Download or read book Implementation of a Diabetes Management Protocol for Long Term Care dwelling Older Adults written by Deborah A. Broadley and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The goal of this practice change project was to increase provider compliance with evidence-based guidelines for managing long term care-dwelling older adults with diabetes mellitus. Studies have consistently demonstrated diabetes management of this population is suboptimal for reasons including a lack of provider compliance with evidence-based guidelines. However, current guidelines are based on studies that incorporate few if any older adults. Integrating appropriate evidence-based guidelines into electronic health records has been shown to increase provider compliance with those guidelines. The practice change project was selected in response to these concerns. The project incorporated developing an evidence-based protocol for managing long term care dwelling older adults with diabetes mellitus. The protocol was developed in collaboration with the medical staff and the information technology department of the participating facility. It was formatted and integrated into the facility's existing electronic health record (EHR). The change project was implemented in a facility that is the largest provider for geriatric care across the continuum in the state of Connecticut. A pilot project was conducted on three of the facility's long term care units. Fifty-two eligible patients were identified. Six providers were responsible for caring for these patients. All providers were educated on the guidelines as well as the protocol which allowed for individualizing the overall plan of care within the suggested evidence-based guidelines. Process indicator measures were selected to evaluate baseline and outcome data. Provider compliance improved by 43-87 percentage points in all outcome process indicator measures. These results support previous literature findings documenting increased provider compliance with evidence-based guidelines incorporated into electronic health records. A major implication of this project is its potential for positively improving patient outcomes by serving as a model for developing other evidence-based guidelines for managing chronic diseases in older adults." -- Abstract.

Download or read book Management of Diabetes in the Long term Care Population written by Canadian Agency for Drugs and Technologies in Health and published by . This book was released on 2013 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: The economic, social and health burden of diabetes is significant, especially in the elderly population. This is a common disease that affects more than 20% of adults aged 65 to 75 years and 40% of adults older than 80 years. The prevalence of diabetes in long-term care (LTC) facilities is similar to that in the general population, but may be underestimated. Previous studies indicated that in a Canadian long-term care facility, a screening program reclassified a third of residents as having diabetes during a three-year period. Management of diabetes in LTC facilities is challenging due to the under-resourced environment and the nature of this specific population (e.g. age, higher rates of premature death, functional disability, and more co-morbidities than non-diabetics). Besides lifestyle modification and pharmacological therapy, blood glucose monitoring (levels of blood glucose or HbA1c) is also essential to ensure satisfactory glycemic control. Due to the metabolic differences of diabetes in the elderly compared with younger patients, the approaches of disease management should be different. The burden of rigourous near normal glycemic control (e.g. cost of patient discomfort) may outweigh the benefits (such as preventing long-term complications) in this population. Previous clinical practice guidelines have suggested that the glycemic target should be individualized based on the patient's functional status: patients with good functional status should be maintained at HbA1c lower than 7%, whereas those who are frail (have multiple co-morbidities, increased risk of hypoglycemia or have a life expectancy of fewer than 5 years) should be maintained at a less stringent target of lower than 8%. CADTH published a report in 2010 for the purpose of summarizing guideline recommendations regarding the management of diabetes in a long-term care population, but limited evidence was found. The purpose of this review is to identify any evidence and recommendations noted in the evidence-based guidelines for blood glucose monitoring in diabetic patients in LTC setting.

Download or read book Diabetes Management in Long Term Settings written by Linda Haas and published by American Diabetes Association. This book was released on 2014-08-05 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Management in Long-Term Settings is a clinical guide for the treatment of elderly patients with diabetes. With the number of older adults growing exponentially and with a growing percentage of this group facing diabetic and prediabetic conditions, Diabetes Management in Long-Term Settings will help physicians, nurses, pharmacists, and administrators develop effective programs to care for this growing population. It is a practical clinical guide outlining the protocols of geriatric diabetes care and will be a sought-after reference for all clinicians.

Download or read book Cognitive Aging written by Institute of Medicine and published by National Academies Press. This book was released on 2015-07-21 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: For most Americans, staying "mentally sharp" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health. Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. Ultimately, this report calls for a societal commitment to cognitive aging as a public health issue that requires prompt action across many sectors.

Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Download or read book Improving Knowledge of Nursing Staff in Older Adult Diabetes Management written by Akosua Obeng and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Background- One of the most common chronic conditions in the world is diabetes mellitus. Diabetes places significant healthcare and socioeconomic burdens on health systems, patients, and caregivers. In the United States, about 43% (11.5 million people) of older adults are affected by diabetes. Nursing personnel in long-term care facilities face challenges in providing adequate diabetes management care for older diabetic residents due to limited resources, inadequate training, and education. Objective- The goal of this diabetes management project was to increase diabetes management knowledge and confidence in long-term care nursing personnel by at least 20% from baseline. Methods-This evidence-based educational program was completed by fifteen nursing personnel (3-RN, 3-LPN, 9 CNA) working at an assisted living facility. The educational sessions concentrated on effective glycemic control strategies, adverse effects and complications of poor glycemic control, healthy lifestyle modifications, foot care, and current treatment guidelines. The participants completed the Diabetes Knowledge Test 2 questionnaire and Diabetes Confidence Survey before and after participating in the educational sessions. Results- The findings demonstrated increased mean knowledge and confidence pre-post-scores of 24.6% and 23.5%, respectively. The CNA's demonstrated the greatest increase of in knowledge and confidence, with a percentage increase of 21.1 in both categories. Conclusions- This project was effective in increasing the diabetes knowledge and confidence of nursing personnel working in a long-term care setting. Key words: diabetes education, older adults with diabetes, nursing personnel, long-term care " -- Abstract

Download or read book Diabetes in Old Age written by Alan J. Sinclair and published by John Wiley & Sons. This book was released on 2017-02-13 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes. With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care health care arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing population of older people with diabetes such as falls management, frailty and sarcopenia, and cognitive dysfunction form a key cornerstone of the book. In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion. Diabetes in Old Age, 4th edition is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.

Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Download or read book The Mckellar Guidelines for Managing Older People with Diabetes in Residential and Other Care Settings written by Trisha Dunning and published by . This book was released on 2014 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Age Friendly Health Systems written by Terry Fulmer and published by Institute for Healthcare Improvement (Ihi). This book was released on 2022-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.

Download or read book Implementation of Diabetes Tracking Applications Into the Chronic Care Model in the Program of All Inclusive Care for the Elderly PACE written by Jessica Anne Bates and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: People with type 2 diabetes are at a higher risk of debilitating consequences such as impaired vision, nephropathy, and decreased quality in life, resulting in premature death. The cost of diabetes care is also at least 3.2 times greater than the average per capita health care expenditure, rising to 9.4 times in the presence of complications. Review of Literature: Articles chosen from PubMed and CINAHL databases using key terms Type 2 diabetes mellitus, mobile applications, chronic care, the program of all-inclusive care for the elderly, diabetes management, quality improvement, and quality of life. Of the 214 articles, 10 met the criteria for review. Purpose: This paper aims to improve Type 2 Diabetes Mellitus (T2DM) for PACE participants by lowering their hemoglobin A1c to reduce their risk of morbidity and mortality while improving their quality of life using the Chronic Care Model. Methods: 30 Alcatel Joy Tablets supplied to PACE participants with a diagnosis of T2DM loaded with an application to provide education on the management of T2DM, 12 consented to participate in the practice change. Participants attended an educational session on device functionality and expectation of use. Data extraction of baseline A1Cs collected. Follow-up with participants will occur monthly, either by phone or when present in the office. Pre/post-survey responses will conclude at the end of the project in Dec 2022. Implementation Plan/Procedure: In September 2022, participants were provided the Alcatel Joy Tablets and began learning about T2DM and managing the disease by taking steps to lower their hemoglobin A1c. In December 2022, hemoglobin A1c data and pre/post-test survey results analysis consisted of calculations using a two-paired T-test to determine the success of project implementation and outcomes.

Download or read book Geriatric Diabetes written by Medha N. Munshi and published by CRC Press. This book was released on 2007-05-21 with total page 443 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of elderly patients with diabetes is increasing at a significant rate. Responding to this growth, this source serves as a solid arsenal of information on the varying presentations and challenges associated with diabetes in the geriatric patient, and supplies clearly written sections on the screening, diagnosis, and treatment of diabetes

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 American Diabetes Association JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.

Download or read book Mini Nutritional Assessment MNA written by Bruno J. Vellas and published by Karger Medical and Scientific Publishers. This book was released on 1999 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.