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Australasian Journal on Ageing

Jo-Anne Rayner, Deirdre Fetherstonhaugh, Sandra Cowen
OBJECTIVES: To ascertain the research priorities of staff working in Victorian residential aged care services (RACS). METHOD: In October 2016, all 754 Victorian RACS were asked to list three most important research priorities in a confidential postal survey. Descriptive statistics and content analysis were used to analyse the data. RESULTS: One hundred and sixty-two (21.5%) RACS participated. Research priorities, in order of importance, were grouped thematically as workforce issues, strategies to manage residents with dementia and funding to the sector...
April 13, 2019: Australasian Journal on Ageing
Craig Moore, Katie de Luca, Arnold Y L Wong, Matthew Fernandez, Michael Swain, Jan Hartvigsen, Jon Adams, Wenbo Peng
OBJECTIVE: To examine the prevalence and profile of chiropractors who frequently manage people aged 65 years and older. METHODS: A national cross-sectional survey collected practitioner characteristics, practice settings and clinical management characteristics. Multiple logistic regression was conducted on 1903 chiropractors to determine the factors associated with the frequent treatment of people 65 years and older. RESULTS: In total, 73...
April 11, 2019: Australasian Journal on Ageing
Lorna J Moxham, Tamantha K Stutchbury, Geoffrey Spinks, Eliza de Vet, Victoria Ikutegbe, Victoria Traynor, Leanne Taylor, Nicole Michielin
OBJECTIVE: To understand mobility issues not adequately serviced by assistive technology (AT). METHODS: A two-stage mixed-methods research project that forms the basis of future AT design and manufacture. Stage 1: a focus group comprising 46 participants (people aged 55 years or older with mobility issue/s) and their support networks. Stage 2: a sample of 413 people over 55 completed a purpose-designed survey informed by stage 1, regarding mobility issues and perceived desirability of suggested AT mobility aids...
April 5, 2019: Australasian Journal on Ageing
Hui-Ching Lee, Joseph E Ibrahim, Sjaan Koppel, Marilyn Johnson, Lyndal Bugeja
OBJECTIVE: This commentary aimed to determine whether nursing home (NH) providers have a responsibility for the safe mobility of residents outside the facility. METHODS: The Safe System approach was applied to NH resident road safety, and fatality crash data involving NH residents were reviewed, to identify potential countermeasures to prevent injurious road crashes for older people living in a NH. RESULTS: Viewing NH resident road safety through the Safe System approach identified actions that NH providers can take to actively contribute to: safe roads/roadsides for residents by better land use, infrastructure and design improvements; ensuring vehicles purchased and used for transporting residents have safety features; safe speed zones within and on nearby streets to NH; and safer road user behaviour through ensuring travel care plans for each resident...
March 29, 2019: Australasian Journal on Ageing
Minah Amor Gaviola, Kerry J Inder, Sophie Dilworth, Elizabeth G Holliday, Isabel Higgins
OBJECTIVE: To summarise the evidence regarding the impact of individualised music listening on persons with dementia. METHODS: Six electronic databases (CINAHL, Medline, ProQuest, PsycINFO, Music Periodicals and Cochrane) were searched up to July 2018 for randomised controlled trials (RCTs) evaluating the efficacy of individualised music listening compared to other music and non-music-based interventions. RESULTS: Four studies were included...
March 26, 2019: Australasian Journal on Ageing
Evonne Miller, Laurie Buys, Geraldine Donoghue
OBJECTIVES: This paper visually explores older aged care resident's day-to-day lived experience, as well as providing a brief introduction to the participatory documentary photography method of photovoice. METHODS: Ten residents from one Australian residential aged care facility collaborated with researchers and care staff to photograph, reflect on and share their lives. Photographs were shortlisted in individual and group discussions. RESULTS: Residents' photographs and narratives provide a visual understanding of what they value...
March 14, 2019: Australasian Journal on Ageing
Frances Batchelor, Kerry Hwang, Betty Haralambous, Marcia Fearn, Paulene Mackell, Linda Nolte, Karen Detering
OBJECTIVES: There are many studies investigating implementation of advance care planning (ACP) in aged care around the world, but few studies have investigated Australian settings. The objective of this study was to determine facilitators and barriers to implementation of ACP in Australian residential and community aged care. METHODS: Evidence from Australian studies published between 2007 and September 2017 of ACP in residential and community aged care was sourced from electronic databases using predetermined search strategies...
March 14, 2019: Australasian Journal on Ageing
Elizabeth Louise Potter, Thomas Eliot Lew, Manoshayini Sooriyakumaran, Alexandra Molly Edwards, Erica Tong, Ar Kar Aung
OBJECTIVE: To evaluate the need for and the feasibility of a pharmacist-led physician-supported deprescribing model. METHODS: All patients aged ≥65 years, with polypharmacy, admitted to the acute general medical unit (GMU) of an Australian tertiary hospital over a 6-week period were prospectively evaluated for deprescribing by team pharmacists. Clinical decision-making was supported by physicians. RESULTS: One hundred and twenty-nine patients met inclusion criteria, and 58 (45%) were identified for deprescribing...
March 14, 2019: Australasian Journal on Ageing
Magnolia Cardona, Ebony Lewis, Shantiban Shanmugam, Margaret Nicholson, Margaret Williamson, Laura Hanly, Ken Hillman
OBJECTIVE: To investigate views, determinants and barriers to end-of-life discussions for doctors, nurses and members of the public (MoP) and their acceptability of risk prediction tools. METHODS: Concurrent surveys of 360 doctors and nurses and 497 MoP. RESULTS: Sixty per cent of clinicians reported high confidence in initiating end-of-life discussions, and 55.8% regularly engaged in them. Barriers to end-of-life communication reported by clinicians were uncertainty on the likely time to death (44...
March 13, 2019: Australasian Journal on Ageing
Anna Miles, Victoria Liang, Julia Sekula, Sharon Broadmore, Paul Owen, Andrea J Braakhuis
OBJECTIVES: Over 35 000 people live in residential aged care facilities (RACFs) in New Zealand. Texture-modified diets (TMDs) are commonplace. They are associated with malnutrition. The aim of this study was to characterise TMD prevalence and practice in RACFs. METHODS: Data from 35 460 residents were extracted from the interRAI™ database. Mealtime observations (including 459 residents), meal audits (IDDSI, 2018) and menu audits (Dietitians New Zealand Menu Audit Tool for RACFs 2013) were completed at 10 RACFs...
March 13, 2019: Australasian Journal on Ageing
Kai Sin Chin, Georgie E Rose, Claire F Ervin, Tee Juan Ong, David M Whishaw, Wendy F Bower
OBJECTIVE: To investigate whether treatment of overactive bladder (OAB), one comorbidity of nocturia, could reduce waking to void and improve other co-existing symptoms. METHODS: A prospective cohort study was conducted at Royal Melbourne Hospital. Participants received 12 weeks of standard treatment, including lifestyle interventions and pharmacotherapy. Outcome measures were nocturia episodes, severity of urinary urgency/incontinence, sleep quality, daytime somnolence, anxiety and depression scores, quality of life and change in blood pressure...
March 13, 2019: Australasian Journal on Ageing
Michael David Cory O'Brien, Anne Pamela Frances Wand, Brian Draper
No abstract text is available yet for this article.
March 7, 2019: Australasian Journal on Ageing
Danny Hills, Sharon Hills, Tracy Robinson, Holly Northam, Catherine Hungerford
OBJECTIVE: To test the feasibility of general practice nurse (GPN)-led screening for clinically significant symptoms of anxiety (CSSA) in older people and to estimate the prevalence of CSSA. METHODS: General practice nurse-led screening for CSSA was undertaken in eight general practices by integrating the five-item Geriatric Anxiety Inventory-Short Form (GAI-SF) into the annual 75 years and older health assessment (75+ HA). Prevalence rates were calculated, and field notes were analysed...
March 4, 2019: Australasian Journal on Ageing
Rong Peng, Kaarin J Anstey
OBJECTIVE: To explore the factors associated with informal care provision by older Australians. METHODS: Longitudinal cohorts of the Personality and Total Health Through Life project (PATH) were used to build a generalised estimating equation model. RESULTS: Older adults who are engaged in volunteer and religious activities are 27.6% and 33.8%, respectively, more likely to provide informal care than their counterparts who are not engaged in these activities...
February 27, 2019: Australasian Journal on Ageing
Kenneth Lam, Den-Ching A Lee, Aislinn F Lalor, Rene Stolwyk, Grant Russell, Ted Brown, Fiona McDermott, Terry P Haines
OBJECTIVE: To identify discharge medications, especially psychotropic medications that are associated with falls, amongst older adults within 6 months following hospitalisation. METHODS: Negative binomial regression was used to examine relationships between discharge medications and falls in older post-hospitalised adults. Multiple regression that considered falls risk factors at discharge was performed. RESULTS: Data for 267 participants showed that discharge medications were not independently associated with falls postdischarge after adjustment for other falls risk factors...
February 25, 2019: Australasian Journal on Ageing
Shivlal M David, Kien Chan, Charles Inderjeeth, Warren D Raymond
OBJECTIVE: To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. METHODS: Retrospective case-control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. RESULTS: Forty-three stroke survivors (mean age: 79...
February 25, 2019: Australasian Journal on Ageing
Karen E Charlton, Melissa Tjong, Joanne North, Karen Walton
OBJECTIVE: To describe referral source, meal ordering patterns and the nutrient composition of meals from a regional Meals on Wheels (MOW) service. METHODS: Referral sources were obtained via retrospective chart audit and compared for 2008 and 2012. Nutrient content of the three most common meal combinations was compared against MOW recommendations of one-third daily energy and one-half daily protein requirements. RESULTS: There was a decline in overall uptake and referrals from hospitals...
February 24, 2019: Australasian Journal on Ageing
Melanie Nance Haley, Penelope Casey, Richard Youlten Kane, Pēteris Dārziņš, Katherine Lawler
OBJECTIVE: To investigate whether physical training (alone or in a multi-component intervention) is effective in preventing delirium or improving outcomes for adult patients with delirium in the hospital setting. METHODS: A systematic review, qualitative synthesis and meta-analysis of randomised controlled trials identified by searches of electronic databases, combining key concepts of delirium and physical training (the target intervention). Outcomes were incidence of delirium (for prevention trials) and delirium duration, delirium severity and hospital outcomes (for management trials)...
February 22, 2019: Australasian Journal on Ageing
Rupert Strasser, Roger Smith, Paul Yates, David Reid, Benny Katz
OBJECTIVES: To describe the use of acute resuscitation plans (ARPs) among patients on a subacute geriatric ward and to identify factors associated with use of ARPs in these patients. METHODS: The hospital records of all patients admitted to the geriatric medicine ward in 2016 were retrospectively audited. RESULTS: An ARP was completed before separation for 333/442 (75.3%) admissions. In the event of arrest, 240 (54.3%) patients had an ARP specifying "care of the dying", 93 (21...
February 22, 2019: Australasian Journal on Ageing
Linda Schnitker, Elaine Fielding, Margaret MacAndrew, Elizabeth Beattie, David Lie, Gerard FitzGerald
OBJECTIVE: The aim was to explore the natural disaster preparedness strategies of Australian residential aged care facilities (RACFs), focussing on aspects relevant to people with dementia. METHODS: An online survey was sent to 2617 RACF managers, with 416 responding. Questions included the following: (a) demographics; (b) presence and detail level of disaster/evacuation plans; and (c) references to people with dementia. RESULTS: One in four facilities had experienced a natural disaster in the previous five years...
February 21, 2019: Australasian Journal on Ageing
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