• Lindsay Osman posted an update a month ago

    Two researchers, applying a combined inductive/deductive approach, conducted a thematic analysis, starting by drawing from relevant research.

    Within this JSON schema’s list of sentences, emergent subthemes are evident.

    A team was assembled from four primary care practices, featuring 28 patients, 29 healthcare professionals, and 8 managers, alongside 16 representatives from community services, and 10 representatives from geriatric clinics. Participants observed several factors impacting the pathway’s adoption: the presence of electronic and printed decision aids, the challenges in including a screening form within the electronic health record, public policies that restrict community-based services, healthcare professionals’ favorable attitudes towards shared decision-making coupled with their workload, and the absence of adequate funding.

    Key stakeholders’ needs will be met and the care pathway scaled by leveraging these findings in its implementation.

    These findings will dictate how the care pathway is implemented, ensuring it caters to the needs of key stakeholders and can be expanded to a broader scale.

    During the COVID-19 pandemic, physicians utilized virtual care platforms to reduce the spread of the virus. This mixed-methods study, employing concurrent triangulation, examines the utilization of synchronous telephone and video consultations with patients, coupled with asynchronous eConsults by geriatric providers. It further probes their viewpoints regarding telemedicine application during the pandemic. Ontario, Canada-based physicians, certified in Geriatric Medicine or the Care of the Elderly, or bearing primary responsibility for the long-term care of at least ten patients, comprised the participant pool. Participants’ perspectives were collected through an online survey, and reflexive thematic analysis of the resulting responses was used to develop the identified themes. We analyzed the current employment of each telehealth tool, contrasting the percentage of participants utilizing telehealth pre-pandemic with their projected usage after the pandemic. We received 29 surveys, a remarkable 879% of them completed, and notably 759% of the respondents were geriatricians. Video conferencing, with a substantial 862% usage rate, trailed only the telephone’s widespread 966% usage, while eConsults held a significantly lower usage rate at 64%. Telephone and video visits were newly adopted by the majority of participants during the pandemic, and they anticipate continuing to use them post-pandemic. The pandemic’s impact on care continuity was profoundly shaped by telemedicine, as our thematic analysis revealed. Increased self-reported satisfaction and openness towards virtual care tools characterized this shift, though hampered by the absence of comprehensive physical exams or cognitive testing capabilities. Its continued use is directly contingent upon the provision of sustained compensation.

    To discern variations in cardiac autonomic regulation between elderly individuals exhibiting either excellent or deficient sleep patterns.

    In Petrolina, Pernambuco, Brazil, a cross-sectional investigation examined 40 older individuals, aged 60 and enrolled in a community health center. The Pittsburgh Sleep Quality Index (PSQI) was employed to evaluate sleep quality. Heart rate variability (HRV) was determined by recording RR intervals (RRI) for 10 minutes, facilitated by a validated smartphone application and the Polar H7 wireless transmitter positioned on the patient’s chest. Kubios HRV was used to calculate HRV parameters, and SPSS was employed for data analysis. Subjects possessing either excellent or poor sleep quality, as indicated by PSQI scores greater than 5, were subjected to the Mann-Whitney U test for comparison.

    Of the 31 older individuals included in the final analysis, 18 (581%) demonstrated poor sleep quality. Individuals of advanced age, exhibiting sound sleep patterns, demonstrate comparable cardiac autonomic regulation as those experiencing disturbed sleep. Evaluation of HRV involves considering both time-domain measures (mean RRI, pNN50, SDNN, RMSSD) and frequency-domain HRV characteristics (LFms).

    Within the complex interplay of elements, LFnu and HFms stand out.

    The HFnu and LF/HF ratio measurements were statistically similar.

    Sleep quality, classified as good and poor, was correlated with older adults to understand its impact (p<.05). The effect size analysis suggests a slight advantage in HRV indicators for participants demonstrating good sleep quality.

    Cardiac autonomic control demonstrated no measurable statistical differences in older individuals possessing either good or poor sleep quality.

    The study’s statistical findings indicated no difference in cardiac autonomic control capabilities between older adults with good and poor sleep quality.

    Atrial fibrillation (AF), even in frail individuals, generally warrants the use of oral anticoagulation (OAC). Existing literature suggests a possible link between frailty and lower prescription rates for OACs, and up to one-third of those prescribed a direct oral anticoagulant (DOAC) may be given an unsuitable dose. This research project aimed to determine the prevalence of oral anticoagulant (OAC) prescriptions among frail, ambulatory older adults with atrial fibrillation (AF), comparing OAC use across various stages of frailty. It also sought to assess the appropriateness of direct oral anticoagulant (DOAC) dosing and to determine whether frailty and other geriatric syndromes impacted the prescribing practices for oral anticoagulants.

    In a retrospective cross-sectional review, patients with atrial fibrillation (AF) who were referred to an ambulatory clinic for older adults with frailty or geriatric syndromes were studied. A frailty diagnosis was made utilizing a Rockwood clinical frailty score of 4; the Canadian Cardiovascular Society AF guidelines subsequently determined the appropriateness of DOAC treatment.

    Two hundred and ten participants were considered for the research. Frail participants, comprising 49% females and an average age of 84 years, exhibited a median frailty score of 5. 70% of individuals prescribed a DOAC received a dose consistent with the established treatment guidelines.

    Oral anticoagulants were prescribed to a significant portion (over 80%) of frail, ambulatory older adults with atrial fibrillation. Despite the prescription of a DOAC, 30% of recipients received an unauthorized dosage, thereby emphasizing a crucial need for more effective initial and ongoing dose selection measures.

    Oral anticoagulant (OAC) medication was prescribed to over 80% of ambulatory older adults affected by frailty and atrial fibrillation (AF). While a direct oral anticoagulant (DOAC) was administered, 30% received a dosage that fell outside the approved range, signifying the need for increased attention to the selection of initial and subsequent dosages.

    The study intended to analyze the occurrence of falls and associated injuries among individuals with different degrees of weekly sedentary time, and explore the link between sedentary time and falls, while also considering functional fitness.

    The Canadian Longitudinal Study on Aging (CLSA) provided baseline and initial follow-up data that were examined, employing 22,942 subjects for the analysis. Participants, at baseline, self-reported whether they had experienced a fall in the preceding twelve months, and, at follow-up, whether they had sustained an injury as a consequence of this fall. blz945 inhibitor Employing the Physical Activity Scale for Elderly, in-home interviews collected self-reported information on leisure sedentary time. Clinic visits included assessments of functional fitness, utilizing grip strength, the timed-up-and-go test, and the chair rise test.

    Falls were demonstrably more prevalent among participants who reported high sedentary time. Lower sedentary time (<1080 minutes per week) was associated with a 78% prevalence of falls in the past 12 months for males aged 65 and older, in comparison with the 98% prevalence found in those reporting higher levels of sedentary time, assessed at baseline. According to adjusted models, a 21% higher risk of reporting a fall at baseline was observed in those who reported a higher level of sedentary time (OR 121; 95%CI 111-133). The data indicated no correlation between the time spent being sedentary and injuries due to falls.

    A high volume of sedentary time may elevate the risk of experiencing a fall. A more profound understanding of this connection mandates future research, using device-based calculations of overall sedentary time and intervals of sedentary activity cessation.

    A tendency towards falls could be linked to substantial reports of sedentary time. Further exploration of this link demands future studies employing device-based calculations of complete sedentary time and intervals of non-sedentary periods.

    Shared decision-making (SDM) is a process that emphasizes individualized choices, grounded in the unique preferences and circumstances of each person. Medication regimens for individuals in long-term care settings should be tailored to individual needs.

    To analyze experiences, a pilot study of two LTC homes in Ontario was performed during their implementation of SDM resources for medication decisions. Plan-Do-Study-Act (PDSA) cycles, two in number, were undertaken by LTC homes, aided by an Advisory Group comprising LTC home representatives and stakeholders involved in resource design. Through rapid qualitative analysis of the advisory group meeting transcripts and field notes, the specifics of SDM resource utilization were uncovered.

    Every site demonstrated enthusiastic participation, but the resource application strategies were unique. To address PPI use, the physicians and pharmacists at Site 1 implemented a deprescribing program, identifying appropriate residents, educating residents and families about the process, and providing shared decision-making (SDM) tools for residents, caregivers, and staff.

All content contained on CatsWannaBeCats.Com, unless otherwise acknowledged,is the property of CatsWannaBeCats.Com and subject to copyright.

CONTACT US

We're not around right now. But you can send us an email and we'll get back to you, asap.

Sending

Log in with your credentials

or    

Forgot your details?

Create Account