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Community Services for the Elderly

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1. Screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings

controlled trial of health risk appraisal in British general practice. Age Ageing 2008;37:565-71. 26. Tay T, Rochtchina E, Mitchell P, et al. Eye care service utilization in older people seeking aged care. Clin Experiment Ophthalmol 2006;34:141-5. 27. Lord SR, Tiedemann A, Chapman K, et al. The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized, con- trolled trial. J Am Geriatr Soc 2005;53:1296-304. 28. Day L, Fildes B, Gordon I, et al. Randomised (...) by decreased participation in social, work or leisure activities, as well as difficulties in family relationships; symptoms of depression; injuries from accidents, including falls; or the loss of driving privileges. 6–9 Many people with impaired vision become aware of it and obtain help on their own. Self-reported data on vision care from the 2005 Canadian Community Health Survey 10 showed that 59% of adults aged 65 years and older had consulted an eye care pro- fessional in the previous year

2018 CPG Infobase

2. National trends and local delivery in old age mental health services: towards an evidence base. A mixed-methodology study of the balance of care approach, community mental health teams and specialist mental health outreach to care homes Full Text available with Trip Pro

National trends and local delivery in old age mental health services: towards an evidence base. A mixed-methodology study of the balance of care approach, community mental health teams and specialist mental health outreach to care homes National trends and local delivery in old age mental health services: Towards an evidence base. A mixed methodology study of the balance of care approach, community mental health terms and specialist mental health outreach to care homes Journals Library An error (...) 1 , Karen Stewart 1 , Rowan Jasper 1 , Val Harrington 1 , Hilde Verbeek 2 , David Jolley 1 , Jose-Luis Fernandez 3 , Graham Dunn 4 , Martin Knapp 3 , Ian Bowns 1 1 Personal Social Services Research Unit, University of Manchester, Manchester, UK 2 Department of Health Services Research, Maastricht University, Maastricht, Netherlands 3 Personal Social Services Research Unit, London School of Economics, London, UK 4 Centre for Biostatistics, University of Manchester, Manchester, UK * Corresponding

2014 NIHR HTA programme

3. Protocol for a program of research from the Aging, Community and Health Research Unit: Promoting optimal aging at home for older adults with multimorbidity Full Text available with Trip Pro

Protocol for a program of research from the Aging, Community and Health Research Unit: Promoting optimal aging at home for older adults with multimorbidity The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program.The objectives (...) studies and tailored to the unique focus of each study.This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity

2018 Journal of comorbidity

4. Pharmacotherapy in Older Adults with Cardiovascular Disease: Report from an American College of Cardiology, American Geriatrics Society, and National Institute on Aging Workshop. Full Text available with Trip Pro

Pharmacotherapy in Older Adults with Cardiovascular Disease: Report from an American College of Cardiology, American Geriatrics Society, and National Institute on Aging Workshop. To identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD).Consensus meeting.Multidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017.Leaders (...) in the Cardiology and Geriatrics communities, (officers in professional societies, journal editors, clinical trialists, Division chiefs), representatives from the NIA; National Heart, Lung, and Blood Institute; Food and Drug Administration; Centers for Medicare and Medicaid Services, Alliance for Academic Internal Medicine, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, pharmaceutical industry, and trainees and early career faculty with interests in geriatric

2018 Journal of the American Geriatrics Society

5. Measuring ageing: An introduction to the Ageing Better Measures Framework

Better 2019 Local monitoring and evaluation We are also making use of the ABMF at a local level. We are working with the Greater Manchester Combined Authority, Leeds City Council and Leeds Older People’s Forum, supporting them, as well as other members of the UK Network of Age-Friendly Communities, in their use of data and measures to understand local experiences of ageing and monitor progress. We look forward to continuing to work with these and other partners interested in measuring what matters (...) Measuring ageing: An introduction to the Ageing Better Measures Framework Measuring ageing: An introduction to the Ageing Better Measures Framework Centre for Ageing Better January 20193 © Centre for Ageing Better 2019 About the Centre for Ageing Better The Centre for Ageing Better is a charity, funded by an endowment from The National Lottery Community Fund, working to create a society where everyone enjoys a good later life. We want more people to be in fulfilling work, in good health, living

2020 The Centre for Ageing Better

6. Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Circulation. ;0:CIR.0000000000000741 Abstract Longevity is increasing, and more adults are living to the stage of life when age-related biological factors determine a higher likelihood of cardiovascular disease in a distinctive context of concurrent geriatric conditions. Older adults with cardiovascular disease are frequently admitted to cardiac intensive care units (CICUs), where care is commensurate with high age-related cardiovascular disease risks but where the associated geriatric conditions (...) Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search December 2019 November

2019 American Heart Association

7. Future hospital service utilisation in older adults living in long-term residential aged care or the community hospitalised with a fall-related injury. (Abstract)

Future hospital service utilisation in older adults living in long-term residential aged care or the community hospitalised with a fall-related injury. This study identified group-based trajectories of hospitalisation for older adults who were living in residential aged care facilities (RACF) or the community for up to 4 years after an index fall injury hospitalisation. Greater than 3 subsequent fall injury hospitalisations and time until move to a RACF were key predictors of RACF and community (...) -living trajectory group memberships, respectively.To examine hospital service use trajectories of people aged ≥ 65 years who had a fall injury hospitalisation and were either living in a residential aged care facility (RACF) or the community at the time of the index fall and to identify factors predictive of their trajectory group membership.A group-based trajectory analysis of hospitalisations of people aged ≥ 65 years who had a fall injury hospitalisation during 2008-2009 in New South Wales

2019 Osteoporosis International

8. Tiotropium (Spiriva Respimat) add-on maintenance bronchodilator treatment in patients aged 6 years and older with severe asthma

Tiotropium (Spiriva Respimat) add-on maintenance bronchodilator treatment in patients aged 6 years and older with severe asthma Tiotropium (Spiriva ® Respimat ® ). Reference number 1882. Page 1 of 3 AWMSG Secretariat Assessment Report – Limited submission Tiotropium (Spiriva ® Respimat ® ) 2.5 microgram, inhalation solution Company: Boehringer Ingelheim Ltd Licensed indication under consideration: add-on maintenance bronchodilator treatment in patients aged 6 years to < 18 years with severe (...) ® Respimat ® ) as add-on maintenance bronchodilator treatment in patients aged 6 years and older with severe asthma who experienced one or more severe asthma exacerbations in the preceding year (AWTTC reference number 1882). The original report for AWTTC reference number 3436 is included below for completeness. AWMSG SECRETARIAT ASSESSMENT REPORT Tiotropium (Spiriva ® Respimat ® ) 2.5 micrograms solution for inhalation Reference number: 3436 RESUBMISSION This report has been prepared by the All

2018 All Wales Medicines Strategy Group

9. Age-friendly and inclusive volunteering: Review of community contributions in later life

and widen participation across the spectrum. Our communities currently rely on a ‘civic core’ of highly engaged individuals, who are mainly middle-aged, wealthier and white. But there is no room for complacency that this group will be able to sustain its contributions in future. The older population is changing – in future it will be more ethnically diverse, and more people will live for longer with long-term conditions. These are precisely the groups who currently face the greatest barriers to getting (...) is depleted. And without action to engage people in later life in all their diversity, communities will continue to miss out on the talents they bring. To safeguard the future of our communities, we need to ensure that everyone in later life can benefit from the increased wellbeing and connection that comes from community contribution. Our review found that separate ‘older people’s’ volunteering programmes can exacerbate emotional barriers related to ageist attitudes. Rather than age-specific initiatives

2018 The Centre for Ageing Better

10. Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older

Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older - GOV.UK GOV.UK uses cookies which are essential for the site to work. We also use non-essential cookies to help us improve government digital services. Any data collected is anonymised. By continuing to use this site, you agree to our use of cookies. Accept cookies You’ve (...) accepted all cookies. You can at any time. Hide Search Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older The Commission on Human Medicines has issued a series of recommendations to strengthen measures to minimise risk with the yellow fever vaccine (Stamaril) following very rare fatal reactions. Key recommendations include new and updated contraindications and strengthened precautions to protect those with a weakened immune systems (including

2019 MHRA Drug Safety Update

11. A frailty index derived from a standardized comprehensive geriatric assessment predicts mortality and aged residential care admission. Full Text available with Trip Pro

A frailty index derived from a standardized comprehensive geriatric assessment predicts mortality and aged residential care admission. Frailty in older adults is a condition characterised by a loss or reduction in physiological reserve resulting in increased clinical vulnerability. However, evidence suggests that frailty may be modifiable, and identifying frail older people could help better target specific health care interventions and services.This was a regional longitudinal study to develop (...) a frailty index for older adults living in Canterbury New Zealand. Participants included 5586 community dwelling older people that had an interRAI Minimum Data Set (MDS-HC) Home Care assessment completed between 2008 and 2012. The outcome measures were mortality and entry into aged residential care (ARC), after five years.Participants were aged between 65 and 101 (mean age was 82 years). The five-year mortality rate, including those who entered ARC, for this cohort was 67.1% (n = 3747). The relationship

2018 BMC Geriatrics

12. Models of Residential Aged Care Services

within the scope of the snapshot. Search strategy Table 1. Population Aged or elderly persons (>65 years) Setting Include: International and national residential aged care (RAC) facilities (nursing homes, hostel for aged, residential aged care homes) Exclude: Rural care, community care, home care, primary care (GP) Intervention Include: Models of care, models of service delivery or models of delivery of care Exclude: Interventions, strategies, treatments, programs, methods Outcomes Include: Peer (...) and better communication with residents - assumes a multi- functional role and supports eldercare, housekeeping etc. - partners with roving teams for clinical and ancillary support to ensure timely care planning - actively engages and supports the residents for daily activities Not described Key: ECN – Extended care assistants; RN – registered nurses; HPRD – hours per resident per day; CA – care aides; SCA – senior care associate Models of residential aged care services 7 Table 3. Outline of other

2017 Monash Health Evidence Reviews

13. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider Full Text available with Trip Pro

Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services.We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related (...) processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system.There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care

2017 International journal of integrated care

14. Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians Full Text available with Trip Pro

. The overall prevalence of hypertension among U.S. adults is 29.0%, and it increases to 64.9% in adults aged 60 years or older ( ). Hypertension was associated with a total of $46 billion in health care services, medications, and missed days of work in the United States in 2011 ( ). Appropriate management of hypertension reduces the risk for cardiovascular disease, renal disease, cerebrovascular disease, and death ( ). However, determining the most appropriate BP targets, particularly for adults aged 60 (...) . et al HYVET Study Group Treatment of hypertension in patients 80 years of age or older. N Engl J Med 2008 358 1887 98 Lithell H , Hansson L , Skoog I , Elmfeldt D , Hofman A , Olofsson B . et al SCOPE Study Group The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens 2003 21 875 86 Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results

2017 American College of Physicians

15. Community-based interventions to enhance healthy aging in disadvantaged areas: perceptions of older adults and health care professionals. Full Text available with Trip Pro

Community-based interventions to enhance healthy aging in disadvantaged areas: perceptions of older adults and health care professionals. The number of older adults with different ethnic and socioeconomic background is steadily increasing. There is a need for community-based health promotion interventions for older adults that are responsive to ethnic and socioeconomic diversity among target populations. The aim of this study is to explore encounters between older adults living in disadvantaged (...) areas and health care professionals in the context of community-based health promotion.Qualitative methods were used involving interviews and focus groups with older adults (n = 22) and municipal health care professionals (n = 8), and multiple observations were conducted. Data were analyzed thematically.Findings show a gap between health promotion services and older adults due to a perception of services as being neither accessible nor acceptable in the context of complex health and psychosocial

2019 BMC health services research

16. Ageing well: evaluation of social participation and quality of life tools to enhance community aged care (study protocol). Full Text available with Trip Pro

) and the ICEpop CAPability measure for Older people (ICECAP-O) as tools to measure social participation and QoL for clients receiving community aged care services. The specific research questions focus on determining: (1) the levels and predictors of social participation and QoL among older adults using community aged care services; (2) the acceptability and feasibility of implementation of ACPQ and ICECAP-O tools into routine community aged care assessments; (3) if implementation of the tools change service (...) provision and outcomes for older adults receiving community aged care services.A mixed method design will be used to collect data from a large Australian aged care provider. Community aged care clients' ACPQ and ICECAP-O scores, as well as other key outcomes (e.g. services used, hospitalisation and admission to permanent residential care), will be examined at baseline and 12-monthly follow-up assessments. Interviews and focus groups with community aged care clients and staff who administer the tools

2019 BMC Geriatrics

17. Use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6?23 months and children aged 2?12 years

/handbook_2nd_ed.pdf?ua=1). 2 GRADE working group (http://www.gradeworkinggroup.org/). 3 De-Regil LM, Suchdev PS, Jefferds MED, Ota E. Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age (personal communication) 4 De-Regil LM, Jefferds MED, Peña-Rosas JP . Point-of-use fortification of foods with micronutrient powders containing iron in children of preschool and school age (personal communication) 5 Higgins JPT, Green S, editors. Cochrane (...) /204712/1/9789241549523_eng.pdf?ua=1&ua=1) 2 De-Regil LM, Suchdev PS, Jefferds MED, Ota E. Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age (personal communication). 3 De-Regil LM, Jefferds MED, Peña-Rosas JP . Point-of-use fortification of foods with micronutrient powders containing iron in children of preschool and school age (personal communication).6 WHO guideline: Use of multiple micronutrient powders for point-of-use

2017 World Health Organisation Guidelines

18. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

of different models of home and community care services for older persons. BMC Health Services Research, 11, 93. Abstract: UNLABELLED: ABSTRACT: BACKGROUND: Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including those with dementia. METHODS: A systematic review (...) Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners MODELS OF COMMUNITY CARE FOR THE ELDERLY INVOLVING COLLABORATION BETWEEN SPECIALIZED GERIATRIC SERVICES AND PRIMARY CARE PRACTITIONERS For: The Regional Geriatric Program of Eastern Ontario; c/o Fara Amnizadeh From: Knowledge To Action, Ottawa Hospital Research Institute; Managing coordinator: Kristin Konnyu Submitted: September 14 th , 2011. TABLE OF CONTENTS 1

2011 OHRI Knowledge to Action

19. Community design factors and their influence on physical activity in the aging population: A Rapid Review

design features. ROPA 27 can be accessed from: https://www.peelregion.ca/planning/officialplan/list-amendmts.htm 27 5. Incorporate age-friendly, activity-related community design features in Regional facilities that provide housing or services to older adults, such as Peel Manor’s new Seniors’ Health and Wellness Village, with Peel Living, and other affordable housing development opportunities. 28 References (1) Advisory Panel, Ontario Ministry of Municipal Affairs and Housing. Planning for health (...) housing or services to older adults, such as Peel Manor’s new Seniors’ Health and Wellness Village, and with Peel Living and other affordable housing development opportunities. 6 Glossary of Key Terms i Aesthetics refers to safe, inviting and visually- pleasing pedestrian and recreational environments. It can include landscaping, building facades and public realm. Built environment is a term referring to the physical form and character of communities. It usually consists of three elements

2017 Peel Health Library

20. An integrated, collaborative healthcare model for the early diagnosis and management of dementia: Preliminary audit results from the first transdisciplinary service integrating family medicine and geriatric psychiatry services to the heart of patients' ho Full Text available with Trip Pro

An integrated, collaborative healthcare model for the early diagnosis and management of dementia: Preliminary audit results from the first transdisciplinary service integrating family medicine and geriatric psychiatry services to the heart of patients' ho The number of dementia cases is expected to rise exponentially over the years in many parts of the world. Collaborative healthcare partnerships are envisaged as a solution to this problem. Primary care physicians form the vanguard of early (...) detection of dementia and influence clinical care that these patients receive. However, evidence suggests that they will benefit from closer support from specialist services in dementia care. An interdisciplinary, collaborative memory clinic was established in 2012 as a collaborative effort between a large family medicine based service and a specialist geriatric psychiatry service in Singapore. It is the first service in the world that integrates a family medicine based service with geriatric psychiatry

2019 BMC Psychiatry

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