Description des conditions de vie de la population âgée de 75 ans ou plus vivant à domicile en Alsace

Imbert, Freddy; Lang, Pierre-Olivier; Meyer, Neil; Heitz, Damien; Berthel, M.; Kuntzmann, F.

doi:10.1016/s0398-7620(05)84585-7

Cited by 15 publications

(4 citation statements)

References 4 publications

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“…This deterioration paves the way to loss of autonomy, and generally involves a burden for those close to the subject, recourse to professional helpers and admission to an institution [12][13]. Indeed, studies on living conditions of dependent elderly people living at home in France have noted high levels of solidarity of families and persons close in maintaining dependent senior members of the community in their homes [14].…”

Section: Introductionmentioning

confidence: 99%

Loss of independence in Katz’s ADL ability in connection with an acute hospitalization: early clinical markers in French older people

Lang

Meyer²,

Heitz

et al. 2007

Eur J Epidemiol

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Beyond considerations on the designing of preventive policies targeting the populations at risk that have been identified here, the identification of functional factors (lack of autonomy, walking difficulties, risk of falling) suggests above all that consideration needs to be given to the organization per se of the French geriatric hospital care system, and in particular to the relevance of maintaining sector-type segregation between wards for care of acute care and those involved in rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Loss of independence in Katz’s ADL ability in connection with an acute hospitalization: early clinical markers in French older people

Lang

Meyer²,

Heitz

et al. 2007

Eur J Epidemiol

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“…A more personalised range of meal choices is another avenue that could be explored to help prevent malnutrition. Yet, literature reports indicate that among all the activities performed by formal and informal caregivers, and regardless of the level of autonomy of the elderly person, help with eating is not a priority, and is always ranked below toileting and dressing 27. This raises the question of whether help with eating should be proposed systematically whenever home-help is provided for older adults living at home.…”

Section: Discussionmentioning

confidence: 99%

Multiple factor analysis of eating patterns to detect groups at risk of malnutrition among home-dwelling older subjects in 2015

Sánchez

Armaingaud²,

Messaoudi³

et al. 2019

BMJ Open

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ObjectiveWe aimed to describe eating patterns among home-dwelling older subjects to establish typologies of eaters at higher or lower risk of malnutrition.DesignCross-sectional study between June and September 2015 using a standardised questionnaire. The questionnaire was given to home-help employees (responsible for delivering meals to home-dwelling older persons and helping them to eat). The employees were asked to complete the questionnaire three times during the same week, for the same older adults, in order to identify the totality of their food intake.SettingRegistered customers of the home meal delivery company ‘Azaé’ (France).Participants605 older home-dwelling persons were randomly selected among customers served by the home meal delivery company.OutcomesMultiple factor analysis was used to understand the different modes of food consumption and to establish eating profiles. Hierarchical classification was performed to construct eating profiles corresponding to the dietary habits of the respondents.ResultsAverage age of the older adults was 85.3 years; 73.5% were women. Overall, 59% of participants reported that they ate out of habit, while 33.7% said they ate for pleasure. We identified four different groups of eaters, at varying levels of risk for malnutrition. Individuals in group 4 had the highest food intake in terms of quantity; and were less dependent than individuals in group 1 (p=0.05); group 1 was at highest risk of malnutrition.ConclusionImproved understanding of eating habits can help detect risky behaviours and help caregivers to promote better nutrition among home-dwelling older subjects.

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“…BPSD is not the only explicative factor in family/informal caregiver burden; other factors contribute to informal caregivers' exhaustion. Imbert et al have shown, in demented community-dwelling older adults, the considerable involvement of family members and persons close toward their old people (39). This observation has been made in numerous other industrial countries, where informal caregivers are considered as a central mainstay of the "living at home" health policies.40 As professional support is mostly restricted to technical interventions, family and informal support takes the form of routine assistance in almost every aspect of everyday life including personal hygiene.…”

Section: Discussionmentioning

confidence: 99%

“…Keeping older subjects with dementia in their homes has many social consequences for family and informal caregivers. Many concessions are required, whether in terms of hours devoted to the elderly person, lost leisure hours, or coping with their own professional and family responsibilities (39). Thus a better understanding and management of informal caregiver burden and their reluctance towards accepting professional caregivers, is needed, as well as the development of alternative solutions to hospital to resolve crisis situations.…”

Section: Discussionmentioning

confidence: 99%

Early markers of prolonged hospital stay in demented inpatients: A multicentre and prospective study

Lang

Zekry

Michel

et al. 2010

The Journal of nutrition, health and aging

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At the time of the rising incidence of cognitive disorders, these results suggest that preventive approaches might be possible. In a hospital setting as well as in a community-dwelling population, more specific, specialized and coordinated care, using the expertise of multiple disciplines appears as a probable effective measure to limit prolonged hospital stay. Such approaches require (i) clear patient-oriented goal definition, (ii) understanding and appreciation of roles among various health care and social disciplines and, (iii) cooperation between partners in patient's management. However, the cost- and health-effectiveness of such approaches should be evaluated.

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Description des conditions de vie de la population âgée de 75 ans ou plus vivant à domicile en Alsace

Cited by 15 publications

References 4 publications

Loss of independence in Katz’s ADL ability in connection with an acute hospitalization: early clinical markers in French older people

Loss of independence in Katz’s ADL ability in connection with an acute hospitalization: early clinical markers in French older people

Multiple factor analysis of eating patterns to detect groups at risk of malnutrition among home-dwelling older subjects in 2015

Early markers of prolonged hospital stay in demented inpatients: A multicentre and prospective study

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