This study demonstrates the need to prioritise gender-specific social factors to improve cardiovascular health in older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study aimed to investigate the association between use of proton pump inhibitors (PPI) and frailty index (FI), and to assess the causality relationship using Mendelian randomization (MR). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study explored older adults’ experiences with the “My Health Plan” mHealth intervention and examined which person-level factors were associated with adherence. Open access article - no login required.
Previous systematic reviews suggest that deprescribing may improve survival, particularly in frail older people. Evidence is rapidly accumulating, suggesting a need for an updated review of the literature. Open access article - no login required
This study explores the role of champions in implementing community-based interventions for older adults with chronic conditions. Open access article - no login required.
Frailty, a state of increased vulnerability to adverse health outcomes, has garnered significant attention in research and clinical practice. Existing constructs aggregate clinical features or health deficits into a single score. While simple and interpretable, this approach may overlook the complexity of frailty and not capture the full range of variation between individuals. Open access article - no login required.
The aims of this study were to explore reablement staff’s accounts of the ways adult children seek to assume control over their parents’ reablement, and how they manage such situations. Open access article - no login required.
This systematic review aimed to identify and evaluate the psychological factors that protect against suicidality in older age. Open access article - no login required.
This systematic review examines the effectiveness of community-based multidisciplinary integrated care strategies with general practitioner (GP) participation for community-dwelling older adults and describes the level of care integration in each study. Open access article - no login required.
This study compares the effects of two intranasal vitamin B12 dosage regimens in elderly vitamin B12-deficient patients. Open access article - no login required.
This review aimed to uncover PIM prevalence in individuals aged 65 years or older using health databases and emphasized the risk of underestimating PIM prevalence due to underutilization of detection tools. Open access article - no login required.
The aims of this study were to measure the prevalence of polypharmacy and describe the prescribing of selected medications known for overuse in older people with polypharmacy in primary care. Open access article - no login required.
The aim of this review study was to identify, categorize, and synthesize the interventions suggested to improve access and utilization of health services by the ageing population. Open access article - no login required.
Findings from this study support the importance and value of engaging with older people to assist with the development of community-based programs that are authentically designed to align with the expectations of older people, through a process of quality improvement. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Physical activity (PA) has multiple benefits for older adults (≥70 years old). Despite this many older adults do not undertake the World Health Organisation guideline recommended amount of PA. This systematic review examines barriers and motivators to PA in adults aged ≥70 years.
Open Access Article - no password required
Community pharmacists’ knowledge deficits about frailty must be addressed and their communication skills enhanced so they may confidently initiate conversations about frailty and medicines use with older adults.
Open access article - no login required
In this narrative review we describe innovative methods in pharmacovigilance studies of medicines in older people that leverage the increasing availability of digital health technologies, electronic health records and real-world health data to identify and quantify medication related harms in older people. Open access article - no login required.
Our study investigated the association between patients’ willingness to have medications deprescribed and medication adherence. This longitudinal sub-study took place in Swiss primary care settings. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study aimed to classify people by MLTC and social care needs (SCN) into distinct clusters and quantify the association between derived clusters and care outcomes. It highlights those at risk of worse care outcomes, including nursing home admission. Open access article - no login required.
Why you should read this article:
To recognise how comorbidities in older people, including frailty, increase the risk of polypharmacy.
To increase your awareness of the burden of polypharmacy for patients and healthcare services.
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Resources to support dementia carers from ethnically diverse families are limited. We explored carers’ and service providers’ views on adapting the World Health Organization’s iSupport Lite messages to meet their needs.
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Caregivers expressed feelings of frustration, confusion and joy. Emerging themes included: (i) feeling like a ‘criminal’ amidst visitor restrictions and rules; (ii) experiencing uncertainty and disappointment in the quality of care of long-term care homes; (iii) going through burnout; and (iv) focusing on small joys and cherished memories.
Open Access Article
The aim of this study was to explore the lived experiences of a group of older adults involved in a range of occupational-focused leisure activities provided by the Weekday Wow Factor, a small social enterprise led by an occupational therapist to understand their perceptions of positive ageing and occupational participation. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The aim of this study was to describe close relatives’ perspectives of the everyday activities of older adults who are repeatedly readmitted to hospital and discharged to home. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Deprescribing aims to address the problem of medication overuse in older adults. We aimed to describe the categories of trials included in recent systematic reviews, and to make recommendations for future research. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The Village model, most extensively developed in the USA, is an innovative response to ageing populations and older adults who wish to remain living independently within their community. The “Urban Villages” participatory action research study aimed to test the potential of the Village model to work with groups of older adults in two economically deprived, inner-city neighbourhoods in Manchester, UK.
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Results of this study suggest that people aged≥85 living at home with disability, visual and/or cognitive impairment will have difficulty taking their medications, regardless of how many they are prescribed. Therefore, healthcare professionals should routinely ask about, assess and address problems that these patient groups may have with taking their medicines, independent of the number of drugs taken. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The aims of the study were to describe sleep quality among community-dwelling older people; determine the association between sleep quality (total and multidimensional), frailty and overall health; study frailty as a mediator in the association between sleep quality and overall health.
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The objective of this systematic review is to present older individuals’ views on the advance care planning (ACP) process and the factors affecting those opinions.
Open Access Article
Advance care planning is an effective and feasible strategy to facilitate frail elderly to express their healthcare wishes timely and improve their outcomes. This study could provide proof for a better understanding of the subject and help direct future clinical practice.
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Previous research has identified the critical role of primary care for suicide prevention. Although several suicide prevention resources for primary care already exist, it is unclear how many have been created specifically for older veterans. This environmental scan sought to assemble a compendium of suicide prevention resources to be utilized in primary care.
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Implications for practice and research
-While virtual wards are now an accepted model of care delivery for older people further research and evaluation of this model specifically focused on patient selection, the use of technology, impact on carers, and patient and carer satisfaction is needed.
-The use of virtual modalities of care for older people can be a viable alternative to face to face assessment and care.
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This study aimed to investigate the associations between inappropriate prescribing and number of medications identified at discharge from geriatric rehabilitation with subsequent post-discharge health outcomes. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Implications for practice and research:
-Increasing light exposure in care facilities improves mood and behaviour in older adults with intellectual disability (ID).
-Light exposure protocols should be implemented and investigated to determine the optimal intervention parameters.
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Whilst guidelines for frailty management usually entails lifestyle modifications (e.g. physical exercise, diet), the mediating role of lifestyle on the excess mortality associated with frailty is unclear. This study estimates the death risk due to frailty that could be avoided with a healthy lifestyle in older adults.
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our findings supported a causal relationship between genetically predicted depression and frailty in both directions.
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Welfare commissioners conduct individual visits to provide psychological support for older people who are housebound, including those who refuse to participate in group settings. Our findings highlight the need to revive the community structure that previously existed in Japan, in which residents of all ages are acquainted with each other, and to assist in efforts to support older people through mutual aid among residents.
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This collaborative project aimed to understand and enhance the knowledge, confidence and capability of community nurses to manage frailty in a community setting. A person-centred coaching and educational programme was co-developed with community nurse participants to strengthen their leadership role in managing frailty within interprofessional teams.
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Frailty corresponds to individual-level changes in adaptation to a living environment and the loss of ability to evolve or react in that environment. Therefore, we suggest that by considering the geriatric notion of frailty as a particular form of relational vulnerability, healthcare professionals could better understand the specific needs of frail, older people—and thus provide more appropriate care.
Open Access Article
To provide post-hoc analyses of a clinical trial that reported beneficial effects of medication reviews on health-related quality of life. Specifically, to describe the medication changes with a focus on deprescribing, and to explore patient- and medication-related factors that may identify patients most likely to benefit from medication reviews. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The paper provides a review of recent and current developments in relation to the human rights of older people and some discussion of these issues. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Aim: To determine the feasibility of a nurse-led, primary care-based comprehensive geriatric assessment (CGA) intervention.
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Hospital-associated deconditioning can be reduced or prevented through mobilisation strategies such as those promoted by the #EndPJparalysis campaign. This article explains the importance of reducing or preventing hospital-associated deconditioning and nurses’ role in this.
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Commentary on: Solis-Navarro L, Gismero A, Fernández-Jané C, Torres-Castro R, Solá-Madurell M, Bergé C, Pérez LM, Ars J, Martín-Borràs C, Vilaró J, Sitjà-Rabert M. Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis. Age and Ageing. 2022 Nov 2;51(11):afac243. doi: 10.1093/ageing/afac243
Implications for practice and research
As the available evidence supports the effectiveness of digitally delivered and home-based physical exercises (DHE) to promote healthy ageing, healthcare practitioners (eg, family doctors and nurses) should encourage older adults to use such digital tools.
Further research is necessary to gain a more nuanced understanding of factors that influences the effectiveness of DHE.
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Extract: The Centre for Ageing Better (2021a) have asserted that from 30 years of age, the health status of different ethnic groups diverge so that the differences in the health status of older people from ethnic minorities and those of White populations are pronounced and that these differences have persisted for over 20 years
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Loneliness at older ages has been associated with higher morbidity and mortality. One of the risk factors for loneliness may be age-related decline in skeletal muscle strength, which may limit the possibilities for engagement in usual social activities and maintaining relationships. We aimed to identify if decrease in grip strength is an independent determinant of subsequent change in loneliness. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In response to the COVID pandemic when new robust discharge criteria were introduced to facilitate early discharge to optimise hospital capacity, Virtual Frailty Ward (VFW) was established. VFW provides nurse-led telephone follow-up for patients discharged primarily from the Emergency Department (ED) and the Acute Frailty unit (AFU). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Medication-related harm (MRH) events are increasing among older adults especially in the 8-weeks after hospital discharge. The Discharge Medical Service (DMS), a UK initiative, aims to reduce post-discharge MRH. In this study, we will compare the clinical, economic, and service outcomes of the DMS. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Among the elderly the availability of tool assessing psychosomatic syndromes is limited. The present study aims at testing inter-rater reliability and concurrent validity of the semi-structured interview for the Diagnostic Criteria for Psychosomatic Research (DCPR-R-SSI) in the elderly of the general population.
The aim of this study is 1) to identify older patients’ risk factors for drug-related readmissions and 2) to assess the preventability of older patients’ drug-related revisits. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The vast majority of older adults who are chronically ill rely on informal caregivers for support. Caregivers often require additional support to facilitate their role. Using existing research, this scoping review provides a comprehensive picture of what caregivers have indicated as priorities for support. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The objective of the present study is to measure the impact of the intervention of combining a medication review with an integrated care approach on potentially inappropriate medications and hospital readmissions in frail older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This scoping review aimed to locate interventions that support couples to maintain their relationship satisfaction when living with dementia. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
To deliver safe and high-quality care, clinical data on nursing-sensitive indicators and transparency are needed. A comprehensive narrative review of the literature was conducted to describe the prevalence and incidence of nursing-sensitive indicators, namely, falls, incontinence, malnutrition, pain, pressure injury and restraints in home care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study aimed to examine gabapentin utilization trends among older adults with different cognitive statuses and investigate concurrent medication use of potentially inappropriate medications. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The aim of the present systematic review was to investigate cultural factors associated with burden in unpaid caregivers of older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Older adults are particularly affected by medication-related harm (MRH) during transitions of care. The PRIME study (prospective study to develop a model to stratify the risk of MRH in hospitalized patients) developed and internally validated a risk-prediction tool (RPT) that provides a percentage score of MRH in adults over 65 in the eight-weeks following hospital discharge. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
COVID-19 had a devastating impact on older people living in care homes. This study explored the clinical trajectory and management of COVID-19, as well as recovery of older people following infection during the early stages of the pandemic (May to August 2020). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Multimorbidity was linked to a higher hospitalization risk, and this risk was not affected by the country’s wealth and patient’s gender. Multimorbidity was also linked to a higher hospital readmission rate in older adults.
Open Access Article
a Frailty Index (FI) calculated by the accumulation of deficits is often used to quantify the extent of frailty in individuals in specific settings. This study aimed to derive a FI that can be applied across three standardised international Residential Assessment Instrument assessments (interRAI), used at different stages of ageing and the corresponding increase in support needs.
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No convincing evidence exists regarding the optimal treatment strategy for those with a limited pre-fracture life expectancy, underpinning the importance of shared decision-making (SDM). This study investigated healthcare providers’ barriers to and facilitators of the implementation of SDM.
Open Access Article
The purpose of this scoping review is to identify and synthesise what is already known about the quality of life of older carers and care-recipients, considered together, which we refer to as ‘dyadic QoL’; both in general, and with regard to the impact of community-based social care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This qualitative study aimed to explore the experiences of carers of people with dementia of South Asian origin, living in the UK. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In this qualitative study, we explored views of social care professionals in England on supporting older carers, as well as the feasibility, potential benefits and challenges of applying a dyadic outcomes approach into policy and practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
While certain drug-use indicators are known to be associated with clinical outcomes, the relationship is unclear for some highly-prevalent conditions in in patients ≥65 years of age. We examine correlations between three drug-use indicators and post-discharge healthcare services use by older patients according to the presence of dementia, advanced age, and frailty. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The majority of people with dementia (PwD) live in the community. Compared to institutionalised PwD, their access to formalised music therapy is limited. Initial works suggest that non-therapist-led music-based interventions (MBIs) may be an accessible and effective alternative. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
The purpose of this study was to examine the literature surrounding dementia in the aging correctional population and assess the role of cognitive screening related to dementia detection within corrections. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Policy guidance promotes supporting people to live in their own homes for as long as possible with support from homecare services. We aimed to examine risk and safety issues for people with dementia and their homecare workers and risk mitigation practices adopted by homecare workers to address identified risks. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This study investigates under what conditions older spouses receive personal care from their spouse. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This qualitative study was designed to understand the impact of social distancing measures on people with dementia and carers living in the community in England and Wales during a period of social restrictions before the COVID-19 vaccination roll-out. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Online support interventions for carers of people with dementia can be a useful resource to further support carers. We know from the pandemic that remote support is not the same as face-to-face support, but for those who do have internet access, it can offer easy logistical access to support, as opposed to having to travel somewhere and finding care for their relative with dementia. However, what about those without internet access or limited digital skills? That’s why support for carers cannot solely depend on online formats, but it can provide a great add-on to other forms of caregiver support.
This systematic review aims to study and synthesise the best available evidence on the potential factors related to the willingness of older people to engage with long-term care services. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Assistive telecare systems (ATSs) have great potential to be beneficial for informal carers (ICs) providing long-term care to older people (OP). However, little is known about ATS acceptance among ICs. This scoping study aims to investigate various factors that influence the ICs' acceptance of ATSs over time in the pre- and post-implementation phases. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This qualitative evidence synthesis aimed to explore the experiences of older people and their carers (formal and informal) towards a reablement model of community aged care to ensure services are considerate of older people's needs. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
To describe paracetamol dosing and liver function test (LFT) monitoring in older hospital inpatients who are frail or have low body weight. To read the full article, log in using your NHS OpenAthens details.
Chronic pain is common in older people. However, little is known about how pain is experienced in residents of retirement villages (‘villages’), and how pain intensity and associations are experienced in relation to characteristics of residents and village living. We thus aimed to examine pain levels, prevalence and associated factors in village residents. To read the full article, log in using your NHS OpenAthens details.
This study aimed to develop and evaluate a communication tool to guide transitional care for older patients. To read the full article, log in using your NHS OpenAthens details.
Engaging with risk is a certain and unavoidable part of occupational therapy. Intermediate care services are mostly accessed by older people with complex needs, yet little is known in the literature about the extent, type and nature of risk involved in these services. To read the full article, log in using your NHS OpenAthens details.
To determine the impact of lifestyle factors on life expectancy lived with and without Alzheimer’s dementia.. To read the full article, log in using your MPFT NHS OpenAthens details.
The purpose of this study is to find out a simple cognitive intervention method to use MCI and suffering people with depression. As the elderly society increases around the world, the number of elderly people with diseases and dementia is increasing rapidly. Mild cognitive impairment (MCI), a pre-stage to dementia, is a critical treatment time to slow disease progression. However, there is currently no appropriate medication. Furthermore, MCI patients with depression are more difficult to treat.
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Why you should read this article:
To understand the challenges of providing inpatient care for people with dementia
To familiarise yourself with the differences between organic inpatient wards and mixed inpatient wards
To learn about the optimal inpatient environment for people with dementia
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Why you should read this article:
To identify medicines that can precipitate or cause falls, as well as those that can increase the risk of fall-related injuries
To understand the importance of including medication reviews as part of falls prevention strategies
To consider actions you could take in your practice to prevent medicines-related falls in older people
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At the time of writing, public restrictions in place as a result of COVID-19 are being lifted, but most nurses are required to adhere to ongoing workplace precautions and have not yet shaken off the challenges posed by the pandemic.
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Getting older people out of hospital more quickly – or trying to prevent them being admitted in the first place – has been an aspiration for healthcare over many years. But the COVID-19 pandemic has given this mission a new urgency, with policymakers, nurse leaders – and even patients – pushing for alternatives to hospital care.
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Commentary on: Handoll HH, Cameron ID, Mak JC, et al. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev 2021;11(11)
Implications for practice and research
There is evidence of moderate certainty that multidisciplinary rehabilitation after hip fracture surgery results in fewer cases of ‘poor outcome’.
The available studies are insufficient to draw robust conclusions about effectiveness of multidisciplinary rehabilitation.
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A reduction in the ability to chew effectively can have a profound effect on an older adult’s wellbeing. It can affect nutritional status as older people may opt for foods that are easier to chew but are often less nutritious.
This study aimed to describe and analyse different aspects of health, functioning and social networks, and how they relate to formal and informal care in the home among older adults. To read the full article, log in using your NHS OpenAthens details.
This study examined caregivers’ perceptions of the barriers and facilitators of service use with regards to their membership to one Alzheimers organisation and their recommendations for improvements. To read the full article, log in using your NHS OpenAthens details.
Many people living with dementia choose to remain in their own homes, supported by home-care workers, who provide care that is specified in care plans. We explored how care plans of clients living with dementia, compared with ethnographic observations of home care they received. To read the full article, log in using your NHS OpenAthens details.
This grounded theory study sought to explore how older adults’ experience the transition from living at home to a care home with a specific focus on the latter part of the first year of the move. The study was carried out within a large Health Trust in the UK between August 2017 and May 2019. To read the full article, log in using your NHS OpenAthens details.
There are concerns that homecare often fails to meet the needs of clients with dementia, but there is limited evidence regarding effective interventions to improve its delivery for this client group. We aimed to assess whether a co-designed, 6-session dementia training intervention for homecare workers (NIDUS-professional) was acceptable and feasible. To read the full article, log in using your NHS OpenAthens details.
It was the aim of this study to examine, if, and to what extent partner loss, a highly stressful life event, affects frailty trajectories of community dwelling adults aged 50 or older. To read the full article, log in using your NHS OpenAthens details.
In this paper, we focus on the experiences of older men living alone in the community. We present and discuss findings on the difficulties older men experience in responding to and discussing loneliness and the range of coping practices men applied within their home environments. To read the full article, log in using your NHS OpenAthens details.
Lockdown is linked to health issues, yet the full impact on health remains unknown, particularly in more vulnerable groups. This study examined the impact on frailty and outcomes in high and low COVID-19 risk older adults. To read the full article, log in using your NHS OpenAthens details.
This paper aims to explore the concept and practice, of dignity as understood and experienced by older adults and district nursing staff. The paper adds a new, nuanced, understanding of safeguarding possibilities in the context of district nursing care delivered in the home. To read the full article, log in using your NHS OpenAthens details.
Physical activity, sedentary behaviour and sleep are potential risk factors of mental health disorders, but previous studies have not considered the dependency between these activity domains. Therefore, we examined the associations of reallocations of time among older adults’ physical activity, sedentary behaviour and sleep with depressive and anxiety symptoms using compositional isotemporal substitution analyses. To read the full article, log in using your NHS OpenAthens details.
In this study, we aimed to investigate the acute pharmacodynamic (PD) effects of a single dose administration of galantamine on CNS functioning in mild to moderate Alzheimer's Disease patients and its potential to predict long-term treatment response. To read the full article, log in using your NHS OpenAthens details.
Across most disciplines, evidence has shown that telemedicine is as effective as usual care, if not more so, in the feasibility, chronic disease management, and patient satisfaction of the elderly. However, a few studies reported challenges such as difficulty with technology, hearing problems, and the inability to perform hands-on examinations for physicians.
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Themes identified related to attitude to risk, communication and, loss of routine, stimulation and confidence. Using findings from this study and previously identified literature, we developed a theoretical framework including 67 modifiable risk factors.
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