Recommended long term care settings following aged care assessments in Australia

Jukić, Marijan; Temple, Jeromey

doi:10.1371/journal.pone.0204342

Cited by 2 publications

(2 citation statements)

References 27 publications

(27 reference statements)

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“…[9] In Australia, a comprehensive LTC system was established in the community, residential care, hospitals and other types of institutional care to meet varies personal needs of the elderly. [10,11] In China, LTC has also been promoted by the government to deal with the growing aging population .…”

Section: Introductionmentioning

confidence: 99%

Long-Term Care status for the Elderly with Different Levels of Physical Ability: a cross-sectional investigation in first-tier cities of China

Zhou

Zha

Liu

et al. 2023

Preprint

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Background: Long term care (LTC) services providing support to functional impaired senior citizens are considered a viable solution to the aging society. However, what are the clinical characteristics, who is eligible and what should be covered remains unclear in China. Therefore, we aim to investigate the elderly population who require LTC and explore the LTC status of the elderly. Methods: This is a cross-sectional study conducted in two of four first-tier cities in China. Residents aged 65 and over were recruited from a nursing home and primary hospitals. Participants were divided into three groups (bedridden, domestic and community) then six grades (grade one to six) according to Longshi Scale, and their functional ability was assessed using Modified Barthel Index (MBI). Information such as diseases, complications, daily care needs were collected. Nursing staff were invited to indicate patients’ needs for care. Results: Participants in the bedridden group accounted for 69.3% of all participants (1157). The most common diagnosis stroke (71.4%), and complication, pulmonary infection (25.2%), suffered by all participants should be focused in LTC. Participants in Longshi Scale grade one to three had higher demand for assistance in daily activities may be the ones eligible for LTC. In the nursing assessment, basic health care, disease care, mobility care, complication prevention care and psychosocial care were summarized as the five main aspects of LTC for the elderly. Feeding, bathing, drinking, bowel management and bladder management were identified as basic care which fulfills participants’ basic physical needs in each Longshi group. Mouth care, artificial airway management, body reposition which can prevent immobility complications were highly demanded by bedridden elderly. Conclusions: The elderly in grade one to three are the ones in need of LTC most. The content of LTC for elderly should includecare for disease, mobility and psychosocial needs, specially basic care which fulfills their basic physical needs and complicationcare which can prevent immobility complications. Trial registration: The study design was registered in the Chinese Clinical Trial Registry (ChiCTR-2000034067, Registered 22 Jun 2020, http://www.chictr.org.cn/showproj.aspx?proj=54770)

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Section: Introductionmentioning

confidence: 99%

Long-Term Care status for the Elderly with Different Levels of Physical Ability: a cross-sectional investigation in first-tier cities of China

Zhou

Zha

Liu

et al. 2023

Preprint

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“…Asian countries, such as Japan, developed acute care and LTC settings to ensure personal care is provided to the elderly [ 10 ]. In Australia, a comprehensive LTC system was established in the community—whether in terms of residential care, hospitals, or other types of institutional care—to meet the various personal needs of the elderly [ 11 ]. Among these countries, the primary commonality in LTC for the elderly is the need for LTC needs assessment and functional disability level determination.…”

Section: Introductionmentioning

confidence: 99%

Long-term care status for the elderly with different levels of physical ability: a cross-sectional survey in first-tier cities of China

Zhou,

Zha,

Liu

et al. 2023

BMC Health Serv Res

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Background Long term care (LTC) services for functionally impaired senior citizens are crucial for addressing the challenges of aging. However, research on eligibility criteria and coverage of LTC in China is lacking. Our objective is to assess the current status of LTC and explore eligibility criteria and coverage for the elderly. Methods This is a cross-sectional study conducted in two first-tier cities in China. Residents aged 65 or over were recruited from a nursing home and four primary hospitals. Participants were divided into three groups (bedridden, domestic, and community), then six grades (grade one to six) according to the Longshi Scale, and their functional ability was assessed using the Modified Barthel Index. Information such as diseases, complications, and daily care needs were collected. Nursing staff were invited to indicate patients’ needs for care. A one-way ANOVA test, Kruskal Wallis H test and Mann–Whitney U test were used to explore the differences of variables in three Longshi groups or Longshi grades. Results Among all 1157 participants, with an average age of 80.54, 69.3% were in the bedridden group. The most common diagnosis was stroke (71.4%), with the most prevalent complication being pulmonary infection (25.2%). In the nursing assessment, basic health care, disease care, activity care, complication prevention care and psychosocial care were summarized as the five main aspects of LTC for the elderly. Feeding, bathing, drinking, bowel management and bladder management were identified as the basic care which fulfills participants’ basic physical needs in each Longshi group. Mouth care, artificial airway management, and body reposition, which can prevent immobility complications, were highly demanded by bedridden elderly. Conclusions The elderly in grade one to three are the ones in need of LTC most. The content of LTC for elderly should include basic care which fulfills their basic physical needs and complication care which can prevent immobility complications. The evidence of this research may contribute to the design of LTC in China. Trial registration The study design was registered in the Chinese Clinical Trial Registry (ChiCTR-2000034067, Registered 22 Jun 2020, http://www.chictr.org.cn/showproj.aspx?proj=54770).

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Recommended long term care settings following aged care assessments in Australia

Cited by 2 publications

References 27 publications

Long-Term Care status for the Elderly with Different Levels of Physical Ability: a cross-sectional investigation in first-tier cities of China

Long-Term Care status for the Elderly with Different Levels of Physical Ability: a cross-sectional investigation in first-tier cities of China

Long-term care status for the elderly with different levels of physical ability: a cross-sectional survey in first-tier cities of China

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