Academic literature on the topic 'Older people Home care Equipment and supplies'
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Journal articles on the topic "Older people Home care Equipment and supplies"
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Marihart, Cindy L., Ardith R. Brunt, and Angela A. Geraci. "The High Price of Obesity in Nursing Homes." Care Management Journals 16, no. 1 (March 2015): 14–19. http://dx.doi.org/10.1891/1521-0987.16.1.14.
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This article provides a commentary on the costs of obese nursing home patients. We conducted a comprehensive literature search, which found 46 relevant articles on obesity in older adults and effects on nursing home facilities. This review indicated obesity is increasing globally for all age groups and older adults are facing increased challenges with chronic diseases associated with obesity more than ever before. With medical advances comes greater life expectancy, but obese adults often experience more disabilities, which require nursing home care. In the United States, the prevalence of obesity in adults aged 60 years and older increased from 9.9 million (23.6%) to 22.2 million (37.0%) in 2010. Obese older adults are twice as likely to be admitted to a nursing home. Many obese adults have comorbidities such as Type 2 diabetes; patients with diabetes incurred 1 in every 4 nursing home days. Besides the costs of early entrance into nursing facilities, caring for obese residents is different than caring for nonobese residents. Obese residents have more care needs for additional equipment, supplies, and staff costs. Unlike emergency rooms and hospitals, nursing homes do not have federal requirements that require them to serve all patients. Currently, some nursing homes are not prepared to deal with very obese patients. This is a public health concern because there are more obese people than ever in history before and the future appears to have even a heavier generation moving forward. Policymakers need to become aware of this serious gap in nursing home care.
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Swartzell, Kristen, Janet Fulton, and Jane Von Gaudecker. "OLDER ADULT CAREGIVERS’ THOUGHTS ON WOUND CARE RESOURCES." Innovation in Aging 6, Supplement_1 (November 1, 2022): 871–72. http://dx.doi.org/10.1093/geroni/igac059.3113.
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Abstract As healthcare increasingly shifts to home and community-based settings, informal caregiver responsibilities are increasing beyond assistance with activities of daily living to include complex care procedures previously performed by licensed caregivers in clinical settings. With an aging population, increasing numbers of older adults are assuming a caregiving role and these older adult caregivers are performing complex care procedures such as wound care. The negative physical and mental health consequences of caregiving for older adult caregivers are well documented in the literature. However, access to and use of resources are associated with better physical and mental health. Past research on caregiving resources has utilized pre-determined resource variables. Little is known about older adult caregivers’ salient thoughts on resources important to caregiving and performing complex care procedures. This study utilized thematic analysis of qualitative interview data to identify themes and patterns related to resources as described by older adult caregivers. The following seven themes related to resources needed or utilized were identified: 1) expert guidance from healthcare professionals; 2) written instructions; 3) relationships with healthcare professionals for obtaining wound care supplies; 4) additional durable medical equipment; 5) financial resources; 6) coverage for caregiver personal time; and 7) select persons for social and emotional support. Older adult caregivers need and use a variety of resources when providing wound care. As increasing numbers of older adults choose to ‘age in place’, the importance of adequate resources to sustain care recipients and their caregivers in the home setting is critical.
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Watanabe, Helena Akemi Wada, Marisa Accioly Rodrigues da Costa Domingues, and Yeda Aparecida de Oliveira Duarte. "COVID-19 and homes for the aged: care or an announced death?" Geriatrics, Gerontology and Aging 14, no. 2 (2020): 143–45. http://dx.doi.org/10.5327/z2447-2123202020142lttr.
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Despite all efforts to contain the COVID-19 pandemic in Brazil, little attention has been paid to homes for the aged, which are the home of thousands of older people and serve as social care facilities. There is no provision in the national regulations for the operation of these long-term care facilities with respect to physical structure, human resources or equipment to offer specific health care services to residents. Thus, homes for the aged are unable to offer proper care to people with COVID-19. These facilities have had difficulty in acquiring and maintaining the stocks of personal protective equipment for residents and staff. This letter is intended to draw attention to this reality and prevent the occurrence of a cruel and inhumane geronticide. Government authorities and the media need to work together and help unveil this reality, which, although present, is hidden and unknown to the majority of the population.
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Clare, Linda, Anthony Martyr, Catherine Henderson, Laura Gamble, Fiona E. Matthews, Catherine Quinn, Sharon M. Nelis, et al. "Living Alone with Mild-To-Moderate Dementia: Findings from the IDEAL Cohort." Journal of Alzheimer's Disease 78, no. 3 (November 24, 2020): 1207–16. http://dx.doi.org/10.3233/jad-200638.
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Background: A significant proportion of people with dementia live alone, but little is known about their specific needs. Objective: To understand the profile of people living alone with mild-to-moderate dementia in the UK and identify any systematic differences associated with living situation. Methods: We analyzed cross-sectional data from 1,541 people with mild-to-moderate dementia and 1,277 caregivers participating in the IDEAL cohort at the first wave of assessment. Results: There were 1,256 (81.5%) people with dementia living with others and 285 (18.5%) living alone, of whom 51 (3% of whole sample) reported little or no informal support. There were relatively few differences associated with living situation and odds ratios were generally small. People living alone were older on average, and more likely to be female, than those living with others. Those living alone were more likely to have higher cognitive ability and self-reported functional ability, and more social contact with those from other households. They were also lonelier, expressed less satisfaction with life, and used home care services and equipment more. There were no differences in symptoms, mood, quality of life, or well-being. Conclusion: The findings support the view that it is possible to ‘live well’ with mild-to-moderate dementia while living alone, given appropriate support, including home care and equipment. Nevertheless, it is important to consider how those living alone may be supported to have a more satisfactory experience, and how health and social care services can best respond to their needs.
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Wilson, Hilary. "Social work assessments for people with advanced dementia in “the new normal”." Working with Older People 24, no. 4 (August 3, 2020): 293–97. http://dx.doi.org/10.1108/wwop-06-2020-0028.
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Purpose Social work involves working directly with people who are experiencing a crisis. An assessment is carried out to establish the best way forward and then reviewed after a period of time to measure success or recalibrate the service. The current pandemic restrictions have all but ruled out meeting with people face-to-face. Now, professionals are usually required to don some form of personal protective equipment (PPE) when meeting with people and their families. Talking to an unknown professional who is behind a mask or on the telephone, about a personal issue is hard for everyone, but it is particularly difficult for people who may be further on in their dementia journey. Design/methodology/approach Critique Findings These impediments impact the social work assessment and review, meaning people may not have the quality of service they need and may end up paying for unnecessary provision. If admission to a care home is deemed necessary, the stakes rise considerably. A care home admission means contributing towards fees with pensions, savings and assets, including housing. Now, it comes with an additional health risk. Originality/value COVID-19 infection has impacted on the older population but residents in care homes with frailer physical health, cognitive impairment and delirium are at particularly high risk of dying.
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Zeng, Yanbing, lixia wang, and Ya Fang. "RURAL-URBAN DISPARITIES IN UNMET LONG-TERM CARE NEED AND COMMUNITY CARE SERVICES EXPECTATION AMONG ELDERLY IN CHINA." Innovation in Aging 3, Supplement_1 (November 2019): S159. http://dx.doi.org/10.1093/geroni/igz038.569.
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Abstract Objective This study aimed to examine the urban-rural differences of unmet needs and their expected LTC services among community-dwelling old people. Methods The data comes from the Chinese Longitudinal Health Longevity Survey (CLHLS) in 2014. A total of 1587 community residents aged 65+ with disability of activities of daily life (ADL) were included in this study. Binary logistic regression was used to estimate correlates of unmet need in LTC. And chi-square test was used to examine the differences of expected community-based LTC services between urban and rural area. Results Over half (55.07%) of the participants reported their need were unmet. For both rural and urban residents, poorer economic status and reluctant caregivers (ORs>1, P＜0.01) seriously affected the unmet need. Besides, of urban older adults, people who were male and lonely(ORs>1, P＜0.05) reported more unmet need. While of rural old ones, people who were with severe ADL disability and poorer self-rated health(ORs>1, P＜0.01) reported more unmet need. And people with available medication and home visit services(ORs<1, P＜0.01) reported more met need. However, the supplies for community LTC care services were far below the demands. Conclusion The risk of having unmet need associated with ADL disabilities in LTC is largely determined by their economic status and caregivers’ willingness to provide care for both rural and urban old people. There is a need for an overall improvement in the planning, provision and financing of long-term care services for elderly individuals in China.
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Verloo, Henk, Thomas Kampel, Nicole Vidal, and Filipa Pereira. "Perceptions About Technologies That Help Community-Dwelling Older Adults Remain at Home: Qualitative Study." Journal of Medical Internet Research 22, no. 6 (June 4, 2020): e17930. http://dx.doi.org/10.2196/17930.
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Background The population of Europe is aging rapidly. Most community-dwelling older adults (CDOAs) want to remain in their homes, particularly those experiencing functional decline. Politicians and academics repeatedly praise technological instruments for being the preferred solution for helping older adults with deteriorating health to remain at home. Objective This study aimed to understand the perceptions of CDOAs and their informal caregivers (ICs) and professional caregivers (PCs) about technologies that can help keep older adults at home. Methods This qualitative study used personal interviews, focus groups, and photo-elicitation interviews to better understand the perceptions of a convenience sample of 68 CDOAs, 21 ICs, and 32 PCs. Results A fraction of CDOAs did not perceive technological instruments to be a very useful means of helping them remain at home. However, the ICs and PCs were more positive. The CDOAs preferred and were more willing to adopt technologies related to their mobility and safety and those that would help slow down their cognitive decline. The ICs preferred technological aids that assist in the activities of daily living as well as safety-related technologies for detecting falls and helping to locate disoriented older adults. The PCs preferred integrated communication and information systems to improve collaboration between all stakeholders, housing equipped with technologies to manage complex care, high-performance ancillary equipment to transfer people with reduced mobility, and surveillance systems to ensure safety at home. Conclusions Although our study reports that CDOAs have limited interest in innovative technologies to help them remain at home, their technological skills will undoubtedly improve in the future, as will those of ICs and PCs. Technological tools will play an increasingly important role in home health care.
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Moody, Elaine, Rebecca Ganann, Marilyn Macdonald, Lori Weeks, Liz Orr, Keisha Jefferies, Jenny Ploeg, and Ruth Martin Misener. "Out-of-Pocket Expenses Related to Aging in Place for Older People Experiencing Frailty: A Scoping Review." Innovation in Aging 4, Supplement_1 (December 1, 2020): 875. http://dx.doi.org/10.1093/geroni/igaa057.3233.
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Abstract Supporting older people to live in the community as they experience health and functional changes has become a priority for policy makers, health system leaders and community members, including many older people themselves. Aging-in-place has been promoted as a way to support the sustainability of health care systems and limit health care and societal costs. However, the expenses borne by individuals and caregivers to support older people to age-in-place when experiencing changes in health and functional ability are often not considered in health care literature and policy. We conducted a scoping review using Joanna Briggs Institute methodology to explore the out-of-pocket expenses for people with frailty living in the community. We included research and policy papers on community-dwelling people over 60 and experiencing frailty. Findings about financial out-of-pocket expenses were extracted. A total of 9669 sources were screened by two reviewers and 42 sources were included. The sources were from 17 countries, most from the US, and had various designs, including 14 qualitative designs, 15 cross sectional, 11 other quantitative and 2 policy discussions. The sources most often reported expenses related to home care (16), medication (12), housekeeping (10), transportation (8), and medical equipment (6). Gaps in the body of literature include lack of a consistent measure of out-of-pocket expenses and cost considerations of co-housing programs. The context—including policy, community and personal—was particularly important to the experience of out-of-pocket expenses for people with frailty, and further research is needed to expand on this knowledge.
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Yates, Ann. "Addressing the gender gap in urinary continence care." British Journal of Community Nursing 26, no. 5 (May 2, 2021): 228–34. http://dx.doi.org/10.12968/bjcn.2021.26.5.228.
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Urinary incontinence is a common condition that affects both men and women, and with profoundly negative effects. Prevalence figures do show that it is more common in younger women than men, but as people age the difference decreases, with research identifying that one in three older men have continence issues. However, even with this increase, there is little direct best practice guidance on addressing male urinary incontinence compared to that for women. Professionals seem to be unaware that men have known existing barriers to accessing health care and this would be especially true of such an embarrassing condition. There seems to be a lack of education in identifying symptoms and assessing and little thought to appropriate management if required. This can also be true of manufacturers that provide continence management equipment. This article will look at some of these themes and highlight the gender gaps and give guidance on how professionals may address these.
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Alsaadi, Mazin Ghasan, Abdulmajeed Hameed Alsolami, Elyas Majed Hamed, Zuhair Khalid Alshamrani, Hazim Yousef Alharbi, Hassan Hamoud Almahyawi, Raed Mohammed Ameen, et al. "Oral health needs of the geriatric patients and the role of mobile dentistry." International Journal Of Community Medicine And Public Health 9, no. 12 (November 28, 2022): 4710. http://dx.doi.org/10.18203/2394-6040.ijcmph20223235.
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In today’s times, elderly individuals are keeping their natural teeth for longer owing to the rising popularity of fixed dental restorations and dental implants. It is seen that access to oral health care reduces and dental demands rise as people get older and more dependent on medical attention. For a high quality of life in terms of dental health, it is critical to have a functional dentition. A skilled oral health care provider is required for the geriatric population due to complex connections between dental health, some systemic illnesses, and medication side effects. For more than a century, there have been mobile dentistry services available as a way to help the underserved in society. Initially geared towards children, these services are now frequently used by adults and the elderly, particularly those in nursing homes, people with special needs, and those who have disabilities. When treating dependent elderly patients, it has been shown that home dental treatment is more economical than traditional dental care. Four distinct mobile dental service models by which a dental healthcare professional contacts a patient include the mobile dental vehicle model, portable equipment model, fixed equipment model, and the hybrid model. The services provided by the public sector in most countries employ a range of models, including the hybrid model, portable equipment, and fixed equipment, but the private sectors mostly use portable equipment to provide a mobile dental service. Dental care provided by university-based services ranges from routine to complicated procedures, whereas basic, routine care is mostly offered by the commercial sector. Mobile and portable dental models offer a practical substitute for typical dental clinic visits or when the fixed setup is not present. Mobile dental services also have shown utility for data gathering, strategy creation, and investigations on the potential effects of preventative and oral treatment provided by these services.
Dissertations / Theses on the topic "Older people Home care Equipment and supplies"
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Dallegrave, Caroline Paola Mickosz. "Proposta de uma unidade terapêutica domiciliar baseada no protocolo PediaSuit." Universidade Tecnológica Federal do Paraná, 2014. http://repositorio.utfpr.edu.br/jspui/handle/1/1021.
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Introdução:O comprometimento de determinados grupos musculares e alterações sensório motoras são algumas das características apresentadas por crianças com paralisia cerebral, fazendo-se necessária a utilização de andadores e estabilizadores para auxiliar no ortostatismo e na marcha desses pacientes. Atualmente, existem equipamentos que favorecem estes aspectos, porém o custo ainda é bastante alto, tornando-os inacessíveis a uma grande parcela da população. Com o intuito de se apresentar uma alternativa de qualidade e custo reduzido, desenvolveu-se na UTFPR um andador/ estabilizador baseado no protocolo PediaSuit™, confeccionado em PVC. O suporte é dado através de elastômeros fixados a um cinto, permitindo assim uma marcha mais próxima do natural. Objetivo: Avaliar a marcha e a postura de crianças com Paralisia Cerebral a partir do uso de uma Unidade Terapêutica Domiciliar de baixo custo e baixa mecanização. Método: Foram realizados testes visando analisar a resistência mecânica do material utilizado e ensaios com o protótipo construído. O PVC mostrou ser um material com alta resistência nos testes de flexão e impacto. A massa máxima suportada pelo andador no teste realizado foi de aproximadamente 226 kg. Após a avaliação do equipamento, três crianças foram filmadas utilizando o andador em PVC e um andador comum. Aspectos da marcha e da postura foram avaliados por trinta fisioterapeutas através desses vídeos.Resultados: O andador em PVC apresentou melhores resultados em relação a todos os aspectos da marcha avaliados, promovendo uma deambulação mais próxima do normal. Em relação à resistência mecânica, os ensaios mostram que o PVC Ø32mm é um material adequado para a confecção de equipamentos de tecnologia assistiva, por ser capaz de suportar cargas elevadas sem se romper. A utilização desse material também proporcionou uma redução significativa no custo final do equipamentoIntroduction: The involvement of certain muscle groups and sensorimotor deficits are some of the characteristics displayed by children with cerebral palsy, making necessary the use of stabilizers and gait trainers to assist posture and gait of those patients. There are assistive technology devices that promote these aspects, but the cost is still quite high, making them inaccessible to most people. In order to present an alternative with lower cost, a PVC stabilizer/ gait trainer based on PediaSuit™ protocol was developed at UTFPR and Vitória Research Center. The support is provided by elastomers fixed to a belt, thereby allowing a more natural gait pattern. Objective: To evaluate the gait and posture of children with cerebral palsy during the use of a low cost/ low mechanization Therapy Unit Homecare. Method: Some tests were carried out to determine the strength of the prototype and the material itself. PVC proved to be a material with high strength in bending and impact tests. The maximum mass supported by the walker in the test conducted was approximately 226 kg. After evaluating the equipment, images of three children using a reguar gait trainer and the PVC home care unit were taken. Aspects of gait and posture were analysed by thirty physiotherapists through these videos. Results: The PVC home care unit showed better results in regarding all aspects of gait evaluated by promoting closer to normal gait. The mechanical strength tests show that PVC Ø32mm is a suitable material for fabrication of assistive technology equipment, to be able to withstand high loads without breaking. The use of this material also provided a significant reduction in the final cost of the product.
Books on the topic "Older people Home care Equipment and supplies"
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Barrett, J. Older and independent: Information, advice, equipment. Oxford: Disability Information Trust, 2001.
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Trust, Disability Information, ed. Older and independent: Information, advice, equipment. Oxford: Disability Information Trust, 2001.
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LeBoeuf's home health care handbook: All you need to become a caregiver in your home. Great Falls, Va: Noel Press, 1996.
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Buda, Dennis R. La. Home sweet home: How to help older adults live independently. Appleton, WI: AAL QualityLife Resources, 2000.
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Caston, Don. Eighty-eight easy-to-make aids for older people and for special needs. Point Roberts, WA: Hartley & Marks, 1988.
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Brandt, Martina. Innovative Technik für Senioren: Ein Zukunftsmarkt? Berlin: Verlag News & Media, 2003.
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Office, General Accounting. Medicare: Need to overhaul costly payment system for medical equipment and supplies : report to the Special Committee on Aging, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.
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Kōreisha ga tsukaiyasui nichiyōhin. Tōkyō: Shōbunsha Shuppan, 1998.
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Makikawa, Masaaki, and Toshiyo Tamura. Kōreisha no nichijō katsudō monitaringu kiki no kaihatsu ni kansuru kenkyū (H11-chōju-039): Heisei 13-nendo sōgō kenkyū hōkokusho : kōsei kagaku kenkyū kenkyūhi hojokin, chōju kagaku sōgō kenkyū jigyō. [Japan: s.n.], 2002.
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United States. General Accounting Office. Health, Education, and Human Services Division. Medicare: Comparative information on Medicare and VA patients, services, and payment rates for home oxygen. [Washington, D.C.]: The Office, 1997.
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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research, 313–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.
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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.