Rehabilitation for older people in long term care

Forster, Anne; Bailey, Jo Daugherty; Smith, Jane; Young, John; Green, John; Burns, Eileen

doi:10.1002/14651858.cd004294

Cited by 38 publications

(48 citation statements)

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“…It may be useful to observe the approaches taken in determining effectiveness (and cost-effectiveness for more established rehabilitation services, such as stroke rehabilitation 57,119,125 ) to provide guidance into the best strategy for obtaining the necessary high-quality evidence regarding the effectiveness of vision rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

204

209

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Abstract.Visual impairment is a large and growing socioeconomic problem. Good evidence on rehabilitation outcomes is required to guide service development and improve the lives of people with sight loss.Of the 478 potentially relevant articles identified, only 58 studies met our liberal inclusion criteria, and of these only 7 were randomized controlled trials. Although the literature is sufficient to confirm that rehabilitation services result in improved clinical and functional ability outcomes, the effects on mood, vision-related quality of life (QoL) and health-related QoL are less clear. There are some good data on the performance of particular types of intervention, but almost no useful data about outcomes in children, those of working age and other minority groups. There were no reports on cost effectiveness. Overall, the number of well designed and adequately reported studies is pitifully small; visual rehabilitation research needs higher quality research. We highlight study design and reporting considerations and suggest a future research agenda.

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Section: Discussionmentioning

confidence: 99%

How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

204

209

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“…13 In a Cochrane review of exercise interventions for long-term-care residents (a group who are likely to include the frailest elderly), strength and balance training successfully increased muscle strength and functional abilities. 41 The most effective intensity (duration and frequency) of exercise intervention remains uncertain but it is encouraging that even small gains in strength can translate into important functional gains. Other than correcting vitamin D insufficiency and optimising protein intake, there is limited evidence for specific nutritional interventions.…”

Section: Frailtymentioning

confidence: 99%

Chronic Heart Failure Care Planning: Considerations in Older Patients

Hill

Taylor

2017

Cardiac Failure Review

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In developed countries, it is estimated that 1-2 % of the adult population has heart failure (HF), with the prevalence increasing to more than 10 % in those aged >70 years.1 Despite advances in therapies for heart failure with reduced ejection fraction (HFrEF), it remains a condition associated with significant morbidity and mortality, punctuated by episodes of unplanned hospitalisation. 2HF is one of the commonest causes of unscheduled hospital admissions 3 and data consistently show a lower uptake of evidencebased investigations and therapies in adults >75 years as well as higher HF-related mortality.4 Mortality and rehospitalisation rates are higher amongst patients discharged to skilled nursing facilities than those going home. 5 Older patients more frequently experience comorbidities, frailty, polypharmacy and cognitive impairment and these factors have a significant impact on outcomes. These aspects require proper evaluation to best assess and plan patients' long-termcare needs.In this review, we examine HF-care planning in relation to older patients. While current guidance has its limitations, we offer here a pragmatic approach to care planning in this patient population. Care Planning in Skilled Nursing FacilitiesWhile the majority of older people live at home alone, or with carers, in the UK 16 % of people aged >85 years live in care homes. 6 The spectrum of care ranges from sheltered housing to a variety of assisted living facilities, residential and nursing homes. The reported prevalence of HF in nursing homes ranges from 20.0 to 37.4 %. 7The Heart Failure in Care Homes (HFinCH) study 8 found a higher prevalence of HF in UK care-facility residents aged 65-100 years than in community populations. Most cases were previously undiagnosed and three-quarters of previously recorded cases were unconfirmed using the latest European Society of Cardiology (ESC) guidelines, echocardiogram and brain natriuretic peptide measurements. AbstractIn developed countries, it is estimated that more than 10 % of adults aged over 70 years have heart failure (HF). Despite therapeutic advances, it remains a condition associated with significant morbidity and mortality. It is one of the commonest causes of unscheduled hospital admissions in older adults and data consistently show a lower uptake of evidence-based investigations and therapies as well as higher rates of HF hospitalisations and mortality than in younger adults. These rates are highest amongst patients discharged to 'skilled nursing facilities', where comorbidities, frailty and cognitive impairment are common and have a significant impact on outcomes. In this review, we examine current guidance and its limitations and offer a pragmatic approach to management of HF in this elderly population.

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“…Основной проблемой оказания паллиативной по-мощи в гериатрии является ее междисциплинар-ный характер и отсутствие межведомственного вза-имодействия [3,5,7,8,11]. Выход из этой ситуации может быть в реализации школы пациента, чтобы в домашних условиях сохранялась возможность получать квалифицированную помощь вне зависи-мости от того, кто ее предоставляет [1,6,7,8,10].…”

Section: актуальностьunclassified

School Model Patient in Palliative Care Geriatrics: A New Look at the Problem

Пономарева¹,

Прощаев²,

Ильницкий³

2016

Arhivʺ vnutr. med.

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РезюмеВ статье описан алгоритм создания школы пациента как технологии медицинской и социальной работы при оказании амбулаторной по-мощи лицам пожилого и старческого возраста с тяжелой хронической патологией и высокой потребностью в паллиативной помощи. При этом образовательная программа для лиц без медицинского образования, занятых в уходе, является частью единого медико-социального сервиса, реализуемого посредством Интернет-технологий. Целью школы пациента является функциональное объединение специалистов разного профиля, оказывающих паллиативную помощь лицам старшей возрастной группы. Оценка ее эффективности достоверно показала, что уровень депрессии у пациентов снижается в 2,2 раза, у членов семей -в 1,6 раза. Ключевые слова: геронтология, гериатрия, паллиативная помощь, школа пациентов. AbstractDescribes the algorithm for generating the patient as a medical technology school and social work in the provision of out-patient assistance to those elderly and senile patients with severe chronic disease and high demand for palliative care. With this educational program for individuals with no medical training, employed in care, is part of a medical and social service, implemented by means of Internet technologies. The school's patient is a functional Association expertise, providing palliative assistance to older age groups. Assessment of its effectiveness reliably showed that levels of depression in patients decreases in 2,2 times, families-in 1,6 times.

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Rehabilitation for older people in long term care

Cited by 38 publications

References 1 publication

How Effective is Low Vision Service Provision? A Systematic Review

How Effective is Low Vision Service Provision? A Systematic Review

Chronic Heart Failure Care Planning: Considerations in Older Patients

School Model Patient in Palliative Care Geriatrics: A New Look at the Problem

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