Search results for ‘Subject term:"very old people"’ Sort:
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Neurocognition of centenarians: neuropsychological study of elite centenarians
- Authors:
- LUCZYWEK E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(10), October 2007, pp.1004-1008.
- Publisher:
- Wiley
The aim of this study was to evaluate the cognitive state of highly selected Polish centenarians and analyze the mechanisms of their functioning. The selected centenarian group (10 persons) and a reference group (20 persons) who started aging (65 years) were examined with a sensitive set of neuropsychological tests and tasks in clinical-experimental assessment. As expected, the centenarians' cognitive functions were different from those of the subjects who started aging, however, not in all aspects. For instance, the former scored significantly lower in the area of linguistic functions but the ability to plan and controlled perform complex visuospatial task with use of simultaneous and sequential strategies was preserved despite unfavourable symptoms of natural aging such as permanence attention as well as prolonged action time. The results suggest that the studied centenarians show a dominant right-hemispheric pattern functioning not only in relation to perception, but also to planning and executing complex activities. The study and description of preserved neurocognition of centenarians was possible due to introducing a special procedure sensitive to the preserved functions.
A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: ‘interface geriatrics’
- Authors:
- CONROY Simon Paul, et al
- Journal article citation:
- Age and Ageing, 40(4), July 2011, pp.436-443.
- Publisher:
- Oxford University Press
A systematic review on models of care for elderly people following admission to acute medical units, or emergency departments, and early discharge. Five, highly varied, randomised controlled trials were included in the systematic review. There was no firm evidence that either of the forms of comprehensive geriatric assessment (CGA) examined, whether nurse-led or geriatrician-led, has any effect on the outcomes reported – including mortality and readmission. Although there is no clear evidence of benefit with CGA in this population, due to the small number of trials identified, further well-designed research is justified.
Home and clinical assessments of instrumental activities of daily living: what could explain the difference between settings in frail older adults, if any?
- Authors:
- PROVENCHER Veronique, DEMERS Louise, GELINAS Isabelle
- Journal article citation:
- British Journal of Occupational Therapy, 72(8), August 2009, pp.339-348.
- Publisher:
- Sage
This literature review aimed to examine whether differences exist between home and clinical instrumental activities of daily living (IADL) assessments of frail older adults and identify factors that might explain those differences, if any. The sources of the review data were Medline, CINAHL, AMED, PsycINFO, Embase and Current Content from 1988 to 2008. As few relevant studies concerning frail people were found, the search was extended to mixed-age and older adult populations. Ten articles were retained. The results suggest differences in IADL assessment between settings for older adults without dementia. Some factors, such as familiarity with the environment and coping skills, might explain those differences. Based on this review, similar results might be expected with frail older people. Given the dearth of literature on this topic, further research is needed to compare home and clinical assessments and measure relevant factors in a frail population. Helping occupational therapists to identify frail patients, who may show different abilities in unfamiliar settings, could mean more appropriate services after discharge from hospital.
Mental health and psychological well-being among the old and the very old living at home
- Authors:
- MORGAN K., et al
- Journal article citation:
- British Journal of Psychiatry, 150, June 1987, pp.801-807.
- Publisher:
- Cambridge University Press
Study of a sample using four brief assessment scales.
A framework to discharge frail older people
- Author:
- LEES-DEUTSCH Liz
- Journal article citation:
- Nursing Times, 112(37/38), 2016, pp.13-15.
- Publisher:
- Nursing Times
A framework to discharge frail older patients who have had an unplanned admission to hospital and are subsequently discharged (or transferred)to another setting. It discusses current issues in discharge practice, briefly reviews the background policy to guide the discharge assessment of older people and examines challenges in discharging them from the acute setting. Finally, it uses an assessment framework to integrate current principles form national discharge guidance into practice. (Publisher abstract)
Development and validation of the Cognitive Inventory of subjective distress
- Authors:
- ANTOINE Pascal, ANTONINE Christine, NANDRINO Jean-Louis
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(11), November 2008, pp.1175-1181.
- Publisher:
- Wiley
This study was aimed at exploring some of the facets of psychological distress during aging, and at validating an inventory, the Cognitive Inventory of Subjective Distress (CISD) for assessing this kind of distress. An inventory of thoughts representing distress schemas was administered to 298 elderly subjects living at home or in a centre in France. Factor analyses suggested retaining 29 items. They explained 62% of the total variance and corresponded to seven distinct facets: abandonment, dependency, disengagement, fear of losing control, loss of individuality, refusal of help, and vulnerability. These dimensions turned out to be relatively independent of each other and moderately correlated with measures of depression and anxiety. The internal consistency and temporal reliability of the seven scales are good. The CISD is an original tool for assessing psychological distress. It is geared to old and very old individuals living in a centre for the elderly, and its design takes the fatiguability and cognitive heterogeneity of this population into account. This inventory can also be used for psychopathological assessment and can serve as a baseline for following patients over time or in the course of therapy.
Frail old people at the margins of care:some recent research findings
- Authors:
- CHALLIS David, HUGHES Jane
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.126-130.
- Publisher:
- Cambridge University Press
Community-based care at the margin is a substitute for institutional care. Three factors are considered critical: definitions of eligibility, assessment procedures and balance of care. This research examines determinants of the margin between institutional and home-based care, reviews current practice, identifies the implications and contributes to planning of integrated long-term care services for frail older people. Findings suggest that greater standardisation of approaches to the determination of eligibility for social care and to assessment of need is required. Providing care at home for some of those currently entering care homes is feasible, but will require different service structures and staff roles, including specialist clinicians.
Sliding into dementia
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 7.5.98, 1998, pp.24-25.
- Publisher:
- Reed Business Information
Provides an account of the factors which influences an approved social worker's decisions about the care of an elderly man with dementia and his frail elderly wife.
A role for anyone? A description of social work with the elderly in two area offices
- Author:
- CROSBIE David
- Journal article citation:
- British Journal of Social Work, 13(2), 1983, pp.123-148.
- Publisher:
- Oxford University Press
Analyses information from case review forms completed by social workers on 199 allocated elderly clients, identifying clients as very frail, generally 'at risk' and requiring regular, reliable and frequent care.
“It depends”: reasons why nursing home residents change their minds about care preferences
- Authors:
- HEID Allison R., et al
- Journal article citation:
- Gerontologist, 56(2), 2016, pp.243-255.
- Publisher:
- Oxford University Press
Purpose of the Study: Understanding and honoring preferences are fundamental in the promotion of well-being for frail elders. This study aims to understand and describe nursing home residents’ perspectives on why the importance of their preferences may change in daily care. Design and Methods: Secondary data analyses of cognitive interviews with 39 cognitively capable nursing home residents regarding their importance of preferences for everyday living were completed. Interviews were coded by 5 team members for reasons why residents may change their minds about the importance of their preferences or why their preferences may be restricted; discrepancies were reconciled through consensus. Results: Content analysis revealed 4 major domains: within person (e.g., functional ability, personal schedule), facility environment (e.g., facility schedule, facility policy), social environment (e.g., quality and type of interactions), and global environment (e.g., weather, current events, special occasions). Residents reflected that the importance of their preferences fluctuated “depending upon” the circumstances related to these factors or their ability to perform the preference (i.e., barriers they encountered). A total of 27 themes for dependencies and barriers were identified. Implications: Findings indicate that nursing home residents’ preferences may change in importance or fulfillment in relation to personal or environmental circumstances. In order to develop formal care that matches older adults’ preferences, regular assessment of both elders’ preferences and the contextual factors affecting preferences is needed. However, given the changing nature of preference importance, there is also a need to determine how to best balance older adults’ changing preferences within care delivery environments. (Publisher abstract)