Article
Public, Environmental & Occupational Health
Malcolm Irons, Asa Auta, Jane Caroline Portlock, Andrea Manfrin
Summary: This study investigates the potential association between medications and other aspects of care for residents of care homes based on reports obtained from the health department.
JOURNAL OF PUBLIC HEALTH
(2023)
Review
Gerontology
Paul R. Katz, Kira Ryskina, Debra Saliba, Andrew Costa, Hye-Young Jung, Laura M. Wagner, Mark Aaron Unruh, Benjamin J. Smith, Andrea Moser, Joanne Spetz, Sid Feldman, Jurgis Karuza
Summary: The delivery of medical care services in U.S. nursing homes is dependent on a diverse workforce that operates within unique regulatory frameworks but adheres to common standards of care. Provider characteristics and their roles in NH care can provide insights into clinical outcomes and quality of care with important policy and cost implications. This perspective outlines what is known about medical provider practice in NH and organizational models of practice, emphasizing the need to address gaps in evidence and establish research and policy agendas in the ever-evolving healthcare landscape.
Article
Geriatrics & Gerontology
Hyejin Kim, Molly Perkins, Thaddeus M. Pope, Patricia Comer, Mi-Kyung Song
Summary: This study examines the prevalence of unrepresented nursing home residents, the policies and procedures in place for medical decision making, and the perceptions of nursing home staff regarding medical decision making for unrepresented residents. The findings highlight the need for practical approaches and policies to systematically identify and improve medical decision making for unrepresented residents in nursing homes.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Nutrition & Dietetics
Harald K. Widhalm, Maximilian Keintzel, Gerald Ohrenberger, Kurt Widhalm
Summary: Elderly patients aged 65 and over in hospitals and nursing homes are at high risk of malnutrition, which is a significant problem considering the demographic development in the future. This study aims to explore the correlation between malnutrition, hypoalbuminemia, anemia, elevated CRP, low transferrin levels, and mortality in seniors aged 65 to 100 years. The findings show a high prevalence of disease-specific malnutrition and low serum albumin or transferrin saturation in nursing home residents. While there is no correlation between elevated CRP, low transferrin, or low serum albumin values and malnutrition, residents with low serum albumin or transferrin levels have a higher mortality rate. Therefore, personalized medical nutritional interventions are urgently needed for hypoalbuminemic seniors aged 65 years and older.
Article
Geriatrics & Gerontology
Rebecca H. Correia, Fabrice I. Mowbray, Darly Dash, Paul R. Katz, Andrea Moser, Ryan P. Strum, Aaron Jones, Ahmad von Schlegell, Andrew P. Costa
Summary: This study examined the clinical factors that influence the provision of recent medical care visits in nursing homes. The findings suggest that clinical factors such as wandering behaviors, pressure ulcers, urinary tract infections, end-stage disease, new medication use, and analgesic use are associated with recent medical care visits.
Article
Psychology, Multidisciplinary
Gabrielle Jenkin, Justin Canty, Samantha Ernst, Sunny Collings
Summary: A thematic analysis of in-depth interviews with New Zealand coroners revealed that the coronial system in the country is inquisitorial and allows for wide-ranging jurisdiction. Determining intent and considering family factors such as therapeutic jurisprudence were found to be important influences in coronial decision making regarding suspected suicides. However, challenges within the system were identified, including a lack of follow-up and monitoring of recommendations, inadequate resources for coronial training, and the personal impact of suicides.
Article
Nursing
Adam Spacey, Janet Scammell, Michele Board, Sam Porter
Summary: The study found that there is a lack of training and support for care home staff in conducting sensitive discussions about death and dying, highlighting the need for more focused education to support them. Furthermore, greater emotional support is necessary to help build workforce resilience and sustain change.
JOURNAL OF ADVANCED NURSING
(2021)
Review
Geriatrics & Gerontology
Lisa L. Groom, Margaret M. McCarthy, Amy Witkoski Stimpfel, Abraham A. Brody
Summary: The use of telemedicine and telehealth in nursing homes has shown positive impacts on reducing emergency and hospital admissions, saving costs, and improving patient vital signs. Clinicians, residents, and families have generally positive perspectives on these technologies. However, the heterogeneity of research methods and small sample sizes may limit the generalizability of the study results.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Criminology & Penology
Stacy A. Drake, Candace Burton
Summary: Forensic nurses involved in medicolegal death investigations often experience trauma, which can lead to decreased performance and burnout. The principles of trauma-informed care can be applied to alleviate distress and enhance communication in this context.
JOURNAL OF FORENSIC NURSING
(2022)
Article
Education, Scientific Disciplines
Huiwu Han, Ying Ye, Yanhui Xie, Fei Liu, Lidan Wu, Yu Tang, Jinfeng Ding, Liqing Yue
Summary: This survey aimed to investigate the death education needs of medical and nursing students in mainland China and evaluate the impact of death attitudes on these needs. The results showed that there is a high level of death education needs among the students, but a low training rate in palliative care. Students' death education needs were influenced by gender and death attitudes.
NURSE EDUCATION TODAY
(2023)
Article
Business
Polly P. L. Leung, C. H. Wu, C. K. Kwong, W. H. Ip, W. K. Ching
Summary: This study explores the use of cloud computing and mobile devices in optimizing nursing team size and scheduling in nursing homes, showing significant improvements in nurse-to-resident ratios and reduction of total overtime work hours.
TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE
(2021)
Article
Rehabilitation
Kathryn Eastwood, Lynda Bugeja, Joshua Zail, Anna Cartwright, Alexandra Hopkins, Joseph E. Ibrahim
Summary: The study provides a descriptive epidemiological analysis of deaths reported to Australian Coroners of residential aged care facility residents under 65 years, indicating that external cause deaths, particularly intentional ones, are higher in the younger age group and more efforts are needed for prevention.
DISABILITY AND REHABILITATION
(2021)
Article
Geriatrics & Gerontology
Rhonda L. Collins, Evelyn M. Williams, Andrea L. Moser, Jobin M. Varughese, Benoit Robert
Summary: This study investigated the current demographics and practices of LTC Medical Directors in Ontario, uncovering some challenges they face. Medical Directors play a crucial role in LTC and need more recognition and support.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Nursing
Anja Huion, Nico De Wtte, Karel Everaert, Ruud J. G. Halfens, Jos M. G. A. Schols
Summary: The study found that management of urinary incontinence in nursing home residents varies depending on their care dependency. Caregivers should consider residents' preferences when managing urinary incontinence, and further research should investigate the criteria used by caregivers and recipients in deciding interventions for urinary incontinence.
JOURNAL OF ADVANCED NURSING
(2021)
Letter
Medicine, General & Internal
Adam Dean, Jamie McCallum, Atheendar Venkataramani, David Michaels
Summary: This cross-sectional study examines the association between labor unions and health care staff turnover in the US using data from 2021.
Article
Public, Environmental & Occupational Health
Joseph E. Ibrahim, Yingtong Li, Charlotte Brown, Grace McKee, Hagar Eren, Tony Pham
Summary: This study describes an approach to stratifying nursing homes based on their risk for COVID-19 outbreak. The findings reveal significant heterogeneity among nursing homes, with privately owned homes being larger and located in metropolitan areas but having more regulatory noncompliance, while publicly owned homes being smaller and located in remote areas but performing better.
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
(2023)
Article
Geriatrics & Gerontology
Daisy E. Smith, Meghan T. Wright, Tony H. Pham, Joseph E. Ibrahim
Summary: The study explored the feasibility of a pilot online course addressing unwanted sexual behaviour in Residential aged care services staff, with positive feedback from participants on the intervention's effectiveness in improving awareness and prompting practice reflection and improvement.
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
(2022)
Review
Criminology & Penology
Briohny Kennedy, Lyndal Bugeja, Jake Olivier, Marilyn Johnson, Phuong Hua, Sjaan Koppel, Joseph E. Ibrahim
Summary: Empirical research on older adult homicide is limited. This systematic review and meta-analysis explored the prevalence and characteristics of homicide victimization among older adults. The study found that older adults have a lower homicide rate and distinct characteristics compared to younger adults, highlighting the need for specific research and prevention strategies.
TRAUMA VIOLENCE & ABUSE
(2023)
Article
Gerontology
Ladan Yeganeh, Lyndal Bugeja, Janneke Berecki, Adrian Laughlin, Joseph Ibrahim
Summary: The study found that the rate of ED injury presentations per 100,000 population decreased by 0.8% per year, while the rate per 100,000 RACF bed days increased by 0.6% per year. Additionally, the proportion of presentations subsequently admitted to hospital increased by 4.0% per year. The majority of presentations were due to falls, with fractures being the most common injury type.
JOURNAL OF AGING AND HEALTH
(2022)
Article
Geriatrics & Gerontology
Noha Ferrah, Joanna Dipnall, Belinda Gabbe, Peter Cameron, Joseph Ibrahim, Ben Beck
Summary: Older major trauma patients present a heterogeneous group with injury profiles and interventions changing with increasing age. The study identified five distinct injury profiles and found that the proportion of patients receiving surgical or non-surgical interventions declined with age.
AUSTRALASIAN JOURNAL ON AGEING
(2022)
Article
Geriatrics & Gerontology
Daisy E. Smith, Meghan T. Wright, Joseph E. Ibrahim
Summary: The study aimed to explore aged care nurses' awareness and experience of unwanted sexual behaviour (USB) in residential aged care services (RACS). Results showed that the nurses' awareness and estimates of USB directed at residents were much lower than known national prevalence rates, potentially posing a barrier to recognition and optimal management of this form of abuse.
AUSTRALASIAN JOURNAL ON AGEING
(2022)
Article
Medicine, Legal
Lyndal Bugeja, Janine Rowse, Nicola Cunningham, Jo Ann Parkin
Summary: Emerging evidence suggests that interpersonal violence, particularly among intimate or familial relationships, has been increasing during the COVID-19 pandemic. One common form of violence, strangulation, can lead to serious health outcomes, including death. Identifying and attributing non-fatal strangulation injuries is complex, as there may be no visible signs of injury and the appearance of symptoms may be delayed. Forensic clinicians face challenges in differentiating between strangulation and other clinical conditions based on symptoms and signs alone, especially when shared symptoms and signs are present.
FORENSIC SCIENCE MEDICINE AND PATHOLOGY
(2022)
Article
Social Issues
Susan F. Cochrane, Alice L. Holmes, Joseph E. Ibrahim
Summary: The market-driven Australian aged care system has failed to meet the aims of providing residents with greater choice and higher quality services due to asymmetries of knowledge and power. A human rights framework supported by responsive regulation is proposed as a solution for improving the aged care system.
SOCIAL POLICY AND SOCIETY
(2023)
Letter
Geriatrics & Gerontology
Yingtong Li, Tony Pham, Joseph E. Ibrahim
AUSTRALASIAN JOURNAL ON AGEING
(2022)
Editorial Material
Pharmacology & Pharmacy
Joseph E. Ibrahim
JOURNAL OF PHARMACY PRACTICE AND RESEARCH
(2022)
Article
Critical Care Medicine
Noha Ferrah, Ben Beck, Joseph Ibrahim, Belinda Gabbe, Ms Susan McLellan, Peter Cameron
Summary: The number of older adults hospitalised for injury and the incidence of isolated thoracic injuries in older adults are increasing. The study found that rates of complications in older patients with isolated chest trauma are low, and most patients do not need treatment in a major trauma service.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Geriatrics & Gerontology
Marta H. Woolford, Lyndal Bugeja, Carolina Weller, Robert J. Koester, Joseph E. Ibrahim
Summary: This study investigates the factors associated with death among older persons who become lost from home. Results suggest that gender, cognitive ability, SAR duration, location of being found, and extreme weather are associated with death in this population. These findings highlight the high risk of mortality for older individuals who become lost from home.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Medicine, Legal
Briohny Kennedy, Joseph Ibrahim, Sjaan Koppel, Lyndal Bugeja
Summary: Older adult homicide is a unique and under-researched area that deserves immediate attention due to the aging population. This study aimed to describe the characteristics of older adult homicide at different levels. The analysis of homicide deaths of older adults aged 65 years and older in a specific jurisdiction revealed that the victims often had physical illnesses and a significant proportion were born overseas. The offenders frequently had a history of substance abuse, mental illness, and exposure to violence. The incidents mainly occurred at the victims' homes and involved the use of sharp objects or bodily force.
INTERNATIONAL JOURNAL OF LEGAL MEDICINE
(2023)
Article
Medicine, Legal
Joanna Glengarry, Megane Beaugeois, Lyndal Bugeja, Richard Huggins, Chris O'Donnell
Summary: Hanging is a common cause of death, and forensic pathologists play a crucial role in determining the cause and manner of death. They must be familiar with the variety of neck compression injuries associated with hanging, as well as identifying injuries inconsistent with self-inflicted hanging or suggestive of third-party involvement. Proper identification and interpretation of injuries are essential for accurate investigations conducted by law enforcement and medical examiners.
INTERNATIONAL JOURNAL OF LEGAL MEDICINE
(2023)
