Academic literature on the topic 'Nursing homes Admission Case studies'
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Journal articles on the topic "Nursing homes Admission Case studies"
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Toot, Sandeep, Tom Swinson, Mike Devine, David Challis, and Martin Orrell. "Causes of nursing home placement for older people with dementia: a systematic review and meta-analysis." International Psychogeriatrics 29, no. 2 (November 3, 2016): 195–208. http://dx.doi.org/10.1017/s1041610216001654.
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ABSTRACTBackground:Up to half of people with dementia in high income countries live in nursing homes and more than two-thirds of care home residents have dementia. Fewer than half of these residents report good quality of life and most older people are anxious about the prospect of moving into a nursing home. Robust evidence is needed as to the causes of admission to nursing homes, particularly where these risk factors are modifiable.Methods:We conducted a systematic literature search to identify controlled comparison studies in which the primary outcome was admission to nursing home of older adults with dementia. Identified studies were assessed for validity and 26 (17 cohort and 9 case-control) were included. Qualitative and quantitative analyses were conducted, including meta-analysis of 15 studies.Results:Poorer cognition and behavioral and psychological symptoms of dementia (BPSD) were consistently associated with an increased risk of nursing home admission and most of our meta-analyses demonstrated impairments in activities of daily living as a significant risk. The effects of community support services were unclear, with both high and low levels of service use leading to nursing home placement. There was an association between caregiver burden and risk of institutionalization, but findings with regard to caregiver depression varied, as did physical health associations, with some studies showing an increased risk of nursing home placement following hip fracture, reduced mobility, and multiple comorbidities.Conclusion:We recommend focusing on cognitive enhancement strategies, assessment and management of BPSD, and carer education and support to delay nursing home placement.
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Gaugler, Joseph, Rachel Zmora, Colleen Peterson, Lauren Mitchell, Robyn Birkeland, Eric Jutkowitz, and Sue Duval. "What Keeps Older People out of Nursing Homes? A Meta-Analysis." Innovation in Aging 5, Supplement_1 (December 1, 2021): 508. http://dx.doi.org/10.1093/geroni/igab046.1963.
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Abstract Perhaps one of the most examined, and costly, health transitions older people experience is nursing home admission. In addition to the financial costs nursing home admission poses to older people, their families, and other payers (e.g., the public), institutionalization is linked with a range of negative outcomes and represents a loss of independence and quality of life to many older persons. The current meta-analysis attempted to synthesize all available randomized controlled trials available to ascertain which intervention approaches appeared to prevent nursing home entry for older adults. The MEDLINE, PsycInfo, CINAHL, Cochrane, and EMBASE databases were searched to August, 2020. Abstracts were screened (N = 28,120) to identify randomized controlled trials of interventions to prevent or delay nursing home admission as well as systematic reviews. Identified studies were cross-referenced until the point of saturation, resulting in 1,786 studies for additional inclusion/exclusion screening. Following a consensus-based review among the authors that included risk of bias, 323 randomized controlled trials were included in the meta analysis. Although several intervention modalities appeared protective against nursing home admission and approached statistical significance, preliminary results suggest that comprehensive geriatrics assessment (pooled OR = .69, 95% CI: .50, .95) and specialized, inpatient geriatrics care (pooled OR: .77, 95% CI: .59, .99) were most consistent in helping to prevent institutionalization among older persons. The findings emphasize the importance of geriatrics when delivering optimal care to older persons. Integrating such approaches more effectively into a largely fee-for-service healthcare paradigm remain a critical challenge.
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Cooney, Eamonn, Christina Donnellan, and Binish Baburaj. "291 The Impact of a Frailty Team Liaison Service on Nursing Home Attendances in an Emergency Department." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.185.
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Abstract Background Up to 50% of referrals from nursing homes to emergency departments (ED) are considered inappropriate. Interventions such as the introduction of advanced practice registered nurses to nursing homes, and community matrons in other jurisdictions have reduced inappropriate referrals. Methods A liaison service with nursing homes was initiated by a candidate Advanced Nurse Practitioner (cANP) supported by the frailty multidisciplinary team in January 2019. It focused on nursing home residents aged 70 years and older. A single point of contact was provided. ED presentations were assessed if possible, and telephone consultations were also available. A database was maintained and the data from the first 3 months of this service was analysed. Results The service provided from 7th January and 31st March 2019 was studied. Referrals of patients aged 70 years and over from nursing homes to ED for this period in 2018 were 100. In 2019 it was 73, representing a 27% decrease in referrals. The total number of patients referred in 2019 was 51. Twenty one (41%) patients had an assessment by the cANP. Interventions by the cANP and team included rapid access to other specialties, medication reconciliation, and prescription of antibiotics, diagnostics and referral to the Community Intervention Team (CIT). Telephone liaison from nursing homes resulted in referrals to the palliative care service in 2 cases, prescription of antibiotic in another, rapid access comprehensive geriatric assessment in another case and rapid access to ED for catheter change in another, hence admission avoidance's in all of these cases. Conclusion The early experience of this service is that it facilitated more nursing home residents to receive care and support within their care setting. It contributed to reduced referrals of this vulnerable cohort of the population to ED, and also resulted in admission avoidance in some cases.
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Gohil, Shruti K., Annabelle De St Maurice, Deborah S. Yokoe, Deborah S. Yokoe, Stuart H. Cohen, Francesca J. Torriani, Jonathan Grein, et al. "41. Assessing Past vs Present COVID-19 Infection: A Survey of Criteria for Discontinuing Precautions in Asymptomatic Patients." Open Forum Infectious Diseases 8, Supplement_1 (November 1, 2021): S29—S31. http://dx.doi.org/10.1093/ofid/ofab466.041.
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Abstract Background COVID-19 patients can remain positive by PCR-testing for several months. Pre-admission or pre-procedure testing can identify recovered asymptomatic patients who may no longer be contagious but would require precautions according to current CDC recommendations (10 days). This can result in unintended consequences, including procedure delays or transfer to appropriate care (e.g., psychiatric or post-trauma patients requiring admission to COVID-19 units instead of psychiatric or rehabilitation facilities, respectively). Methods We conducted a structured survey of healthcare epidemiologists and infection prevention experts from the SHEA Research Network between March-April, 2021. The 14-question survey, presented a series of COVID-19 PCR+ asymptomatic patient case scenarios and asked respondents if (1) they would consider the case recovered and not infectious, (2) if they have cleared precautions in such cases, and if so, (3) how many transmission events occurred after discontinuing precautions. The survey used one or a combination of 5 criteria: history of COVID-19 symptoms, history of exposure to a household member with COVID-19, COVID-19 PCR cycle threshold (CT), and IgG serology. Percentages were calculated among respondents for each question. Results Among 60 respondents, 56 (93%) were physicians, 51 (86%) were hospital epidemiologists, and 46 (77%) had >10y infection prevention experience. They represented facilities that cumulatively cared for >29,000 COVID-19 cases; 46 (77%) were academic, and 42 (69%) were large ( >400 beds). One-third to one-half would consider an incidentally found PCR+ case as recovered based on solo criteria, particularly those with two consecutive high CTs or COVID IgG positivity recovered (53-55%) (Table 1). When combining two criteria, half to four-fifths of respondents deemed PCR+ cases to be recovered (Table 2). Half of those had used those criteria to clear precautions (45-64%) and few to none experienced a subsequent transmission event resulting from clearance. Conclusion The majority of healthcare epidemiologists consider a combination of clinical and diagnostic criteria as recovered and many have used these to clear precautions without high numbers of transmission. Disclosures Shruti K. Gohil, MD, MPH, Medline (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Molnycke (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products) Deborah S. Yokoe, MD, MPH, Nothing to disclose Stuart H. Cohen, MD, Seres (Research Grant or Support) Jonathan Grein, MD, Gilead (Other Financial or Material Support, Speakers fees) Richard Platt, MD, MSc, Medline (Research Grant or Support, Other Financial or Material Support, Conducted studies in which participating hospitals received contributed antiseptic product)Molnlycke (Other Financial or Material Support, Conducted studies in which participating hospitals received contributed antiseptic product) Susan S. Huang, MD, MPH, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Molnlycke (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Xttrium (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)
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Cornell, Portia, Emily Corneau, Kate Magid, Patience Moyo, James Rudolph, Cari Levy, and Vincent Mor. "Are Nursing Home Preferred Networks Good for Patients' Outcomes? Evidence From the Veterans Health Administration." Innovation in Aging 5, Supplement_1 (December 1, 2021): 21. http://dx.doi.org/10.1093/geroni/igab046.074.
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Abstract In the Veterans’ Administration (VA), medical centers contract with community nursing homes to provide care to Veterans. As a purchaser, the VA could pursue a strategy of selecting a high-quality network; alternatively, it could focus resources on oversight by its nursing-home coordinators. The question of whether narrow networks are good for Veterans’ outcomes, conditional on quality, therefore, needs empirical investigation. We examined the effect of network concentration on hospital admissions, conditional on Veterans’ clinical acuity. We operationalized network concentration as the number of Veterans already in residence at the time of admission, and controlled for publicly reported quality measure (star rating). We identified 93,805 VA-paid admissions to nursing homes between 2013 to 2016. To address selectin bias, we estimated effects using a distance- based instrumental variable (IV) for each measure, with the log of distance to the nearest nursing home with a specified number of Veterans at the facility in the previous month (1-4, 5-9, and 10-13, and 14+ Veterans). Going to a facility with 10-13 or 14+ Veterans had a higher hospitalization probability (6.2 and 3.3 percentage points higher, respectively), than going to a facility with 1-4 Veterans. If quality rating improves outcomes, then broader networks are beneficial if consumers (Veterans) choose based on quality, given a broader choice set. Conditional on quality, concentrated networks do not seem to lead to fewer hospital admissions. Our results suggest that the VA could do more in its oversight role to work with these nursing homes to decrease hospital admissions.
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Caldwell, Lauren, Lee-Fay Low, and Henry Brodaty. "Caregivers' experience of the decision-making process for placing a person with dementia into a nursing home: comparing caregivers from Chinese ethnic minority with those from English-speaking backgrounds." International Psychogeriatrics 26, no. 3 (November 22, 2013): 413–24. http://dx.doi.org/10.1017/s1041610213002020.
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ABSTRACTBackground:The experience of care transitions for people with dementia from ethnic minority groups has been poorly researched. Few studies have examined the decision to put someone on a waiting list for a nursing home and then actually accept a place. Many nursing homes have long waiting lists, but sometimes offers of a place are declined. Our aims were to investigate the decision-making process for placing a person with dementia on a waiting list for a nursing home, why offers of a place are accepted or declined, and the influence of cultural factors, comparing caregivers from Chinese and English-speaking backgrounds.Methods:Semi-structured interviews with 27 caregivers of people with dementia on waiting lists or living in nursing homes (20 Chinese background and seven English-speaking background) were conducted, with thematic analysis of factors affecting caregivers’ decision-making.Results:Caregivers were at different stages of decision-making when they applied for a waiting list – some were ready for placement, others applied “just in case,” and for some there was no waiting time because of an urgent need for placement. Caregivers’ decisions were influenced by their emotions and expectations of nursing homes. The decision-making process was similar for both cultural groups, but Chinese caregivers spoke more about their sense of duty, the need for a Chinese specific facility, and declining a place because of family disagreement.Conclusions:Understanding cultural issues, including stereotypes and concerns about nursing homes, and providing better information about admission processes may help caregivers by allaying their anxiety about nursing home placement.
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Ferrah, Noha, Joseph Elias Ibrahim, Chebiwot Kipsaina, and Lyndal Bugeja. "Death Following Recent Admission Into Nursing Home From Community Living: A Systematic Review Into the Transition Process." Journal of Aging and Health 30, no. 4 (February 5, 2017): 584–604. http://dx.doi.org/10.1177/0898264316686575.
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Objective: This study examines the impact of the transition process on the mortality of elderly individuals following their first admission to nursing home from the community at 1, 3, and 6 months postadmission, and causes and risk factors for death. Method: A systematic review of relevant studies published between 2000 and 2015 was conducted using key search terms: first admission, death, and nursing homes. Results: Eleven cohort studies met the inclusion criteria. Mortality within the first 6 month postadmission varied from 0% to 34% (median = 20.2). Causes of deaths were not reported. Heightened mortality was not wholly explained by intrinsic resident factors. Only two studies investigated the influence of facility factors, and found an increased risk in facilities with high antipsychotics use. Discussion: Mortality in the immediate period following admission may not simply be due to an individual’s health status. Transition processes and facility characteristics are potentially independent and modifiable risk factors.
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Cornell, Portia, Cassandra Hua, Momotazur Rahman, Gauri Gadkari, and Kali Thomas. "STRUCTURAL INEQUITIES IN OUTCOMES FOR DUAL-ELIGIBLE RESIDENTS IN ASSISTED LIVING." Innovation in Aging 6, Supplement_1 (November 1, 2022): 421. http://dx.doi.org/10.1093/geroni/igac059.1654.
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Abstract We examined the association of AL residents’ dual-eligibility and the concentration of dually eligible residents in AL communities with residents’ risk of hospitalization and long-term nursing home admission. The exposure was dual status interacted with AL concentration: no-duals, minority-duals [<=50%] (reference group), and majority-duals [>50%]. We found that duals in AL have higher risk of hospitalization and nursing home admission than non-duals. For both duals and non-duals, moving to an AL with a high concentration of duals conferred excess risk of hospitalization. Among duals, however, lower concentration of duals in ALs increases risk of long-term nursing home admission for duals, whereas it is protective for non-duals. The association of higher hospitalization with concentration of duals suggests that quality may be a concern in communities that specialize in care for duals. However, majority-duals ALs may be better equipped to provide more comprehensive care as an alternative to nursing homes.
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Moyo, Patience, Emily Corneau, Portia Cornell, Amy Mochel, Kate Magid, Cari Levy, and Vincent Mor. "Antipsychotic Prescribing in VA-Contracted Community Nursing Homes and Incident Use Among Veterans." Innovation in Aging 5, Supplement_1 (December 1, 2021): 331. http://dx.doi.org/10.1093/geroni/igab046.1287.
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Abstract The Veterans Health Administration (VA) is increasingly purchasing long-term care for eligible Veterans from non-VA, community nursing homes (CNHs). Antipsychotics present safety risks for older adults, but it is unknown how the prevalent use of antipsychotics at CNHs influences whether newly admitted Veterans will initiate antipsychotic therapy. This study used 2013-2016 VA data, Medicare claims, Nursing Home Compare, and Minimum Data Set (MDS) assessments. We identified 10,531 long-stay CNH episodes for Veterans not prescribed antipsychotics 6 months before CNH admission. We categorized Veterans by whether, 12 months before admission, they were diagnosed with FDA-approved indications (including schizophrenia, Tourette’s syndrome, Huntington’s disease) for antipsychotic use. The exposure was the proportion of all CNH residents prescribed antipsychotics in the quarter preceding a Veteran’s admission. Using adjusted logistic regression, we analyzed two outcomes measured using MDS assessments collected ~100 days after CNH admission: 1) new antipsychotic use, and 2) new diagnosis for an FDA-approved indication among Veterans without these conditions at admission. Among antipsychotic-naïve Veterans admitted to CNHs, 7,924 (75.2%) lacked an antipsychotic indication. Prevalent antipsychotic use in CNHs ranged 0%-10.9% (quintile 1) and 25.7%-91.4% (quintile 5). The odds of initiating antipsychotic use increased with higher CNH antipsychotic use rates (OR=2.52, 95% CI:2.05-3.10, quintile 5 vs. 1), as did the odds of acquiring a new indication (OR=2.08, 95% CI:1.27-3.40, quintile 5 vs. 1). Provider practices may be influencing new diagnoses indicating antipsychotic use at CNHs with high antipsychotic use. It may be important for VA to consider antipsychotic use when contracting with CNHs.
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Parry, Laura. "Can patient and carers’ experiences shape services?" BMJ Supportive & Palliative Care 9, no. 3 (October 5, 2018): 287–90. http://dx.doi.org/10.1136/bmjspcare-2018-001618.
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Dementia is an increasingly recognised medical condition which, towards its later stages, leads to the manifestation of symptoms that often require palliation. Hospice admission for patients with dementia has been shown to increase caregiver satisfaction. Yet, admission can be harmful for the patient. This feature follows the case of one patient, Mr Smith, who was admitted to Royal Trinity Hospice (RTH) for symptom control, along with providing respite for his carers. Shortly into Mr Smith’s admission, he became increasingly agitated and was ultimately discharged home. After investigating the cause of early discharge, it was concluded that the newly built, modernised private rooms were in fact very dissimilar to the homes of patients with dementia. Adapting the clinical environment to improve patient and carer satisfaction has been explored in numerous studies. Significant amendments used by hospices and care homes include bold signs and natural lighting to facilitate way-finding, in addition to vintage furnishings to create a sense of familiarity. Taking recent evidence into consideration, RTH designed a new dementia-friendly bay situated on the ground floor of its inpatient unit. Since then, many other patients with dementia have been admitted to the hospice, one being Mr Thomas. Unlike Mr Smith, Mr Thomas was much more relaxed during his admission and his wife commented on how pleased she was with his care. This feature demonstrates the importance of being receptive to feedback and identifying the need for change.
Dissertations / Theses on the topic "Nursing homes Admission Case studies"
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Martin, William Todd. "A Case Study of Public Relations Efforts in Three Dallas Retirement Facilities." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc500609/.
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This study compared the public relations efforts in three Dallas retirement facilities against suggested standards of professional public relations practitioners to determine which standards each facility utilized. Externally, all three facilities related to the community in an "above average" way, as indicated by their utilization of the twenty-two suggested standards. Internally, two facilities related to residents and staff in a "superior" way, and one facility related in an "average way," as indicated by their utilization of the twenty-two suggested external standards and twenty suggested internal standards. The conclusions drawn from this study are that retirement facility administrators, in general, are not fully aware of the internal and external public relations strategies that could benefit them within the community and with residents.
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Jhang, Geng-Ruei, and 張耕睿. "The behavior analysis of the elderly in the public space using pathfinder - case studies of small nursing homes." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/kq485c.
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碩士國立雲林科技大學
營建工程系
103
For elderly care facility, the evacuation in occurrence of natural disasters is crucial. However, the unfamiliarity with evacuation route or the adoption of traditional evacuation methods, such as using two poles stretcher, would prolong the evacuation time and liable to cause irreversible damages. Nowadays, numerous of institutions perform fire or earthquake evacuation drills to reduce the tension of elders in events on the one hand and increase the emergency management ability and experience of personnel on the other hand. The study aimed to research the elderly care facilities and established Building Information Modeling (BIM) by using Autodesk Revit (2015) after acquiring the design files of actual cases. The study further perform the modeling and analysis through evacuation software Pathfinder (2012) to simulate the assumed situations in fire event and waiting in safety zone for rescue, such as the usage of lift, to discuss whether the methods of elders utilizing the safety zone in public area were able to increase the overall evacuation efficiency. The improvement plan was inputted into the Building Information Modeling in order to propose the suggestions to operators. The collected results from analysis may be taken as a reference for owners of small care facilities to perform the evacuation drills.
Books on the topic "Nursing homes Admission Case studies"
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O'Brien, Mary Elizabeth. Anatomy of a nursing home: A new view of resident life. Owings Mills, Md: National Health Pub., 1989.
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Nursing home design: Consequences for employing the medical model. New York: Garland Pub., 1996.
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Cauffiel, Lowell. Forever and five days. New York: Kensington Pub. Corp., 1992.
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Anatomy of a nursing home: A new view of resident life. Owings Mills, Maryland: National Health Publishing, 1989.
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Ḥijāzī, Muḥammad ʻIzzat. Dūr al-musinnīn fī Miṣr: Masḥ shāmil. al-Qāhirah: al-Markaz al-Qawmī lil-Buḥūth al-Ijtimāʻīyah wa-al-Jināʼīyah, 2014.
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Weber, George H. The nursing assistant's casebook of elder care. Dover, Mass: Auburn House Pub. Co., 1987.
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A nursing home and its organizational climate: An ethnography. Westport, Conn: Auburn House, 1996.
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Old friends. [Hingham, MA]: Wheeler Pub., 1993.
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Kidder, Tracy. Old friends. London: Granta, 1995.
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Old age in a new age: The promise of transformative nursing homes. Nashville, TN: Vanderbilt University Press, 2007.
Find full textBook chapters on the topic "Nursing homes Admission Case studies"
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Peavie, Shawn, and Mercedes Falciglia. "Case 63: Failure to Coordinate Diabetes Care between Hospital and Ambulatory Settings: A Threat to Safe and Quality Patient Care." In Diabetes Case Studies: Real Problems, Practical Solutions, 237–39. American Diabetes Association, 2015. http://dx.doi.org/10.2337/9781580405713.63.
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A 61-year-old man with a history of type 2 diabetes, chronic kidney disease, stroke, vascular dementia, hypertension, coronary artery disease, and depression presented to the hospital from a nursing home with altered mental status and weakness. The patient had been residing in a nursing home due mainly to dementia. On admission, he and his wife reported he had been experiencing altered mental status with increasing confusion over the past few months. On admission to the hospital, his ambulatory insulin regimen from the nursing home was continued. This regimen consisted of glargine 15 units subcutaneous every night and lispro 4 units subcutaneous with each meal, as well as a correction scale of 1 unit for every 50 mg/dL (2.8 mmol/L) >150 mg/dL (8.3 mmol/L).
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Sá, Maria do Céu, and Ana Sofia Nabais. "How to care for patients with heart failure – A systematic review of nursing interventions." In Factors contributing to and preventing mothers of children 1-6 aged from participating in the labour market in Kazakhstan. Ludomedia, 2022. http://dx.doi.org/10.36367/ntqr.11.2022.e557.
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Background: Heart Failure (HF) is a highly dysfunctional disease, with impact on the biopsychosocial dimensions of the patients. The worldwide progressive growth of HF incidence, caused by longer life expectancy, results in higher HF rehospitalization rates. HF patients’ rehospitalization is mostly a result of avoidable causes, including limitations in knowledge regarding HF self-care and impaired therapeutic adherence; therefore, the intervention of nurses is essential. Goals: To identify nursing interventions to address alterations in Basic Human Needs (BHN) and to promote relief of symptoms for HF patients as they transition from hospital to home, including follow-up care. Method: A systematic review in CINAHL and MEDLINE databases to answer the study question: In patients with HF, what nursing interventions help to improve BHN, promote relief of symptoms and aid the transition from hospital to home? Results: Nine studies were included. Nursing interventions focused on relief of symptoms during hospitalization to promote well-being and the individual’s health status. Preparing the patient’s transition from hospital to home earlier in their admission allows for the identification and adequate response to patient needs. Language adaptation during health education and a periodic follow-up were effective measures to promote independence in HF self-care and to reduce mortality and rehospitalization rates. Even though these interventions show positive results, they are not frequently used in clinical practice given a lack of specialized education about HF among healthcare professionals and empowerment culture, as well as an incapacity for adequate patient follow-up. Final Considerations: The nurse is responsible for helping the patient to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; if successfully achieved, this promotes empowerment, thus reducing readmissions and promoting well-being.
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Hu, Michele, and Fahd Baig. "Dementia in Parkinson’s disease." In New Oxford Textbook of Psychiatry, edited by John R. Geddes, Nancy C. Andreasen, and Guy M. Goodwin, 435–47. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198713005.003.0044.
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Lewy body dementia includes Parkinson’s disease dementia (PDD) and dementia with Lewy bodies (DLB), and is the second most common form of dementia after Alzheimer’s disease (AD). Both conditions share significant phenotypic and pathological signatures but differ in terms of whether Parkinsonian symptoms appear first (PDD) or after/the same time as cognitive symptoms (DLB). In the United Kingdom, over 100,000 people are affected, with numbers predicted to double by 2050. Average care costs per patient are more than double those of AD, reflecting the associated multi-morbidity and unmet therapeutic needs. PDD has a long-term cumulative prevalence of 80% and major consequences for independence, nursing home admission, psychiatric comorbidity, caregiver burden, and mortality. Consequently, there is interest in a potential transition stage—Parkinson’s disease with mild cognitive impairment (PD-MCI)—to identify those at increased risk for PDD, to facilitate intervention studies. Advances in both symptomatic and disease-modifying treatments have so far been limited. Future research must address patient-specific factors influencing variability in treatment response and progression to be effective.
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Wang, Szu-Yao (Zoe). "Assistive Technologies as Aids to Family Caregivers in Taiwan." In Intelligent Technologies for Bridging the Grey Digital Divide, 295–304. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-61520-825-8.ch019.
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The social structure in Taiwan has changed dramatically in the last twenty years. An increasing population of people aged over 65, a decreasing birth rate and rising numbers of women entering the workforce have led to the need for more aged care services. Research has demonstrated that nursing home placement of older adults in need of advanced care is the most cost effective option for family caregivers. However, filial piety, which entails looking after older parents at home, is one of the core tenets of Chinese society. Placing older parents into nursing homes can lead to conflicts that are detrimental to adult children psychologically. Moreover, the burden of caregiving does not necessarily end for the family once they have placed their parent(s) into nursing homes. It can continue to evoke deep emotional responses in some former family caregivers. This chapter draws on findings from two case studies to illustrate the dilemmas facing Taiwanese families who must cope with changing social conditions and customary filial expectations. The use of assistive technologies as solutions to these dilemmas is outlined. These technologies are argued to be a cost effective way to assist adult caregivers, their charges, and staff in nursing homes. Their use may apply to other Asian countries with similar cultural beliefs and values.
Reports on the topic "Nursing homes Admission Case studies"
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Chen, Pan, Hong Cai, and Yu-Tao Xiang. Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0098.
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Review question / Objective: To explore the prevalence of mild cognitive impairment among older adults living in nursing homes. among older adults living in nursing homes. Eligibility criteria: The inclusion criteria were defined based on the PICOS acronym: Participants (P): Older adults living in nursing homes and were screened for mild cognitive impairment (MCI); Intervention (I): not applicable; Comparison (C): not applicable; Outcome (O): prevalence of MCI or the data can calculate the prevalence of MCI; Study design (S): cohort studies with reporting baseline data, case-control, cross-sectional, and studies with accessible data published in a peer-reviewed journal. Exclusion criteria included samples from mixed resources (e.g. nursing homes and communities), reviews, systematic reviews, meta-analyses, case studies, or commentaries were excluded. When the samples in more than one published paper from the same dataset, only the one with the largest sample was included.