Health promotion for frail older home care clients

Journal of Advanced Nursing
Maureen Markle-ReidSandra R Henderson

Abstract

This paper reports a study evaluating the comparative effects and costs of a proactive nursing health promotion intervention in addition to usual home care for older people compared with usual home care services alone. An ageing population, budget constraints and technological advances in many countries have increased the pressure on home care resources. The result is a shift in nursing services from health promotion to meet the more pressing need for postacute care. For frail older people with long-term needs, these changes combine to create a fragmented system of health service delivery, characterized by providing nursing on demand rather than proactively. A two-armed, single-blind, randomized controlled trial was carried out with older people > or =75 years and eligible for personal support services through a home care programme in Ontario, Canada. Participants were randomly allocated either to usual home care (control) or to a nursing (experimental) group. In addition to usual home care, the nursing group received a health assessment combined with regular home visits or telephone contacts, health education about management of illness, coordination of community services, and use of empowerment strategies to enhance independe...Continue Reading

Associated Clinical Trials

References

Sep 1, 1991·Journal of the American Geriatrics Society·L Z RubensteinD Wieland
Nov 1, 1987·Western Journal of Nursing Research·C Weinert, P A Brandt
Feb 1, 1985·American Journal of Public Health·J G ZimmerJ McCusker
May 1, 1984·Scandinavian Journal of Primary Health Care·F Gunner-SvenssonB Waldstrøm
May 1, 1983·Journal of Gerontology·S Himmelfarb, S A Murrell
Jul 1, 1994·Journal of Gerontology·H DavidsonS Crawford
Jul 3, 1993·BMJ : British Medical Journal·E van RossumP Knipschild
Oct 9, 1996·JAMA : the Journal of the American Medical Association·L B RussellM C Weinstein
Apr 1, 1997·International Journal of Geriatric Psychiatry·R L Schein, H G Koenig
Jul 1, 1997·Journal of Advanced Nursing·A C Rogers
Oct 6, 1997·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·R E RobertsW J Strawbridge
Nov 14, 1997·The Veterinary Record·A R AustinS Webster
Feb 5, 1998·JAMA : the Journal of the American Medical Association·A R Jadad, D Rennie
Jul 14, 1998·Journal of Clinical Nursing·S Robinson, Y Hill
May 3, 2000·Australian and New Zealand Journal of Public Health·J E Byles
May 17, 2000·Health Affairs·M Merlis
May 17, 2000·Health Affairs·G F Anderson, P S Hussey
May 17, 2000·Health Affairs·S Jacobzone
Jun 20, 2000·Neurobiology of Aging·K FassbenderK Beyreuther
Dec 15, 2000·Public Health Nursing·D B McNaughton
Feb 28, 2002·JAMA : the Journal of the American Medical Association·Andreas E StuckJohn C Beck
Mar 19, 2003·International Journal of Geriatric Psychiatry·Mira JohriHoward Bergman
Jun 18, 2003·HealthcarePapers·M MacAdam
Jul 2, 2003·Journal of Advanced Nursing·Kate CaelliTerry Caelli

❮ Previous
Next ❯

Citations

Sep 30, 2009·Zeitschrift für Gerontologie und Geriatrie·D Schaeffer, A Büscher
Mar 7, 2009·Home Health Care Services Quarterly·Lynn JansenBeverly Leipert
Apr 1, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ans BoumanPaul Knipschild
Jun 8, 2010·Implementation Science : IS·Patricia B MarckSerena Corsini-Munt
Jun 4, 2011·International Journal of Qualitative Studies on Health and Well-being·Petra Svedberg
Nov 28, 2013·BMC Health Services Research·Markus GustafssonDoris Bohman
Feb 16, 2011·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Maureen Markle-ReidLehana Thabane
Dec 7, 2011·Health Promotion International·David Mcdaid, A-La Park
Jun 1, 2009·International Journal of Older People Nursing·Hazel Heath, Lynne Phair
Jan 30, 2009·Health & Social Care in the Community·Bridget RyburnPeter Foreman
Dec 1, 2008·International Journal of Older People Nursing·June N Sheriff, Lynn Chenoweth
Aug 28, 2007·Journal of Psychiatric and Mental Health Nursing·P SvedbergL Hansson
May 27, 2010·Journal of Clinical Nursing·Sini ElorantaPirkko Routasalo
Oct 17, 2014·Aging & Mental Health·Cristina BuiguesOmar Cauli
Sep 4, 2013·Aging & Mental Health·Rose M CollardRichard C Oude Voshaar
Aug 18, 2016·Journal of Palliative Medicine·Adam E SingerKarl A Lorenz
Dec 1, 2007·American Journal of Men's Health·Matthew J PetersonMiriam C Morey
Dec 31, 2008·Medical Care Research and Review : MCRR·Dianne V LiebelBethel A Powers
Nov 9, 2017·Zeitschrift für Gerontologie und Geriatrie·Jörg-Christian Renz, Matthias Meinck
May 22, 2018·Scandinavian Journal of Public Health·Janni NiclasenLars Larsen
Sep 5, 2018·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Shanthi JohnsonNuelle Novik
Feb 28, 2019·Scandinavian Journal of Primary Health Care·Heini LiimattaKaisu H Pitkala
Nov 23, 2018·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Randy D BoyesAna P Johnson
Sep 5, 2020·PloS One·Christopher Justin JacobiNick Allum
Jul 17, 2020·Health & Social Care in the Community·Rachael FrostUNKNOWN PriDem Study project team

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.