2) of inpatient care in the last year of life. Among
men, the risk for all-cause hospital care in the last year of life was higher for those who had been sedentary since midlife (adjusted incidence rate ratio [IRR] 1.98, 95% confidence interval [CI] 1.14-3.42) compared with those who had been consistently physically active, whereas use of long-term care did not correlate with physical activity history. Among women, the risk for long-term care was higher for those who had been sedentary (IRR 2.03, 95% CI 1.28-3.21) or only selleck chemical occasionally physically active (IRR 1.60, 95% CI 1.06-2.43), than for those who had been consistently active from midlife onward, whereas use of hospital care did not correlate with physical activity history.
People who had been physically active since midlife needed less end-of-life inpatient care but patterns differed between men and women.”
“The Guided Care Program for Families and Friends (GCPFF) is one component of “”Guided Care”" (GC), a model of primary care for chronically ill
older adults that is facilitated by a registered nurse who has completed a supplemental educational curriculum.
The GCPFF melds support for family caregivers with the delivery of coordinated and comprehensive chronic care and seeks to improve the health and well-being of both patients and their family caregivers. The GCPFF encompasses VDA chemical (a) an initial meeting between the nurse and the patient’s primary caregiver, (b) education and referral to community resources, (c) ongoing “”coaching,”" (d) a six-session group Caregiver Workshop, and (e) monthly Support Group meetings, all facilitated by the patient’s GC nurse.
A cluster-randomized controlled trial of GC is underway in 14 primary care physician teams. Of 904 consented patients, 450 (49.8%) identified a primary caregiver; 308 caregivers met eligibility criteria, consented to participate, and completed a baseline interview. At 6-month follow-up, intervention group caregivers’ mean Center for Epidemiological Studies Depression (CESD) and Caregiver
Strain Index (CSI) scores were respectively 0.97 points (p = .14) and 1.14 points (p = .06) lower than control group caregivers’. Among caregivers who provided more than 14 hours of weekly assistance at baseline, intervention group caregivers’ mean CESD and CSI scores were respectively 1.23 points Dichloromethane dehalogenase (p = .20) and 1.83 points (p = .04) lower than control group caregivers’.
The GCPFF may benefit family caregivers of chronically ill older adults. Outcomes will continue to be monitored at 18-months follow-up.”
“Loneliness is a distressing feeling of a lack of satisfying human relationships. It is associated with poor quality of life, impaired health, and increased mortality among older individuals. The study aim was to determine the effects of new psychosocial group rehabilitati`on on the subjective health, use and costs of health services, and mortality of lonely older individuals.