Geriatric Syndromes in Older Homeless Adults

Brown, Rebecca T.; Kiely, Dan K.; Bharel, Monica; Mitchell, Susan L.

doi:10.1007/s11606-011-1848-9

Cited by 207 publications

(244 citation statements)

References 36 publications

Supporting

Mentioning

235

Contrasting

Unclassified

Order By: Relevance

“…9 Furthermore, even at ages younger than 70, adults in safety-net care settings have a concentration of risk factors for HAD, including minority race status, baseline functional impairment, low socioeconomic status, substance use, and homelessness. [10][11][12][13][14][15][16] Understanding the prevalence of and the risk factors for HAD in persons as young as 55 is important, as hospitals could target areas of high prevalence for interventions to reduce functional decline in older adults, thus benefitting a greater number of people at risk. 1,[17][18][19] In order to understand the prevalence of HAD in a safety-net setting, we describe HAD in a cohort of racially and ethnically diverse adults aged 55 and older who were hospitalized at an urban safety-net facility.…”

Section: Introductionmentioning

confidence: 99%

Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital

et al. 2015

View full text Add to dashboard Cite

BACKGROUND:Little is known about hospitalizationassociated disability (HAD) in older adults who receive care in safety-net hospitals. OBJECTIVES: To describe HAD and to examine its association with age in adults aged 55 and older hospitalized in a safety-net hospital. DESIGN: Secondary post hoc analysis of a prospective cohort from a discharge intervention trial, the Support from Hospital to Home for Elders. SETTING: Medicine, cardiology, and neurology inpatient services of San Francisco General Hospital, a safety-net hospital. PARTICIPANTS: A total of 583 participants 55 and older who spoke English, Spanish, or Chinese. We determined the incidence of HAD 30 days post-hospitalization and ORs for HAD by age group. MEASUREMENTS: The outcome measure was death or HAD at 30 days after hospital discharge. HAD is defined as a new or additional disability in one or more activities of daily living (ADL) that is present at hospital discharge compared to baseline. Participants' functional status at baseline (2 weeks prior to admission) and 30 days postdischarge was ascertained by self-report of ADL function. RESULTS: Many participants (75.3 %) were functionally independent at baseline. By age group, HAD occurred as follows: 27.4 % in ages 55-59, 22.2 % in ages 60-64, 17.4 % in ages 65-69, 30.3 % in ages 70-79, and 61.7 % in ages 80 or older. Compared to the youngest group, only the adjusted OR for HAD in adults over 80 was significant, at 2.45 (95 % CI 1.17, 5.15). CONCLUSIONS: In adults at a safety-net hospital, HAD occurred in similar proportions among adults aged 55-59 and those aged 70-79, and was highest in the oldest adults, aged ≥ 80. In safety-net hospitals, interventions to reduce HAD among patients 70 years and older should consider expanding age criteria to adults as young as 55.

show abstract

Section: Introductionmentioning

confidence: 99%

Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Urinary incontinence was reported by 49.8% of subjects. The study shows that older homeless adults have higher rates of most geriatric syndromes compared to the general population (43).…”

Section: Older Homeless and Geriatric Syndromesmentioning

confidence: 77%

Some aspects of the health status of homeless people

Bartošovič¹

2016

CSWHI

View full text Add to dashboard Cite

Abstract40% of homeless people report at least one chronic health problem. Some medical problems are particularly prevalent such as chronic obstructive pulmonary diseases, arthritis and musculoskeletal disorders. Trauma is a significant cause of disability and death. Homeless people are predisposed to infections because of their poor physical state and lack of hygiene; hence outbreaks of contagious diseases are more prevalent in the homeless. Tuberculosis is an important health problem among the homeless. Homeless people are at high risk of Key words:Homeless, nutrition, infectious diseases, tuberculosis, trauma, health care, hospitalization, health status, ageing, death. AbstractSpectrum of infections and non-infections diseases among refuges from Syria/Iraq to Hungary/ Austria in September 2015 is analyzed. Respiratory isolates from patients with pneumonia were obtained from respiratory tract secretions and tested for antimicriobial susceptibility. Majority of ID were upper and lower respiratory tract infections, scabies and other skin and soft tissue infections. However, infections represented only about one half of cases seeking medical help -the rest 40-60% were hypertension, exhaustion, depression, diabetes, neuropsychiatric disorders.bloodborne infections and disproportionately suffer from mental illness and substance use disorders. Homelessness negatively impacts child health and development. There are a number of internal and external barriers to providing health care for homeless persons. Hospitalizations are more frequent and they take a longer time. The homeless are not registered with their Doctor and try to get health assistance by using emergency services. They have problems with health system or social insurance. The health status is substantially worse than in other population. Homeless people have a greatly Original Articles 40Clinical social Work and Health Intervention increased risk of death. Problems of providing health care to the homeless depend in every country on the existing health policy and the economy. Insufficient care for homeless people means not only aggravation of their health state but it could have negative impacts on the health of the broader group of people.

show abstract

“…Shin [21] noted the prevalence of depression for residents of public housing; Xiang et al [22] identified this depression as stemming from unmet needs. A National Council on Aging survey [23] highlighted the vulnerability of low-income adults; Brown et al [24] reported that nearly 40% of homeless adults had depression. A report by the Kenan Institute [25] identified renters as one of the three vulnerable groups who would need a great deal of help if they were to age in place.…”

Section: Introductionmentioning

confidence: 99%

When More Than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults (Preprint)

VanRavenstein¹,

Davis²

2018

Preprint

View full text Add to dashboard Cite

BACKGROUND A telehealth-delivered physical activity program was implemented within two low-income older adult housing properties utilizing the Otago exercise program, a physical therapy program endorsed by the Centers for Disease Control and Prevention to improve balance and strengthening in community dwelling older adults and by the National Council on Aging as the highest level of evidence for fall prevention programs. Participants were also given Fitbit activity monitors to help track their activity. OBJECTIVE The goal of this project was to increase older adults’ daily physical activity in hopes of decreasing chronic disease morbidity, disability, and falls, and decrease social isolation. METHODS The Otago exercise program was conducted via telehealth twice weekly for 12 weeks. Participants also wore Fitbit activity trackers to encourage physical activity outside of the group classes. Postintervention qualitative interviews were conducted, recorded, transcribed, and analyzed using discourse analysis. RESULTS Twenty-one older adult participants from two low-income properties in Charleston, SC, participated in the 12-week telehealth physical therapy program. Postintervention qualitative interviews revealed that the two sites were very different in their participation in the program and their main concerns surrounding aging in place. One site had a community-oriented outlook and enjoyed participating in physical activity together; whereas, the other site had very few participants and referenced depression and social isolation as main concerns. CONCLUSIONS A telehealth physical therapy-led intervention to increase physical activity in low-income older adults aging in place was successfully implemented and attended; however, it became clear in postintervention qualitative interviews that social isolation and depression were prevalent and mental health needs to be addressed along with physical health to encourage successful aging in place.

show abstract

Geriatric Syndromes in Older Homeless Adults

Cited by 207 publications

References 36 publications

Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital

Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital

Some aspects of the health status of homeless people

When More Than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults (Preprint)

Contact Info

Product

Resources

About