Search results for " Home care"
showing 10 items of 90 documents
Long-Term Ventilation in Neuromuscular Patients: Review of Concerns, Beliefs, and Ethical Dilemmas
2019
<b><i>Background:</i></b> Noninvasive mechanical ventilation (NIV) is an effective treatment in patients with neuromuscular diseases (NMD) to improve symptoms, quality of life, and survival. <b><i>Summary:</i></b> NIV should be used early in the course of respiratory muscle involvement in NMD patients and its requirements may increase over time. Therefore, training on technical equipment at home and advice on problem solving are warranted. Remote monitoring of ventilator parameters using built-in ventilator software is recommended. Telemedicine may be helpful in reducing hospital admissions. Anticipatory planning and palliative care should be …
Striving to maintain a dignified life for the patient in transition: Next of kin’s experiences during the transition process of an older person in tr…
2015
Next of kin represent significant resources in the care for older patients. The aim of this study was to describe and illuminate the meaning of the next of kin’s experiences during the transition of an older person with continuing care needs from hospital to home. The study has a phenomenological hermeneutic design. Individual, narrative interviews were conducted, and the data analysis was conducted in accordance with Lindseth and Norberg’s phenomenological hermeneutic method. Two themes and four subthemes were identified and formulated. The first theme: “Balancing vulnerability and strength,” encompassed the subthemes “enduring emotional stress” and “striving to maintain security and conti…
Who cares? Evidence on informal and formal home care use in Estonia
2019
Despite increasing attention to long-term care (LTC) and related challenges in the Estonian social policy agenda, the distributional fairness of LTC services in the country has received very limited attention. Using SHARE data, we address informal and formal home care services and identify the socio-economic factors that drive or hinder their use among the Estonian elderly. The relationship between informal and formal home care utilization is estimated applying the new approach to instrumental variable method proposed by Lewbel [2012. Using heteroscedasticity to identify and estimate mismeasured and endogenous regressor models. Journal of Business and Economic Statistics, 30(1), 67–80]. We …
Assimilative and Accommodative Coping and Older People’s Leisure Activities
2019
Objectives: Assimilative and accommodative coping strategies have hardly been studied in relation to leisure activities in old age. We investigated whether tenacious goal pursuit (TGP) and flexible goal adjustment (FGA) influence the association between physical performance and participation in leisure activities. Methods: A cross-sectional analysis was conducted among 187 community-dwelling people aged 79 to 93 years. TGP, FGA, and leisure activity participation were asked with questionnaires. Physical performance was assessed with the Short Physical Performance Battery (SPPB). Results: TGP moderated the relationship between physical performance and leisure activity participation. Despite…
Digital or In-Person: The Relationship Between Mode of Interpersonal Communication During the COVID-19 Pandemic and Mental Health in Older Adults Fro…
2021
Social distancing has limited the spread of the coronavirus (COVID-19), but also changed communication patterns. However, studies of how mental health in older adults relates to the usage of different modes of interpersonal communication are sparse. The aim of this study was to analyze how COVID-19-related changes in the frequencies of using different modes of communication (digital or in-person) have influenced mental health in older adults from 27 countries. Our study was based on part of Wave 8 of the SHARE data set, which focused on the living situation of older adults during the pandemic. Findings suggest that in-person communication benefited mental health in people aged ≥60 years mo…
The Association Between Transportation and Life-Space Mobility in Community-Dwelling Older People With or Without Walking Difficulties.
2016
Objective: The aim of this study is to examine whether a persons’ most frequently used mode of transportation is associated with life-space mobility and whether the association differs between persons with or without walking difficulties. Method: Life-space mobility was measured with the Life-Space Assessment in 848 community-dwelling men and women aged 75 to 90 years. Six separate mobility groups were formed according to the most frequently used mode of transportation (car driver, car passenger, public transportation) combined with the presence or absence of difficulties walking 2 km. Results: Car drivers without walking difficulties had the highest life-space mobility scores, and car pas…
Associations between Perceived Outdoor Environment and Walking Modifications in Community-Dwelling Older People: A Two-Year Follow-Up Study
2020
Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older people. Methods: Community-dwelling 75–90 -year-old persons ( N = 848) reported environmental outdoor mobility facilitators and barriers at baseline. Modifications in walking 2 km (adaptive, maladaptive, or no) were assessed at baseline and one and two years later. Results: Outdoor mobility facilitators were more often reported by those not using modifications or using adaptive versus maladaptive walking modifications. Differences in health and physical capacity explained m…
The Relationship Between Sleep Characteristics and Unmet Physical Activity Need in Older Women
2018
Objective: We examined among older women the association of sleep quality, daytime tiredness, and sleep duration with unmet physical activity need, that is, wishing to be more physically active but perceiving no opportunity for it. Method: Cross-sectional logistic regression analyses among women aged 74 to 86 years (Finnish Twin Study on Aging, third wave, n = 302). Results: Thirty-one participants reported unmet physical activity need. Short sleepers had fivefold and long sleepers threefold odds for unmet physical activity need compared with normative sleepers, while for daytime tiredness the odds were double. Presence of daytime tiredness and unmet physical activity coincided with higher…
Tools to identify nutritional risk for older people in the home
2012
Author's version of an article in the journal: British Journal of Community Nursing. Community nurses are in an ideal position to identify older home-dwelling people at nutritional risk and thereby to prevent undernutrition. The aim of this paper is to present some nutritional screening instruments for older home-dwelling people and to discuss nutritional issues of importance for community nurses in order to assess nutritional risk and prevent undernutrition. The screening instruments Nutritional Form For the Elderly (NUFFE) and Mini Nutritional Assessment (MNA) are especially developed for screening older people. The Malnutrition Universal Screening Tool (MUST) is recommended for screening…
Parental Monitoring and Youth's Binge Behaviors: The Role of Sensation Seeking and Life Satisfaction
2019
Framed within an ecological perspective of the onset of adolescent problem behaviors, the current study explored the joint role of parent-adolescents’ relationships and youth's individual factors in binge eating and drinking. Firstly, in line with pieces of research highlighting the beneficial impact of effective parenting on youth development, the present paper sought to enhance the knowledge about the positive influence of parental monitoring on youth's binge drinking and eating. Moreover, since literature evidenced that the explanatory mechanisms of the association between parental monitoring and binge behaviors are not fully explored, the study focused on the potential intervening role …