Younger Nursing Home Residents: A Scoping Review of Their Lived Experiences, Needs, and Quality of Life

Shieu, Bianca; Almusajin, Jumanah A.; Dictus, Cassandra; Beeber, Anna; Anderson, Ruth A.

doi:10.1016/j.jamda.2021.06.016

Cited by 12 publications

(8 citation statements)

References 31 publications

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“…There has been previous research in developing tools to assess the quality of life and experiences of older adults living in LTC; ( 19 , 20 , 21 , 22 ) and there has been research examining the quality of life of younger residents living in long-term care, ( 23 , 24 ) as well as looking at how quality of life differs between older and younger residents of long-term care. ( 11 ) This project has a particular focus on younger residents in long-term care, and on developing an assessment tool specifically for use in this population with a focus on improving their quality of life; a literature search using key phrases such as “young* residents”, “long term care”, “quality of life”, and “assessment OR tool OR survey OR intervention OR instrument” has found no other comparable assessment, either previously developed or in development.…”

Section: Discussionmentioning

confidence: 99%

Piloting a Supplemental Assessment Tool with Younger Residents of Long-Term Care

Samson,

Moody,

Weeks

2024

Can Geriatr J

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Background Young adults living with disabilities may sometimes end up in long-term care facilities which may not always meet their needs. Our project set out to pilot a supplemental assessment tool, a questionnaire to be used upon admission of younger adults into long-term care. We wanted the opinions of both staff and younger residents on what modifications may be needed in the implementation processes to ensure effectiveness of the tool. Methods This project followed a qualitative design, implementing a previously designed supplemental assessment tool with five staff members and seven younger residents of two long-term care homes in Halifax, Nova Scotia. Residents completed the questionnaire with members of staff involved in admissions. Each group participated in follow-up interviews regarding their thoughts on implementation of the tool. Responses were analyzed using the constructs of the Consolidated Framework in Implementation Research following direct content analysis methods. Results Feedback from residents and staff suggested that the tool could not be used as a one-size-fits-all solution but that flexibility in the format, content, and structure of the tool would be beneficial to ensure its utility in a variety of settings. Issues raised by staff and residents included, but were not limited to, accessibility of the intervention, the availability of resources, the format of the intervention and topics covered within it, and ensuring that processes for implementation are clearly defined. Conclusions Both staff and residents approved of the tool for use in the admissions process and agreed that it would enhance the admissions practices already in place.

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Section: Discussionmentioning

confidence: 99%

Piloting a Supplemental Assessment Tool with Younger Residents of Long-Term Care

Samson,

Moody,

Weeks

2024

Can Geriatr J

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“…The systematic review will include studies relating to residents of nursing homes, which are variously referred to in the literature as homes for the aged, long-term care, aged care homes, residential aged care facilities, specialized nursing facilities, institutionalized elderly, or institutionalized older adults. Despite nursing homes being largely associated with older adult populations, they are increasingly being used to care for younger individuals [ 18 ]. Accordingly, and to ensure a comprehensive and contemporaneously relevant review, no age-based restrictions will be applied.…”

Section: Methodsmentioning

confidence: 99%

Protocol for a systematic review and meta-analysis of the prevalence of mental illness among nursing home residents

Holt,

Bhar,

Schofield

et al. 2024

Syst Rev

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Background There is a high prevalence of mental illness in nursing home residents compared to older adults living in the community. This was highlighted in the most recent comprehensive systematic review on the topic, published in 2010. In the context of a rapidly aging population and increased numbers of older adults requiring residential care, this study aims to provide a contemporary account of the prevalence of mental illness among nursing home residents. Methods This protocol was prepared in line with the PRISMA-P 2015 Statement. Systematic searches will be undertaken across six electronic databases: PubMed, Embase, Web of Science, PsycNET, CINAHL, and Abstracts in Social Gerontology. Peer-reviewed studies published from 2009 onwards which report the prevalence of mental illness within nursing home populations will be included. Database searches will be supplemented by forward and backward citation searching. Titles and abstracts of records will be screened using a semi-automated process. The full text of selected records will be assessed to confirm inclusion criteria are met. Study selection will be recorded in a PRISMA flowchart. A pilot-tested form will be used to extract data from included studies, alongside the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data. A study characteristics and results table will be prepared to present key details from each included study, supported by a narrative synthesis. Random-effects restricted maximum likelihood meta-analyses will be performed to compute pooled prevalence estimates for mental illnesses represented in the identified studies. Heterogeneity will be assessed using Cochran’s Q and Higgins’ I2 statistics. A Funnel plot and Egger’s test will be used to assess publication bias. The GRADE approach will be used to assess the quality of the body of evidence identified. Discussion The study will provide a comprehensive and contemporary account of the prevalence of mental illness among nursing home residents. Meta-analyses will provide robust prevalence estimates across a range of presentations. Key insights will be highlighted, including potential sources of heterogeneity. Implications for residents, researchers, care providers, and policymakers will be noted. Systematic review registration PROSPERO: CRD42023456226.

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“…15 While rates of nursing home placement declined sharply in 2013-2019 among the elderly, they stagnated for younger people. 15 Young people with frailty are a special group 16 deserving careful consideration in fatality calculations. Their numbers and trends differ across countries.…”

Section: Adjusting For Changes In Other High-risk Indicatorsmentioning

confidence: 99%

Flaws and uncertainties in pandemic global excess death calculations

Ioannidis

Zonta

Levitt

2023

Eur J Clin Investigation

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Several teams have been publishing global estimates of excess deaths during the COVID‐19 pandemic. Here, we examine potential flaws and underappreciated sources of uncertainty in global excess death calculations. Adjusting for changing population age structure is essential. Otherwise, excess deaths are markedly overestimated in countries with increasingly aging populations. Adjusting for changes in other high‐risk indicators, such as residence in long‐term facilities, may also make a difference. Death registration is highly incomplete in most countries; completeness corrections should allow for substantial uncertainty and consider that completeness may have changed during pandemic years. Excess death estimates have high sensitivity to modelling choice. Therefore different options should be considered and the full range of results should be shown for different choices of pre‐pandemic reference periods and imposed models. Any post‐modelling corrections in specific countries should be guided by pre‐specified rules. Modelling of all‐cause mortality (ACM) in countries that have ACM data and extrapolating these models to other countries is precarious; models may lack transportability. Existing global excess death estimates underestimate the overall uncertainty that is multiplicative across diverse sources of uncertainty. Informative excess death estimates require risk stratification, including age groups and ethnic/racial strata. Data to‐date suggest a death deficit among children during the pandemic and marked socioeconomic differences in deaths, widening inequalities. Finally, causal explanations require great caution in disentangling SARS‐CoV‐2 deaths, indirect pandemic effects and effects from measures taken. We conclude that excess deaths have many uncertainties, but globally deaths from SARS‐CoV‐2 may be the minority of calculated excess deaths.

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Younger Nursing Home Residents: A Scoping Review of Their Lived Experiences, Needs, and Quality of Life

Cited by 12 publications

References 31 publications

Piloting a Supplemental Assessment Tool with Younger Residents of Long-Term Care

Piloting a Supplemental Assessment Tool with Younger Residents of Long-Term Care

Protocol for a systematic review and meta-analysis of the prevalence of mental illness among nursing home residents

Flaws and uncertainties in pandemic global excess death calculations

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