Activities of daily living and rehabilitation needs for older adults with a stroke: A comparison of home care and nursing home care

Abstract

The ADLs and rehabilitation needs of the older adults who received home care improved, while the older adults who received nursing home care experienced deterioration. After 1 year, the LTCS benefit levels were significantly different between the home care and the nursing home care groups CONCLUSION: All of the ADLs, rehabilitation needs, and LTCS benefit levels for 1 year had improved in the home care patients, while they worsened in those who received nursing home care. This finding provides evidence to direct the policy of LTCS and offers information to guide older adults with a stroke and their family when deciding between the modalities of LTCS.

Identifying the long-term care beneficiaries: differences between risk factors of nursing homes and community-based services admissions

“…Although these settings of care seem to offer similar services, they differ in terms of frequency, intensity and degree of supervision [3,4]. Thus, several differences between the two settings have been reported in the literature, either related to expenditures [5][6][7][8], functional changes [9][10][11][12][13][14], mortality [6,15], quality of life [5,16] or frequency of acute care visits [6,13,15]. Nevertheless, as mentioned in two literature reviews [4,13], given the differences in data collection, selection of populations and methodological strategies, there are very few studies from which to draw conclusions about the differences in effectiveness between HCBS and NH care in several of these outcomes.…”

“…Regarding the first group of risk factors, the association between education level and the use of LTC services is not well proven [20][21][22][23], while characteristics such as older age [6,8,14,19,20,22,[24][25][26][27], female gender [6,7,12,14,19,20,24,[26][27][28] and being widowed or single [17][18][19][20]22,23,27] are usually known to be risk factors contributing for patients being institutionalized. As for the social network, the deeper the family/caregiver involvement, the more likely that an individual remains in the community (HCBS) [7,8,[12][13][14]17,21,22].…”

Slik kan beboere på sykehjem bli mer aktive

“…Det enkle prinsippet «use it or lose it» gjelder for alle, men spesielt for de med dårligst funksjon der en treningsinnsats gir prosentvis større uttelling enn hos mer funksjonsdyktige (19,20). Daglig fysisk og kognitiv aktivitet er nødvendig for å vedlikeholde gjenvunnet fysisk funksjon.…”

Skillful Cycling Training Induces Cortical Plasticity in the Lower Extremity Motor Cortex Area in Healthy Persons

“…Motor impairments following stroke remain one of the leading causes of long-term disability in daily life (Miller et al, 2010; Lee and Cho, 2017). There is substantial evidence that rehabilitative training such as constraint-induced movement therapy promotes cortical plasticity (Mark et al, 2006), and that plastic changes in the motor cortex, as measured by transcranial magnetic stimulation (TMS) and functional neuroimaging, are related to functional recovery of the upper extremity in stroke patients (Choo et al, 2015; Beaulieu and Milot, 2018).…”