Search results for " nursing home"

showing 10 items of 19 documents

MULTI-COMPONENT REHABILITATION AFTER COVID-19 FOR NURSING HOME RESIDENTS

2021

2019-20 coronavirus outbreakRehabilitationCoronavirus disease 2019 (COVID-19)SARS-CoV-2business.industryHumans Nursing Homes SARS-CoV-2 COVID-19Health PolicySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)medicine.medical_treatmentCOVID-19General Medicinenutritional interventionNursing Homesnursing homeNursingdisabilitymedicineHumansGeriatrics and GerontologyNursing homesbusinessLetter to the EditorGeneral NursingJournal of the American Medical Directors Association
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Assessment of Physical Fitness and Risk Factors for the Occurrence of the Frailty Syndrome among Social Welfare Homes’ Residents over 60 Years of Age…

2022

The study aimed at assessing physical fitness and occurrence of the frailty syndrome among social welfare homes’ residents as well as defining factors which determine the level of frailty and its occurrence. The examination included 198 residents (115 females and 83 males of average age 75.5 ± 10.21) and was carried out with the use of the Short Physical Performance Battery (SPPB) test with the following cut-off points: 0–6—frail, 7–9—pre-frail, 10–12—non-frail. The research additionally collected data regarding age, gender, number of chronic diseases, education level, type of prior work and current physical activity. In addition, the height …

Aged 80 and overMaleaging; physical functional performance; nursing homes; frailty syndrome; physical fitness; gait analysisFrailtyFrail ElderlyHealth Toxicology and MutagenesisagingPublic Health Environmental and Occupational HealthMiddle Agednursing homesphysical functional performancefrailty syndromeCross-Sectional StudiesRisk Factorsgait analysisphysical fitnessHumansFemalePolandGeriatric AssessmentSocial WelfareAgedInternational Journal of Environmental Research and Public Health
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Mortality attributable to COVID-19 in nursing home residents: a retrospective study

2021

AbstractAimCoronavirus-19 disease (COVID-19) is a widespread condition in nursing home (NH). It is not known whether COVID-19 is associated with a higher risk of death than residents without COVID-19. Therefore, the aim of this study was to assess whether COVID-19 is associated with a higher mortality rate in NH residents, considering frailty status assessed with the Multidimensional Prognostic Index (MPI).MethodsIn this retrospective study, made in 31 NHs in Venice, Italy, the presence of COVID-19 was ascertained with a nasopharyngeal swab. Frailty was evaluated using the MPI, modified according to the tools commonly used in our NHs. A Cox’s regression analysis was used reporting the resul…

AgingDiseaseCOVID-19 · Nursing home · Prognosis · Multidimensional prognostic index · Frailty comprehensive geriatric assessmen03 medical and health sciences0302 clinical medicineMultidimensional prognostic indexHumansMedicineFrailty comprehensive geriatric assessment030212 general & internal medicineMortalityGeriatric AssessmentAgedRetrospective StudiesAged 80 and overNursing homeSARS-CoV-2business.industryIncidence (epidemiology)Mortality rateConfoundingHazard ratioCOVID-19Retrospective cohort studyPrognosisConfidence intervalNursing HomesItalyPropensity score matchingOriginal ArticleFemaleGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryDemography
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Severe hypoglycemia is associated with antidiabetic oral treatment compared with insulin analogs in nursing home patients with type 2 diabetes and de…

2015

Abstract Objectives Severe hypoglycemia is associated with cognitive decline and dementia in older persons with type 2 diabetes. The role of antidiabetic treatments on severe hypoglycemia is unknown in dementia. The aims were to determine the prevalence of severe hypoglycemic events and investigate associations among severe hypoglycemic and specific antidiabetic treatments (classes of oral agents and types of insulin analogs) in a large sample of nursing home patients with diabetes according to dementia status. Design Cross-sectional observational study. Setting A total of 150 nursing homes across Italy. Participants A total of 2258 patients with type 2 diabetes (dementia = 1138, no dementi…

Blood GlucoseMaleAgingSevere hypoglycemia dementia insulin analogs antidiabetic oral agents agingmedicine.medical_treatmentInsulin analogAdministration OralType 2 diabetesSeverity of Illness IndexInsulin AntagonistsReference ValuesOdds RatioPrevalenceHomes for the AgedInsulinReference ValueCognitive declineNursing (all)2901 Nursing (miscellaneous)General NursingAged 80 and overInsulin AntagonistMedicine (all)Health PolicyAging; Antidiabetic oral agents; Dementia; Insulin analogs; Severe hypoglycemia; Administration Oral; Age Distribution; Aged; Aged 80 and over; Blood Glucose; Confidence Intervals; Cross-Sectional Studies; Dementia; Diabetes Mellitus Type 2; Female; Homes for the Aged; Humans; Hypoglycemia; Hypoglycemic Agents; Insulin; Insulin Antagonists; Italy; Logistic Models; Male; Middle Aged; Nursing Homes; Odds Ratio; Prevalence; Prognosis; Reference Values; Risk Assessment; Severity of Illness Index; Sex Distribution; Sulfonylurea Compounds; Nursing (all)2901 Nursing (miscellaneous); Health PolicyGeneral MedicineMiddle AgedPrognosisSulfonylurea CompoundNursing HomeItalyFemaleHumanmedicine.medical_specialtyLogistic ModelPrognosiHypoglycemiaelderly patientsRisk AssessmentAge DistributionInternal medicineDiabetes mellitusmedicineConfidence IntervalsDementiaHumansHypoglycemic AgentsSex DistributionAgedAntidiabetic oral agentCross-Sectional StudieSevere hypoglycemiaHypoglycemic Agentbusiness.industryInsulinOdds ratiomedicine.diseaseHypoglycemiaNursing HomesEndocrinologyCross-Sectional StudiesLogistic ModelsSulfonylurea CompoundsDiabetes Mellitus Type 2DementiaGeriatrics and GerontologybusinessConfidence IntervalBody mass indexJournal of the American Medical Directors Association
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Knowledge, attitudes and self-reported practices of food service staff in nursing homes and long-term care facilities

2010

The aim of this study was to investigate knowledge, attitudes and practices of food service staff in nursing homes and long-term care facilities for the elderly in Sicily, Italy. Association with some demographic and work-related variables was also investigated. This survey provides information and outlines many complex questions concerning the basics of food hygiene. Education level, length of service in the employment and attending courses on food hygiene influenced the knowledge, attitudes and practices of food service staff. This study has evidenced the need for continuous training among food service staff regarding food safety in LTCF and nursing homes.

Food hygieneNursing homebusiness.industrydigestive oral and skin physiologyFood safetyContinuous trainingFood safetyLong-term care facilityKnowledge Attitudes and practicesLong-term careElderlyNursingFood safety; Long-term care facility; Nursing home; Elderly; Knowledge Attitudes and practicesMedicineLength of serviceFood serviceDuration (project management)Nursing homesbusinessFood ScienceBiotechnologyFood Control
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Body mass index as a predictor of all-cause mortality in nursing home residents during a 5-year follow-up.

2013

Background: Body mass index (BMI) is considered a short-term mortality predictor, but a consensus has not been reached on its role and that of other nutritional parameters in predicting long-term mortality in nursing home residents. Objectives: To correlate BMI, Mini Nutritional Assessment scores, and serum albumin levels with the 5-year mortality rate in institutionalized elderly subjects. Methods: A total of 181 nursing home residents aged ≥70 years were included in a 5-year longitudinal study. Data were collected on all participants' nutritional, health, cognitive, and functional status by means of a comprehensive geriatric assessment. Data on the participants' vital status were obtained…

GerontologyMaleLongitudinal studyComorbiditySeverity of Illness IndexBody Mass IndexPredictive Value of TestsCause of DeathMedicineHumansLongitudinal StudiesBody mass index nursing home mortality elderly nutritionGeriatric AssessmentGeneral NursingSurvival analysisCause of deathAgedProportional Hazards ModelsAged 80 and overbusiness.industryProportional hazards modelHealth PolicyMortality rateGeneral Medicinemedicine.diseaseComorbidityNursing HomesPredictive value of testsLinear ModelsFemaleGeriatrics and GerontologybusinessBody mass indexDemographyFollow-Up StudiesJournal of the American Medical Directors Association
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Agreement between different versions of MNA.

2013

Malnutrition occurs frequently in the elderly with important clinical and functional consequences. Moreover, the treatment of malnutrition in the elderly may be effective if clinical and nutritional interventions are performed in the early stages. Therefore the early identification of the risk of malnutrition using validated and handy tools plays a pivotal role in terms of clinical outcome. Mini Nutritional Assessment (MNA) was validated for this purpose since many years but it is still ongoing the debate over whether the use of different items in certain clinical conditions can be effective without affecting the validity of the nutritional status evaluation. The aim of this study was to as…

GerontologyMaleMini nutritional assessmentMEDLINEMedicine (miscellaneous)Nutritional StatuselderlyRisk AssessmentSensitivity and SpecificityBody Mass IndexNutritional InterventionsRisk FactorsSurveys and Questionnairesmedicine80 and overNutrition and DieteticPrevalenceSurveys and QuestionnaireHomes for the AgedHumanselderly; malnutrition; MNA; Aged; Aged 80 and over; Body Mass Index; Female; Geriatric Assessment; Humans; Italy; Male; Malnutrition; Nutritional Status; Prevalence; Risk Assessment; Risk Factors; Sensitivity and Specificity; Surveys and Questionnaires; Homes for the Aged; Nursing Homes; Nutrition Assessment; Medicine (miscellaneous); Nutrition and Dietetics; Geriatrics and GerontologyNutritional riskGeriatric AssessmentAgedAged 80 and overNutrition and Dieteticsbusiness.industryRisk FactorMalnutritionNutritional statusmedicine.diseaseNursing HomesMalnutritionNutritional StatuNursing HomeNutrition AssessmentMNAItalymna; elderly; malnutritionFemaleGeriatrics and GerontologybusinessRisk assessmentBody mass indexHumanThe journal of nutrition, healthaging
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Malnutrition in elderly: Social and economic determinants

2013

Abstract: Malnutrition occurs frequently in the frailest groups of the population, especially in people who are on a low income and elderly subjects, overall if they are institutionalized. The aim of this study was to assess the prevalence of malnutrition in a sample of elderly people living in different settings and to identify the determinants of malnutrition. Methods: A total of 718 subjects, 472 females (F) and 246 males (M), were recruited from nursing homes or were free living in three different regions in Italy. Nutritional status, depression, social, functional and cognitive status, were evaluated. Results: According to the Mini Nutritional Assessment (MNA), a high prevalence of mal…

Low incomeGerontologyMaleSettore MED/09 - Medicina InternapovertyMalnutrition elderly poverty.PopulationNutritional StatusMedicine (miscellaneous)Guidelines as TopicelderlyGeriatric populationRisk Factorspoverty; elderly; malnutrition80 and overPrevalenceElderly peopleMedicineHumanseducationGeriatric AssessmentDepression (differential diagnoses)AgedAged 80 and overeducation.field_of_studyNutrition and Dieteticsbusiness.industryMalnutritionNutritional statuselderly; Malnutrition; poverty; Aged; Aged 80 and over; Female; Geriatric Assessment; Guidelines as Topic; Humans; Italy; Male; Malnutrition; Nursing Homes; Nutrition Assessment; Nutritional Status; Prevalence; Risk Factors; Socioeconomic Factors; Medicine (miscellaneous); Nutrition and Dietetics; Geriatrics and Gerontologymedicine.diseaseNursing HomesMalnutritionNutrition AssessmentItalySocioeconomic FactorsFemaleGeriatrics and GerontologybusinessNursing homes
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Inverse relationship between body mass index and mortality in older nursing home residents: A meta-analysis of 19,538 elderly subjects

2015

Body mass index (BMI) and mortality in old adults from the general population have been related in a U-shaped or J-shaped curve. However, limited information is available for elderly nursing home populations, particularly about specific cause of death. A systematic PubMed/EMBASE/CINAHL/SCOPUS search until 31 May 2014 without language restrictions was conducted. As no published study reported mortality in standard BMI groups (<18.5, 18.5–24.9, 25–29.9, ≥30 kg/m2), the most adjusted hazard ratios (HRs) according to a pre-defined list of covariates were obtained from authors and pooled by random-effect model across each BMI category. Out of 342 hits, 20 studies including 19,538 older nursin…

MaleFrail ElderlySocio-culturaleelderlyBody mass index;elderly;mortality;nursing homenursing home.EndocrinologyThinnessRisk FactorsHomes for the AgedHumansNutritional Physiological PhenomenaBody mass indexAgedAged 80 and overBody mass index; Elderly; Mortality; Nursing home; Public Health Environmental and Occupational Health; Endocrinology Diabetes and MetabolismNursing homeEnvironmental and Occupational HealthPublic Health Global Health Social Medicine and EpidemiologyBody mass index elderly mortality nursing homeOverweightmortalityNursing HomesDiabetes and MetabolismFolkhälsovetenskap global hälsa socialmedicin och epidemiologiFemalePublic Health
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Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report.

2016

A taskforce, under the auspices of The International Association of Gerontology and Geriatrics-Global Aging Research Network (IAGG-GARN) and the IAGG European Region Clinical Section, composed of experts from the fields of exercise science and geriatrics, met in Toulouse, in December 2015, with the aim of establishing recommendations of physical activity and exercise for older adults living in long-term care facilities (LTCFs). Due to the high heterogeneity in terms of functional ability and cognitive function that characterizes older adults living in LTCFs, taskforce members established 2 sets of recommendations: recommendations for reducing sedentary behaviors for all LTCF residents and r…

Malefunctional abilitymedicine.medical_specialtyAgingmedia_common.quotation_subjectAdvisory CommitteeselderlyAssisted Living FacilitiePleasure03 medical and health sciences0302 clinical medicineQuality of life (healthcare)NursingAssisted Living FacilitiesHealth caremedicineHumans030212 general & internal medicineFunctional abilityExerciseNursing (all)2901 Nursing (miscellaneous)General Nursingmedia_commonAgedAdvisory CommitteeGeriatricsMotivationEvidence-Based MedicinePhysical activitybusiness.industryHealth PolicySettore MED/09 - MEDICINA INTERNACognitionGeneral MedicineEvidence-based medicineLong-Term Care3. Good healthnursing homeLong-term careFemaleGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryHumanElderly; Exercise; Functional ability; Long-term care; Nursing home; Physical activity; Advisory Committees; Aged; Aging; Evidence-Based Medicine; Female; Humans; Long-Term Care; Male; Motivation; Assisted Living Facilities; Exercise; Nursing (all)2901 Nursing (miscellaneous); Health PolicyJournal of the American Medical Directors Association
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