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Results for “Homebound Persons”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 253 records · Page 14Linked to original sources
PubMed1999

Functional status and need of help among people aged 90 or over: a mailed survey with a total home-dwelling population.

The aims of this study were to test the feasibility of a mailed survey in a population aged 90 years and over and to establish whether self-reported indicators of functioning and need of help predict mortality and institutionalization. A self-administered survey was mailed to the total home-dwelling people aged 90 years or over in the city of Tampere (n = 448). The response rate was 81%. Confirmation of place of residence was carried out after 12 months and a mortality follow-up was conducted after 18 months. Seventy-one percent of the home-dwelling respondents lived alone, 49% went out of doors regularly and 32% received help on a daily basis. Mortality was higher among the institutionalized people than among those living at home. Being bed-ridden, not doing one's own shopping, not reading newspapers and regular need of help were significant predictors of mortality. Regular need of help also predicted institutionalization. We conclude that the population aged 90+ is very heterogeneous. In good conditions a mailed survey can be a feasible method of collecting data even among the oldest-old.

Activities of Daily Living↗
PubMedDate not supplied

[Home schooling].

Explore the source record for details and available documents.

Adolescent↗
PubMed1999

Oral health care for homebound and institutional elderly.

The provision of oral health care to homebound and institutionalized patients presents enormous challenges as well as several advantages for the dental professional. This article discusses the rapid growth of this segment of the population, the barriers to their receiving dental care, and the objectives for provision of that care.

Aged↗
PubMed2000

Home visits to the housebound patient in family practice: a multicenter study. Israeli General Practice Research Network.

BACKGROUND: Most countries today are experiencing an accelerated pace of population aging. The management of the elderly housebound patient presents a special challenge to the family physician. OBJECTIVES: To investigate a series of home visits to housebound patients, the therapeutic procedures used, the equipment needed, and the diagnostic conclusions reached. METHODS: The details of 379 consecutive home visits to housebound patients were recorded by 91 family doctors serving 125,000 patients in Israel. RESULTS: The average age of the patients was 76.1 years. The vast majority of the visits were during office hours (94%). In 24.1% it was the doctor who decided to make the home visit on his/her own initiative. The most common initial reason for a home visit was undefined general symptoms, but the doctor was usually able to arrive at a more specific diagnosis after the visit. Medications were prescribed in 59.1% of the visits, and in 23.5% the medication was administered directly by the physician. The commonest drugs used were analgesics and antibiotics. In 19.3% of visits no action at all, other than examination and counseling, was undertaken. The equipment needed included prescription pads (73%), a stethoscope (81%), sphygmomanometer (74.9%), and otoscope/torch (30.6%). Only 15% of visits resulted in referral to hospital. CONCLUSIONS: Home visits to housebound patients serve as a support to caregivers, provide diagnostic information, and help the family with the decision as to when hospitalization is appropriate. The specific medical cause for the patient being housebound had little effect on the process of home visiting.

Aged↗
PubMed1999

Research challenges to recruitment and retention in a study of homebound older adults: lessons learned from the nutritional and dental screening program.

This paper attempts to describe the many reasons why it is difficult to recruit homebound older adults to participate in research studies. The reasons, not surprisingly, are more practical than theoretical. Complicated procedures for participants to follow, cross-cultural communication, fear of the medical establishment, convoluted consent forms, making contact on the telephone, finding the participants' homes, and a host of other nagging problems combine to erect enormous barriers to running successful studies. It is our hope that in identifying these difficulties we will also shed light on how to design studies that minimize their impact.

Aged↗
PubMed2000

[Decision making concerning very old patients with deteriorating health living at home].

A woman aged 87 and three men aged 87, 86 and 83, respectively, lived at home or in an old-people's home, in poor physical condition due to old age and diseases such as COPD and heart failure. One man was demented, the others did not wish hospital admission in case of further deterioration. When the condition worsened due to infections and fractures, the GP to a limited extent performed diagnostics and treatment. The four patients died, three of them after admission and intensive treatment because the restricted policy had not been communicated clearly. In decision-making about the management of geriatric patients, it is important that the GP knows the patient's wishes, correctly assesses his physical condition and prognosis and communicates well with the patient's next of kin and other care-givers.

Advance Directives↗
PubMed2000

The advanced practice nurse & home care.

Home care providers are experiencing higher acuity of patients in a climate of restricted reimbursement for care. This results in an increased need to develop more efficient systems and to employ staff with expert skills. One way to fill this need is to use nurses with advanced preparation at a graduate-degree level. However, Medicare regulations must change before patients and providers can take advantage of these professionals in the home care setting.

Aged↗
PubMed2001

Technologies to enable home care.

Numerous technologies offer promise and benefits to providers and recipients of home care. Which technologies will provide the greatest value?

Aged↗
PubMed2001

Geriatric oral health issues in Australia.

AIM: To identify and discuss geriatric oral health issues in Australia. METHODS: A discussion of the demographic trends, oral health trends, and barriers to dental care for older Australians is presented, together with a review of Australian public and private sector geriatric dental services, geriatric dental research, and geriatric dental education. CONCLUSIONS: Key geriatric oral health issues for Australia include: edentulism is decreasing and older Australians are retaining more natural teeth; coronal and root caries are significant problems, especially as older adults become more functionally dependent, cognitively impaired, and medically compromised; the oral health status of institutionalised older Australians is poor; the onset of severe oral diseases appears to occur in many older Australians prior to their institutionalisation, when they are homebound and dependent upon carers; carers of older adults do not have access to practical education about dental care; the majority of older Australians are eligible to use public-funded dental services, but barriers limit their access to these services; few Australian public or private dental services are designed with a geriatric focus; geriatric dental education does not have a high profile in Australian dental schools; no specialty exists in Australia for geriatric dentistry, nor is there a national geriatric dentistry association.

Adolescent↗
PubMed2001

Geriatric oral health issues in Germany.

A review of the oral health issues for the elderly in Germany is presented. The percentage of aged and very old people in the total population of Germany is increasing rapidly, as is the percentage of the dentate population due to the high standard of dental care. The percentage of the edentulous population has therefore decreased. It has become necessary for all who care for the elderly, to adjust to caring for the dentate patient and to begin to work together and communicate about the patient's needs. Physicians in particular need to be given training in the detection of caries, periodontal diseases and denture problems. They should feel comfortable working with the dentist and dental team as partners in rehabilitation treatment. The dental treatment needs of the German population aged 70 years and older are not yet adequately met although the social insurance of the elderly includes dental treatment. Provision of oral health care for the dependent elderly, especially those who are homebound or in nursing homes, is not effectively organised and has to be completely reconsidered. The social health insurance and the social long-term care insurance must adjust their insurance coverage to the dental needs of the frail elderly. The development and further improvement of age-adjusted dental care is of crucial importance with respect to future demographic changes.

Aged↗