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The effect of long-term care environments on health outcomes
- Author:
- PRUCHNO Rachel A.
- Journal article citation:
- Gerontologist, 40(4), August 2000, pp.422-428.
- Publisher:
- Oxford University Press
This study contrasts rates of mortality and relocation to higher levels of care as well trajectories of cognitive status, functional ability, depression, and subjective health of residents of an assisted living facility with those of a nursing home. A repeated measures analysis of variance found that outcomes for people living in the two facilities did not change at different rates. These consistent findings suggest that although the assisted living and nursing home environments claim to have different philosophies of care, health outcome patterns for people living in the two environments were similar.
Dementia in United States nursing homes: descriptive epidemiology and implications for long-term residential care
- Authors:
- MAGAZINER J., et al
- Journal article citation:
- Aging and Mental Health, 2(1), February 1998, pp.28-35.
- Publisher:
- Taylor and Francis
Using data from the 1985 National Nursing Homes Survey in the USA, the health and functioning of demented and non-demented nursing home residents are compared, and alternate forms of long-term residential care are identified. Analyses indicate that there is considerable overlap in the health and functional status of nursing home residents with and without dementia. Concludes the traditional nursing home is one option for providing long-term residential care for these persons. Alternate residential care facilities such as board and care homes, sheltered housing and adult foster care are other options whose use is growing, especially for those not requiring continuous supervision and medical care.
The impact of informal caregiving for older adults on the health of various types of caregivers: a systematic review
- Authors:
- BOM Judith, et al
- Journal article citation:
- Gerontologist, 59(5), 2019, p.e629–e642.
- Publisher:
- Oxford University Press
Objective: Informal care, the provision of unpaid care to dependent friends or family members, is often associated with physical and mental health effects. As some individuals are more likely to provide caregiving tasks than others, estimating the causal impact of caregiving is difficult. This systematic literature review provides an overview of all studies aimed at estimating the causal effect of informal caregiving on the health of various subgroups of caregivers. Methodology: A structured literature search, following PRISMA guidelines, was conducted in 4 databases. Three independent researchers assessed studies for eligibility based on predefined criteria. Results from the studies included in the review were summarized in a predefined extraction form and synthesized narratively. Results: The systematic search yielded a total of 1,331 articles of which 15 are included for synthesis. The studies under review show that there is evidence of a negative impact of caregiving on the mental and physical health of the informal caregiver. The presence and intensity of these health effects strongly differ per subgroup of caregivers. Especially female, and married caregivers, and those providing intensive care appear to incur negative health effects from caregiving. Conclusion: The findings emphasize the need for targeted interventions aimed at reducing the negative impact of caregiving among different subgroups. As the strength and presence of the caregiving effect differ between subgroups of caregivers, policymakers should specifically target those caregivers that experience the largest health effect of informal caregiving. (Edited publisher abstract)
The future of ageing in Europe: making an asset of longevity
- Editor:
- WALKER Alan
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2019
- Pagination:
- xv, 328
- Place of publication:
- London
A comprehensive analysis of the major policy challenges created by Europe’s ageing population. It features contributions from the leading researchers in the field and uses cutting-edge scientific approaches to investigate later life from multiple disciplinary perspectives. Chapters cover: economic sustainability in ageing societies; extending working lives; healthy ageing; technological innovation; political citizenship; and the potential of social innovation and active ageing approaches in the area of long-term care for older people. It offers a policy manifesto to ensure that the future of ageing in Europe is transformed into a highly beneficial one for both citizens and societies. (Edited publisher abstract)
Correlates of attitudes toward personal aging in older assisted living residents
- Authors:
- PARK Nan Sook, et al
- Journal article citation:
- Journal of Gerontological Social Work, 58(3), 2015, pp.232-252.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored factors contributing to older adults’ self-perceptions about their own ageing in assisted living (AL) communities. Data analysis was completed based on interviews with 150 older residents from 17 AL communities in the United States. The study examined the effect of objective factors (health-related variables/negative life events) and subjective factors (satisfaction with facility/social support) on residents’ attitudes toward personal ageing and assessed whether health perception mediated the relationship between health-related variables/negative life events and residents’ attitudes toward personal ageing. Multiple regression analyses found that functional disability and hearing impairment negatively affected attitudes toward personal ageing among AL residents, and satisfaction with social support positively influenced attitudes. Health perception mediated attitudes toward personal ageing. Findings suggest the importance of social workers helping older AL residents recognize social support as a means of promoting their positive self-regard. (Edited publisher abstract)
Health-related quality of life and attitudes to long-term care among carers of older people using social services
- Author:
- ILIFFE Steve
- Journal article citation:
- Research Policy and Planning, 23(3), 2005, pp.165-173.
- Publisher:
- Social Services Research Group
Using three standardised measures to screen for activity limitation (ADLs), depression (GHQ-28) and health related quality of life (HRQoL) (SF36), a study of carers and people aged 75 and over referred consecutively to social services departments in adjacent inner city areas showed a high prevalence of limitations in activities of daily living (ADLs), that a substantial proportion (42 per cent) had GHQ-28 scores high enough to suggest depression and their scores on the SF-36 showed that many carers were low in vitality and tired. Co-resident carers had poorer psychological health and more difficulties with social functioning than non-resident carers, and were older, but were not significantly different in self-reported physical health. Whether carers wanted the cared-for person to remain at home for as long as possible depended on their relationship (spouse or not) and whether the older person was depressed. The carers' own psychological health was not related to their attitude to institutional care. The study suggests that targeting social care resources on carers showing psychological distress may not reduce downstream expenditure on long-term care.
Adding life to years
- Author:
- WALKER Alan
- Journal article citation:
- Community Care, 7.6.01, 2001, pp.26-27.
- Publisher:
- Reed Business Information
Argues that quality of life for older people should be central to the debate about the so-called demographic time-bomb. Introduces a large-scale research programme.
Geriatric care in the United Kingdom: aligning services to needs
- Authors:
- BOWMAN Clive, et al
- Journal article citation:
- British Medical Journal, 23.10.99, 1999, pp.1119-1121.
- Publisher:
- British Medical Association
The recent report from the Royal Commission on Long Term Care, 'With Respect to Old Age', recommends the establishment of a national care commission to monitor trends, costs and accountability, the interests of the consumer and to set national benchmarks. This article outlines a possible solution that integrates and aligns health and personal care for elderly people in a practical and incremental manner.
Long term care data pack
- Author:
- SWISS RE LIFE AND HEALTH LIMITED
- Publisher:
- Swiss Re Life and Health Limited
- Publication year:
- 1998
- Pagination:
- 118p.,diags.,bibliog.
- Place of publication:
- London
Defines what long term care is and looks at current provision. Goes on to look at: the community care framework and the provision of long term care; the political environment; background statistics; public attitudes; long term care insurance in the UK; underwriting; claims; implications for long term care insurance of changes in health; long term care in overseas markets; long term care and partnership models in the US; statutory long term care insurance in Germany; long term care solutions in France; and Japan's Gold Plan.
Comparison of health and functional ability between noninstitutionalized and least dependent institutionalized elderly in Finland
- Authors:
- NORO Anja, ARO Seppo
- Journal article citation:
- Gerontologist, 37(3), June 1997, pp.374-383.
- Publisher:
- Oxford University Press
Describes how Finland's active deinstitutinalisation policy aims to reduce the number of elderly people in long-term residential care and to keep noninstitutionalised elderly people living at home as long as possible. As a contribution to the issue of the appropriateness of long-term institutional care, this article compares the health and functional ability of elderly people living at home or residential care to assess the theoretical possibility of discharging the least dependent elderly from a residential homes. Findings from two separate data sets collection in 1992 were compared. Elderly people living at home were found to be in better health and with better functional ability than those in residential care. Results indicate that one third of those assessed as able to manage in-home care could possibly be discharged if adequate services and housing were available.