Prevalence of Diabetes and the Burden of Comorbid Conditions Among Elderly Nursing Home Residents

Dybicz, S; Thompson, Stephen; Molotsky, Sandra; Stuart, Bruce

doi:10.1016/j.amjopharm.2011.05.001

Cited by 84 publications

(69 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results were similar to the findings of previous studies of caregivers of cancer patients; that is, previous studies showed that 20% of caregivers provided fulltime or constant care (Bukki et al, 2011), 5-20% of caregivers had quit their jobs or declined advancement as a result of caregiving (Dybicz et al, 2011;Fairfield et al, 2012;Pantilat et al, 2012). Fatigability was also a major reason for not working among cancer survivors in previous studies (Phipps et al, 2011;Flannelly et al, 2012).…”

Section: Discussionsupporting

confidence: 91%

“…We found no differences in variables between the two groups after adjustment. That allowed for better control than was evident in studies that matched groups one-to-one for only a few characteristics such as age and gender (Dybicz et al, 2011). Second, we do not investigate caregiving time, caregiving duration, and reduced working hours.…”

Section: Discussionmentioning

confidence: 99%

“…Caregiver burden is closely connected to patient demands, and it might be related to the overall outcomes of the caregiving process (Dybicz et al, 2011). For example, several studies have documented typically high levels of dailyliving assistance, including help with transportation, shopping, homemaking, emotional support, nutritional care, nursing care, and personal care (Shahmoradi et al, 2009;O'Connor and Kumar, 2012;Stiel et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Employment Status and Work-Related Difficulties among Family Members of Terminally Ill Patients Compared with the General Population

Kim

Chang

Rok

et al. 2013

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: Although caregiving to patients with terminal illness is known to be a stressful burden to family members, little attention has been focused on work-related problems. We aimed to investigate employment status and work-related difficulties of family caregivers of terminal cancer patients, comparing with the general population. Methods: Using structured questionnaires, we assessed family caregivers of 481 cancer patients determined by physicians to be terminally ill, from 11 university hospitals and the National Cancer Center in Korea. Results: Among 381 family caregivers of terminal cancer patients (response rate, 87.6%), 169 (43.9%) were not working before cancer diagnosis, but currently 233 (63.7%) were not working. Compared with the general population (36.5%), the percentage of not working among the family caregivers was higher (OR=2.39; 95%CI= 1.73-3.29). A major reason for not working was to provide assistance to the patients (71.6%). 40.6% of those who continued working and 32.3% of those who not working family members reported extreme fatigue. Caregivers of old age, those who were female, those with a lower household income, and those caring for patients with a low performance status were not working at a more significant rate. Conclusion: Family caregivers of terminal cancer patients suffer job loss and severe work-related difficulties, probably due to caregiving itself and to fatigue. We need to develop supportive programs to overcome the burden of caregivers of the terminally ill.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Employment Status and Work-Related Difficulties among Family Members of Terminally Ill Patients Compared with the General Population

Kim

Chang

Rok

et al. 2013

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…In addition, previous studies showed that 20% of caregivers provided fulltime or constant care (Bukki et al, 2013); 5-20% of caregivers had quit their jobs or declined advancement as a result of caregiving (Dybicz et al, 2011;Fairfield et al, 2012;Pantilat et al, 2012). Fatigability was another major reason for unemployment among cancer survivors in previous studies (Phipps et al, 2011;Flannelly et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Choi¹,

Cho²,

Choi³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

“…Guidelines in the UK recommend screening on admission but 60% of NHs have not yet implemented this policy (10). Higher prevalence rates (25%-33%) have been reported in NHs in the United States, possibly due to better implementation of screening on admission (20).…”

Section: Discussionmentioning

confidence: 99%

Investigating the management of diabetes in nursing homes using a mixed methods approach

Hurley

O'Donnell

Ó’Caoimh

et al. 2017

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

CitationInvestigating the management of diabetes in nursing homes using a mixed methods approach. STRUCTURED ABSTRACT AimsAs populations age there is an increased demand for nursing home (NH) care and a parallel increase in the prevalence of diabetes. Despite this, there is growing evidence that the management of diabetes in NHs is suboptimal. The reasons for this are complex and poorly understood. This study aimed to identify the current level of diabetes care in NHs using a mixed methods approach. MethodsThe nursing managers at all 44 NHs in County Galway in the West of Ireland were invited to participate. A mixed methods approach involved a postal survey, focus group and telephone interviews. ResultsThe survey response rate was 75% (33/44) and 27% (9/33) of nursing managers participated in the qualitative research. The reported prevalence of diagnosed diabetes was 14% with 80% of NHs treating residents with insulin. Hypoglycaemia was reported as 'frequent' in 19% of NHs. A total of 36% of NHs have staff who have received diabetes education or training and 56% have access to diabetes care guidelines. Staff education was the most cited opportunity for improving diabetes care. Focus group and interview findings highlight variations in the level of support provided by GPs and access to dietetic, podiatry and retinal screening services. ConclusionsThere is a need for national clinical guidelines and standards of care for diabetes management in nursing homes, improved access to quality diabetes education for NH staff, and greater integration between healthcare services and NHs to ensure equity, continuity and quality in diabetes care delivery HIGHLIGHTS The reported prevalence of diabetes in nursing homes in the West of Ireland is 14%  Only one third of nursing homes have staff with diabetes education or training  80% of nursing homes have residents that are managed with insulin  The level of medical support with insulin titration varies widely  Nursing home residents have limited access to ancillary diabetes services

show abstract

Prevalence of Diabetes and the Burden of Comorbid Conditions Among Elderly Nursing Home Residents

Cited by 84 publications

References 35 publications

Employment Status and Work-Related Difficulties among Family Members of Terminally Ill Patients Compared with the General Population

Employment Status and Work-Related Difficulties among Family Members of Terminally Ill Patients Compared with the General Population

Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Investigating the management of diabetes in nursing homes using a mixed methods approach

Contact Info

Product

Resources

About