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An Examination of the Health Profile, Service Use and Care Needs of Older Adults in Residential Care Facilities

Published online by Cambridge University Press:  31 March 2010

F. Aminzadeh ,
W.B. Dalziel ,
F. J. Molnar  and
J. Alie
F. Aminzadeh*
Affiliation:
Regional Geriatric Assessment Program of Ottawa (RGAP)
W.B. Dalziel
Affiliation:
Regional Geriatric Assessment Program of Ottawa (RGAP)
F. J. Molnar
Affiliation:
University of Ottawa Institute on Health of the Elderly
J. Alie
Affiliation:
Regional Geriatric Assessment Program of Ottawa (RGAP)
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être adressées à: Faranak Aminzadeh, Regional Geriatric Assessment Program of Ottawa, Geriatric Outreach 39 Robertson Rd., Suite 212, Nepean, ON K2H 8R2. ([email protected])
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Abstract

Private, unregulated residential care facilities have become an increasingly important component of the continuum of housing and care for frail older adults in Canada. To date, this growing segment of the older population has received very little research attention. This study involved an in-depth examination of the functional/health profile, patterns of service use, and medical/care needs of a representative sample of 178 older adults in residential care facilities in the City of Ottawa. The results indicate great diversity in resident and facility profiles in this setting and confirm earlier impressions that special care units in the residential care sector have become increasingly close to being unlicensed pseudo-nursing homes. Despite the heavy burden of care, the evidence suggests that the care needs of the majority of residents are adequately met in the residential care environment. The results can inform future research, case finding, educational, and policy planning initiatives in this setting.

Résumé

Au Canada, les établissements de soins privés non réglementés forment un volet de plus en plus important du continuum des soins et du logement des personnes âgées fragiles. Jusqu'à présent, les chercheurs se sont peu intéressés à ce segment croissant de la population. Pour mener à bien cette étude, on a examiné avec soin le profil de santé/profil fonctionnel, les schémas d'utilisation des services et les besoins médicaux/besoins en soins d'un échantillon représen- tatif de 178personnes âgées pensionnaires d'établissements de soins dans la ville d'Ottawa. Les résultats révèlent une grande diversité dans les profils des pensionnaires et des établissements et confirment ce que l'on soupçonnait déjà, à savoir que les unités de soins spéciaux du secteur des soins en établissements ressemblent de plus en plus à des « pseudo maisons de soins infirmiers» non agréées. Malgré le lourd fardeau de la prise en charge, les preuves réunies suggèrent que les besoins en soins de la plupart des pensionnaires sont convenablement satisfaits en établissements de soins. Ces conclusions pourront servir de base aux futurs travaux de recherche et initiatives de dépistage, de sensibilisation et de planification de politiques dans ce secteur.

Keywords

aginghealth and functional profileresidential carevieillissementprofil de santé et profil fonctionnelsoins en établissement
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 23 , Issue 3 , Fall/Automne 2004 , pp. 281 - 294
Copyright
Copyright © Canadian Association on Gerontology 2004

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References

Aminzadeh, F., Dalziel, W.B., Martell, C., & Amos, S. (2001). A survey of residential care facilities in the Ottawa-Car-leton region. Geriatrics Today: Journal of the Canadian Geriatrics Society, 4(3), 130–134.Google Scholar
Aminzadeh, F., Edwards, N., Lockett, D., & Nair, R. (2000). Utilization of bathroom safety devices, patterns of bathing and toileting, and bathroom falls in a sample of community living older adults. Technology and Disability, 13(2), 95–103.CrossRefGoogle Scholar
Bartels, S.J., Horn, S.D., Smout, R.J., Dums, A.R., Flaherty, E., Jones, J.K., et al. (2003). Agitation and depression in frail nursing home elderly patients with dementia. American Journal of Geriatric Psychiatry, 11(2), 231–238.CrossRefGoogle ScholarPubMed
Benyamini, Y., Idler, E.L., Leventhal, H., & Leventhal, E.A. (2000). Positive affect and function as influences on self-assessment of health: Expanding our view beyond illness and disability. Journal of Gerontology: Psychological Sciences, 55B, P107–P116.CrossRefGoogle Scholar
Bernabei, R., Gambassi, G., Lapane, K., Sgadari, A., Landi, F., Gatsonis, C., et al. (1999). Characteristics of the SAGE Database: A new resource for research outcomes in long-term care. Journal of Gerontology: Medical Sciences, 54(1), M25–M33.Google ScholarPubMed
Boise, L., Camicioli, R., Morgan, D.L., Rose, J.H., & Congleton, L. (1999). Diagnosing dementia: Perspectives of primary care physicians. Gerontologist, 39(4), 457–464.CrossRefGoogle ScholarPubMed
Bravo, G., Charpentier, M., Dubois, M.F., De Wals, P., & Emond, A. (1998). Profile of residents in unlicensed homes of the aged in the Eastern Townships of Quebec. Canadian Medical Association, 159(2), 143–148.Google ScholarPubMed
Burke, M.A., Lindsay, J., & Hill, G. (1992). Dementia among Seniors. In Statistics Canada, Canadian Social Trends (Vol. 3, pp. 56–59). Toronto: Thompson Educational.Google Scholar
Community Care Access Centre. (2001). Your guide to long term care placement. Ottawa: Author.Google Scholar
Council on Aging. (1999). Ottawa Carleton: An aging population (Fact book on aging 1999). Ottawa: Author.Google Scholar
Cuijpers, P., Lammeren, P.V., & Duzijn, B. (1999). Relation between quality of life and chronic illnesses in elderly living in residential homes: A prospective study. International Psychogeriatrics, 11(4), 445–454.CrossRefGoogle ScholarPubMed
Eckert, J.K., Zimmerman, S., & Morgan, L.A. (2001). Connectedness in residential care: A qualitative perspective. In Zimmerman, S., Sloane, P.D., & Eckert, J.K. (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Elby, E.M., Hogan, D.B., & Fung, T.S. (1996). Correlates of self-rated health in persons aged 85 and over: Results from the Canadian Study of Health and Aging. Canadian Journal of Public Health, 87(1), 28–31.Google Scholar
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Gosney, M., Tallis, R., & Edmond, E. (1990). The burden of chronic illness in local authority residential homes for the elderly. Health Trends, 22(4), 153–157.Google ScholarPubMed
Hawes, C. (2001). Introduction. In Zimmerman, S., Sloane, P.D., & Eckert, J.K. (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Hébert, R., Dubuc, N., Buteau, M., Desrosiers, J., Bravo, G., Trottier, L., et al. (2001). Resources and costs associated with disabilities of elderly living at home and in institutions. Canadian Journal on Aging, 20(1), 1–21.CrossRefGoogle Scholar
Hébert, R., Guilbault, J., Desrosiers, J., & Dubuc, N. (2001). The functional autonomy measurement system (SMAF): A clinical-based instrument for measuring disabilities and handicaps in older people. Geriatrics Today: Journal of Canadian Geriatric Society, Sept., 141–147.Google Scholar
Hogan, D., & Fox, R.A. (1990). A prospective controlled trial of a geriatric consultation team in an acute-care hospital. Age and Ageing, 19, 107–113.CrossRefGoogle Scholar
Keating, N., Fast, J., Dosman, D., & Eales, J. (2001). Services provided by informal and formal caregivers to seniors in residential continuing care. Canadian Journal of Aging, 20(1), 23–45.CrossRefGoogle Scholar
Kristjansson, E., McDowell, I., Aylesworth, R., & Karam, A. (2003, March). Who ages successfully? Secondary analyses from the Canadian Study of Health and Aging. Paper presented at the Regional Geriatric Assessment Program of Ottawa Multidisciplinary City Wide Rounds, Ottawa, Canada.Google Scholar
Kurlowicz, L.H., Evans, L.K., Strumpf, N.E., & Maislin, G. (2002). A psychometric evaluation of the Cornell scale for depression in dementia in a frail, nursing home population. American Journal of Geriatric Psychiatry, 10(5), 600–608.CrossRefGoogle Scholar
Lawton, M.P. (2001). Foreword. In Zimmerman, S., Sloane, P.D., & Eckert, J.K. (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Lawton, M.P., Casten, R., Parmelee, P.A., Van Haitsma, K., Corn, J., Kleban, M.H., et al. (1998). Psychometric characteristics of the Minimum Data Set II: Validity. Journal of American Geriatrics Society, 46, 736–744.CrossRefGoogle ScholarPubMed
Lee, Y. (2000). The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Journal of Epidemiology and Community Health, 54, 123–29.CrossRefGoogle ScholarPubMed
MacKnight, C., Graham, J., & Rockwood, K. (1999). Factors associated with inconsistent diagnosis of dementia between physicians and neuropsychologists. Journal of American Geriatrics Society, 47, 1294–1299.CrossRefGoogle ScholarPubMed
Magaziner, J., German, P., Zimmerman, S.I., Hebel, J.R., Burton, L., Gruber-Baldini, A.L., et al. (2000). The prevalence of dementia in a statewide sample of new nursing home admissions aged 65 and older: Diagnosis by expert panel. The Gerontologist, 40, 663–672.CrossRefGoogle Scholar
Mathias, S., Nayak, U., & Isaacs, B. (1986). Balance in elderly patients: The Get Up and Go test. Archives of Physical Medicine Rehabilitation, 76, 387–389.Google Scholar
Menec, V.H. (2003). The relation between everyday activities and successful aging: A 6-year longitudinal study. Journal of Gerontology: Social Sciences, 58B(2), S74–S82.CrossRefGoogle Scholar
Morgan, L.A., Gruber-Baldini, A.L., & Magaziner, F. (2001). Resident characteristics. In Zimmerman, S., Sloane, P.D., & Eckert, J.K. (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.Google Scholar
O'Loughlin, J., Robittaile, Y., Boivin, J.F., & Suissa, S. (1993). Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. American Journal of Epidemiology, 137(3), 342–354.CrossRefGoogle ScholarPubMed
Ontario Ministry of Health and Long-Term Care. (2002). 2001 levels of care classification: Provincial summary data. North York, ON: Author.Google Scholar
Quinn, M.E., Johnson, M.A., Andress, E.L., McGinnis, P., & Ramesh, M. (1999). Health characteristics of elderly personal care home residents. Journal of Applied Nursing, 30(2), 410–417.Google ScholarPubMed
Rockwood, K., Stadnyk, K., MacKnight, C., McDowell, I., Hébert, R., Hogan, D.B., et al. (1999). A brief clinical instrument to classify frailty in elderly people. The Lancet, 353, 205–206.CrossRefGoogle ScholarPubMed
Sloane, P.D., Zimmerman, S., & Ory, M.G. (2001). Care for persons with dementia. In Zimmerman, S., Sloane, P.D., & Eckert, J.K. (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Spore, D., Mor, V., Hiris, J., Larrat, E.P., & Hawes, C. (1995). Psychotropic use among older residents of board and care facilities. Journal of American Geriatrics Society, 43, 1403–1409.CrossRefGoogle ScholarPubMed
Spore, D., Mor, V., Larrat, E.P., Hawes, C., & Hiris, J. (1997). Inappropriate drug prescription for elderly residents of board and care facilities. American Journal of Public Health, 87, 404–409.CrossRefGoogle ScholarPubMed
Statistics Canada. (2000). Living at home or in an institution: What makes the difference for seniors? Health Reports, 11(4), 49–61.Google Scholar
Sturgess, I., Rudd, A.G., & Shilling, J. (1994). Unrecognized visual problems amongst residents of Part III homes. Age and Ageing, 23, 54–56.CrossRefGoogle ScholarPubMed
Tombaugh, T.N., & McIntyre, N.J. (1992). The Mini-Mental State examination: A comprehensive review. Journal of American Geriatrics Society, 40, 922–935.CrossRefGoogle ScholarPubMed
Williams, B.R., Nichol, M.B., Lowe, B., Yoon, P., McCombs, J.S., Margolies, J., et al. (1999). Medication use in residential facilities for the elderly. The Annals of Pharmacotherapy, 33, 149–155.CrossRefGoogle ScholarPubMed
Zimmerman, S.I., & Sloan, P.D. (1999). Optimum residential care for people with dementia. Generations 33(3), 62–68.Google Scholar
Zisook, S. (1996). Depression in late life: Diagnosis, course and consequences. Postgraduate Medicine, 100(4), 150–156.CrossRefGoogle ScholarPubMed