Seniors with Dementia Feel Trapped at Home

A new report released by the Alzheimer’s Society has revealed that many older adults with dementia are increasingly feeling isolated from the rest of society.  35 percent of seniors with dementia said that they leave their home once a week or less while 10 percent left their residence only once a month or less.

via Seniors with Dementia Feel Trapped at Home.

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The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis

physical rehabilitation may improve independence for elderly long-term care facility residents, but mean effects are small. It is unclear which interventions are most appropriate.

via The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis.

The difficult transition between the hospital and nursing home

But a rather stunning study in the Journal of the American Geriatrics Society suggests the quality of communication between the hospital and the nursing home is horrendous.  The study was led by researchers from the University of Wisconsin, including nurse researcher, Dr. Barbara King and Geriatrician Dr. Amy Kind.

via The difficult transition between the hospital and nursing home.

Info Long-Term Care: COPSA Education Videos on Dementia and Alzheimer’s Disease in Long-Term Care

September 2013 marks the second annual World Alzheimer’s Month and in honour of the occasion, this week’s web pick is the COPSA Education Channel featuring 3 videos on Alzheimer’s and Dementia care in long-term care homes.  The COPSA Institute for Alzheimer’s Disease and Related Disorders is a university-based program that provides a daily care program for older adults with dementia and other related disorders.  The Centre has produced the following 3 video that are available to view online:

via Info Long-Term Care: COPSA Education Videos on Dementia and Alzheimer’s Disease in Long-Term Care.

Informed consent provisions strong in only 7 states, group says

Only seven states have strong informed consent provisions ensuring the rights of nursing home residents, according to a new analysis released by the Long Term Care Community Coalition (LTCCC).

via Informed consent provisions strong in only 7 states, group says.

Polypharmacy in nursing home residents with severe cognitive impairment: Results from the SHELTER Study

Polypharmacy and excessive polypharmacy are common among nursing home residents with advanced cognitive impairment. Determinants of polypharmacy status includes not only comorbidities, but also specific symptoms, age, and functional status. A geriatrician in the facility is associated with lower prevalence of excessive polypharmacy.

via Polypharmacy in nursing home residents with severe cognitive impairment: Results from the SHELTER Study.

A pilot study on the potential of remote support to enhance wound care for nursing-home patients

An audit of wounds in Bradford and Airedale showed that wound management is an issue in all health-care settings, particularly in nursing homes, where access to specialist wound-care services is often difficult owing to funding issues, and the underlying care needs and mobility problems of the patient population.

via A pilot study on the potential of remote support to enhance wound care for nursing-home patients.

Frailty and Health-Related Quality of Life Among Residents of Long-Term Care Facilities

Frail residents had lower HRQOL, suggesting that preventing frailty may lead to better HRQOL among residents of long-term care facilities.

via Frailty and Health-Related Quality of Life Among Residents of Long-Term Care Facilities.

BMC Geriatrics | Abstract | Prevalence and correlates of fecal incontinence among nursing home residents: a population-based cross-sectional study

Fecal incontinence is a prevalent condition in the nursing home population and is associated with ADL decline, frailty, diarrhea and quality of care. This knowledge is important for staff in nursing home in order to provide the best treatment and care for residents with fecal incontinence.

via BMC Geriatrics | Abstract | Prevalence and correlates of fecal incontinence among nursing home residents: a population-based cross-sectional study.

High Burden of Palliative Needs among Older ICU Survivors Transferred to Post-Acute Care Facilities: A Single Center Study (thoracic)

Older ICU survivors from a single center who required post-acute facility care had a high burden palliative care needs and a high six-month mortality. The in-hospital post-critical acute care period should be targeted for palliative care assessment and intervention.

via High Burden of Palliative Needs among Older ICU Survivors Transferred to Post-Acute Care Facilities: A Single Center Study (thoracic).