To evaluate associations between brain structure/function with physical function and functional capacity in older adults with CKD and cognitive complaints.

Long-term care (LTC) grading services refers to professional assessors using specific tools to systematically evaluate people with long-term care needs,develop and implement graded service standards that align with the care needs of individuals based on their varying levels of disability.It has been nearly a decade since China initiated home-based long-term care for the disabled elderly; however, challenges remain, such as the lack of detailed graded service standards and inadequate allocation of medical and nursing resources. This study aimed to gain insights into factors about influencing the current system by understanding the perspectives of those directly involved in providing care and to promote LTC services for older adults with disabilities in China.Using purposive sampling, nurses and certified nursing assistants were selected as participants for this qualitative study. Data were analysed using deductive method, guided by the Association Standard for Long-Term Care Grading Services for the Elderly, the Consolidated Framework for Implementation Research, and the Capability, Opportunity, and Motivation-Behavior (COM-B) model.This study identifies five themes-innovation, external and internal environmental factors, personal characteristics, and implementation process-along with five promoting and six obstacle factors. It explores nurses and certified nursing assistants perspectives on home-based long-term care grading for individuals with disabilities, offering a theoretical basis for a Chinese-specific long-term care model.

The objectives were to analyze the association between the cognitive performance of older adults/caregivers, adherence to a telehealth program and investigate reasons for dropouts, retention and adherence. A mixed-methods study was conducted involving 41 older adults diagnosed with dementia who participated in a 12-week telehealth program that offered physical exercises for the older adults and psychoeducation for the caregivers. Cognitive performance, adherence rates, benefits and reasons for withdrawal, retention and adherence were determined with the aid of questionnaires, field records, and focus groups. No significant association was found between the adherence rate and cognitive performance. The main reason for dropouts was the occurrence of illness during the intervention. The reasons for adherence were the convenience of the online program and the fact that the program was free of cost. The benefits were improvements in the wellbeing, mood of the older adults and the mitigation of progressive symptoms of dementia.

The present study aims to analyze the effectiveness of a gait re-education program using a sequential square mat (Tapiz Fisior®, in advance SSM Fisior®) in aspects related to mobility, balance, muscle strength, and gait of elderly people.

We aimed to translate and culturally adapt the Arrhythmia Specific Questionnaire in Tachycardia and Arrhythmia Health-Related Quality of Life (ASTA-HRQOL) scale into Arabic among older adult patients with any type of arrhythmia.

The relationship between staffing levels and skill mix in nursing homes is poorly documented in Italy. This study aimed to investigate nursing staffing levels and skill mix in Northern Italian nursing homes.

This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.

The purpose of this study was to investigate nurses' attitudes towards prevention of falls using the Nurses Attitudes Towards Prevention of Falls Scale and to identify factors affecting these attitudes. A mixed-method design was applied and a convenience study was conducted. Six-hundred and thirty nurses participated. In the first stage of this study, the psychometric properties of the Nurses' Attitudes Towards Prevention of Falls Scale were tested. Quantitative data were collected using the Introductory Information Form and the Nurses' Attitudes Towards Prevention of Falls Scale. While collecting this data, 24 nurses were interviewed. The Nurses' Attitudes Towards Prevention of Falls Scale was determined to be a valid and reliable measurement tool. Most of the participating nurses did not complete a fall incident report when their patients experienced a fall, and that led to nurses experiencing remorse, fear, guilt, sadness, anxiety, and panic when their patients fell.

To explore the network structure of common geriatric syndromes and conditions in physically disabled older adults.

Climate change is a global health concern that affects all of humanity, but it disproportionately impacts older adults, particularly those living in rural communities. Older adults lack the ability to actively engage in pro-environmental actions aimed at adapting to and mitigating the harmful effects of climate change.

Depressive symptoms and social participation are important factors influencing the health of older persons. Further research is needed to understand the interaction between these two variables.

Informal caregivers hold an important role in ensuring a smooth transition from hospital to home for persons with dementia. In this quality improvement project we evaluated the feasibility and acceptability of a caregiver-focused, nurse-led post discharge call to caregivers of Veterans with dementia recently discharged from a single medical center. The call focused on assessing caregiver preparedness and identifying unmet needs. Thirty caregivers met inclusion criteria and 19 caregivers participated. Results suggested most caregivers of recently hospitalized Veterans with dementia can be identified, contacted, and interviewed to assess caregiving needs. However, sustainability was challenged by the significant time and resources required to screen and identify caregivers. Future iterations may focus on deployment of an electronic health record tool to improve the efficiency at which caregiver information is located, documented, and used to inform clinical decisions and allow for conduct of caregiver-focused interventions.

To determine the risk factors for oral frailty in the elderly by Meta-analysis.

Evidence examining disparities in post-acute care (PAC) utilization among various racial and ethnic groups after stroke and the influence of social determinants of health (SDOH) in these decisions is lacking. Thus, we searched the literature from January 2000 to November 2023 regarding PAC among individuals after stroke through: 1) Pubmed, 2) Scopus, 3) Web of Science, 4) Embase, and 5) CINAHL. We found 14 studies. Black individuals were more likely than White individuals to be discharged home with home health (HH) and skilled nursing facilities (SNF). Hispanic individuals were more likely than White individuals to be discharged home with HH, but less likely to be discharged to institutions. Lower socioeconomic status, Medicaid insurance, urban residence, area PAC supply and hospital characteristics were associated with increased institutional discharges among racial and ethnic minority individuals. Future policy should improve access to appropriate PAC commensurate with an individual's medical/social complexity.

Older adults with cognitive frailty often have impaired dual-task walking and prefrontal cortex (PFC) activation. Combining cycling with interactive boxing offers an innovative and interesting dual-task training to challenge both physical and cognitive skills. This study investigated the effects of interactive boxing-cycling on this population. Thirty-nine participants were assigned to the interactive boxing-cycling group (n = 20) or the stationary cycling group (n = 19) for 36 sessions over 12 weeks. The outcomes included dual-task walking performance, PFC activation, cognitive function, and frailty scores. Results showed the interactive boxing-cycling group had greater improvements in dual-task walking speed and cost and beneficially reduced oxygenated hemoglobin levels compared to the stationary group. Furthermore, both groups improved in frailty and cognition, but the interactive boxing-cycling group had better effects on general and specific cognitive function. Interactive boxing-cycling is an efficient intervention to enhance dual-task walking and PFC activation in older adults with cognitive frailty.

Despite existing guidelines for constipation management, constipation remains a prevalent issue among older individuals in long-term care facilities. The aim of this qualitative study was to provide an overview of nursing constipation management and the associated challenges in Swiss-German nursing homes. From September to December 2022, 51 nursing staff from 20 nursing homes were surveyed online, using literature-based open questions. Using a content analysis approach, four categories were identified in relation to constipation management: Assessment of Constipation and Risks; Prevention and treatment process; Challenges and influencing factors; Impact of constipation. Data analysis revealed that nurses perceive the management of constipation to be extremely challenging, highlighting difficulties arising from limited resources, expertise, few physician visits, and prioritization demands of daily practice. Successful constipation management requires regular training of nursing staff to raise awareness of existing guidelines and screening tools, as well as the optimization of structural conditions for implementation.

Value-based healthcare is increasingly emphasizing attention to patients' self-reported experiences. However, due to the lack of effective tools, older patients in China lack feedback on the comprehensive care experience. Based on the psychometric assessment procedure, we developed a new geriatric inpatient experience scale (GIES). The study comprised two stages: (1) instrument development and (2) empirical testing. Through literature screening and Delphi methods, 26 preliminary items were identified. The content and facial validity tests then produced 23 items across eight factors: 'Doctor-patient communication', 'Engagement', 'Privacy', 'Right to know', 'Services timeliness', 'Continuity care', 'Visiting environment', and 'Overall satisfaction'. Using reliability analysis, exploratory and confirmatory factor analysis to evaluate psychometric characteristics, GIES showed good reliability and structural validity. As a multidimensional instrument for the experience of older patients, the application of GIES in clinical practice can assist healthcare providers in identifying areas for improvement to improve care experiences and outcomes for older patients.

This systematic review evaluated the diagnostic accuracy of multiple screening tools for dysphagia in older adults. The analysis covered 30 studies involving 13 tools and 2,697 participants. The results showed that the volume viscosity swallow test performed best in sensitivity, specificity, and area under the curve, making it a recommended screening tool. Other tools have low sensitivity, unstable results or insufficient research and need to be further validated. Overall, this study provides an important reference for the screening of dysphagia in older adults.

To explore the effects of exercise interventions on cognition, physical function, and quality of life among older adults with cognitive frailty.