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Enabling independence: restorative approaches to home care provision for frail older adults
- Authors:
- RYBURN Bridget, WELLS Yvonne, FOREMAN Peter
- Journal article citation:
- Health and Social Care in the Community, 17(3), May 2009, pp.225-234.
- Publisher:
- Wiley
This study reviews the 'real world' potential (i.e. efficacy and effectiveness) of restorative approaches towards home care for frail older adults. Such approaches aim to go beyond traditional home care goals of 'maintenance' and 'support' towards improvements in functional status and quality of life. The literature review included searches of health and gerontology databases as well as 'grey literature' across Australia, the UK and the USA. The authors provide an initial overview of the efficacy of a range of single component restorative interventions, including occupational therapy, physical therapy, health education and social rehabilitation. In order to answer questions about the overall efficacy and cost-effectiveness of restorative home care provision, the nature of in-house programmes across the three nations is reviewed as well as the evidence base for such programmes, particularly when they have been compared to home care 'as usual'. A range of positive outcomes has emerged, including improved quality of life and functional status and reduced costs associated with a reduction in the ongoing use of home care services postintervention. Questions remain about which components are most beneficial, which clients are likely to receive the greatest benefit, and the appropriate intensity and duration of such interventions.
Religiosity of depressed elderly inpatients
- Authors:
- PAYMAN Vahid, GEORGE Kuruvilla, RYBURN Bridget
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(1), January 2008, pp.16-21.
- Publisher:
- Wiley
The aim was to determine the prevalence of religious practices and beliefs of depressed elderly Australian inpatients and their relationship to physical, social, and cognitive variables known to influence the prognosis of depression in the elderly. To compare the results obtained with those from similar North American studies. Inpatients with a DSM-IV diagnosis of major depression were interviewed on admission to the psychogeriatric unit of a Melbourne geriatric centre. Information collected included patient demographics, intrinsic and extrinsic religiosity, cognitive function, severity of depression, number of chronic illnesses, physical function, and numbers and quality of social support. Pearson correlation and multivariate analysis using a standard regression model were used to examine relationships between the religious and other variables. Of the 86 patients who completed the assessment, 25% attended church regularly and 37% prayed, meditated, or read the Bible, at least once a day. Just over half rarely or never engaged in such behaviours. Three out of every eight patients were intrinsically religious. Religious patients expressed higher levels of social support and physically disabled patients were more likely to be religious. Depressed elderly Australian inpatients are less religious than their North American counterparts. Nevertheless, religion remains important for a large minority of such individuals. Clinicians need to be aware that such individuals may turn to religion when depressed, especially to cope with the presence of physical disability.