Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Homemaker Services”

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.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 73 records · Page 4Linked to original sources
PubMed1986

The effects of Quebec home aid services on the utilization profile of sociosanitory resources: a substitution study.

The development of home aid services in Quebec is based on the hypothesis that this new program will help to maintain at home people who would otherwise be institutionalized and also contribute to reducing costs in the health care sector. Accordingly, home aid services can be viewed as a substitute for conventional health care services. This study evaluates utilization modifications of health care services subsequent to the introduction of a home-aid program in October 1977. A modified, non-equivalent, control group design was used on a target population including all residents aged 65 or more in one region of Quebec. Multiple regression was used to explain variations in resources utilization in relation to population characteristics and different health care settings. Results for the utilization of hospitals are discussed. We discovered that the anticipated substitutive effects of a home-aid program on the use of health care services cannot be ascertained.

Activities of Daily Living↗
PubMed1989

A nontraditional supportive services program: VNA independence plus.

The Visiting Nurse Association (VNA) of Texas received a grant from the Robert Wood Johnson Foundation to develop a financially self-sustaining program of nontraditional, homebased supportive services for the elderly in March 1987. The new, fee-for-service program, VNA Independence Plus, used market research to develop a service package that would meet the needs of area elderly. Services offered include housekeeping, transportation, yard care, and handyman services.

Aged↗
PubMed2001

Assistance with personal care activities among the old-old in Israel: a national epidemiological study.

OBJECTIVES: The objectives of this study were to (1) estimate rates of difficulty, need for assistance, and receipt of assistance with activities of daily living (ADLs) among the old-old in Israel; (2) describe the living arrangements of the dependent old-old; and (3) gain insight into the caregiving provided to the disabled members of this population. DESIGN: A random stratified sample of 1,820 subjects age 75 to 94 selected from the National Population Register (NPR), a complete listing of the Israeli population maintained by the Ministry of the Interior. The study sample consisted of Jews living in Israel on January 1, 1989, stratified by age (four 5-year age groups: 75-79, 80-84, 85-89, 90-94), sex, and place of birth (Europe-America, Middle East/North Africa, Israel). SETTING: National sample of old-old Jewish Israelis. PARTICIPANTS: One thousand eight hundred twenty Israelis age 75 to 94 who were living in the community or in institutions at the time of the baseline interview. MEASUREMENTS: Participants' disability status was classified in terms of difficulty with, needing help with, and receiving help with any of five ADLs (washing/bathing, dressing, transferring, toileting, and eating). Only those receiving assistance from a person (as opposed to a device) were considered to be receiving help. The independent variables used included sociodemographic, health, and social network characteristics of the participants. RESULTS: Twenty-one percent of those age 75 to 94 were found to be receiving personal assistance with at least one ADL. The most dependent were those age 90 to 94, women, those born in the Middle East or North Africa, and those living in an institution. Among those dependent in one or more ADLs, the overall community:institutionalized ratio was 2.4:1. Those who were dependent in three to five ADLs were about twice as likely to live in an institution as were those who were dependent in one or two ADLs. The Middle Eastern/North African born were more likely to be dependent, and at any given level of disability were more likely to be living in the community with a child and receiving the majority of their caretaking from the informal sector, primarily their family. CONCLUSION: We conclude that the families of disabled older people, particularly the Middle Eastern/North African born, provide a great deal of care for their older relatives despite the availability of a full range of services, providing no evidence of withdrawal of family care when state home and institutional care are available. This finding may imply underutilization of services, which should be investigated further to determine if it is caused by barriers to utilization or by the free choice of the disabled old-old and their families.

Activities of Daily Living↗
PubMed2001

Use of unpaid and paid home care services among people with HIV infection in the USA.

This paper examines utilization of paid and unpaid home health care using data from a nationally representative sample of HIV-positive persons receiving medical care in early 1996 (N = 2,864). Overall, 21.0% used any home care, 12.2% used paid care and 13.6% used unpaid care. Most (70.0%) users of home care received care from only one type of provider. Substantially more hours of unpaid than paid care were used. We also found evidence of a strong association between type of service used and type of care provider: 62.4% of persons who used nursing services only received paid care only; conversely, 55.5% of persons who used personal care services only received care only from unpaid caregivers. Use of home care overall was concentrated among persons with AIDS: 39.5% of persons with AIDS received any home health care, compared to 9.5% of those at earlier disease stages. In addition to having an AIDS diagnosis, logistic regression analyses indicated that other need variables significantly increased utilization; a higher number of HIV-related symptoms, lower physical functioning, less energy, a diagnosis of CMV and a recent hospitalization each independently increased the odds of overall home care utilization. Sociodemographic variables had generally weak relationships with overall home care utilization. Among users of home care, non-need variables had more influence on use of paid than unpaid care. Both paid and unpaid home health care is a key component of community-based systems of care for people with HIV infection. The results presented in this paper are the first nationally representative estimates of home care utilization by persons with HIV/AIDS and are discussed with reference to policy and future research.

Acquired Immunodeficiency Syndrome↗
PubMed1980

A scheme of augmented home care for acutely and sub-acutely ill elderly patients: report on pilot study.

A pilot study for a scheme of augmented home care for elderly patients with acute or sub-acute illnesses is described. General practitioner care was supplemented by the services of a geriatrician. Home Help and District Nursing Services were involved where appropriate. Functional recovery was assessed using a new index based on the individual patient's pre-morbid function. Of 37 patients treated at home, six required admission to hospital and three died. The remainder made satisfactory functional recovery. Preliminary evidence suggests that in patients with comparable illness, recovery of function in terms of the Activities of Daily Living is more rapid at home than in hospital. This augmented home-care scheme proved practicable and acceptable to patients and participants and suggests that further controlled studies should be carried out.

Activities of Daily Living↗
PubMed1994

The validity of survey data on utilization of health and social services among the very old.

Survey responses to questions regarding utilization of health and social services among very old persons were compared to independently registered utilization records. Survey data came from in-person interviews with a sample of noninstitutionalized 75-84-year-olds and all noninstitutionalized individuals over the age of 84 in a Swedish community. Agreement regarding utilization vs no utilization during the past three months was found to be very high for hospitalizations and home help, somewhat lower for home visits by nurses, and lower yet for visits to physicians and to nurses. Except for visits to nurses, aggregate survey estimates of proportion with utilization were not significantly different from those based on records. Reporting patterns were generally in agreement with predictions made on the basis of frequency and saliency of service utilization. Reasons for over- and underreporting were investigated on the basis of register data, and some evidence for telescoping was observed.

Aged↗
PubMedDate not supplied

The in-home worker: serving the frail elderly.

Little attention has been paid to the special tasks facing the many unskilled in-home workers who serve the frail elderly. With the assistance of the Community Care Training Project at the University of Illinois in Urbana-Champaign, the authors studied the needs in-home workers have for interpersonal skills. A typology of problematic interpersonal situations is presented, along with suggestions for training, assessment, and supervision of clients and workers.

Aged↗
PubMed1989

Home care and the older adult: illness care versus wellness care.

If older citizens are to maximize their potential for optimal functioning and independence, there will surely be a greater need for holistic nursing care. How can nurses fulfill this need in view of existing barriers? What can they do to ensure that home- and community-based holistic nursing care will be available to elderly citizens for whom the quality of life is at risk? Although there are no easy answers, there are several strategies that nurses might find useful in this current predicament. These strategies fall into four categories: Documentation. When restrictions are imposed, nurses must be prepared to challenge fiscal intermediaries. To do this, they must have strong documentation of the rationale for service. Every effort must be made to document those services that are reasonable and necessary for the treatment of a client's illness or injury. Client advocacy. Because of the restrictions on service that are imposed by the principal sources of public funding, nurses must seek wide support from other community sources. Gaining such support requires a knowledge of community structure, the display of activism and leadership, and a willingness to engage in the political process. Lobbying. As an extension of client advocacy, nurses must create an effective lobbying force to educate public policy makers and legislators. Nurses must persuade elected representatives that there is a need to develop a broader interpretation of what constitutes a "skilled nursing service." Research. Nursing research, sweeping but creative, must become part of every professional nurse's responsibility. Ways to measure the outcomes of holistic nursing must be found.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed2001

Age-related physical fitness and the predictive values of fitness tests for work ability in home care work.

Despite the widespread assessment of physical fitness in occupational medicine and health services, only a few validity studies have been made of the fitness tests used in relation to job demands. The purpose of this study was to assess the physical fitness of female home care workers (n = 132) in relation to age and to evaluate whether the fitness tests used predict work ability over a 5-year period of follow-up. Muscle endurance declined by 18% to 37%, and isometric muscle strength by 10% to 18%, from the youngest (21 to 35 years) to the oldest (45 to 59 years) age group. The proportion of those subjects who could be classified below the average age-related fitness categories according to the maximal oxygen consumption was highest (50%) for the 21-to-35 age group. The logistic regression model showed that obesity (odds ratio [OR] = 7.51) and poor results on the sit-up (OR, 8.9), balance (OR, 6.5), and weight-lifting (OR, 4.6) tests predicted the highest risk for reduced work ability, according to the work ability index used in the 5-year follow-up. Moreover, average results for the trunk side-bending test (OR, 4.6), poor results for the squatting test (OR, 3.8), poor knee extension strength (OR, 4.2), and the average maximal oxygen consumption (l.min-1) (OR, 3.1) indicated a high risk for reduction in work ability. The physical fitness tests were strongly associated with the physical demands of home care work and were relevant for the evaluation of work-related fitness among home care workers.

Adult↗