Littérature scientifique sur le sujet « Residential Facilities (RFs) »
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Articles de revues sur le sujet "Residential Facilities (RFs)"
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Tomasi, Rodolfo, Giovanni de Girolamo, Giovanni Santone, Angelo Picardi, Rocco Micciolo, Domenico Semisa, Silva Fava et Gruppo Progres. « Drug prescription in Italian Residential Facilities ». Epidemiologia e Psichiatria Sociale 14, no 2 (juin 2005) : 77–90. http://dx.doi.org/10.1017/s1121189x0000628x.
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SUMMARYAims — To investigate in a representative national sample (N=2,962) of patients living in Residential Facilities (RFs) patterns of polypharmacy as well as related variables, association between diagnoses and therapeutic patterns, and the rate of adverse events. Methods — Structured interviews focusing on each patient were conducted by trained research assistants with the manager and staff of each RF. Patients were rated with the HoNOS and the SOFAS, and comprehensive information about their sociodemographic and clinical status, and their pharmacological regimes were collected. Results — Conventional antipsychotics and second-generation antipsychotics were prescribed to 65% and 43% of the sample, respectively. Benzodiazepines were prescribed to two-thirds of the sample, while antidepressants were the least-used class of psychotropics. Polypharmacy was common: on average, each treated patient was taking 2.7 drugs (±1.1); antipsychotic polypharmacy was also common. Many prescriptions were loosely related to specific diagnoses. Antiparkinsonianian drugs were prescribed to approximately 1/4 of the sample. Mild or severe adverse events in the previous month were reported for 9.9% and 1.4% of the sample, respectively. About 15% of patients suffered from tardive dyskinesia. Conclusions — Psychotropic drug prescription patterns for severe patients living in RFs are only sometimes satisfactory and offer the opportunity of improvement. Specific actions are required to improve prescription patterns for severe patients in RFs.Declaration of Interest: in the past two years GdG has received two speaker fees from Janssen-Cilag and from Eli Lilly; GS has received one speaker fee from Solvay. RM, AP, SF and RT have received no fees or other financial support from pharmaceutical companies.
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de GIROLAMO, GIOVANNI, ANGELO PICARDI, GIOVANNI SANTONE, IAN FALLOON, PIERLUIGI MOROSINI, ANGELO FIORITTI et ROCCO MICCIOLO. « The severely mentally ill in residential facilities : a national survey in Italy ». Psychological Medicine 35, no 3 (5 octobre 2004) : 421–31. http://dx.doi.org/10.1017/s0033291704003502.
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Objective. In Italy, Residential Facilities (RFs) have completely replaced Mental Hospitals (MHs) for the residential care of mentally ill patients. We studied all patients resident in 265 randomly sampled Italian RFs (20% of the total).Method. Structured interviews focusing on each patient were conducted by trained research assistants with the manager and staff of each RF. Patients were rated with the HoNOS and the GAF, and comprehensive information about their sociodemographic and clinical status and care history were gathered.Results. Of the 2962 patients living in the sampled facilities, most were males (63·2%) who had never married, more than 70% were over 40 years; 85% on a pension, most commonly because of psychiatric disability. A substantial proportion (39·8%) had never worked and very few were currently employed (2·5%); 45% of the sample was totally inactive, not even assisting with domestic activities in the facility. Two-thirds had a diagnosis of schizophrenia; co-morbid or primary substance abuse were uncommon. Twenty-one per cent had a history of severe interpersonal violence, but violent episodes in the RFs were infrequent. The managers judged almost three-quarters appropriately placed in their facilities and considered that very few had short-term prospects of discharge.Conclusions. Italian RFs cater for a large patient population of severely mentally ill requiring residential care. Discharge to independent accommodation is uncommon. Future studies should attempt to clarify how to match residential programmes with patients' disabilities.
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Grigoletti, Laura, Francesco Amaddeo, Giovanni de Girolamo et Angelo Picardi. « Costs of psychiatric residential care in Italy ». Epidemiology and Psychiatric Sciences 13, no 4 (décembre 2004) : 262–69. http://dx.doi.org/10.1017/s1121189x00001780.
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SummaryObjective – The aims of this study are: (1) to estimate patients' costs in Italian non hospital Residential Facilities (RF); (2) to analyse the relationship between the costs of care received by residents and patients' or facilities characteristics. Method – The PROGRES study included all Italian private and public RF (1370) with more than 4 beds. Of those, 265 were selected through stratified random sampling to be included in phase 2. Data were obtained through a schedule filled in by the facility manager. Additional information about costs related to the use of Community Psychiatric Service (CPS) by residents has also been collected. The cost components of residential accommodation include the costs of the RF, of the CPS, of general medical care, of the informal assistance provided by family or friends, and other non-medical costs. Results – The mean annual cost of stay in RFs was approximately 34,000 Euro, and it was related to the RF size and to staffing levels. Both RF and CPS are more expensive in the north of Italy, as compared to the center and the south. Costs were lower for older patients. CPS costs are lower when RF staffing levels are higher. Conclusions – In general, patients in RFs cost between 20,000 and 40,000 Euro per year; to this sum, additional 2,000-6,000 Euros per year should be added to include the costs of care provided outside the facility. Both RFs and CPS have different costs depending on the geographical area where the facilities are located, and staffing levels. Changes in CPS costs seem to be related to patients' characteristics.Declaration of Interest: none
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Cravello, Luca, Katie Palmer, Giovanni de Girolamo, Carlo Caltagirone et Gianfranco Spalletta. « Neuropsychiatric symptoms and syndromes in institutionalized elderly people without dementia ». International Psychogeriatrics 23, no 3 (3 août 2010) : 425–34. http://dx.doi.org/10.1017/s1041610210001304.
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ABSTRACTBackground: Neuropsychiatric disorders are mainly studied in people with dementia but estimates are still not available for institutionalized elderly people without dementia. The aim of this work was to investigate neuropsychiatric syndromes in non-demented elderly people living in residential facilities (RFs).Methods: Data from the PROGRES-Older people project, including 95 RFs in Italy, were analyzed. From a total of 1215 people, 252 without dementia were recruited. Behavioral syndromes were identified using both factor and cluster analysis of results from the 12-item Neuropsychiatric Inventory. Logistic regression was used to assess factors associated with behavioral syndromes. Global cognitive functioning was assessed with the Mini-mental State Examination (MMSE). Current pharmacological treatments were taken from the residents’ records.Results: Five neuropsychiatric syndromes were identified: (1) Affective (depression, anxiety, night-time behaviors); (2) Hyperactive (agitation, irritability, appetite abnormalities); (3) Psychotic (delusions and hallucinations); (4) Manic (euphoria and disinhibition); (5) Apathetic (apathy and aberrant motor behavior). The risk of having a neuropsychiatric syndrome was higher in people with younger age (OR: 5.1, 1.3–20.0), higher education (OR: 7.3, 2.4–22.1), and low MMSE score (OR: 6.5, 1.9–22.2). Almost half of people with behavioral syndromes were not undergoing psychotropic treatment. Hypnotic and anxiolytic agents were the most frequently used drugs for most of the syndromes.Conclusions: Older people without dementia living in RFs exhibit a syndrome pattern of neuropsychiatric behaviors different from those observed in patients with dementia, which are associated with cognitive and sociodemographic characteristics. A large proportion of non-demented older people with neuropsychiatric syndromes are not having adequate treatment for their psychiatric disturbances.
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Nonnis, Marcello, Alessandro Lorenzo Mura, Fabrizio Scrima, Stefania Cuccu et Ferdinando Fornara. « The Moderation of Perceived Comfort and Relations with Patients in the Relationship between Secure Workplace Attachment and Organizational Citizenship Behaviors in Elderly Facilities Staff ». International Journal of Environmental Research and Public Health 19, no 2 (15 janvier 2022) : 963. http://dx.doi.org/10.3390/ijerph19020963.
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This study focuses on caregivers who work in residential facilities (RFs) for the elderly, and specifically on their organizational citizenship behaviors (OCBs) in relation to their interaction respectively with the overall context (workplace attachment dimension), the spatial-physical environment (perceived environmental comfort), and the social environment (relationship with patients). A sample of health care workers (medical or health care specialists, nurses, and office employees, n = 129) compiled a self-report paper-pencil questionnaire, which included scales measuring the study variables. The research hypotheses included secure workplace attachment style as independent variable, OCBs as the dependent variable, and perceived comfort and relations with patients as moderators. Results showed that both secure workplace attachment and perceived comfort promote OCBs, but the latter counts especially as a compensation of an insecure workplace attachment. As expected, difficult relationships with patients hinder the relationship between secure workplace attachment style and OCBs. In sum, our study highlights the importance of the joint consideration of the psychological, social, and environmental dimensions for fostering positive behaviors in caregivers employed in elderly care settings.
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Nordin, Susanna, Kevin McKee, Helle Wijk et Marie Elf. « Exploring Environmental Variation in Residential Care Facilities for Older People ». HERD : Health Environments Research & ; Design Journal 10, no 2 (22 juin 2016) : 49–65. http://dx.doi.org/10.1177/1937586716648703.
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Objective: The aim of this study was to explore variation in environmental quality in Swedish residential care facilities (RCFs) using the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). Background: Well-designed physical environments can positively impact on health and well-being among older persons with frail health living in RCFs and are essential for supporting person-centered care. However, the evidence base for informing the design of RCFs is weak, partly due to a lack of valid and reliable instruments that could provide important information on the environmental quality. Methods: Twenty RCFs were purposively sampled from several regions, varying in their building design, year of construction, size, and geographic location. The RCFs were assessed using S-SCEAM and the data were analyzed to examine variation in environmental quality between and within facilities. Results: There was substantial variation in the quality of the physical environment between and within RCFs, reflected in S-SCEAM scores related to specific facility locations and with regard to domains reflecting residents’ needs. In general, private apartments and dining areas had high S-SCEAM scores, while gardens had lower scores. Scores on the safety domain were high in the majority of RCFs, whereas scores for cognitive support and privacy were relatively low. Conclusions: Despite high building standard requirements, the substantial variations regarding environmental quality between and within RCFs indicate the potential for improvements to support the needs of older persons. We conclude that S-SCEAM is a sensitive and unique instrument representing a valuable contribution to evidence-based design that can support person-centered care.
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Towne, Samuel D., Jinmyoung Cho, Matthew Lee Smith et Marcia G. Ory. « Factors Associated With Injurious Falls in Residential Care Facilities ». Journal of Aging and Health 29, no 4 (22 avril 2016) : 669–87. http://dx.doi.org/10.1177/0898264316641083.
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Objective: Despite a growing literature on the epidemiology of falls, little is known about injurious falls in residential care facilities (RCFs). Addressing this gap, this study examined demographic, interpersonal, institutional, and community factors associated with injurious falls in RCFs. Method: We conducted analyses using a nationally representative sample ( n = 733,309) of RCF residents (2010) examining whether or not a resident experienced a fall that resulted in any injury (past year). Results: Overall, 15% of RCF residents experienced an injurious fall. Residents needing assistance with activities of daily living were more likely to experience injurious falls (adjusted-OR = 1.85), whereas males (adjusted-OR = 0.74) and those residing in smaller facilities (adjusted-OR = 0.68) were less likely. Other resident sociodemographic characteristics, payment status, social connectedness, and rurality were not significant independent predictors. Discussion: Research further exploring multifactorial fall prevention screening and treatment programs in RCFs is recommended for reducing injurious falls in this understudied setting.
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Berish, Diane E., Robert Applebaum et Jane K. Straker. « The Residential Long-Term Care Role in Health Care Transitions ». Journal of Applied Gerontology 37, no 12 (11 novembre 2016) : 1472–89. http://dx.doi.org/10.1177/0733464816677188.
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The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions. The data were collected via an online survey from 888 nursing facilities (NFs) and 527 residential care facilities (RCFs) that completed the care integration module of the Ohio Biennial Survey of Long-Term Care. Questions focused on partnerships, current work, type of care model, and perceived barriers to reducing hospital readmissions. More than nine in 10 (93.1%) of NFs and 63.6% of RCFs reported being engaged in a program to reduce hospital admissions/readmissions. Evidence-based care models were utilized by two thirds of NFs and one third of RCFs. Financial barriers were the most frequently cited challenges faced by facilities. Long-term care settings are increasingly becoming transitional care stops for short-term stay residents. Ensuring that facilities are well versed in current transition research and practice is critical to improve system outcomes.
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Nakane, Naruhisa, et Ichiro Wada. « Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood ». International Journal of Environmental Research and Public Health 19, no 24 (8 décembre 2022) : 16476. http://dx.doi.org/10.3390/ijerph192416476.
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We sought to calculate the extra social costs resulting from child abuse in residential care facilities (RCFs) for children with disabilities (CWD) in Japan. We distributed a survey to 260 residential facilities for CWD in 2020 and obtained responses from 91 facilities. Among the children placed in these facilities, our estimates by four different criteria determined that 23–67% were affected by child abuse. We also estimated extra costs for each of the four criteria, which we estimated to average USD 647.7 million. This study is meaningful in that there are no existing official statistics or research findings on the extra costs of residential care due to child abuse in Japan.
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Wang, Danni, Changjian Qiao, Sijie Liu, Chongyang Wang, Ji Yang, Yong Li et Peng Huang. « Assessment of Spatial Accessibility to Residential Care Facilities in 2020 in Guangzhou by Small-Scale Residential Community Data ». Sustainability 12, no 8 (15 avril 2020) : 3169. http://dx.doi.org/10.3390/su12083169.
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Population aging has increasingly challenged socio-economic development worldwide, highlighting the significance of relevant research such as accessibility to residential care facilities (RCFs). However, a number of previous studies are carried out only on street (town)-to-district scales, which could cause errors of the accessibility to RCFs for a family. In order to improve the resolution to individual families, we measure and compare the accessibilities to RCFs based on 3494 residential communities and 169 streets of Guangzhou in 2020 through the two-step floating catchment area (2SFCA) method. It was found that the distributions of the elderly and the service-dense blobs of the RCFs show patterns of a three-level spatial distribution, with a characteristic clustering at the center with peripheral dispersion. The resultant accessibility to RCFs in Guangzhou, ranging from 2.5 to 3.45, is generally consistent with the studies focusing on street scales. However, the maximum difference in the accessibility of two residential communities on the same street ranges from less than 0.02 to 0.94 in Guangzhou, indicating large variations. Although the relative errors of the accessibility results based on bi-scale data are relatively low, the cumulative errors can be high, e.g., over 25% in many streets of large cities. Consequently, hundreds of elderly persons per street can be adversely affected by those errors, with six streets over 1000. Therefore, this study focusing on the smaller-scale residential community data may provide more accurate reference to individual households. For the spatial allocation and optimal layout of Guangzhou and similar cities with population aging, we suggest maximizing RCFs in metropolises by taking full advantage of existing residential care facilities with necessary restructuring, improvements, and expansions on service capability. While for less connected cities, we encourage building new RCFs in situ.
Actes de conférences sur le sujet "Residential Facilities (RFs)"
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Dragović, Njegoš, Milovan Vuković et Igor Urošević. « Application of renewable energy resources in buildings ». Dans 8th International Conference on Renewable Electrical Power Sources. SMEITS, 2020. http://dx.doi.org/10.24094/mkoiee.020.8.1.87.
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The structure of the facilities under construction must be designed to be energy efficient. The contribution of each residential or business, production and storage facility must be viewed in the context of energy savings and transformation through a centralized system. Renewable energy sources (RES) make a significant contribution to energy efficiency in buildings, which can be combined with each other and through huge transformations from thermal to electricity, achieve huge savings. in addition to savings and efficiency, RES also affect the construction of facilities that fit into the living space and compensate for the modalities of heating-cooling-transformation-storage-sale of excess energy The paper analyzes the current state of licensing, design and construction of facilities, as well as the issuance of use permits with reference to the installation of "green" materials and the creation of an appropriate atmosphere that supports renew-able energy sources and energy efficiency.
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Cho, Honggi, et Keumnam Cho. « Mocrochannel Evaporators of the Residential Air-Conditioner ». Dans ASME 2007 5th International Conference on Nanochannels, Microchannels, and Minichannels. ASMEDC, 2007. http://dx.doi.org/10.1115/icnmm2007-30032.
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The objective of present work was to evaluate the performance of microchannel evaporators of the residential air-conditioner using R-22. Six prototype evaporators were manufactured and tested with psychrometric calorimeter test facilities. The test was conducted in two different ways. Each evaporator consisted of two parallel flow type heat exchangers connected with several return pipes. The heat exchanger had 41 microchannel tubes that had 8 rectangular ports with the hydraulic diameter of 1.3 mm. For the vapor compression system (VCS), the flow area ratio and the number of return pipe had a great effect on the cooling capacity. Type 3 with the flow area ratio of 73/ 58% showed best cooling capacity. The effect of the number of circuit and merging manifold on the cooling capacity was relatively small. For the refrigerant circulation system (RCS), the cooling capacity of the test evaporators was a little bit changed as the mass flow rate and inlet quality increased. The effect of mass flow rate on the cooling capacity was slightly superior to that of inlet quality. The effect of the number of circuit on the cooling capacity was different with the result of the VCS, while the effect of merging manifold was negligible. The cooling capacity proportionally increased as the vertical inclination angle of the evaporator increased due to gravity force.