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Hiroki Iida, Yoshihito Sakai, Tsuyoshi Watanabe, Hiroki Matsui, Marie Takemura, Yasumoto Matsui, Atsushi Harada, Tetsuro Hida, Kenyu Ito, Sadayuki Ito
Objectives: Sarcopenia and osteoporosis affects activities of daily living and quality of elderly people. However, little is known about its impact on elderly locomotor diseases, such as osteoporotic vertebral fracture (OVF). There is no report investigating the influence of both sarcopenia and osteoporosis on outcomes of OVF. This study aimed to evaluate the clinical outcomes of OVF in elderly patients from sarcopenic perspectives. Methods: This prospective study was conducted with 396 patients, aged 65 years or more, hospitalized for the treatment of OVF (mean age, 81...
September 2018: Osteoporosis and Sarcopenia
Arpita Ray Sarkar, Goutam Sanyal, Somajyoti Majumder
PURPOSE: The majority of rehabilitation systems for locked-in patients are used for therapeutic purposes. However, round-the-clock assistance and support are essential after discharge from hospitals or nursing homes. This inspired us to develop a round-the-clock rehabilitation-cum-assistance system operated by eye gazes of locked-in patients. To do this, we aimed to identify the essential daily activities of living for locked-in patients and represent these activities using the most universally acceptable icons/images on the interface for the rehabilitation-cum-assistance system...
February 18, 2019: Disability and Rehabilitation. Assistive Technology
Sasha Vaziri, Joseph M Abbatematteo, Max S Fleisher, Alexander B Dru, Dennis T Lockney, Paul S Kubilis, Daniel J Hoh
OBJECTIVEThe American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) online surgical risk calculator uses inherent patient characteristics to provide predictive risk scores for adverse postoperative events. The purpose of this study was to determine if predicted perioperative risk scores correlate with actual hospital costs.METHODSA single-center retrospective review of 1005 neurosurgical patients treated between September 1, 2011, and December 31, 2014, was performed. Individual patient characteristics were entered into the NSQIP calculator...
February 15, 2019: Journal of Neurosurgery
Kenji Takeuchi, Maya Izumi, Michiko Furuta, Toru Takeshita, Yukie Shibata, Shinya Kageyama, Yuka Okabe, Sumio Akifusa, Seijun Ganaha, Yoshihisa Yamashita
Aspiration is increasingly recognized as a major risk for pneumonia, but a potential link between wearing dentures and incident pneumonia with aspiration risk is unclear. The aim of this study was to investigate whether denture wearing moderates the association between aspiration risk and incident pneumonia in older adults. We used prospective cohort data of 156 residents aged >70 years from eight nursing homes in Aso, Japan. Aspiration risk was evaluated using the modified water swallowing test. During a 1-year follow-up (2014 to 2015), information on incident pneumonia was obtained from nursing home medical records...
February 14, 2019: International Journal of Environmental Research and Public Health
Liesbeth Vanderveken, Birgitte Schoenmakers, Jan De Lepeleire
OBJECTIVE: The goal of palliative care is to improve quality of life when recovery is no longer possible. The study's objective was to widen our vision of potential (unspoken) needs at the end of life with patients, close relatives, nurses, and general practitioners to aim at more versatile but personal care. The question asked was how important patients, close relatives, and healthcare providers considered the 11 core themes in defining a good death, as described in the 2016 article "Defining a good death" by Meier et al...
December 18, 2018: American Journal of Geriatric Psychiatry
Ming Yang, Jiaojiao Jiang, Yanli Zeng, Huairong Tang
Little is known about the prognostic value of the strength, assistance walking, rise from a chair, climb stairs, and falls questionnaire (SARC-F) and SARC-F combined with calf circumference (SARC-CalF) among elderly nursing home residents.To compare the prognostic value of SARC-F and SARC-CalF for mortality in this population.We conducted a prospective study in four nursing homes in western China. Sarcopenia was estimated using SARC-F and SARC-CalF, respectively. Nutrition status, activities of daily living, and other covariates were evaluated...
February 2019: Medicine (Baltimore)
Christine A Haynes, Cody N Dashiell-Earp, Neil S Wenger, Wendy M Simon, Samuel A Skootsky, Robin Clarke, Frances A Watts, Anne M Walling
BACKGROUND: Physician Orders for Life-Sustaining Treatment (POLST) can help ensure continuity of do-not-resuscitate (DNR) decisions and other care preferences after discharge from the hospital. OBJECTIVE: We aimed to improve POLST completion rates for patients with DNR orders who were being discharged to a nursing home (NH) after an acute hospitalization at our institution. DESIGN: We implemented an interprofessional quality improvement intervention involving education, communication skills, and nursing and case manager cues regarding POLST use...
February 14, 2019: Journal of Palliative Medicine
Hiroshi Kudo, Hiroki Ide, Motokazu Nakabayashi, Takahiro Goto, Akira Wakakuri, Naohiro Iwata, Yoshito Kuroki
AIM: This study aimed to clarify the effectiveness of using the complete lateral position method to treat elderly patients with severe dysphagia. METHODS: We enrolled 47 patients >65 years of age who had been diagnosed with severe dysphagia using a video endoscopic examination of swallowing at Hida City Hospital between February 1, 2015, and October 31, 2017. We collected and analyzed data pertaining to patient characteristics, the onset of aspiration pneumonia, and treatment outcomes...
2019: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Lauren A Beaupre, Jay S Magaziner, C Allyson Jones, Gian S Jhangri, D William C Johnston, Donna M Wilson, Sumit R Majumdar
Background: This study compared function three-months after hip fracture surgery between nursing home residents participating in a 10-week outreach rehabilitation program and those receiving usual care. Function, health-related quality of life (HRQL) and mortality were also compared over 12-months and outreach program feasibility was assessed. Methods: A feasibility trial was undertaken in Canadian nursing homes; of 77 participants, 46 were allocated to Outreach and 31 to Control prior to assessing function or cognition...
February 9, 2019: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Kira L Ryskina, Christine Lam, Hye-Young Jung
IMPORTANCE: While the number of prescribing clinicians (physicians and nurse practitioners) who provide any nursing home care remained stable over the past decade, the number of clinicians who focus their practice exclusively on nursing home care has increased by over 30%. OBJECTIVES: To measure the association between regional trends in clinician specialization in nursing home care and nursing home quality. DESIGN: Retrospective cross-sectional study...
February 7, 2019: Journal of the American Medical Directors Association
Maria Gustafsson, Kristina Lämås, Ulf Isaksson, Per-Olof Sandman, Hugo Lövheim
BACKGROUND: Constipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of laxatives between 2007 and 2013, to analyze constipation and laxative use among people who are prescribed opioids, and to identify factors associated with constipation. METHODS: In 2007 and 2013, two surveys were performed in the county of Västerbotten in Northern Sweden, comprising all those living in nursing homes...
February 8, 2019: BMC Geriatrics
Oksana Zolotar, Norbert Schrage
The demographic change in Germany has led to an increasing number of elderly and dependent persons being cared for in nursing homes. Additionally, public health insurance has tried to save money on home visits made by general practitioners and specialists. This has led to significant deficits in ophthalmic care. To relieve the stress on the health care system, we tested the ACTO eye test as part of our study. This test can be performed after a short introduction; even by laypeople. For our study, we assessed the vision of 218 persons, aged 60 or above, in four nursing homes in Germany...
February 8, 2019: Klinische Monatsblätter Für Augenheilkunde
Becky A Briesacher, Brianne Mui, John W Devlin, Benjamin Koethe
OBJECTIVE: Determine the accuracy of nursing home self-reported antipsychotic prescribing before and after implementation of a Medicare campaign to reduce use. METHODS: Quasi-experimental study comparing trends in self-reported antipsychotic prescribing relative to claims-based prescribing. Setting is a nationwide sample of 11,912 facilities, 2011-2013. Participants are long-stay nursing home residents (n = 586,281) with prescribing data in Medicare Minimum Data Set 3...
February 6, 2019: Aging & Mental Health
Gudmund Ågotnes, Margaret J McGregor, Joel Lexchin, Malcolm B Doupe, Beatrice Müller, Charlene Harrington
Nursing home (NH) residents are increasingly in need of timely and frequent medical care, presupposing not only available but perhaps also continual medical care provision in NHs. The provision of this medical care is organized differently both within and across countries, which may in turn profoundly affect the overall quality of care provided to NH residents. Data were collected from official legislations and regulations, academic publications, and statistical databases. Based on this set of data, we describe and compare the policies and practices guiding how medical care is provided across Canada (2 provinces), Germany, Norway, and the United States...
2019: Health Services Insights
Herlina, Agrina
OBJECTIVE: The purpose of this study was to examine the relationship between spirituality and health status outcome in nursing home (PSTW Khusnul Khotimah) in Pekanbaru, Riau-Indonesia. METHOD: This study methods was a cross-sectional study with 36 elderly people as samples and it was taken by total sampling technique. JAREL Spiritual Well-Being Scale was used to assess elderly people spirituality level. Univariate and bivariate use non-parametric analysis were performed to determine the relationship between elderly people spirituality and self-reported health status...
February 1, 2019: Enfermería Clínica
Sean Mayne, Alexander Bowden, Pär-Daniel Sundvall, Ronny Gunnarsson
BACKGROUND: Non-specific symptoms, such as confusion, are often suspected to be caused by urinary tract infection (UTI) and continues to be the most common reason for suspecting a UTI despite many other potential causes. This leads to significant overdiagnosis of UTI, inappropriate antibiotic use and potential harmful outcomes. This problem is particularly prevalent in nursing home settings. METHODS: A systematic review of the literature was conducted assessing the association between confusion and UTI in the elderly...
February 4, 2019: BMC Geriatrics
Tomoya Tachi, Yoko Ino, Akari Shimauchi, Yoshihiro Noguchi, Chihiro Sakai, Kazuhiro Iguchi, Aki Kano, Hitomi Teramachi
Construction of regional inclusive care system is being promoted and pharmacists are required to implement multidisciplinary collaboration in order to provide appropriate pharmaceutical care to patients. However, there are few studies on collaboration between medical facilities and community pharmacies. In this study, we conducted a questionnaire survey of community pharmacies in Gifu City, which assessed the experience and attitudes regarding collaboration with other medical facilities. The survey items are: I...
2019: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Águeda Bellver-Domingo, Mónica Maldonado-Devis, Francesc Hernández-Sancho, Eric Carmona, Yolanda Picó
The current literature about pharmaceutical and personal care compounds (PPCPs) focuses on identifying their concentration and toxicological risk both in surface water and in wastewater. However, the influence of urban areas (population ageing, income level, hospitals and others) has not yet been analysed. Knowing how a population (and its facilities) affects PPCPs' presence in wastewater is important to identify the conditions that are responsible for their presence. In this work, the influence of water consumption, population ageing, income level, hospitals and nursing homes on the anti-inflammatory concentration have been analysed...
January 28, 2019: Science of the Total Environment
Chun Shing Kwok, Purvi J Parwani, David L Fischman, Ritu Thamman, Jassim Al Suwaidi, Mohamed Mohamed, Josip A Borovac, Yoon K Loke, Evangelos Kontopantelis, David L Brown, Mamas A Mamas
Chest pain is a common reason for admission to hospital and little is known regarding 30-day unplanned readmissions after an admission with a primary discharge diagnosis of nonspecific chest pain. We analyzed patients with a primary diagnosis of nonspecific chest pain in the Nationwide Readmission Database who were admitted in 2010 to 2014. Rates, causes, and predictors of 30-day unplanned readmissions were determined. A total of 1,842,270 patients had a diagnosis of nonspecific chest pain. The 30-day unplanned readmission rate was 8...
January 25, 2019: American Journal of Cardiology
Torstein F Habiger, Wilco P Achterberg, Elisabeth Flo, Bettina S Husebo
OBJECTIVE: To investigate the characteristics of nursing home residents with psychosis and the association with potential underlying factors, such as pain, sleep disturbances, and antipsychotic medication. METHOD: 545 residents with and without dementia from 67 Norwegian nursing home units were included in the cross sectional analyses. Psychosis was the main outcome measure in our study; other outcome measures include quality of life (QoL), ADL function, cognitive function, pain, and antipsychotic medication...
January 31, 2019: International Journal of Geriatric Psychiatry
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