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Dementia
Published in Sally Robinson, Priorities for Health Promotion and Public Health, 2021
Pat Chung, Trish (Patricia) Vella-Burrows
In 2018, it was estimated that over 70% of older people residing in UK care homes had some form of dementia (Hutchingset al., 2018). Nursing homes, unlike residential homes, provide nursing care in addition to personal care and are more likely to care for people with moderate to severe dementia (Prince et al., 2014).
Medicaid and the Children’s Health Insurance Program
Published in Kant Patel, Mark Rushefsky, Healthcare Politics and Policy in America, 2019
Medicaid also provides coverage for a host of long-term care services to beneficiaries in a variety of settings. For example, Medicaid pays for most of the cost of nursing home care once a person living in a nursing home has exhausted all of his/her own financial resources/assets to pay for such care. Nursing home care is very expensive, ranging from $5,000 to $8,000 a month or more, and can easily deplete the lifelong savings of an elderly couple if one of them has to live in a nursing home. In 1988, Congress enacted provisions called “spousal impoverishment,” to prevent a spouse living at home in the community with little or no income or resources. Under the provision, a certain amount of the couple’s combined resources is protected for the spouse living at home in the community. The topic of long-term care is discussed in more detail later in the chapter.
Health care and cost containment in Luxembourg
Published in Elias Mossialos, Julian Le Grand, Health Care and Cost Containment in the European Union, 2019
Nursing homes are provided by the Ministry of Health, while homes and day centres for the mentally ill and mentally handicapped are either run by the Ministry of Health or the Ministry for the Family. The Ministry of Health has recently begun organizing services for the aged to prevent transfer to hospital for minor illnesses. Elderly people who need constant care are accepted in geriatric nursing homes; these are run by the public health services or by the private sector.2
Activity, Activity Personalization, and Well-Being in Nursing Home Residents With and Without Cognitive Impairment: An Integrative Review
Published in Clinical Gerontologist, 2022
Sarah Kelly Shryock, Suzanne Meeks
All nursing homes provide opportunities for activity. However, the prevailing model emphasizes structured recreational activities in large groups on an intermittent basis. This model leaves residents spending the majority of their time unengaged and risks providing activities that do not appeal to them (Ice, 2002) despite tenets of person-centered care that suggest the importance of tailoring all activities, including care, to resident preferences (Bangerter, Van Haitsma, Heid, & Abbott, 2016). When personal care and recreation preferences are fulfilled, satisfaction with the care received (Bangerter, Heid, Abbott, & Van Haitsma, 2017) and increased life satisfaction and sense of control follow (Andrew & Meeks, 2018). For adults in general, psychological benefits of engagement in personally relevant activity include increases in engagement, meaning, and pleasure, leading to improved well-being (Schueller & Seligman, 2010), but nursing homes are difficult places to implement activities tailored to personal preferences. Because of the importance of activity, researchers and staff working in nursing homes have developed many activity programs, either interventional or recreational, to promote well-being. Our purpose in conducting this review was to bring together this disparate literature to examine affect and well-being outcomes related to activities.
The impact of the COVID-19 restrictions on nursing home residents: An occupational perspective
Published in Journal of Occupational Science, 2022
Grace Richardson, Róisín Cleary, Ruth Usher
Following the World Health Organization’s declaration on the 11th of March 2020 of COVID-19 as a global pandemic (WHO, 2020), attention quickly shifted to congregated settings, amid concerns about disease transmission, risk of mortality, and reduced resources (Fallon et al., 2020; Gurwitz, 2020; Weech-Maldonado et al., 2021). Nursing homes, which are residential facilities staffed by healthcare professionals that provide long-term care to older adults and those with disabilities or illnesses (Sanford et al., 2015), are one such setting. The increased mortality rates in nursing homes internationally (Thompson et al., 2020) highlighted how COVID-19 disproportionately affected nursing home residents (Fallon et al., 2020). Concern for this vulnerable population during a pandemic inevitably led to the imposition of control measures and restrictions. From 6th March 2020, restrictions designed to curb transmission were imposed across private and voluntary nursing homes in Ireland (Pierce, 2020). International guidance (WHO, 2020) and national guidance (Health Service Executive, 2022) recommended limiting visitors, implementing social distancing, restricting group activities within the nursing home, curtailing resident movement throughout the home, using personal protective equipment (PPE), and isolating residents who had been infected with COVID-19 (D’Adamo et al., 2020; Dosa et al., 2020; McMichael et al., 2020).
Falls and Physical Activity among Cataract Patients in Vietnam
Published in Ophthalmic Epidemiology, 2022
Quyen To, Van-Anh Huynh, Dung Do, Vu Do, Nathan Congdon, Lynn Meuleners, Corneel Vandelanotte, Hiep Hong, Ho Nguyen, Kien To
Falls are a major public health concern, with 172 million falls estimated worldwide by the Global Burden of Disease study in 2017.1 Falls are also one of the leading causes of unintentional injury deaths (646,000 deaths each year)2 and the majority of fatal falls (80%) occur in low and middle-income countries.3 Among the community-dwelling older adults, about 30% report experiencing a fall each year and those with visual impairment have a two-fold increased risk.4 Falls can result in reduced mobility, loss of independence, nursing home admission, hospitalisation, social isolation and poor quality of life.5 Falling is also one of the most prevalent injury-related causes of hospitalisation, and among those with the highest economic cost in Vietnam.6 However, data on falls are limited for visually-impaired older persons7, particularly in Vietnam, with only one study in Ho Chi Minh City showing that 13% of patients with bilateral cataract reported falling within the last 12 months.8