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Community Services for the Elderly

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141. Oseltamivir (Tamiflu) - for the treatment of infants less than 1 year of age including full term neonates who present with symptoms typical of influenza

Oseltamivir (Tamiflu) - for the treatment of infants less than 1 year of age including full term neonates who present with symptoms typical of influenza Final Appraisal Recommendation Advice No: 0316 – February 2016 Oseltamivir (Tamiflu ® ) 30 mg, 45 mg and 75 mg capsules, and 6 mg/ml powder for oral suspension Limited submission by Roche Products Ltd Additional note(s): • Please refer to the Summary of Product Characteristics for the full licensed indication. In reaching the above (...) recommendation AWMSG has taken account of the appraisal documentation prepared by the AWMSG Secretariat (reference number 2800), which includes the AWMSG Secretariat Assessment Report (ASAR), the Preliminary Appraisal Recommendation (PAR) and the applicant company’s response to the PAR, clinical expert opinion (where available), the views of patients/patient carers (where available) and the lay member perspective. This recommendation has been ratified by the Minister for Health and Social Services

2016 All Wales Medicines Strategy Group

142. Speech therapy for children with dysarthria acquired before three years of age. Full Text available with Trip Pro

Speech therapy for children with dysarthria acquired before three years of age. Children with motor impairments often have the motor speech disorder dysarthria, a condition which effects the tone, strength and co-ordination of any or all of the muscles used for speech. Resulting speech difficulties can range from mild, with slightly slurred articulation and breathy voice, to profound, with an inability to produce any recognisable words. Children with dysarthria are often prescribed (...) communication aids to supplement their natural forms of communication. However, there is variation in practice regarding the provision of therapy focusing on voice and speech production. Descriptive studies have suggested that therapy may improve speech, but its effectiveness has not been evaluated.To assess whether any speech and language therapy intervention aimed at improving the speech of children with dysarthria is more effective in increasing children's speech intelligibility or communicative

2016 Cochrane

143. Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population Full Text available with Trip Pro

Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population By 2050, the American 85 years old and over population will triple. Clinicians and the public health community need to develop a culture of sensitivity to the needs of this population and its subgroups. Sensory changes, cognitive changes, and weakness may be subtle or may be severe in the heterogeneous population of people over age 85. Falls, cardiovascular disease, and difficulty (...) with activities of daily living are common but not universal. This paper reviews relevant changes of normal aging, diseases, and syndromes common in people over age 85, cognitive and psychological changes, social and environmental changes, and then reviews common discussions which clinicians routinely have with these patients and their families. Some hearing and vision loss are a part of normal aging as is decline in immune function. Cardiovascular disease and osteoporosis and dementia are common chronic

2017 Frontiers in public health

144. When New Technology is an Answer for Old Problems: The Use of Videoconferencing in Cognitive Aging Assessment Full Text available with Trip Pro

When New Technology is an Answer for Old Problems: The Use of Videoconferencing in Cognitive Aging Assessment People living with cognitive impairment and dementia require regular screening of their symptomatology and needs. Brief cognitive screening is crucial for assessing these conditions. Such screening can give health professionals a snapshot of the patient's cognitive abilities and help in their monitoring and adaptation. An appropriate administration of brief cognitive screening using (...) telemedicine technology, such as videoconference, can improve access to care and treatment planning. Moreover, the burden that rural and underserved communities often suffer because of limited access to specialty mental health services is also of concern. Herein, in this review, we describe the existing and relevant research regarding the administration of neuropsychological instruments via videoconferencing, and suggest methodological improvements for further studies. To date, only a handful of scientific

2017 Journal of Alzheimer's Disease Reports

145. How might the wellbeing of older people living in the community be supported when shielding and social distancing has been recommended for an extended period of time?

How might the wellbeing of older people living in the community be supported when shielding and social distancing has been recommended for an extended period of time? Gwasanaeth Tystiolaeth Evidence Service Rapid summary This is a summary of some material from an evidence review that the Public Health Wales Observatory Evidence Service (OES) is undertaking. We felt that it may have some relevance to organisations supporting older people who are being encouraged to stay at home because (...) be unwilling or unable to embrace them. However, consideration could be given the potential for this, for example smart phones suitable for older people are available and existing mobile phone users might be willing to try these. Interventions and support during the pandemic should include other modes of communication. Gwasanaeth Tystiolaeth Evidence Service Rapid summary Money and resources Consider action to ensure that older people have access to sufficient money, particularly if they usually use cash

2020 Public Health Wales Observatory Evidence Service

146. Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicar Full Text available with Trip Pro

Preliminary Data from Community Aging in Place, Advancing Better Living for Elders, a Patient-Directed, Team-Based Intervention to Improve Physical Function and Decrease Nursing Home Utilization: The First 100 Individuals to Complete a Centers for Medicar Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds (...) projects that have potential to affect the "triple aim," a framework for decreasing costs while improving health and quality of life. This article presents preliminary data from Community Aging in Place, Advancing Better Living for Elders (CAPABLE), a model funded by the CMS Innovation Center and designed to overcome the functional and home environmental barriers of older adults. CAPABLE is a patient-directed, team-based intervention comprising an occupational therapist, a registered nurse

2015 Journal of the American Geriatrics Society

147. Expanding Palliative Care’s Reach in the Community Via the Elder Service Agency Network Full Text available with Trip Pro

that facilitate delivery of palliative care to this target population. Elder service agencies are important partners that researchers should collaborate with to develop new and promising models. Millions of older adults receive aging network services in the U.S., highlighting the potential reach of these models. Recent health care reform efforts provide support for community-based initiatives, where coordination of care and services, delivered via health and social service agencies, is highly prioritized (...) Expanding Palliative Care’s Reach in the Community Via the Elder Service Agency Network Over the past two decades, palliative care has established itself as a promising approach to address the complex needs of individuals with advanced illness. Palliative care is well-established in US hospitals and has recently begun to expand outside of the hospital setting to meet the needs of non-hospitalized individuals. Experts have called for the development of innovative community-based models

2017 Annals of palliative medicine

148. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

use the framework? 5 How to use the ICOPE implementation framework 6 ICOPE implementation scorecard 9 Service (meso) level 12 Engage and empower people and communities 13 Support the coordination of services delivered by multidisciplinary providers 16 Orient services towards community-based care 21 System (macro) level 25 Strengthen governance and accountability systems 26 Enable system-level strengthening 31 Glossary 39 References 40 Contentsiv Integrated care for older people (ICOPE (...) ) implementation framework: guidance for systems and services The Integrated care for older people (ICOPE) implementation framework: guidance for systems and services was coordinated by the World Health Organization (WHO) Department of Ageing and Life Course. Islene Araujo de Carvalho oversaw the preparation of this document with Yuka Sumi. The WHO Department of Ageing and Life Course gratefully acknowledges the participants of the global Delphi study and consultation meeting, who have informed the development

2019 World Health Organisation Guidelines

149. Multi-disciplinary rehabilitation for acquired brain injury in adults of working age. Full Text available with Trip Pro

Multi-disciplinary rehabilitation for acquired brain injury in adults of working age. Evidence from systematic reviews demonstrates that multi-disciplinary rehabilitation is effective in the stroke population, in which older adults predominate. However, the evidence base for the effectiveness of rehabilitation following acquired brain injury (ABI) in younger adults has not been established, perhaps because this scenario presents different methodological challenges in research.To assess (...) -patient or community-based services appropriate to their needs. Group-based rehabilitation in a therapeutic milieu (where patients undergo neuropsychological rehabilitation in a therapeutic environment with a peer group of individuals facing similar challenges) represents an effective approach for patients requiring neuropsychological rehabilitation following severe brain injury. Not all questions in rehabilitation can be addressed by randomised controlled trials or other experimental approaches

2015 Cochrane

150. The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. Full Text available with Trip Pro

The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.Prospective cohort study.English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05 (...) a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

2019 BMJ

151. Reducing 9-1-1 emergency medical service calls by implementing a community paramedicine program for vulnerable older adults in public housing in Canada: A multi-site cluster randomized controlled trial. Full Text available with Trip Pro

Reducing 9-1-1 emergency medical service calls by implementing a community paramedicine program for vulnerable older adults in public housing in Canada: A multi-site cluster randomized controlled trial. Older adults account for 38-48% of emergency medical service (EMS) calls, have more chronic diseases, and those with low income have lower quality of life. Mobile integrated health and community paramedicine may help address these health inequalities and reduce EMS calls. This study examines (...) the effectiveness of the Community Paramedicine at Clinic (CP@clinic) program in decreasing EMS calls and improving health outcomes in low-income older adults.This was an open-label, pragmatic, cluster-randomized controlled trial conducted within subsidized public housing buildings for older adults in 5 paramedic services across Ontario, Canada. A total of 30 apartment buildings were eligible (>50 units, >60% of units occupied by older adults, unique postal code, available match for pairing). Paired buildings

2019 Prehospital emergency care Controlled trial quality: predicted high

152. Cohort study: Around a quarter of all older people have disability during the last 2?years of life, with prevalence higher among women and those aged over 80?years

Cohort study: Around a quarter of all older people have disability during the last 2?years of life, with prevalence higher among women and those aged over 80?years Around a quarter of all older people have disability during the last 2 years of life, with prevalence higher among women and those aged over 80 years | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time (...) of life, with prevalence higher among women and those aged over 80 years Article Text Care of the older person Cohort study Around a quarter of all older people have disability during the last 2 years of life, with prevalence higher among women and those aged over 80 years Calvin H Hirsch Statistics from Altmetric.com Commentary on: Smith AK , Walter LC , Miao Y , et al . Disability during the last two years of life . Implications for practice and research A better understanding of the preventability

2014 Evidence-Based Nursing

153. The impact of a medication review with follow-up service on hospital admissions in aged polypharmacy patients. Full Text available with Trip Pro

The impact of a medication review with follow-up service on hospital admissions in aged polypharmacy patients. The aims were to assess the impact of a medication review with follow-up (MRF) service provided in community pharmacy to aged polypharmacy patients on the number of medication-related hospital admissions and to estimate the effect on hospital costs.This was a sub-analysis of a cluster randomized controlled trials carried out in 178 community pharmacies in Spain. Pharmacies (...) -related hospitalization were €6672. Medication-related hospitalization costs were lower for patients receiving MRF [IG: €94 (SD 917); CG: €301 (SD 2102); 95% CI 35.9, 378.0, P = 0.018].MRF provided by community pharmacists might be an effective strategy to balance the assurance of the benefit from medications and the avoidance of medication-related hospitalizations in aged patients using polypharmacy.© 2016 The British Pharmacological Society.

2017 British journal of clinical pharmacology Controlled trial quality: uncertain

154. Implementing a multi-modal support service model for the family caregivers of persons with age-related macular degeneration: a study protocol for a randomised controlled trial. Full Text available with Trip Pro

Implementing a multi-modal support service model for the family caregivers of persons with age-related macular degeneration: a study protocol for a randomised controlled trial. Age-related macular degeneration (AMD) is a leading cause of blindness and low vision among older adults. Previous research shows a high prevalence of distress and disruption to the lifestyle of family caregivers of persons with late AMD. This supports existing evidence that caregivers are 'hidden patients' at risk (...) ) education on available community services/resources, financial benefits and respite services. The cognitive behavioural therapy embedded in this programme is the best evaluated and widely used psychosocial intervention. The primary outcome is a reduction in caregiver burden. Secondary outcomes include improvements in caregiver mental well-being, quality of life, fatigue and self-efficacy. Economic analysis will inform whether this intervention is cost-effective and if it is feasible to roll out

2017 BMJ open Controlled trial quality: uncertain

155. Designing Fit for Purpose Health and Social Services for Ageing Populations Full Text available with Trip Pro

ability as an important outcome for aging populations, highlighting the concept of raising intrinsic capacity throughout the life course. The complementary perspective is the prevention of frailty, which has physical, cognitive, social and psychological dimensions. Therefore, services for older people should encompass medical as well as social components. The need and evolution for a transition in health and social services in Hong Kong, a special administrative region of China which has a population (...) Designing Fit for Purpose Health and Social Services for Ageing Populations Population ageing is occurring in all countries, regardless of the level of economic development. While the rising burden of chronic diseases and disabilities as a consequence of this demographic transition is well recognized, the increasing prevalence of geriatric syndromes as a public health issue is not as well recognized. Recently the World Health Organization's World Health and Ageing Report emphasized functional

2017 International journal of environmental research and public health

156. Hypertension Prevalence, Health Service Utilization, and Participant Satisfaction: Findings From a Pilot Randomized Controlled Trial in Aged Chinese Canadians Full Text available with Trip Pro

to facilitate middle-aged and senior Chinese Canadians' blood pressure control in community. The aim of this study was to report the hypertension prevalence rate according to the data from blood pressure screening events, to describe the characteristics of health service utilization among aged Chinese Canadians, and to report the evaluation of participant satisfaction to the DASHNa-CC intervention. This study was designed as a pilot randomized controlled trial with a sample size of 60. Among 618 Chinese (...) with the contents, delivery approaches, and integration of traditional Chinese medicine in the intervention. Results indicated that middle-aged and senior Chinese Canadians have high hypertension prevalence and specific characteristics of health service utilization. It is important to implement interventions, which are culturally tailored, language appropriate, using proper technology and incorporating traditional Chinese medicine, in Chinese Canadian community for hypertension control.

2017 Inquiry : a journal of medical care organization, provision and financing Controlled trial quality: uncertain

157. Age of parental concern, diagnosis, and service initiation among children with autism spectrum disorder Full Text available with Trip Pro

developmental concern to doctor, received ASD diagnosis, and first obtained services. Children whose parents had concerns about their child's verbal communication reported earlier ages for all outcomes when compared to children of parents who did not have verbal communication concerns. Children whose parents had concerns about their child's nonverbal communication or unusual gestures/movements received an earlier diagnosis than children whose parents did not have these specific concerns. (...) Age of parental concern, diagnosis, and service initiation among children with autism spectrum disorder Children with autism spectrum disorder (ASD) require substantial support to address the core symptoms of ASD and co-occurring behavioral/developmental conditions. This study explores the early diagnostic experiences of school-aged children with ASD using survey data from a large probability-based national sample. Multivariate linear regressions were used to examine age when parent reported

2017 American journal on intellectual and developmental disabilities

158. The Effect of FRAX on the Prediction of Osteoporotic Fractures in Urban Middle-aged and Elderly Healthy Chinese Adults Full Text available with Trip Pro

The Effect of FRAX on the Prediction of Osteoporotic Fractures in Urban Middle-aged and Elderly Healthy Chinese Adults We aimed to analyze the applicability of a fracture risk assessment tool for the prediction of osteoporotic fractures in middle-aged and elderly healthy Chinese adults.A standard questionnaire was administered, and bone mineral density was measured in residents visiting the Dongliu Street Community Health Service Center. Paired t-tests were used to compare the FRAX-based (...) , while significant negative associations between body mass index and the estimated FRAX-based fracture probabilities after adjustment for age and the estimated FRAX-based fracture probabilities and femoral neck bone mineral density were identified. These results remained the same after controlling for lumbar spine bone mineral density.The Chinese FRAX model could predict osteoporotic fracture risk regardless of whether bone mineral density was considered and was especially appropriate for predicting

2017 Clinics

159. Salutogenic Healthy Aging Program Embracement (SHAPE) for Elderly-only Households

below. For general information, Layout table for eligibility information Ages Eligible for Study: 65 Years and older (Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: community-dwelling elderly aged 65 years and above, either living by himself/herself or living his/her older spouse or living with an unrelated elderly able to comprehend and converse either in English or Chinese language able to be followed up on home visits. Exclusion Criteria (...) preventive home visits provide older adults with the individualized care to cope with living in their homes, group-based education promotes peer learning and allows for social interaction. Elderly residing in elderly-only households can reap the benefits derived from the coaction of preventive home visits and group-based education, providing them with the personalized care to age healthily in their homes and a platform to develop social connectedness with their peers. This study uses the combination

2017 Clinical Trials

160. Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly. Full Text available with Trip Pro

<0.05) in the ≥70 year old group.The incidence of falls was highest in the ≥70 year old group. Using QUS-C-derived BUA is feasible for predicting the incidence of falls in community-dwelling elderly people aged ≥70 years.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. (...) Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly. We investigated whether calcaneal quantitative ultrasound (QUS-C) is a feasible tool for predicting the incidence of falls.Prospective epidemiological cohort study.Community-dwelling people sampled in central western Taiwan.A cohort of community-dwelling people who were ≥40 years old (men: 524; women: 676

2017 BMJ open

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