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Community Services for the Elderly

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21. Emergency and acute medical care in over 16s: service delivery and organisation

(https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 19Contents Contents Overview 4 Who is it for? 4 Implementation statement 4 Context 5 More information 6 Recommendations 7 1.1 Emergency and acute medical care in the community 7 1.2 Emergency and acute medical care in hospital 9 1.3 Planning emergency and acute care services 12 Putting this guideline into practice 13 Phased implementation and relation to other national initiatives 13 Recommendations for research 14 Priority (...) research recommendations 14 Other research recommendations 17 Update information 19 Emergency and acute medical care in over 16s: service delivery and organisation (NG94) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 19This guideline is the basis of QS174. Ov Overview erview This guideline covers organising and delivering emergency and acute medical care for people aged over 16 in the community and in hospital

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

22. Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China (PubMed)

factors associated with HRQoL among community-dwelling elderly with chronic diseases in mainland China, especially the medication-related risk factors regarding MRQ.The study was conducted in a community health service center through surveys to eligible patients. The main outcomes of HRQoL were assessed by the EuroQol-5D (EQ-5D) scale and EQ-visual analog scale (EQ-VAS). Medication-related risk factors according to MRQ associated with HRQoL were identified using a multiple linear regression.A total (...) Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China Previous studies have demonstrated that medication adherence has an impact on health-related quality of life (HRQoL). However, other medication-related factors that may influence HRQoL have not been extensively studied, especially factors based on the Medication-Risk Questionnaire (MRQ), and such studies are mostly done in Western countries. Our objective was to explore risk

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2018 Patient preference and adherence

23. Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China (PubMed)

Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China Although many studies have analyzed health insurance worldwide, most focus on whole populations rather than specific vulnerable groups. There is a lack of studies that compare different schemes. This paper evaluates the impact of different types of social health insurance and other associated factors on healthcare utilization and costs among middle-aged and elderly Chinese (...) services and control cost increases among middle-aged and elderly adults.

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2018 International journal for equity in health

24. Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly

Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly (ACP-PEACE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03609177 Recruitment Status : Active, not recruiting First Posted : August 1, 2018 Last Update Posted : October 5, 2018 Sponsor: Dana-Farber

2018 Clinical Trials

25. Evaluation of Community-based Care for the Frail Elderly

as matching variables. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 500 participants Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Health Services Research Official Title: Protocol for the Evaluation of Community-based Care for the Frail Elderly in Badalona Serveis Assistencials Actual Study Start Date : April 1, 2018 Estimated Primary Completion Date : March 1 (...) Evaluation of Community-based Care for the Frail Elderly Evaluation of Community-based Care for the Frail Elderly - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation of Community-based Care

2018 Clinical Trials

26. Web-Based Telepresence Exercise Program for Community-Dwelling Elderly Women With a High Risk of Falling: Randomized Controlled Trial (PubMed)

Web-Based Telepresence Exercise Program for Community-Dwelling Elderly Women With a High Risk of Falling: Randomized Controlled Trial While physical exercise is known to help prevent falls in the elderly, bad weather and long distance between the home and place of exercise represent substantial deterrents for the elderly to join or continue attending exercise programs outside their residence. Conventional modalities for home exercise can be helpful but do not offer direct and prompt feedback (...) to the participant, which minimizes the benefit.We aimed to develop an elderly-friendly telepresence exercise platform and to evaluate the effects of a 12-week telepresence exercise program on fall-related risk factors in community-dwelling elderly women with a high risk of falling.In total, 34 women aged 68-91 years with Fall Risk Assessment scores >14 and no medical contraindication to physical training-based therapy were recruited in person from a senior citizen center. The telepresence exercise platform

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2018 JMIR mHealth and uHealth Controlled trial quality: uncertain

27. Factors associated with deaths in 'Elderly Housing with Care Services' in Japan: a cross-sectional study. (PubMed)

Factors associated with deaths in 'Elderly Housing with Care Services' in Japan: a cross-sectional study. Although the Japanese government has expanded its 'Elderly Housing with Care Services' (EHCS) to ensure sufficient places of death for the elderly, resident deaths have occurred in less than 30% of the facilities. Our purpose was to identify the factors associated with residents' deaths in the EHCS, especially within the areas that are expected to have a large increase in the number (...) in the EHCS. Based on this information, a sequential multiple logistic regression analysis was performed. First, we included in-facility health care provision (presence of nursing staff) and facility/residents/regional characteristics in Model 1. Next, visiting nurse agency's care provision was included in Model 2. Finally, we included community hospitals or clinical care provision in Model 3.One hundred and fifty-four facilities answered the questionnaire (response rate: 37.4%). A total of 114 facilities

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2017 BMC Palliative Care

28. A Pharmacist Implemented Pharmacogenomics Service in the Program of All-inclusive Care for the Elderly

: August 22, 2017 Sponsor: Tabula Rasa HealthCare Collaborator: Coriell Life Sciences Information provided by (Responsible Party): Tabula Rasa HealthCare Study Details Study Description Go to Brief Summary: The aim of this study is to evaluate and describe the feasibility of implementing a pharmacist-led pharmacogenomics service for the Program of All-inclusive Care for the Elderly (PACE), a community-based practice setting. Condition or disease Pharmacogenomics Medication Therapy Management Detailed (...) Description: To determine if a pharmacogenomics (PGx) service can become a component of everyday practice, feasibility assessments are needed. While some researchers have begun to assess the feasibility of implementing PGx into pharmacy practice in community-based practice settings, none that we are aware have assessed such feasibility for the Program of All-inclusive Care for the Elderly (PACE). The primary objective of this feasibility study is to evaluate the processes that were involved

2017 Clinical Trials

29. Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China (PubMed)

Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China This study aims to examine whether the urban elderly in the Zhejiang Province of China signed contracts with their general practitioner (GP) based on their health service needs, and to further identify the determinants of their demand and signing decisions. A community-based cross-sectional study was conducted in 16 community health service (CHS (...) ) institutions in Zhejiang Province, China. The urban elderly over 60 years of age were enrolled when visiting the sampled CHS. Baseline characteristics were compared between participants using Chi-Square tests for categorical variables. Univariate and multivariable logistic regression analyses were used to identify determinants of the GP contract service demand and signing decisions, respectively. Among the 1440 urban elderly, 56.67% had signed contracts with their GP, and 55.35% had a demand of the GP

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2017 International journal of environmental research and public health

30. Assessment of falls in the elderly

Assessment of falls in the elderly Assessment of falls in the elderly - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of falls in the elderly Last reviewed: February 2019 Last updated: January 2019 Summary Falls are often multifactorial in origin. Deandrea S. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010 Sep;21(5):658-68. http (...) =bestpractice.com Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007 Jan 3;297(1):77-86. http://www.ncbi.nlm.nih.gov/pubmed/17200478?tool=bestpractice.com Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988 Dec 29;319(26):1701-7. http://www.ncbi.nlm.nih.gov/pubmed/3205267?tool=bestpractice.com Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J

2019 BMJ Best Practice

31. Comparative cost-benefit analysis of tele-homecare for community-dwelling elderly in Japan: Non-Government versus Government Supported Funding Models. (PubMed)

Comparative cost-benefit analysis of tele-homecare for community-dwelling elderly in Japan: Non-Government versus Government Supported Funding Models. Tele-homecare is gaining prominence as a viable care alternative, as evidenced by the increase in financial support from international governments to fund initiatives in their respective countries. The primary reason for the funding is to support efforts to reduce lags and increase capacity in access to care as well as to promote preventive (...) -benefit perspective. This simulation study applies to a Japanese hypothetical cohort with implications for other super-aged and aging societies abroad.We performed a cost-benefit analysis (CBA) on two operational models for enabling tele-homecare for elderly community-dwelling cohorts based on a decision tree model, which we created with parameters from published literature. The two models examined are (a) Model 1-non-government-supported funding that includes monthly fixed charges paid by users

2017 International journal of medical informatics

32. Effects of a Community-Based Program for Oral Health and Nutrition on Cost-Effectiveness by Preventing Disability in Japanese Frail Elderly: A Quasi-Experimental Study Using Propensity Score Matching. (PubMed)

Effects of a Community-Based Program for Oral Health and Nutrition on Cost-Effectiveness by Preventing Disability in Japanese Frail Elderly: A Quasi-Experimental Study Using Propensity Score Matching. In the Japanese Long-Term Care Insurance (LTCI) system, a community-based program for oral health and nutrition (OHN program) has been implemented with the aim of reducing incident disability and care costs. However, the effectiveness of this program has not been confirmed epidemiologically (...) . The purpose of the present study was to test the hypothesis that the OHN program does reduce incident disability and care costs.A prospective study with a 28-month follow-up period was conducted using data from administrative databases at Tagajo City, Japan. Among frail elderly persons (aged 65 years or more) who were enrolled in the LTCI program in Tagajo, 64 participants in the OHN program and 128 controls (nonparticipants) were selected by propensity score matching.We used 2 types of outcome measure

2017 Journal of the American Medical Directors Association

33. Feasibility and Effectiveness of Nutritional Telemonitoring in Community-dwelling Elderly.

Feasibility and Effectiveness of Nutritional Telemonitoring in Community-dwelling Elderly. Feasibility and Effectiveness of Nutritional Telemonitoring in Community-dwelling Elderly. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Feasibility and Effectiveness of Nutritional Telemonitoring in Community-dwelling Elderly. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03240094 Recruitment Status : Completed First Posted : August 4, 2017 Last Update Posted : August 4, 2017 Sponsor: Wageningen University

2017 Clinical Trials

34. Community Intervention to Reduce Social Isolation in Elderly People: a Mixed Methods Multi-approach Evaluation

Community Intervention to Reduce Social Isolation in Elderly People: a Mixed Methods Multi-approach Evaluation Community Intervention to Reduce Social Isolation in Elderly People: a Mixed Methods Multi-approach Evaluation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. Community Intervention to Reduce Social Isolation in Elderly People: a Mixed Methods Multi-approach Evaluation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03142048 Recruitment Status : Completed First Posted : May 5, 2017 Last

2017 Clinical Trials

35. The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People (PubMed)

The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People Locomotive syndrome (LS) is a concept that refers to the condition of people requiring healthcare services because of problems associated with locomotion. Depression is a major psychiatric disease among the elderly, in addition to dementia. The purpose of this study was to determine the association between LS and depression. The study participants were 224 healthy elderly volunteers living

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2017 Current gerontology and geriatrics research

36. Cognitive impairment associated with locomotive syndrome in community-dwelling elderly women in Japan (PubMed)

Cognitive impairment associated with locomotive syndrome in community-dwelling elderly women in Japan In our worldwide aging society, elderly people should maintain cognitive and physical function to help avoid health problems. Dementia is a major brain disease among elderly people, and is caused by cognitive impairment. The locomotive syndrome (LS) refers to a condition in which people require healthcare services because of problems associated with locomotion. The purpose of this study (...) was to determine the association between cognitive impairment and LS. Study participants were 142 healthy elderly female volunteers living in a rural area in Japan. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). A score of ≤26 points on the MMSE was used to indicate categorically defined poor cognitive performance (cognitive impairment). The LS was defined by a score ≥16 points, and non-LS as <16 points, on the 25-question Geriatric Locomotive Function Scale (GLFS-25). Twenty

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2017 Clinical interventions in aging

37. Early hospital readmission of nursing home residents and community-dwelling elderly adults discharged from the geriatrics service of an urban teaching hospital: patterns and risk factors. (PubMed)

Early hospital readmission of nursing home residents and community-dwelling elderly adults discharged from the geriatrics service of an urban teaching hospital: patterns and risk factors. To compare rates and risk factors for early hospital readmission for nursing home residents and community-dwelling older adults.Retrospective cohort study.Geriatric inpatient service at a large urban hospital.Nursing home residents (n=625) and community-dwelling individuals (n=413) aged 65 and older admitted (...) over a 1-year period.Thirty-day readmissions.There were 1,706 hospital admissions within the 1-year study period involving 1,038 individuals. The 30-day readmission rate was higher for subjects discharged to a nursing home than those discharged to the community (34.4% vs 22.6%, P<.001). Chronic kidney disease and pressure ulcers were associated with greater risk of readmission in both groups. Chronic obstructive pulmonary disease was a risk factor for readmission only in community-dwelling

2015 Journal of the American Geriatrics Society

38. Discharge planning conference prior to discharge of the elderly

Discharge planning conference prior to discharge of the elderly Discharge planning conference prior to discharge of the elderly We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Discharge planning conference prior to discharge of the elderly Share: Reading time approx. 1 minute Many patients who are admitted to hospital still require care after (...) , Clemson LM, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev 2016:Cd000313. 2. National Institute for Health and Care Excellence. Transition between inpatient hospital settings and community or care home settings for adults with social care needs. November 2015. . Literature search SBU Enquiry Service consists of systematic literature searches to highlight studies that can address questions received by the SBU Enquiry Service from Swedish healthcare or social

2018 Swedish Council on Technology Assessement

39. Major trauma: service delivery

/terms-and- conditions#notice-of-rights). Page 8 of 23responsibility and authority for the hospital trauma service and leads the multidisciplinary team care acute specialist trauma rehabilitation services acute specialist services for the paediatric and elderly populations a named member of clinical staff (a key worker, often a senior nurse) assigned at each stage of the care pathway who coordinates the patient's care. Recommendation for senior managers and k Recommendation for senior managers and ke (...) Major trauma: service delivery Major tr Major trauma: service deliv auma: service delivery ery NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng40 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

40. Patient experience in adult NHS services: improving the experience of care for people using adult NHS services

participate in their care Many patients wish to be active participants in their own healthcare, and to be involved in creating and managing their health strategy and use of services. Self-care and self-management are particularly important for people with long-term conditions. Communication Communication 1.5.1 Ensure that the environment is conducive to discussion and that the patient's privacy is respected, particularly when discussing sensitive, personal issues. 1.5.2 Maximise patient participation (...) in communication by, for example: maintaining eye contact with the patient (if culturally appropriate) positioning yourself at the same level as the patient ensuring that the patient is appropriately covered (if applicable). Patient experience in adult NHS services: improving the experience of care for people using adult NHS services (CG138) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 311.5.3 Ask the patient how

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

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