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Preventing respiratory illness in older adults aged 60 years and above living in long-term care
- Authors:
- RIOS Patricia, et al
- Publisher:
- University of Oxford, Centre for Evidence-Based Medicine
- Publication year:
- 2020
- Place of publication:
- Oxford
This rapid overview of reviews identifies evidence from systematic reviews on infection protection and control measures for preventing respiratory illness (including coronavirus and influenza) in older adults aged 60 years and above living in long-term care. The results of the included systematic reviews suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment. For the rest of the strategies, there was either no evidence of effectiveness (e.g., social isolation) or mixed evidence of effectiveness (e.g., rimantadine, zanamivir, hand hygiene, personal protective equipment). The mixed evidence on hand hygiene and use of personal protective equipment does not imply these should not be used in outbreaks. (Edited publisher abstract)
Using video capture to investigate the causes of falls in long-term care
- Authors:
- WOOLRYCH Ryan, et al
- Journal article citation:
- Gerontologist, 55(3), 2015, pp.483-494.
- Publisher:
- Oxford University Press
Purpose: Falls and their associated injuries represent a significant cost and care burden in long-term care (LTC) settings. The evidence base for how and why falls occur in LTC, and for the design of effective interventions, is weakened by the absence of objective data collected on falls. Design and Methods: This article reflects on the potential use of video footage in fall investigations. In particular, it reports on findings from a Canadian Institute for Health Research-funded research project entitled “Technology for Injury Prevention in Seniors,” detailing four distinct methodological approaches where video footage of real-life falls was used to assist in identifying the circumstances and contributory factors of fall events in (LTC) settings: questionnaire-driven observational group analysis; video-stimulated recall interviews and focus groups; video observations of the resident 24hr before the fall; and video incorporated within a comprehensive systemic falls investigative method. Results and Implications: The various ways in which video footage offers potential for both care providers and researchers to help understand the cause and prevention of falls in LTC are described. The limitations of using video in fall investigations, including the logistical, practical, and ethical concerns arising from such an approach are also discussed. (Edited publisher abstract)
Understanding contextual factors in falls in long-term care facilities
- Authors:
- SIXSMITH Andrew, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(3), 2013, pp.160-166.
- Publisher:
- Emerald
Purpose – Despite the growing area of research involving falls in the residential care setting, the link between contextual and environmental factors in falls is poorly understood. This paper aims to draw upon existing research being undertaken in long-term care (LTC) in Metro Vancouver, Canada, with a particular focus on identifying contextual factors contributing to fall events. Design/methodology/approach – This paper presents the results of a qualitative observational analysis of video-captured data collected through a network of high-quality video systems in two LTC facilities. The research comprised workshops involving experienced researchers who reviewed six video sequences of fall events. The outcome of the workshops was a written narrative summarising the discussion and researchers’ interpretation of fall sequences. Findings – The analysis indicates that there are a broad range of environmental, behavioral and situational factors that contribute to falls in LTC. This suggests that a limited conceptualisation of a fall as an outcome of the person's impairment and environmental hazards fails to convey the complexity of potential contributory factors typical of most fall incidents. Research limitations/implications – Broadening our understanding of falls provides the potential to make recommendations for falls prevention practice across multiple levels, including the individual, social and organisational context. Originality/value – The paper evaluates the potential of video-based data in fall analysis and points to the development of a case study approach to analysing fall incidents to capture the complex nature of contributory factors beyond research that focuses solely on intrinsic and extrinsic risk factors. (Publisher abstract)
Active ageing and prevention in the context of long-term care: rethinking concepts and practices
- Author:
- RUPPE Georg
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2011
- Pagination:
- 16p., bibliog.
- Place of publication:
- Vienna
Relating prevention with long-term care is often thought of as something contradictory. In many countries “long-term care” and “prevention” are terms strongly associated with the ideologies of “being taken care of” and “avoidance” and are thus also often related to passivity. It generally provokes the question whether preventive or activating measures are still feasible or even existent for a person already in need of long-term care. Occasionally it is even considered sarcastic to speak of prevention or rehabilitation when long-term care has already entered the stage. The introduction to this Policy Brief explores conceptual meanings of prevention and long-term care in relation to active ageing. Some general European trends and national developments in Austria concerning long-term care as well as related measures of prevention and activation for older people are outlined in the first part of the Policy Brief. The following section critically discusses general social and health policy approaches as well as practice examples in different long-term care settings in Austria. The Policy Brief concludes with a number of recommendations for prevention and active ageing policies targeted specifically for those older people with existing long-term care needs.
Suicidal ideation and its correlates among elderly in residential care homes
- Authors:
- MALFENT Daniela, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(8), August 2010, pp.843-849.
- Publisher:
- Wiley
Studies have shown that the highest suicide rates are found among the elderly, with suicidal ideation prevalent in long-term care facilities. Despite these facts most residents show no signs of suicidal ideation. However, there is a lack of information on which factors protect against suicidal thoughts among the elderly. This study aimed to assess the prevalence and correlates of suicidal ideation with risk and protective factors among older residential care home residents in Vienna. Participants included 129 residents, aged 60 and older, from 15 Viennese residential care homes, who completed a self-report questionnaire containing socio-demographic factors, physical health, mental health, and protective factors like self-efficacy, and internal locus of control as well as satisfaction with life. They were also asked about active and passive suicidal thoughts. Results indicated active suicidal ideation during the last month in 7% of the elderly, 11% reported active suicidal ideation during the past year. Depressive symptoms and current psychotherapeutic treatment were important predictors. In conclusion, the authors suggest that research and prevention strategies could not only target risk, but also include protective factors.
Financial abuse of older people
- Authors:
- WALSH K., BENNETT G.
- Journal article citation:
- Journal of Adult Protection, 2(1), February 2000, pp.21-29.
- Publisher:
- Emerald
Provides an introduction to issues relevant to financial abuse of vulnerable adults, including indicators and remedies. Also highlights areas needing further attention both within the professional systems such as banking.
Nursing home residents at risk of hospitalization and the characteristics of their hospital stays
- Authors:
- MURTAUGH Christopher M., FREIMAN Marc P.
- Journal article citation:
- Gerontologist, 35(1), February 1995, pp.35-43.
- Publisher:
- Oxford University Press
In the US there is little national data available to guide the design of programmes aimed at reducing the hospitalisation of nursing home residents. This article uses the 1987 National Medical Expenditure Survey to identify elderly nursing home residents with an elevated risk of hospitalisation and the reasons for and outcomes of residents' hospital stays. The results of the study findings suggest possible target groups for two types of programmes aimed at reducing hospitalisation.
Loneliness and isolation in long-term care and the COVID-19 pandemic
- Authors:
- SIMARD Joyce, VOLICER Ladislav
- Journal article citation:
- Journal of the American Medical Directors Association, 21(7), 2020, pp.966-967.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Editorial. In all countries affected by COVID-19, the message that is being sent by government officials and medical experts is “stay at home” and “isolate in place.” The isolation is especially difficult for people living in nursing homes and assisted living communities. This article provides some easy to implement ideas, with little or no cost or hiring additional staff, and can decrease the loneliness of residents in nursing homes or assisted living communities The article concludes that preventing loneliness in institutionalized persons is at least as important as helping them with personal hygiene. This is especially important during the COVID-19 pandemic when residents must be protected from contact with other individuals to reduce the risk of infection. Implementation of some of the strategies listed in this article requires education of staff members and supply of required items; however, this effort can significantly improve the quality of life of residents affected by pandemic restrictions. (Edited publisher abstract)
Summary of international policy measures to limit impact of COVID19 on people who rely on the Long-Term Care sector
- Authors:
- COMAS-HERRERA Adelina, FERNANDEZ Jose-Luis
- Publisher:
- International Long Term Care Policy Network
- Publication year:
- 2020
- Pagination:
- 9
- Place of publication:
- London
This working paper provides a summary of measures to limit impact of COVID19 on people who rely on the Long-Term Care sector, compiled from contributions from members of the International Long-Term Care Policy Network. The list of measures is not exhaustive, it only contains examples of measures that have been reported or identified by contributors to the website so far. (Edited publisher abstract)
Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care
- Authors:
- RIOS Patricia, et al
- Publisher:
- University of Oxford, Centre for Evidence-Based Medicine
- Publication year:
- 2020
- Place of publication:
- Oxford
The findings of a rapid review of clinical practice guidelines to identify infection protection and control measures for preventing respiratory viruses (including coronavirus and influenza) in older adults aged 60 years and older in long-term care settings. The review found, that recommendations from current guidelines seem to support environmental measures for infection prevention and antiviral chemoprophylaxis for infection management as the most appropriate first-line response to viral respiratory illness in long-term care. The review notes that the findings should be treated with caution as it is unclear how many of these guidelines are based on the best available evidence due to their poor overall quality. (Edited publisher abstract)