District nurses’ preventive home visits to 75-year-olds: An opportunity to identify factors related to unsafe medication management

Lagerin, Annica; Carlsson, Axel C.; Nilsson, Gunnar; Westman, Jeanette; Törnkvist, Lena

doi:10.1177/1403494814550680

Cited by 57 publications

(34 citation statements)

References 30 publications

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“…This study is limited to one region in a Norwegian context. However, many of the findings are comparable with other PHV studies like Lagerin et al 38 and Sherman et al; 45 so, the results should be applicable to PHV models in countries or regions other than Norway.…”

Section: Discussionsupporting

confidence: 83%

“…In a Swedish PHV study among 75-year-olds, 42.5% had polypharmacy (used five or more drugs). 38 A notable finding was that no use of alcohol was associated with increased risk for polypharmacy. In a group of home dwelling persons over 80 years, 58% had polypharmacy (≥5 medications) and it was found that those who did not use alcohol had a higher risk for polypharmacy.…”

Section: Discussionmentioning

confidence: 99%

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Risk assessment during preventive home visits among older people

Fjell¹,

Cronfalk²,

Carstens³

et al. 2018

JMDH

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BackgroundPreventive home visits (PHV) may contribute to identify risks and needs in older people, and thereby delay the onset of functional decline and illness, otherwise often followed by home care or admission to hospital or nursing homes. There is a need to increase knowledge about which factors are associated with different risk areas among older people, so that the PHV questionnaire focuses on relevant tests and questions to make the PHV more specific and have a clear focus and purpose.ObjectiveThe objective of this study was to examine associations between five kinds of risks: risk of falls, malnutrition, polypharmacy, cognitive impairment, and risk of developing illness and factors related to lifestyle, health, and medical diagnoses among older people living at home.MethodsA cross-sectional study design was applied. PHV were conducted by nurses among 77-year-old people in an urban municipality and among ≥75-year-old people in a rural municipality. A questionnaire including tests and a risk assessment score for developing illness was used. Descriptive and inferential statistics including regression models were analyzed.ResultsThe total sample included 166 persons. Poor perceived health was associated with increased risk of developing illness and risk of fall, malnutrition, and polypharmacy. Lifestyle and health factors such as lack of social support, sleep problems, and feeling depressed were associated with risk of developing illness. Risk of falls, malnutrition, polypharmacy, and cognitive impairment were also associated with increased risk of developing illness. None of the independent factors related to lifestyle, health, or medical diagnosis were associated with risk of cognitive impairment.ConclusionPoor perceived health was associated with health-related risks in older persons living at home. Preventive health programs need to focus on social and lifestyle factors and self-reported health assessment to identify older people at risk of developing illnesses.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Risk assessment during preventive home visits among older people

Fjell¹,

Cronfalk²,

Carstens³

et al. 2018

JMDH

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show abstract

“…In nursing practice we also have effective technology for nurses. Nurses are often in hurry, so applications can help them in decision-making [16] and documentation [13] and in clinical work [17]. We take care of the clients as possible and with the help of updated information.…”

Section: Ethical Values and Digitalizationmentioning

confidence: 99%

Semantic Infrastructure for Service Environment Supporting Successful Aging

Salminen¹,

Sanerma²,

Niittymäki³

et al. 2018

Data Mining

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Demographic changes and the rapid increase of aging people are occurring throughout the world. There is a need for step-by-step developing service environment to support elderly living as old as possible at home. Digital equipment and technology solutions installed at home produce real-time data which can be used for predictive and optimized service creation. New technology solutions have to be tested at home environments to get certainty of usability, flexibility, and accessibility. The implementation of new digitalization has to happen according to ethical rules taking into account the values of elderly people. The data gathered through digital equipment is used in optimizing service processes. However, service process misses common ontology and semantic infrastructure to use the gathered data for service optimization. The service environment and semantic infrastructure, which could be used in social and health care, are introduced in this article.

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“…The district nurse (DN), also commonly labelled Advanced Practice Nurse (APN) in Primary Health Care with a multidisciplinary PHC background, together with midwifes plays an important and autonomous role in the Swedish PHC system [ 22 ]. In Swedish PHC, DN and midwives meet women aged 45–55 years with concerns about their bodily changes and psychological symptoms [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study

et al. 2017

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BackgroundWomen’s physical and mental ill-health such as stress-related symptoms, depression, pain, hypertension and urogenital health shows a marked increase around the ages 45–55 years. These women are an important group for Primary Health Care (PHC) due to their prevalent symptoms and illnesses. The aim of this study was to estimate the prevalence of somatic, psychological and urogenital symptoms in women aged 45–55 attending PHC and evaluate factors associated with severe symptoms.MethodsOne hundred and thirty-one women were recruited from PHC in southwestern Sweden. Data were obtained from two self-reported questionnaires, the Menopause Rating Scale (MRS) and the Montgomery-Asberg Depression Rating Scale (MADRS).ResultsExhaustion, depressive mood, muscle and joint problems, sleep and sexual problems were the most prevalent reported symptoms. Half of the women reported heart discomfort. Depression and increasing age were correlated to more severe symptoms.ConclusionWe recommend that cardiovascular risk factors, musculoskeletal symptoms, sexual problems, sleeping problems and mental health should be actively asked for when women aged 45 to 55 attend PHC. We propose that preventive counselling of women in PHC before the age 45 should be evaluated in future studies.

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District nurses’ preventive home visits to 75-year-olds: An opportunity to identify factors related to unsafe medication management

Cited by 57 publications

References 30 publications

Risk assessment during preventive home visits among older people

Risk assessment during preventive home visits among older people

Semantic Infrastructure for Service Environment Supporting Successful Aging

Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study

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