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Community Services for the Elderly

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41. Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure

Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure -1- Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Modified from CDC a- i FDA j-l and WHO k Published Guidance) Updated July 2019 Planning Pregnancy for Infected, Exposed, or Possibly Exposed Individuals This is an update of the ASRM Zika virus guidance for providers that addresses the care of non-pregnant patients desiring pregnancy (...) , originally released in September 2016 and updated in August 2018. This revised document reflects the changes that the CDC has made on its Blood and Tissue Safety webpage to more clearly communicate epidemiological information about the risk of Zika virus infection outside of the U.S., with links to the updated CDC webpages. In addition, the most recent information about Zika virus infection risk within the U.S. is included. This updated ASRM guidance specifically addresses Zika virus infection issues

2020 Society for Assisted Reproductive Technology

42. Productive healthy ageing: interventions for quality of life

. In around 5% of cases a fall leads to a fracture and hospitalisation, which is costly to the health service, as well as distressing for the patient. 2 There are around 255,000 falls-related emergency hospital admissions per year for older people in England and the annual cost of hip fractures to the United Kingdom (UK) is estimated at being around £2 billion. 2 Pharmacy teams are in a good position to provide consistent and effective advice to reduce falls and fracture risk factors in the ageing (...) with older people and signpost them into local community activities and support (such as the Jo Cox Foundation and “Campaign to End Loneliness” or local village agent projects, e.g. Somerset). Age UK also has a number of resources and support available to individuals (such as Age Champions). ? Look for risk factors such as those who live alone, have a low income, have poor health, have been recently bereaved or are carers, and consider signposting them to local interventions such as group interventions

2019 Public Health England

43. Structured interdisciplinary bedside rounds (SIBR) in sub-acute geriatric evaluation management and rehabilitation

Director (Kingston) requested for a review of literature to inform the effectiveness of structured interdisciplinary bedside rounds (SIBR) in the subacute setting. Objectives To determine the effectiveness of structured interdisciplinary bedside rounds (SIBR) in the subacute rehabilitation or geriatric evaluation management setting. Definitions SIBR is a process for rounding that ensures effective communication between team members and the patient occurs regularly. All relevant healthcare team members (...) the articles mentioned above were excluded due to wrong setting or not being consistent with the definition for SIBR (see above definition). Conclusions There was no published literature on the effectiveness of structured interdisciplinary bedside rounds (SIBR) in the subacute rehabilitation or geriatric evaluation management setting identified within the date limits (2012-2017). References Gausvik C et al. Structured nursing communication on interdisciplinary acute care teams improves perceptions

2017 Monash Health Evidence Reviews

44. Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference. (Abstract)

Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference. The objective for the current study is to examine patient satisfaction with geropsychiatry services provided via video telehealth.Participants included community-dwelling older Veterans receiving geriatric psychiatry services via telehealth across regions of the Pacific Northwest and Southwestern United States. Participants completed a paper-based survey examining satisfaction with services following (...) the completion of two medication management visits with a geropsychiatrist.The majority of participants (90%) reported liking or even preferring geriatric telepsychiatry, despite the experience being novel for the majority of patients. Eighty-three percent of participants reported that receiving telegeropsychiatry services was the same (n = 30) or better (n = 3) than being seen in-person. Participants saved an average of 168 driving miles (means and standard deviations = 59.2; range 2-480) each visit.The

2019 The American Journal of Geriatric Psychiatry

45. The Aging Tsunami and Senior Healthcare Development in China. (Abstract)

networks, and privately owned senior care facilities and support services. Although it is impossible to cover all aspects of the topic, it is hoped that this article provides readers an overall picture of Chinese geriatrics and senior healthcare development in a complex and evolving healthcare system. Geriatrics communities in the United States and around the world will undoubtedly learn and benefit from the unparalleled and continued efforts to address this unprecedented opportunity and challenge (...) The Aging Tsunami and Senior Healthcare Development in China. China faces an aging tsunami. By the end of 2016, the number of older adults aged 60 and older reached 230 million. This number is projected to reach 418 million by 2035 and peak at 487 million by 2053. The number of individuals aged 80 and older, the oldest adults, reached 26 million and continues to grow by 1 million a year. The socioeconomic context, characterized by an inverted pyramid family structure and the number of "empty

2018 Journal of the American Geriatrics Society

46. Gerontology Research Programme: The Singapore Longitudinal Ageing Studies (SLAS I & II)

doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 55 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Sampling Method: Probability Sample Study Population Community-dwelling Elderly (>55 years old) that are able to self-ambulate and who possess sufficient cognitive capacity for participation. Individuals with severe physical (...) -based cohort of elderly subjects for observational studies with useful clinical applications. Research synergy is achieved in terms of pooling multi-disciplinary expertise, and combining genetic, biological, environmental, behavioural, social, clinical, and health services approaches to gerontological research. Condition or disease Intervention/treatment Cognitive Changes Due to Organic Disorder (Finding) Dementia Mild Cognitive Impairment Frailty Depression Healthy Ageing Biological Ageing Other

2017 Clinical Trials

47. Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population. (Abstract)

service delivery such as collaborative care, and expansion of the mental health workforce through integration of lay health workers into professional healthcare teams, offer potential solutions and require training. Cultural competency, defined as respect and responsiveness to diverse older adults' health beliefs, should be an integral part of clinical training in mental health. Clinicians can be trained in avoidance of stereotyping, communication and development of attitudes that convey cultural (...) Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population. An increasingly diverse population of older adults requires a diverse workforce trained to address the problem of differential healthcare access and quality of care. This article describes specific areas of training focused on addressing health disparities based on ethnic differences. Culturally competent care by mental health providers, innovative models of mental health

2019 The American Journal of Geriatric Psychiatry

48. Addressing the Community-Based Geriatric Healthcare Workforce Shortage by Leveraging the Potential of Interprofessional Teams. Full Text available with Trip Pro

Addressing the Community-Based Geriatric Healthcare Workforce Shortage by Leveraging the Potential of Interprofessional Teams. As Americans live longer lives, we will see an increased demand for quality healthcare for older adults. Despite the growth in the number of older adults, there will be a decrease in the supply of a primary care physician workforce to provide adequately for their care and health needs. This article reviews the literature that explores ways to address the primary care (...) workforce shortage in a community-based geriatric healthcare setting, with special attention to elevating the role of nurses and caregivers and shifting the way we think about delivery of care and end-of-life conversations and planning. The shift is toward a more integrated and collaborative approach to care where medical and nonmedical, social services, and community providers all play a role. Several models have demonstrated promising positive benefits and outcomes to patients, families, and providers

2019 Journal of the American Geriatrics Society

49. Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey. Full Text available with Trip Pro

Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey. The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal.A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters (...) well-being.Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR

2019 BMC Psychiatry

50. What is the evidence on the effectiveness of social marketing strategies for lowering the alcohol consumption of middle-aged people?

What is the evidence on the effectiveness of social marketing strategies for lowering the alcohol consumption of middle-aged people? Knowledge & Library Services (KLS) Evidence Briefing What is the evidence on the effectiveness of social marketing strategies for lowering the alcohol consumption of middle-aged people? Dr Caroline De Brún 1 st November 2018 What are the most effective social marketing strategies for getting middle-aged people to lower their alcohol consumption? KLS Evidence (...) Briefing 02/11/18 Question This briefing summarises the evidence on the effectiveness of social marketing strategies for lowering the alcohol consumption of middle-aged people, and includes research published between 2015 and 2018, although some older papers have been included to provide context. Key messages • There is very little research on the effectiveness of social marketing interventions for middle-aged populations. • Middle-aged people working in managerial and professional occupations

2018 Public Health England - Evidence Briefings

51. Ideas for the NHS long-term plan from the Centre for Ageing Better

creates an historic opportunity for the NHS to make a significant shift in its approach to the ageing population. We believe the NHS should take a comprehensive and strategic approach to healthy ageing with a focus on prevention and maintaining independence as opposed to seeing older people as a collection of diseases and viewing old age as a time of frailty and decline. This paper sets out the case for why NHS England should make some bold commitments to healthy ageing in its long-term plan (...) and community care but also how hospital care for people with multiple conditions is coordinated and managed. 3. Tackle ageist attitudes among health professionals - Health professionals should be trained to overcome the ageist attitudes that lead some to believe functional decline is a natural part of ageing. This misconception inhibits many health professionals from more effectively rehabilitating older people, enabling them to make an optimal recovery and in many cases continue to live autonomously

2018 The Centre for Ageing Better

52. Adapting for ageing: Good practice and innovation in home adaptations

. Community Equipment provision is usually jointly organised by health and social services. Local agreements with housing providers may also be in place to define the role of the social landlord with regard to minor adaptations provision e.g. some will install these or contribute to costs. 2.3 Older people paying for home adaptations themselves With the scale of unmet need for home adaptations, the level of current DFG provision and the ageing population, it is clear that a growing number of older people (...) them none of this good practice analysis would have been possible. We are very grateful to the members of the Older People’s Housing Champions Network who helped to shape the vision for what makes a good adaptations service from the perspective of older people – their thoughtful comments and common sense was greatly appreciated.4 © Centre for Ageing Better 2018 Contents 12 Part 1 Home adaptations and older people: The context 12 1 Why are adaptations to ordinary homes important? 15 2 What help

2018 The Centre for Ageing Better

53. Becoming an age-friendly employer

talent pool. 2.Hire age positively Accessing candidates from all ages improves outcomes for everyone as well as being the right thing to do. Old-fashioned and discriminatory attitudes in recruitment make no business sense. The Recruitment & Employment Confederation Conduct age-positive recruitment campaigns Leading employers actively target older as well as younger candidates and use a variety of recruitment techniques to find people. EMPLOYER CASE STUDY Home Instead Senior Care Social care provider (...) Home Instead Senior Care actively targets older workers approaching or shortly after retirement. Their ‘’Are you a superhero?” advertising imagery challenged stereotypes around age, care work, and care workers and emphasised job quality and making a difference. Home Instead Senior Care adopted different recruitment techniques to target active and inactive jobseekers. An outreach approach took their campaign into communities. The business benefits are in terms of the quality and longevity

2018 The Centre for Ageing Better

54. The digital age: new approaches to supporting people in later life get online

of the digital world, marketing materials need to be designed with the input of the frontline delivery organisations who will use them, and the older people they are aimed at. Embedding digital support People who are more acutely disheartened, or who have entered a transitional stage, could benefit from digital support that is embedded within other support and community services. New approaches to engagement and delivery28 © Centre for Ageing Better 2018 As opposed to digital inclusion operating (...) opportunities to deliver digital inclusion support in partnership with other local public and community services, to maximise reach and avoid duplication.4 © Centre for Ageing Better 2018 Organisations delivering services online should: - Consider how to support service users to engage with online services – private, public and third sector service providers should consider their responsibility to people who are offline, as well as how to support non-users in engaging with online services. - Ensure

2018 The Centre for Ageing Better

55. Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study. Full Text available with Trip Pro

Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study. Globally, an estimated 289,000 maternal deaths occurred in 2013. Majority of these deaths occurred in sub-Saharan Africa and Southern Asia. Mobility of pastoralists is a well-recognized survival strategy in arid and semi-arid land of sub-Saharan Africa. However governments often (...) encourage settlement as a solution to the difficulty of providing health services for mobile pastoralists. This study aimed to assess utilization of institutional delivery and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji zone, Oromia, Ethiopia.A Community based cross-sectional survey was conducted among the mobile pastoralist community of the Liban District. Seven hundred ninety-one (791) randomly selected women, who had birth within

2017 BMC Pregnancy and Childbirth

56. Association between obesity and sickness in the past two weeks among middle-aged and elderly women: A cross-sectional study in Southern China. Full Text available with Trip Pro

Association between obesity and sickness in the past two weeks among middle-aged and elderly women: A cross-sectional study in Southern China. Sickness situation in the past two weeks, an indicator of health service needs, is an increasing major health concern. However, data on the relationship between obesity and two-week morbidity in the female population, particularly in middle-aged and elderly women, is sparse. The present study aimed to examine the association between obesity and two-week (...) morbidity among middle-aged and elderly women in Southern China, and to explore the independent contributions of socio-demographic variables, health-related factors, and obesity to two-week morbidity.In total, 2364 middle-aged and elderly women were included in this cross-sectional, community-based survey. Obesity was assessed using body mass index (BMI). The outcome variable was sickness situation over the past two weeks (two-week morbidity). Clustered logistic regression was applied to analyze

2018 PLoS ONE

57. Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic ran

and cost-effectiveness of a Community In-reach Rehabilitation And Care Transition (CIRACT) service with the traditional hospital-based rehabilitation (THB-Rehab) service in patients aged ≥ 70 years. Older people represent a significant proportion of patients admitted to hospital as a medical emergency. Compared with the care of younger patients, their care is more challenging, their stay in hospital is much longer, their risk of hospital-acquired problems is much higher and their 28-day readmission (...) Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic ran Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people

2016 Health Technology Assessment (HTA) Database.

58. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial. Full Text available with Trip Pro

) investigating the effectiveness of a health and PA counselling programme on life-space mobility and falls rates in community-dwelling older adults at the Health Kiosk and/or Service Centre.Community-dwelling men and women (n=450) aged 65 years and over with early phase mobility limitation will be recruited to a 24-month RCT with a 24-month follow-up. Participants will be randomly allocated into either a health and PA counselling group (intervention) or relaxation group (control intervention). All (...) Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial. The most promising way to promote active life years in old age is to promote regular participation in physical activity (PA). Maintaining lower extremity muscle function with good balance has been associated with fewer falls and the need of help from others. This article describes the design and intervention of a randomised controlled trial (RCT

2019 BMJ open

59. The composition of polypharmacy: A register-based study of Swedes aged 75 years and older. Full Text available with Trip Pro

The composition of polypharmacy: A register-based study of Swedes aged 75 years and older. Polypharmacy is common among older adults. However, little is known about the composition of polypharmacy: which are the most frequently used drugs, and how much do these drugs contribute to the overall prevalence of polypharmacy.A total of 822,619 Swedes aged ≥75 years was identified from the Total Population Register. Through record-linkage with the Swedish Prescribed Drug Register and the Social (...) Services Register we could analyze concurrent drug use in the entire population (both individuals living in the community and institution) on the 31 December 2013.The prevalence of polypharmacy (≥5 drugs) was 45%. The most frequently used drugs were cardiovascular drugs, analgesics, and psychotropics. By excluding the ten most frequently used drug classes or compounds, the prevalence of polypharmacy was reduced by 69% and 51% respectively. The majority of the users of either one of the 10 most

2018 PLoS ONE

60. Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure

Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure -1- Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Modified from CDC a-e , FDA f,g and WHO h Published Guidance) Updated August 2018 Planning Pregnancy for Infected, Exposed, or Possibly Exposed Individuals In September 2016, the ASRM issued a Zika guidance for providers that addressed the care of non-pregnant patients desiring pregnancy (...) ) for the woman and 3 vs. 6 months for men with Zika virus disease should be made using a shared patient-provider decision-making model taking into account any new available data and such variables as age of the female patient and other infertility factors with documentation of the conversation and decision. 4. Symptomatic women and men attempting pregnancy through ART with possible Zika virus exposure should have testing that includes the Zika virus nucleic acid test (NAT) to rule out active Zika infection

2019 Society for Assisted Reproductive Technology

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