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Home Adaptations for the Elderly


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

in disability when people reach their 80s and 90s is particularly relevant in terms of predicting and planning for home adaptations provision because the largest proportionate increase in the older population is set to take place in this ‘older oldage group. b Today 1.6 million people are aged 85 or over. The number of people over 85 (UK figure) is predicted to more than double in the next 23 years to over 3.4 million (ONS, 2017) 1.5 Ageing is linked to disability and inequality So far the extra years (...) . There was a considerable decrease in the number of people who said they wanted to move as the age bracket gets older. Just under a third (31%) of 55-64-year olds stated that they wanted to move; this drops to 21% for those aged 65-74 and just 12% of those 75 and over. 18 © Centre for Ageing Better 2018 As the incidence of disability and mobility problems rise with age, this aspiration to age at home amongst the over 75s is again indicative of a rising market for home adaptations. Looking into barriers which may stop

2018 The Centre for Ageing Better

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

Healthc 2015;8:321]. J Multidiscip Healthc 2015;8:11-20. 20. Dapp U, Anders JA, von Renteln-Kruse W, et al.; PRO-AGE Study Group. A ran- domized trial of effects of health risk appraisal combined with group sessions or home visits on preventive behaviors in older adults. J Gerontol A Biol Sci Med Sci 2011;66:591-8. 21. McEwan RT, Davison N, Forster DP, et al. Screening elderly people in primary care: a randomized controlled trial. Br J Gen Pract 1990;40:94-7. 22. Smeeth L, Fletcher AE, Hanciles S, et (...) factorial trial of falls prevention among older people living in their own homes. BMJ 2002;325:128. 29. Newbury JW, Marley JE, Beilby JJ. A randomised controlled trial of the outcome of health assessment of people aged 75 years and over. Med J Aust 2001; 175: 104-7. 30. van Rossum E, Frederiks CM, Philipsen H, et al. Effects of preventive home visits to elderly people. BMJ 1993;307:27-32. 31. Eekhof J, De Bock G, Schaapveld K, et al. Effects of screening for disorders among the elderly: an intervention

2018 CPG Infobase

3. Everolimus (Votubia) - Adjunctive treatment of patients aged two years and older whose refractory partial-onset seizures, with or without secondary generalisation, are associated with tuberous sclerosis complex (TSC)

Everolimus (Votubia) - Adjunctive treatment of patients aged two years and older whose refractory partial-onset seizures, with or without secondary generalisation, are associated with tuberous sclerosis complex (TSC) 1 everolimus 2mg, 3mg and 5mg dispersible tablets (Votubia ® ) SMC No 1331/18 Novartis Pharmaceuticals UK Limited 04 May 2018 The Scottish Medicines Consortium (SMC) has completed its assessment of the above product and advises NHS Boards and Area Drug and Therapeutic Committees (...) (ADTCs) on its use in NHS Scotland. The advice is summarised as follows: ADVICE: following a full submission assessed under the ultra-orphan medicine process everolimus (Votubia ® ) dispersible tablets are accepted for use within NHS Scotland. Indication under review: Adjunctive treatment of patients aged two years and older whose refractory partial-onset seizures, with or without secondary generalisation, are associated with tuberous sclerosis complex (TSC). A phase III study identified

2018 Scottish Medicines Consortium

4. 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

children aged 6–23 months and children aged 2–12 years ISBN 978-92-4-154994-3 © World Health Organization 2016 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work (...) powders for home fortification of foods consumed by infants and children 6–23 months of age. The present guideline supersedes the previous publication. The word “home” has been substituted by “point-of-use”, to reflect the variety of settings where this intervention may take place. The population groups covered in the guideline have been expanded to include preschool and school-age children (i.e. children aged 2–12 years). In order to produce this current guideline, the standard guideline development

2017 World Health Organisation Guidelines

5. The State of Ageing in 2019: Adding life to our years

at risk. HealthHousing The majority of people continue to live in mainstream houses as they grow older, rather than moving into specialist accommodation, and increasing numbers of over 50s are renting. Yet UK housing stock is by and large unsuitable for people to grow old in.The State of Ageing in 2019 Adding life to our years 27 Housing With 38% of our homes dating from before 1946 (21% from before 1919), and just 7% from after 2000, the UK has the oldest housing stock in the EU. 69 Unsurprisingly (...) occupations. Pessimism about getting older is also linked to poorer health. People who worry about their health getting worse and those who expect to get lonely are around 30% more likely to have a negative experience of ageing than people who don’t. 31 8% 6% 5% 3% 3% 25 to 34 year olds 50 to 64 year olds 35 to 49 year olds 65 to 74 year olds 75 and over professional occupations routine occupations 7% 20% Later lives todayHow will future generations experience later life? In less than 20 years, the number

2020 The Centre for Ageing Better

6. Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams

, ALAIN DENIS, FRANÇOIS DAUE, LUT MERGAERT, CARL DEVOS, PATRIEK MISTIAEN, KOEN VAN DEN HEEDE KCE Report 245Cs Inpatient geriatric consultation teams 1 ¦ FOREWORD As already frequently mentioned, the ageing of our population is foremost good news: it means we all live longer, and live longer in good health. Not surprisingly, also the mean age of patients in hospitals is rising. People aged 75 and older account for almost half of all hospital days on non-geriatric nursing units. Frail older people (...) to us: thanks to all. Christian LÉONARD Deputy general director Raf MERTENS General director 2 Inpatient geriatric consultation teams KCE Report 245Cs ¦ ABSTRACT ? The ageing population coincides with an increasing prevalence of older hospitalised patients with a geriatric profile. Evidence suggest that these patients should be treated according to the principles of ‘comprehensive geriatric care’. Several organisational models were developed to implement these principles in the care for hospitalized

2015 Belgian Health Care Knowledge Centre

7. The Bundled Hospital Elder Life Program-HELP and HELP in Home Care-and Its Association With Clinical Outcomes Among Older Adults Discharged to Home Healthcare. (Abstract)

The Bundled Hospital Elder Life Program-HELP and HELP in Home Care-and Its Association With Clinical Outcomes Among Older Adults Discharged to Home Healthcare. To describe the Bundled Hospital Elder Life Program (HELP and HELP in Home Care), an adaptation of HELP, and examine the association of 30-day all-cause unplanned hospital readmission risk among older adults discharged to home care with and without Bundled HELP.Matched case-control study.Two medical-surgical units within two midwestern (...) rural hospitals and patient homes (home health).Hospitalized patients, aged 65 years and older, discharged to home healthcare with and without Bundled HELP exposure between January 1, 2015, and September 30, 2017. Each case (Bundled HELP, n = 148) was matched to a control (non-Bundled HELP, n = 148) on Charlson Comorbidity Index, primary hospital diagnosis of orthopedic condition or injury, and cardiovascular disease using propensity score matching.The primary study outcome was 30-day all-cause

2019 Journal of the American Geriatrics Society

8. Productive healthy ageing: interventions for quality of life

isolation and loneliness 16 Malnutrition 18 Improving public mental health 21 Further information, tools and resources 23 References 25 A Menu of Interventions for Productive Healthy Ageing 4 Introduction The Menu of Interventions (MOIs) for productive health ageing is a guide that pharmacy teams working in different healthcare settings can use to support older people to improve the quality of their lives. It suggests opportunistic, evidence-based interventions that can help provide benefits for healthy (...) ageing. For example, supporting older people and their carers to prevent or reduce falls, increasing levels of physical activity, maintaining a healthy weight, reducing the risk of social isolation and loneliness, reducing the risk of dementia, supporting people diagnosed with dementia, delaying the progress of dementia and reducing the need for medicines. This is a menu of interventions that could be undertaken by pharmacy teams in the different sectors. It is recognised that not all pharmacy teams

2019 Public Health England

9. Homes that help: A personal and professional perspective on home adaptations

Background to the research This report summarises the findings of a primary research project exploring the lived experiences of individuals who use home adaptations, and practitioners who work alongside them. The homes that people live in significantly impact on their wellbeing and their ability to live their lives the way they want to. Older people spend more time in their homes and immediate neighbourhood than any other age group. Most people over 65 live in what is called ‘mainstream’ or ‘general (...) adaptations. We wanted to know how adaptations contribute to transforming people’s lives and how people experience those adaptations, in their home environments, on a day-to-day basis. The research was led by a team from Northumbria University, in partnership with Newcastle City Council, North Tyneside Council, Newcastle University and Elders Council of Newcastle. The aim was to look at the role of home adaptations in improving later life by exploring the lived experiences of practitioners and older

2018 The Centre for Ageing Better

10. Strengthening Geriatric Expertise in Swiss Nursing Homes: INTERCARE Implementation Study Protocol. (Abstract)

Strengthening Geriatric Expertise in Swiss Nursing Homes: INTERCARE Implementation Study Protocol. Nursing home (NH) residents with complex care needs ask for attentive monitoring of changes and appropriate in-house decision making. However, access to geriatric expertise is often limited with a lack of geriatricians, general practitioners, and/or nurses with advanced clinical skills, leading to potentially avoidable hospitalizations. This situation calls for the development, implementation (...) , and evaluation of innovative, contextually adapted nurse-led care models that support NHs in improving their quality of care and reducing hospitalizations by investing in effective clinical leadership, geriatric expertise, and care coordination.An effectiveness-implementation hybrid type 2 design to assess clinical outcomes of a nurse-led care model and a mixed-method approach to evaluate implementation outcomes will be applied. The model development, tailoring, and implementation are based

2019 Journal of the American Geriatrics Society

11. Salutogenic Healthy Ageing Programme Embracement (SHAPE) for senior-only households: A study protocol. (Abstract)

on the programme.The use of salutogenic model breaks away from the negatively connoted conventional biomedical model and addresses optimization of positive health, providing an overall holistic approach to care of older people. The intervention SHAPE seeks to identify, equip and strengthen resources for senior-only households, encouraging the adaption of health-promoting and risk-preventing actions to achieve better health outcomes and higher quality of life.© 2017 John Wiley & Sons Ltd. (...) Salutogenic Healthy Ageing Programme Embracement (SHAPE) for senior-only households: A study protocol. To evaluate the effectiveness of a multi-dimensional community-based health promotion and risk prevention programme, named Salutogenic Healthy Ageing Programme Embracement (SHAPE) for senior-only households in Singapore.In view of ageing population and its significant impacts on economy, societal structure and policy-making, healthy ageing emerges as an important concept in maintaining health

2018 Journal of advanced nursing Controlled trial quality: uncertain

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

more active, but with age has had to reduce this as she feels quite tired. She continues to do what she can: “I can’t do much because of lack of mobility. I have a friend in a nursing home who I ring up regularly, and stay in touch with old friends by phone.” (Ageing Better Community Research, results in publication). 32 © Centre for Ageing Better 2018 In our discussions with people in later life we heard that people sometimes felt awkward in asking for the adjustments to volunteer roles (...) 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

2018 The Centre for Ageing Better

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

impacts individual wellbeing, it is also estimated to cost the NHS £624 million for first year treatment costs, largely due to excess cold hazards and falls (Garret & Burris, 2015). Ageing Better carried out an evidence review on the role of home adaptations in improving later life that found that making small changes to older people’s homes, such as installing handrails, ramps and level-access showers could play a significant role in relieving pressure on the NHS and social care and reduce costs (...) 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

2018 The Centre for Ageing Better

14. 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

15. Adapted psychotherapy for suicidal geriatric patients with depression. Full Text available with Trip Pro

Adapted psychotherapy for suicidal geriatric patients with depression. This debate article aims to evaluate whether current diagnostic and therapeutic options for suicidal geriatric patients with depression suffice, and which adapted strategies might be helpful. We hope to encourage clinicians to consider special approaches when treating the elderly.Suicide in old age is a major public health problem, as the suicide rates are highest among those aged 60 years and older in most European (...) countries. Although pharmacological treatment options are relatively easy for older patients to obtain, their access to standard psychotherapy is limited. The reasons for this are i) the widely shared attitude about the effectiveness of psychotherapy for older people and ii) the limited access to standard psychotherapy due to their immobility.New psychotherapeutic methods need to be developed. Psychotherapy at the patient's home seems to be a new approach to accommodate that individual's personal

2018 BMC Psychiatry

16. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

First Street, NE, Washington, DC 20002-4242. E-mail: APA GUIDELINE FOR THE TREATMENT OF DEPRESSION ii Abstract The American Psychological Association (APA) developed this clinical practice guideline to provide recommendations for the treatment of depressive disorders (including major depression, subsyndromal depression, and persistent depressive disorder). It addresses three developmental cohorts: children and adolescents; general adults; and older adults (ages 60 and over). Ten (...) Across Three Age Cohorts 1 Scope of the Problem 1 Children and Adolescents 2 General Adult Population 11 Older Adult Population 14 The Need for a Clinical Practice Guideline and Decisions about Scope and Goals of the Clinical Practice Guideline 18 The APA Clinical Practice Guideline for the Treatment of the Problem 19 Guideline Purpose and Scope: What the Guideline Does and Does Not Address 23 APA GUIDELINE FOR THE TREATMENT OF DEPRESSION iv Process and Method 26 Vetting and Appointment of Members

2019 American Psychological Association

17. Healthy Ageing in Scotland: the pilot survey

activity rates for older people in Scotland have increased over the past decade • 68% of men and 55% of women aged 50-64 in the HAGIS study are working, around 20% are retired, with the remainder unemployed, unable to work through illness or disability, caring or looking after the family home • 26% of degree-educated individuals have already retired by age 65 • Only 18% of individuals who identify themselves as being in poor health are in work • Hours of work decline gradually from age 50 onwards (...) in Older Age in Scotland Volunteering Participation Volunteering Intensity Volunteering and Expectations of Longevity Volunteers are more connected to those around them Volunteering Participation and Enthusiasm About HAGIS Volunteering Participation and Survey Incentives Volunteering Participation and Data Linkage Consents 6. Time and Risk Preferences in Older Persons in Scotland Number of responses 9. Financial Literacy Regression Analyses of Financial Literacy Score and Population Characteristics

2018 Health Economics Research Unit

18. Management of an Acute Asthma Attack in Adults (aged 16 years and older)

and experience in monitoring acutely ill, asthma patients and are proficient at administering appropriate medications for this. • Every acute hospital admissions unit should have a senior clinical individual who is responsible for ensuring that asthma care across all departments conforms to the Management of an 9 | A National Clinical Guideline | Management of an Acute Asthma Attack in Adults (aged 16 years and older) Acute Asthma Attack in Adults guideline, and to ensure that records and audit processes (...) including using sedation in some cases are also factors linked to asthma deaths. Deaths from asthma, while uncommon, are generally preventable and occur usually 53 deaths 99 discharges from ICU 5,396 inpatients discharges 19,370 attendees in ED Approximately 50,000 asthma attendances to GPOOH services 248,400 patients with non-controlled asthma 460,000 people in the Republic of Ireland with doctor-diagnosed-asthma10 | Management of an Acute Asthma Attack in Adults (aged 16 years and older) | A National

2015 National Clinical Guidelines (Ireland)

19. 'right@home': a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years. Full Text available with Trip Pro

'right@home': a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years. By the time children start school, inequities in learning, development and health outcomes are already evident. Sustained nurse home visiting (SNHV) offers a potential platform for families experiencing adversity, who often have limited access to services. While SNHV (...) programmes have been growing in popularity in Australia and internationally, it is not known whether they can improve children's learning and development when offered via the Australian service system. The right@home trial aims to investigate the effectiveness of an SNHV programme, offered to women from pregnancy to child age 2 years, in improving parent care of and responsivity to the child, and the home learning environment.Pregnant Australian women (n=722) are identified after completing a screening

2017 BMJ open Controlled trial quality: uncertain

20. Teduglutide (Revestive) - for the treatment of patients aged 1 year and above with short bowel syndrome

III intestinal failure and need long term home based parenteral nutrition. The focus of this appraisal was on patients whose condition is stable on long term parenteral nutrition (PN). In the submission, the applicant refers to parenteral support (PS) which they define as PN together with intraveneous fluids and electrolytes (IV). Teduglutide has a marketing authorisation for treating SBS in patients aged one year and above, when their intestines have had time to adapt after surgery (...) for Pharmacoeconomics March 20182 Summary In July 2017, Shire submitted a pharmacoeconomic assessment to the National Centre for Pharmacoeconomics (NCPE) to support the use of teduglutide for the treatment of patients aged one year and above with Short Bowel Syndrome. Short Bowel Syndrome (SBS) is a chronic and potentially life-threatening condition characterised by reduced absorption of nutrients, water and electrolytes in the intestine. People with SBS can develop chronic intestinal failure, also known as Type

2018 Pediatric Endocrine Society

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