Social support in older people: lessons from a developing country

Moonesar, Reeta; Sammy, Ian; Nunes, Paula; Paul, Joanne

doi:10.1007/s11136-015-1053-0

Cited by 17 publications

(23 citation statements)

References 12 publications

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“…It would seem that patients arrived by ambulance might lead to more social support. This can lead to the findings revealed from the study by Moonesar et al, [16] in which older people who arrived at the ED via ambulance were found to have significantly lower social support than those who used their own transport. The results specific to the use of transport lead us to the fact that social support in ED would have to be more assessed and assured.…”

Section: Discussionmentioning

confidence: 88%

“…[15] Older patients who arrived at the emergency department (ED) in an ambulance had received less social support than those who used their own transport. [16] Older patients who used social care services were found to be greater hospital care utilizers compared to those who did not. [17] Older people who received care at nursing homes had lower proportions of emergency service utilization than older patients who received care at home.…”

Section: Introductionmentioning

confidence: 95%

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Social support received by the family of older patients in emergency department: A cross-sectional study

Demidenko

Routasalo

Helminen

et al. 2017

CNS

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Poor social support provided within health care settings may reduce patients' ability to manage disease. The presence of family members in emergency department (ED) may reduce the patient's need for health care and social services utilization. The aim of the study was to describe the social support received by family in the ED. A cross-sectional empirical study design was used. Convenience sample of 111 family members of home discharged older patients and of 93 nurses were recruited. The study was conducted at four Estonian hospitals. Data were collected by using social support scale of the Family Functioning, Health and Social Support (FAFHES). Family members and nurses both considered the social support available in EDs to be moderate. Nurses believed they provided higher levels of social support than the family members stated the family received. The differences were statistically significant. The older a nurse was, the less reinforcement, feedback, and affecting others for finding solutions was offered. A greater number of nurses working in the ED resulted in less social support. This study found differences of views between family members of older patients and nurses regarding the level of social support of the family. Nursing care provided in ED should be developed to be more supportive. To ensure more family-centred approach when providing nursing care, the administrative staff needs to consider whether an adequate number of nurses are working in the ED. The social support scale used was found to be applicable in ED environments.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 95%

Social support received by the family of older patients in emergency department: A cross-sectional study

Demidenko

Routasalo

Helminen

et al. 2017

CNS

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“…In addition, both adults in most households now work, leaving dependent older relatives more vulnerable to neglect. 11 , 12…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies done among this population have demonstrated relatively high levels of social support for older people; however, some authors suggest that this is declining with time owing to disintegration of the extended family and an increase in the number of households in which both adults are working. 11 , 12…”

Section: Introductionmentioning

confidence: 99%

Assessing the validity of the Triage Risk Screening Tool in a third world setting

Lalla¹,

Sammy

Paul

et al. 2017

J Int Med Res

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BackgroundSocial risk is rarely evaluated in older emergency department (ED) patients, although its identification can reduce re-attendance.ObjectivesThis study assessed the diagnostic accuracy of the Triage Risk Screening Tool (TRST) in the ED of a developing country.MethodsThe diagnostic accuracy of the TRST to detect elderly adults in need of social service intervention was compared with routine clinical evaluation, using comprehensive evaluation by an experienced social worker as the “gold standard”. The inter-rater reliability of the TRST was assessed on a separate cohort of patients prior to the main study.ResultsThe sensitivity of the TRST was 94.7% versus 55.6% for physician assessment. The TRST had good inter-rater reliability (Cohen’s kappa = .882), and physicians found it easy to use.ConclusionThe TRST provides a rapid means of assessing risk in older ED patients. This study confirmed the validity of this screening tool in a third world setting.

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“…Understanding the health and social problems that face older people is particularly relevant in these countries (5,6). …”

Section: Introductionmentioning

confidence: 99%

Are older fallers different? Comparing older fallers and non-fallers in a developing country

Yogi

Sammy

Paul

et al. 2017

Trauma

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Abstract:Objectives Falls are common in older people, causing significant mortality and morbidity but little is known about this phenomenon in developing countries. This study aimed to investigate falls in older people in the developing world, comparing fallers with other trauma patients. Methods We conducted a prospective observational study of older trauma patients in Trinidad over a 4 month period, comparing falls victims with other trauma patients, in relation to their demographic, pre morbid and injury characteristics. Results 439 older trauma patients (aged ≥65 years) were included. Fallers were older (median age 75 years vs 70 years in non fallers). 65.2% of fallers were female, compared to 43.7% of non fallers. Fallers were more likely to suffer from multiple pre existing diseases, with 29.8% having ≥ 3 comordibities, compared to 9.7% of non fallers. Fallers were also more likely to be on multiple medications: 7.1% were on 5 medications, compared to no non fallers. Fallers also sustained more severe injuries and presented with higher acuity than non fallers. Admission and referral rates were higher among fallers compared to other trauma patients (59.9% vs 30.4%). Conclusions Older patients who fall are a distinct group from other older trauma patients, with unique demographic, clinical and injury related characteristics. This information is useful in planning preventive and management strategies for these patients. Abstract ObjectivesFalls are common in older people, causing significant mortality and morbidity but little is known about this phenomenon in developing countries. This study aimed to investigate falls in older people in the developing world, comparing fallers with other trauma patients. MethodsWe conducted a prospective observational study of older trauma patients in Trinidad over a 4 month period, comparing falls victims with other trauma patients, in relation to their demographic, pre&morbid and injury characteristics. of fallers were female, compared to 43.7% of non&fallers. Fallers were more likely to suffer from multiple pre&existing diseases, with 29.8% having ≥ 3 comordibities, compared to 9.7% of non&fallers. Fallers were also more likely to be on multiple medications: 7.1% were on 5 medications, compared to no non&fallers. Fallers also sustained more severe injuries and presented with higher acuity than non&fallers.Admission and referral rates were higher among fallers compared to other trauma patients (59.9% vs 30.4%).

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Social support in older people: lessons from a developing country

Cited by 17 publications

References 12 publications

Social support received by the family of older patients in emergency department: A cross-sectional study

Social support received by the family of older patients in emergency department: A cross-sectional study

Assessing the validity of the Triage Risk Screening Tool in a third world setting

Are older fallers different? Comparing older fallers and non-fallers in a developing country

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