Context: Dehydration is a concern amongst older adults residing in retirement (RH) and long-term care (LTC) homes. Objectives: a) work with home team members to develop effective hydration ...strategies; b) implement these strategies; c) determine the capacity of home team members to provide process evaluation data on implementation, d) determine if administrative data is helpful in tracking dehydration-related events, and e) determine if a short, online education module can improve the hydration knowledge and attitudes of team members providing care. Methods: Wet your Whistle with Water (W3) included: voluntary online education module for team members; hydration reminders; water stations in common areas; and bi-monthly recreation activities providing beverages. Hydration-related administrative data from 56 LTC residents were analyzed for pre-post comparison. Findings: 218 individuals participated in the education and significant improvements in attitudes and knowledge noted. The LTC home held six hydration recreation programs with an average of 31 attendees and 15 beverages provided. Hydration station fluid intake was low (<120 oz per week). Bowel medications decreased non-signifcantly post-implementation; changes in other administrative variables were non-significant. Limitations: W3 could not be fully implemented in the RH due to challenges with staffing and collecting administrative data. Team member compliance with refilling water jugs, COVID-19 restrictions, and outbreak status impacted usability of the hydration station. Implications: W3 strategies were feasible but require home buy-in and a champion for implementation. Strategies (e.g., reminders) should be tailored to the home and be able to withstand outbreaks. Targeted education can improve confidence, attitudes, and knowledge.
Introduction
High exercise adherence is a key factor for effective exercise programmes. However, little is known about predictors of exercise adherence to a multimodal machine‐based training in older ...retirement home residents.
Aims
To assess exercise adherence and potential predictors of adherence. Furthermore, to evaluate user acceptance of the multimodal training and the change in exercise self‐efficacy.
Methods
In this sub‐analysis of the bestform‐F study, a total of 77 retirement home residents ≥65 years (mean age: 85.6 ± 6.6 years, 77.9% female) participated in a 6‐month machine‐based resistance, coordination and endurance training. Attendance to the training was documented for each training session. To identify potential predictors a multiple linear regression model was fitted to the data. Analyzed predictors included age, sex, body mass index (BMI), physical function, exercise self‐efficacy, and physical activity history. Different domains of user acceptance (e.g. safety aspects, infrastructure) and exercise self‐efficacy were assessed by a questionnaire and the exercise self‐efficacy scale (ESES), respectively.
Results
Mean exercise adherence was 67.2% (median: 74.4%). The regression model (R2 = 0.225, p = 0.033) revealed that the 6‐minute walk test (6‐MWT) at baseline significantly predicted exercise adherence (β: 0.074, 95% confidence interval (CI): 0.006–0.142, p = 0.033). Different user domains were rated at least as good by 83.9%–96.9% of participants, reflecting high acceptance. No statistically significant change was found for exercise self‐efficacy over 6 months (mean change: 0.47 ± 3.08 points, p = 0.156).
Conclusion
Retirement home residents attended more than two thirds of offered training sessions and physical function at baseline was the key factor for predicting adherence. User acceptance of the training devices was highly rated. These findings indicate good potential for implementation of the exercise programme.
Purpose The world population over the age of 60 is expected to increase from 900 million in 2015 to two billion by 2050. Retirement homes have emerged as a prominent housing alternative and become a ...trend for the older adults; however, older population in Malaysia could have a negative view of retirement homes. Different generations could have different perceptions of the value of retirement homes. This study aims to explore the value of retirement homes across diverse age cohorts in Malaysia. Design/methodology/approach A qualitative approach is adopted for this study. Thematic analysis is used to analyse the interview transcripts obtained from semi-structured interviews. Findings The results indicated that baby boomers tend to have more negative values towards retirement homes, whereas Generations X and Y demonstrated more favourable and positive values for retirement homes. Originality/value This study serves as a useful reference for housing developers, policymakers and the management of retirement homes to better understand how different age cohorts value retirement homes, thereby encouraging relevant housing strategies to enhance the quality and support systems of retirement homes in society.
In an 80-bed fee-based retirement home with nursing care, the dispatched-pharmacist has provided prescription recommendations to visiting physicians based on pathogen identification using Gram ...staining as part of an antimicrobial stewardship program. Thus, we evaluated the effects of pharmacist-supported antimicrobial stewardship. We calculated the total number of all antimicrobials and macrolides, fluoroquinolones, and cephalosporins prescriptions per 100 residents per month at the retirement home from January 2013 to December 2017. Using log-transformed monthly resident numbers with an offset before and after the intervention, we performed Poisson regression analyses that adjusted for monthly mean age. Interrupted time series analyses (ITSA) were conducted to examine the changes in the incidence rate ratios for the baseline and slope before and after the intervention. The total number of all antimicrobial prescriptions per 100 residents per month from 2013 to 2017 was 14.10, 18.51, 10.59, 5.41, and 3.90, respectively. Although there was a significant pre-intervention increase in the total number of all antimicrobial prescriptions, the intervention was followed by a significant decrease. There was also a significant reduction in the slope. ITSA of the changes in the prescription of macrolides and fluoroquinolones showed that there were significant pre-intervention increase and followed by a significant post-intervention decrease in the slope. There was no significant change in cephalosporin prescriptions by the intervention. Our study shows that pharmacist-supported AS can reduce antimicrobial prescriptions in a retirement home. Nevertheless, further studies are needed to collect and analyse more data on similar interventions.
We report a therapy cat in a nursing home in Germany infected with severe acute respiratory syndrome coronavirus 2 during a cluster outbreak in the home residents. Although we confirmed prolonged ...presence of virus RNA in the asymptomatic cat, genome sequencing showed no further role of the cat in human infections on site.
The aim of this observational study was to investigate the level and association of physical activity and selected chronic diseases in functionally independent LTC residents after prolonged physical ...and social isolation during COVID-19 in Croatia. Adhering to the inclusion criteria, 180 functionally independent residents were included in the study. Assessment of physical activity was carried out by 7-day motor monitoring. Prolonged physical and social isolation negatively affected the achieved level of physical activity of LTC residents (x¯ = 5058.74). Major depressive disorder resulted in significantly lower residents' physical activity scores, demonstrating a shrinking effect ranging from 0.42 to 0.45. A significant negative impact on the residents' physical activity was also found in the presence of osteoarthritis and iron deficiency anemia, where a downward effect was present in the range from 0.66-0.72 and 0.64 to 0.66. The presence of comorbidities has a significant negative impact on the residents' physical activity, where a downward effect is present in the range from 0.91-0.92.
The objectives of this study were to describe poisonings occurring in older or disabled patients residing in structured living facilities, identify risk factors, and propose preventive measures.
This ...was a prospective and observational study, covering all cases of poisoning occurring in structured living facilities in the Brittany region of France. All calls were received at the Grand Ouest Poison Control Centre (PCC) of Angers and were recorded from 1 February 2019 to 31 January 2020. The clinical severity of the poisonings was assessed using the Poisoning Severity Score (PSS). Clinical severity was compared by univariate and multivariate analyses using the following dependent variables: PSS score < 2 and PSS ≥ 2.
This study included 158 residents with a median age of 83 years (5-116 years old). The average number of residents supervised by a member of the supervisory staff was 11 (+/−10.7). The substance ingested was a personal hygiene product or a cleaning product in 48% and 25% of cases, respectively. The most frequently ingested product was a bar of soap (n = 20). All moderate to severe cases (4.6%, n = 8 including one death) occurred in residents with dementia living in nursing homes for elderly patients, and 9% of residents required hospital treatment. In more than 50% of cases (n = 83), the product was provided by the facility and in 23% (n = 40), it was brought in by the family. Ingestion of a bar of soap or a product brought in by the family was significantly associated with higher poisoning severity (PSS ≥ 2). After adjustment for age, sex and the number of residents per supervisor, the severity of poisoning was significantly greater after ingestion of a bar of soap (OR = 12.33, CI95 2.12, 71.63, p = 0.005).
Older adults residing in medical facilities who have a history of dementia and/or cognitive impairment are more at risk of non-medicinal product poisoning. Clinical severity and the hospitalisation rate were greater when bar soap was ingested.
La réalité virtuelle renforce l’arsenal thérapeutique en santé : prévention en santé, réadaptation fonctionnelle, douleurs chroniques et aiguës, qualité de vie en soins palliatifs, psychiatrie et ...santé mentale : troubles anxieux, dépression, addictions et psychoses. Notre objectif est de dégager des applications de la réalité virtuelle immersive auprès des personnes âgées institutionnalisées. La réalité virtuelle montre des propriétés distractives, antalgiques, anxiolytiques et antidépressives qui lui permettrait ainsi de répondre à de nombreux problèmes de santé invalidants chez le sujet âgé. Sa malléabilité, son ubiquité et sa simplicité d’utilisation lui confèrent une place de choix parmi les thérapies non médicamenteuses recommandées chez les personnes âgées. Si les personnes âgées institutionnalisées peuvent en bénéficier en complément ou en substitution des traitements traditionnels, il convient toutefois de l’adapter à ce public fragilisé.
Virtual reality (VR) is used in general health care: prevention, physical medicine, chronic and acute pain, quality of life in palliative care, and in psychiatry: anxiety, depression, addiction, psychosis. Our objective is showing VR using among elderly people in French retirement home. Virtual reality is showing efficacy as distraction, anti-pain, tranquillising, antidepressant methods. It should be an answer to many elderly health problems. VR is easy to use, with low side effects. Non-drug treatments among elderly people are recommended. Used as complementary or alternative medicine, VR must be shaped for using with old and fragile people in retirement home.
An increasing age of respondents and cognitive impairment are usual suspects for increasing difficulties in survey interviews and a decreasing data quality. This is why survey researchers tend to ...label residents in retirement and nursing homes as hard-to-interview and exclude them from most social surveys. In this article, I examine to what extent this label is justified and whether quality of data collected among residents in institutions for the elderly really differs from data collected within private households. For this purpose, I analyze the response behavior and quality indicators in three waves of Survey of Health, Ageing and Retirement in Europe. To control for confounding variables, I use propensity score matching to identify respondents in private households who share similar characteristics with institutionalized residents. My results confirm that most indicators of response behavior and data quality are worse in institutions compared to private households. However, when controlling for sociodemographic and health-related variables, differences get very small. These results suggest the importance of health for the data quality irrespective of the housing situation.
Mart Stam fue un arquitecto holandés implicado con los problemas de la sociedad. Con escaso volumen de obra construida, en este texto se analiza uno de sus proyectos construidos de mayor envergadura, ...una residencia para ancianos en Frankfurt am Main erigida en la época del Neues Frankfurt de Ernst May. Stam, considerado como miembro destacado del ala radical de la arquitectura racionalista europea de principios del s.XX, en esta ocasión proyectó un edificio para la población envejecida con menos recursos, junto a Werner Moser y Ferdinand Kramer. Un edificio pensado a escala humana en el que los usuarios mantenían su individualidad viviendo en colectividad. Una construcción ideada bajo criterios científicos cuantificables, como el soleamiento y las circulaciones interiores, buscando la máxima economía, quedando el edificio despojado de artificios estéticos irrelevantes. Una Arquitectura reconocida como Construcción en la que la arbitrariedad fue sustituida por la objetividad. Un edificio que podría ser calificado como sachlich.
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