View clinical trials related to Long-Term Care.
Filter by:Wound infection and bleeding is a risk factor for pressure injury. Calcium alginate silver dressing (CASD) has been shown to be beneficial in a variety of wounds. However, evidence of its benefit in pressure injury(PI) patients in long-term care institutions, especially with respect to Taiwan population, is sparse. This study was to evaluate the effect of CASD and conventional wound dressings on the PI patients in long-term care institutions.
Digital tools can potentially improve the public's reception to and understanding of long-term care information, which will be significantly helpful for long-term care workers and effectively increase the coverage provided by long-term care services. The results of this study could be used to further explore the feasibility of service digitization in the field of long-term care, as well as the integration of technology and professional knowledge to facilitate access to long-term care resources in a modern setting.
Cosmetic therapy provides a psychological effect on the elderly, improving their self-confidence and social participation. This study was conducted to investigate the effectiveness of cosmetic therapy to enhance the self-esteem and reduce depression of elderly residents in long-term care institutions. We expect that a 6-week cosmetic therapy will improve the elderly's mental health, including depression and self-esteem.
Since the Ministry of Health and Welfare promoted long-term care 2.0 in 2017, it has actively flipped the concept of care. The long-term care professional service added the spirit of self-care, emphasized the dignity and autonomy of the elderly, and provided professional services (including reablement services) to enhance the individual's ability to live independently. However, the use of professional services may be controversial due to unclear understanding of the purpose and service mode of professional services and lack of preparation, vertical (county and city governments, community integrated service centers (A-level units), long-term care service units, etc.) and horizontal cross-professional cooperation is rare, the effectiveness of professional services is unclear, and issues of service quality management also need attention. Therefore, there is an urgent need to integrate the current implementation content and service personnel qualifications of professional services, improve the knowledge of professional service personnel, strengthen the links between county and city governments, A-level units, and long-term care service units, and improve the quality of professional services. The purpose of this plan is to set up experts and working groups, revise the professional service manuals, develop long-term professional service operation guidelines, review the long-term professional service payment system, and develop professional service quality management mechanisms to provide reference for policy planning. Researchers will achieve their goals through the following methods: 1. Establish an interdisciplinary, academic and practical expert working group, professional service manual/operation guide revising group, and hold meetings. Researchers will also review professional service manuals and operational guidelines for the drafts of professional services, and the payment system and the improvement mechanism of service quality, etc. 2. Review domestic and foreign documents: four countries including Norway, the United Kingdom, Australia, and Japan. Researchers will compare the long-term care professional service or reablement service models of various countries, and serve as follow-up experts to revise professional service manuals, operating guidelines, and basis for professional service execution and quality management mode. 3. Achievement analysis of model cases: based on the extended case method of qualitative research, it is expected to solicit high-quality model long-term care professional service units, and in-depth collection of relevant information on the characteristics, process and results of the case homes and service units of successful cases of long-term professional services, conduct ethnographic research and benchmarking, understand the operation of the domestic model, as a follow-up reference for the various tasks of this project . 4. Based on the above-mentioned literature review, model case analysis, expert writing, and multiple meetings, develop a long-term professional service manual/long-term professional service operation guidelines, and propose an amendment draft. 5. Suggestions for the review of the payment system for long-term care professional services: methods include the above-mentioned literature review, establishment of an expert group, case visits, analysis of results of typical cases, and discussions on the draft and different payment methods of various care packages and classification of different payment cases, obtain group consensus through the Delphi method, and conduct pros and cons analysis. 6. Conduct simulation verification for the service payment method draft and different payment case classifications, visit cases (including cases with different disability levels or characteristics), and analyze the verification results and make recommendations for revision. 7. Based on the above literature review, analysis of the results of model cases and discussions at expert meetings, develop professional service quality evaluation and management mechanisms 8. Produce public version of long-term professional service manual/long-term professional service operation guide for lecture notes and educational training media, and handle seven sessions of education training in North, Central, South, and East of Taiwan.
Objective: To assess the feasibility and preliminary effectiveness of an evidence-driven, pragmatic multi-component cognitive intervention with simulated everyday tasks (MCI-SET) with an inclusive group design in community centers Methods: One group, pre-test, post-test, and 3-month follow up research design. The participants who were >=65 and frail, dependence in >= one activity of daily living, or with a confirmed dementia from eight community centers. MCI-SET consisted 12 two-hour weekly group sessions. Feasibility was described with intervention development, fidelity, and acceptability. Outcomes included general daily functioning, general cognition, memory, attention, executive functioning, and processing speed.
This study aims o investigate the effect of a diversified community-based reablement on motor function, cognitive function, performance in activities of daily living (ADL), and physical performance of older people living in remote areas. Older adults who are mobile but unstable were recruited from 6 public elderly day care centers in remote areas of the New Taipei City. Experimental group received a 10-wk diversified community-based reablement service including group exercise, cognitive training, health education for 1.5 hours, and individualized reablement for 1.0 hour, while control group received 1.5-hr group intervention and 1.0-hr placebo intervention. The de Morton Mobility Index (DEMMI), Saint Louis Mental Status Examination (SLUMS), Barthel Index (BI), Canadian Occupational Performance Measure (COPM), and the Short Physical Performance Battery (SPPB) including balance, gait speed, chair stand tests were evaluated twice before and after interventions. The results of the current study are expected to provide evidence in supporting a novel and diversified community-based reablement in remote areas.
The purpose of this research study is to determine whether a physical exercise program in nursing homes will maintain autonomy in activities of daily living, decrease vulnerability and improve physical, psychological and cognitive condition. An individualized and progressive multi-component physical exercise program focused on function has been designed to achieve this objective. Participant will engage in an exercise program for 6 months in their nursing homes, in two sessions per week of 45-60 minutes
Enhancing the mealtime experience through changing the social and physical aspects of dining holds the potential to not only improve food intake among residents, but enhance their quality of life. The CHOICE+ Program is designed to support relationship-centred mealtimes in long-term care (LTC). This current study will pilot the CHOICE+ Program over the course of 18 months in three LTC homes with the support of a single external facilitator. The research team will collect data at mealtimes and from staff, residents and family members to determine what changes occurred and how this impacted the mealtime experience. The results of this study will provide insight into the efficacy of the CHOICE+ Program and if the program holds potential to improve mealtimes for residents in LTC through relationship-centered dining, as well as capacity building among those who live and work in the home to identify areas for improvement and work together to make change.
The population of children with life-limiting illnesses (LLI) in England is increasing and there is growing need to improve the quality of children's palliative care. Families of children with LLI are confronted with many care decisions for their children, such as whether and when to commence artificial nutrition or ventilation. They may also have the opportunity to consider the care that may be appropriate for their child in the future. Despite the important decisions families and professionals are required to make, there is little empirical evidence regarding the process of decision making and future planning for this population. Few studies have investigated the perspectives of multiple stakeholders and none have addressed multiple perspectives longitudinally. Therefore the relational and contextual aspects of decision making and future planning for children with LLI have as yet not been identified. A multiple embedded case study utilising ethnographic methods (semi-structured interviews, observation and notes review) is proposed to address this knowledge gap. Families of children with LLI cared for in either of two participating hospitals will be recruited and followed up for up to 12 months. The family will be invited to nominate 'significant others' (e.g. relatives, friends, health care professionals) who assist them in decision making and future planning, to participate in the study. Outpatient clinic appointments or ward rounds during periods of hospitalisation will be observed and semi-structured interviews will be conducted approximately three times with each participant. Medical notes will be reviewed at the end of the study. This research will enable a better understanding of the experiences and preferences for engaging in decision making and future planning from the perspectives of all stakeholders. It will also provide an awareness of the communication practices involved in discussions and the networks of care surrounding children with LLI, including specific support needs in relation to their role.