Search results for "Nursing homes"
showing 10 items of 131 documents
Advance-Care Planning Implementation Through the Nursing Process
2021
If healthcare professionals wish to provide healthcare that protects patients’ values and preferences, it is necessary to find a way to systematically implement the Advance-Care Planning process. The purpose of this article is to review the literature and present a theoretical model of Advance-Care Planning implementation through the Nursing Process.
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 …
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…
Beneficios del ejercicio físico en población mayor institucionalizada
2010
Resumen Objetivo Evaluar la eficacia del ejercicio fisico sobre el nivel fisico, funcional y psicologico de personas mayores institucionalizadas. Material y metodo Estudio cuasi-experimental sobre personas mayores institucionalizadas en dos residencias. La intervencion consistio en un programa de ejercicio fisico suave de 2 sesiones semanales de 60 min durante 8 semanas. Se evaluo la movilidad articular, fuerza muscular, marcha y equilibrio, situacion funcional, dolor, estado cognitiva y sensacion de bienestar psicologico. Resultados Los participantes se dividieron en grupo de intervencion (n=24) y grupo control (n=27). Se obtuvieron mejorias estadisticamente significativas en la extension …
New quality regulations versus established nursing home practice: a qualitative study
2012
Published version of an article from the journal: BMC Nursing. Also available from Bio Med Central:http://dx.doi.org/10.1186/1472-6955-11-7 Open Access Background Western governments have initiated reforms to improve the quality of care for nursing home residents. Most of these reforms encompass the use of regulations and national quality indicators. In the Norwegian context, these regulations comprise two pages of text that are easy to read and understand. They focus particularly on residents’ rights to plan their day-to-day life in nursing homes. However, the research literature indicates that the implementation of the new regulations, particularly if they aim to change nursing practice, …
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…
Dignity, Dependence, and Relational Autonomy for Older People Living in Nursing Homes
2015
Dignity is a core concept in nursing care. In earlier theories on dignity, close links have been drawn between dignity and autonomy, and autonomy has been closely related to independence. These traditional understandings of dignity and autonomy may be challenged when an individual moves into a nursing home. Our findings show that negative views about dependence, institutional frames and structures in the nursing home, and the attitudes and actions of healthcare personnel may diminish independence and lead to a lack of autonomy. Each of these areas can be experienced as a serious threat to the residents' dignity. Findings are interpreted and discussed in the light of a theory of relational a…
An Evaluation of the Usability of a Computerized Decision Support System for Nursing Homes
2011
SummaryBackground: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices.Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents.Methods: We employed a qualitative descriptive design using varied methods, …
Antiepileptic drug use in nursing homes
2007
Contrary to former views, the incidence rate of epilepsy after the age of 65 years is higher than in childhood and adolescence, and epileptic seizures are one of the most common neurological problems in the elderly. Given that the incidence of epilepsy increases with advancing age and is not accompanied by an increase in mortality and given that elderly people now live longer, the prevalence of epilepsy is increasing with older age. Antiepileptic drugs (AEDs) are the primary treatment for epilepsy, although they are prescribed for other conditions too. Among nursing home residents the prevalence of seizures or epilepsy is between 5 and 8%, while AEDs are taken by approximately 5–10%. It is…
Hvordan påvirkes arbeidsprosesser ved innføring av EPJ og velferdsteknologi på sykehjem
2018
Masteroppgave i helse- og sosialinformatikk HSI500 - Universitetet i Agder 2018 In order to be better equipped in the challenges of the future, with an increasing number of elderly and fewer professionals to care for them, the government emphasizes the importance of service innovation in the healthcare sector. Change is required to gain socioeconomic benefits, particularly in work processes. More frequent and better use of electronic medical record (EMR) and welfare technology is necessary. The purpose of this study was to bring information and knowledge about how using technology in the nursing homes has transformed the work processes. Qualitative, exploratory method with semi-structured i…