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Journal of Aging and Long-Term Care: 1 (2)
Volume: 1  Issue: 2 - 2018
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1.Older adults suffering different health problems and implementation of programs
Emre Senol-Durak
doi: 10.5505/jaltc.2018.30974  Pages 53 - 54
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2.Posttraumatic growth among Turkish older adults with diabetes
Emre Senol-Durak, Mithat Durak
doi: 10.5505/jaltc.2018.36844  Pages 55 - 63
Diabetes is one of the well-known chronic disorder affects older adults life dramatically. Psychological effects of diabetic patients have been mentioned in several studies that highlight negative psychological consequences on patients. However, chronic disorders like diabetes are also related to several positive psychological changes. One of the positive changes, posttraumatic growth has been mentioned in literature as increase positive life view, changes in social relationships, engage in purposeful life activities, be aware of life worth after experiencing life changes such as suffering from a chronic illness, diabetes. The aim of the present study is to investigate possible associations among socio-demographic variables, perceived social support, cognitive processing and posttraumatic growth among diabetic older adults. Data were collected from diabetic older adults (N= 191) living in Turkey. Results revealed that a higher number of children, being outpatient and higher dietary adherence were associated with the PTG. After controlling the effect of socio-demographic variables, treatment-related variables, perceived social support received from family, and avoidance dimension of cognitive processing were significantly related with posttraumatic growth. Results were discussed in the sample of older adults.

3.Effect of a sit-to-stand activity on mobility outcomes among Canadian continuing care residents with and without dementia
Susan E. Slaughter, Carla Ickert, C. Allyson Jones, Jeffrey A. Bakal
doi: 10.5505/jaltc.2018.52724  Pages 65 - 72
The demand for continuing care facilities to support older adults in Canada is expected to increase. Currently, access to rehabilitation and recreation services is limited among this group of older adults. Identifying simple mobility interventions implemented by usual care staff may be a cost-effective way to maintain or improve mobility among older adults in continuing care. This study evaluated the effectiveness of a mobility activity, the sit-to-stand activity, on mobility outcomes of long-term care and supportive living residents with and without dementia. Fifteen supportive living facilities and 8 long-term care facilities participated. Eligible residents were: aged ≥ 65 years, medically stable and able to stand up from a chair. Facility healthcare aide staff received training on the sit-to-stand activity by study educators and were asked to complete the activity with participating residents four times daily. Staff documented completion of the activity on flow sheets. Two mobility outcomes, time to complete first sit-to-stand and number of sit-to-stand repetitions completed in 30-seconds, were measured by research assistants at the beginning and end of the trial for all participants. Demographic information, including age, sex and dementia diagnosis, was gathered from health records. Data were analyzed using receiver operating characteristic curves and logistic regression. Across all 296 residents, mean time to complete the first sit-to-stand at baseline was 5.58 seconds (SD = 4.20) and the final mean time was 4.63 (SD = 3.71) seconds (p<.001). Dementia did not show a significant effect in likelihood of losing repetitions (p =.12) or time (p =.12). Residents in supportive living facilities were approximately half as likely as their long-term care counterparts to gain two or more seconds on their time for the first sit-to-stand (adjusted odds ratio = 0.48; 95% CI: 0.26-0.88, p =.02). The sit-to-stand activity is a low-cost, simple mobility intervention that may improve mobility of older adults in continuing care.

4.The implementation of an evidence-based practice falls prevention program in long-term care
Candice R P Matthews
doi: 10.5505/jaltc.2018.02886  Pages 73 - 87
Falls in older people can cause poor quality of life and even death in residential care facilities which has raised the question if an evidence-based practice falls prevention program would have an impact on the incidence of falls and improvement in quality measures in 8 weeks using a self-efficacy scale. An 8-week pilot study was conducted on a long term care unit in a skilled/long term care facility to determine if the confidence and knowledge levels of nursing staff would improve after evidence-based practice fall prevention education. Data was collected using a self-efficacy scale adopted from the IOWA model. Mean confidence levels were determined pre and post survey based on the 17 item questionnaire of a participant sample of 4. Results suggested that there is a significant statistical correlation between the increase in confidence and knowledge of evidence-based fall prevention and the educational intervention, but no correlation to the decrease in fall rate due to changes in decisions of recommended fall prevention interventions. It is argued that the ability to utilize recommended interventions by nursing staff would have allowed for evidence-based practice interventions to be implemented and would have had an impact on the rate of falls.

5.Experiences of older adults and long-term care institutions regarding technical solutions: Evaluation results from Austria
Martin Pallauf, Manfred Kofler, Bernd Seeberger
doi: 10.5505/jaltc.2018.25733  Pages 89 - 98
Ambient Assisted Living solutions (AAL solutions) are designed to make an important contribution to an active, independent, safe and socially integrated life in old age. In the scope of the West-AAL project, ICT-based (Information and Communication Technology) living and housing using AAL solutions was tested actively in more than 60 households of independent older adults in West Austria over a longer period. An evaluation strategy was developed that comprises both qualitative and quantitative aspects. Within this strategy, selected aspects of quality of life were used as indicators. The presentation of results is oriented towards the fields of application of tAALxonomy. The following fields were used in this project: Leisure & Culture, Information & Communication, Health & Care, Housing & Buildings and Safety & Protection. During the test period, habituation effects are to be expected, which are reflected in the results. The project is characterized by the test subjects’ individual choice of solutions. No general assertions can be made based on these, but due to the methodical consolidation using tAALxonomy, a larger random sample per field of application can be achieved.

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