfort and safety, optimizing function and independence, and achieving the greatest possible quality of life. Such care requires clinicians to make sense of behavior rather than to control responses of clients. Numerous case studies, tables, and figures illustrate this practical and information-packed manual. Lists of resources are also included.
Download or read book Geriatric Residential Care written by Robert D. Hill and published by Psychology Press. This book was released on 2013-06-17 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book's main goal is to examine the concept of residential care from a psychological perspective. The chapter authors espouse a psychological approach to long-term residential care and an effort is made throughout the text to present a model of care that encompasses the whole individual. Since psychologists are being increasingly asked to provide consultation to long-term residential care facilities, the need for psychologically-based care models has become apparent. This text offers assistance in developing and maintaining residential care environments that maximize quality of life and personal well-being in the presence of declining physical and emotional resources that are associated with the vicissitudes of living into advanced aging. Geriatric Residential Care is divided into four parts. Part I addresses psychological and social issues facing the frail elderly who are candidates for, or are living in residential care settings. Part II addresses issues in the assessment of individuals in residential care. Part III highlights the design and execution of intervention strategies in residential care. Part IV addresses how organizational aspects of residential care contexts can optimize the quality and meaningfulness of care.
Download or read book The Concept and Measurement of Quality of Life in the Frail Elderly written by James E. Birren and published by Academic Press. This book was released on 2014-06-28 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work presents the first serious attempt to impose rigor on the definition and measurement of quality of life among the elderly. The book uses a conference to develop background but goes well beyond the meeting in terms of depth of reviews of the literature and of integration among the chapters.This book is intended for use by researchers in the many disciplines which focus on the mental and physical well-being of the elderly, including those in medicine, nursing, psychiatry, psychology, rehabilitation, sociology and social work, among others. In addition, this book provides important background information for professionals and policy makers interested in ensuring quality of life in the later years.
Download or read book Long Term Care for Frail Older People written by John C. Campbell and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aging of society is a growing concern in all advanced nations, and at the forefront of concern is long-term care for frail older people. Enactment of a new public long-term care insurance program by the Japanese government in 1997 provided an excellent opportunity for a conference focusing on an ideal long-term care system for frail older people. The conference was organized around four major themes: Social aspects, including family dynamics and the role of formal providers; Clinical aspects, including effective treatments for physical and mental disabilities; Macroeconomic and macropolitical settings for public policy; Program design and management issues. With contributions from the fields of medicine, nursing, social work, gerontology, political science, economics, and sociology, this volume provides an overview of key problems and possible solutions in programs for frail older people from a unique international perspective.
Download or read book Comprehensive Geriatric Assessment written by Alberto Pilotto and published by Springer. This book was released on 2017-12-29 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Download or read book Canadian Study of Health and Aging written by Christina Wolfson and published by New York : Springer Pub.. This book was released on 2002 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This supplement to the journal, International Psychogeriatrics introduces the Canadian Study of Health and Aging, one of the largest epidemiologic studies of dementia conducted to date. A comprehensive description of the study methods and data sets as well as selected results are discussed.
Download or read book Geriatric Emergency Medicine written by Joseph H. Kahn and published by Cambridge University Press. This book was released on 2014-01-16 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume provides a practical framework for evaluation, management and disposition of this growing vulnerable patient population.
Download or read book Challenges in Elder Care written by Edward T. Zawada Jr. and published by BoD – Books on Demand. This book was released on 2016-10-12 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work is intended as a brief but focused compilation to assist with diagnosis and management of the most common serious medical problems in the rapidly growing geriatric population. The geriatric population recently expanded by the fact that the baby boomers have reached the milestone of 65 years of age in the past 5 years. Tips for diagnosis, medication administration, and logistics of cost-effective management in the health-care continuum are presented in this book. The latter often consists of a journey from home to medical office to emergency room to hospital bed to intensive care unit to long-term acute care hospital to skilled nursing facility to long-term residential facility and/or back home, which is also reviewed in the book Geriatrics.
Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Download or read book The Graying of the World written by Laura Katz Olson and published by Psychology Press. This book was released on 1994 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique book studies America's frail older population relative to the elderly in ten other nations. It contains a cross-national assessment of approaches to long-term care for the elderly and explains the nature and extent of current and future problems related to caring for the functionally impaired elderly. By studying and analyzing the ongoing struggles of other nations in their attempts to cope with growing populations of frail elderly, readers in the U.S. can expand the parameters of their own national debate on the subject. The Graying of the World shows the political, economic, and social context in which decisions on elder-care are based and evaluates how successful various countries'programs have been. Chapters outline alternative approaches taken by disparate types of national systems, highlighting unique and creative solutions to provide useful information on new and alternative ways to respond to personal and public issues related to elder-care. The elderly and their care in Finland, France, Germany, Great Britain, Israel, Japan, People's Republic of China, Sweden, and Yugoslavia are discussed, as are the elderly in Canada and the United States. Chapters cover the following topics for each country: the increasing number of frail elderly and their costly health needs the current and future role of the state in elder-care the current and future role of the family in elder-care types of support services offered for the elderly, including in-home care, community-based care, and institutional care the relationship of a nation's political economy to its attitude and policy on long-term care innovative approaches to elder-care Practitioners, decision makers, and the concerned general public will all find The Graying of the World an interesting and informative book that expands the discussion of health care options available for the elderly. As such, the book is also a helpful text for undergraduate and beginning graduate students of gerontology, public policy, and comparative politics, as well as for social service practitioners. It provokes much-needed conversation on developing a healthcare plan for the future that meets the needs of a large elderly population.
Download or read book Geriatric Palliative Care written by Rolfe Sean Morrison and published by . This book was released on 2003 with total page 461 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geriatric Palliative Care covers a broad spectrum of issues characterizing care near the end of life for older adults. Beginning with the social and cultural context of old age and frailty, this volume details specific aspects of palliative care relevant to particular disorders (e.g. cancer, strokes, dementia, etc.) as well as individual symptoms (e.g., pain, fatigue, anxiety, etc.). Communication between care-givers and patients, in a variety of settings, is also discussed. The theme of this book is that palliative care is the best approach to the care of chronically ill and frail elderly because of its focus on: quality of life; support for functional independence; and the centrality of the patient's values and experiences in determining the goals of medical care. Indeed, Geriatric Palliative Care provides a comprehensive medical reference for all clinicians who care for older adults.
Download or read book Gerontologic Nursing written by Mary M. Burke and published by Mosby Elsevier Health Science. This book was released on 1992 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Geriatrics Models of Care written by Michael L. Malone and published by Springer. This book was released on 2015-05-22 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community. Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.
Download or read book Quality Care in Geriatric Settings written by Paul Richard Katz and published by . This book was released on 1995 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current issues related to ethics and quality of life in Long-Term Care are discussed in this volume.
Download or read book Chart Supplement Pacific written by and published by . This book was released on 2010 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt:
