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  1. Transitional palliative care interventions for older adults with advanced non-malignant diseases and frailty: a systematic review
    Author: Sezgin D.; Hendry A.; Liew A.; O'Donovan M.; Salem M.; Carriazo A. M.; Lopez-Samaniego L.; Rodriguez-Acuna R.; Kennelly S.; Illario M.; Arnal Carda C.; Inzitari M.; Hammar T.; O'Caoimh R.
    Published: 2020

    Purpose: To identify transitional palliative care (TPC) interventions for older adults with non-malignant chronic diseases and complex conditions. Design/methodology/approach: A systematic review of the literature was conducted. CINAHL, Cochrane... more

     

    Purpose: To identify transitional palliative care (TPC) interventions for older adults with non-malignant chronic diseases and complex conditions. Design/methodology/approach: A systematic review of the literature was conducted. CINAHL, Cochrane Library, Embase and Pubmed databases were searched for studies reporting TPC interventions for older adults, published between 2002 and 2019. The Crowe Critical Appraisal Tool was used for quality appraisal. Findings: A total of six studies were included. Outcomes related to TPC interventions were grouped into three categories: healthcare system-related outcomes (rehospitalisation, length of stay [LOS] and emergency department [ED] visits), patient-related outcomes and family/carer important outcomes. Overall, TPC interventions were associated with lower readmission rates and LOS, improved quality of life and better decision-making concerning hospice care among families. Outcomes for ED visits were unclear. Research limitations/implications: Positive outcomes related to healthcare services (including readmissions and LOS), patients (quality of life) and families (decision-making) were reported. However, the number of studies supporting the evidence were limited. Originality/value: Studies examining the effectiveness of existing care models to support transitions for those in need of palliative care are limited. This systematic literature review identified and appraised interventions aimed at improving transitions to palliative care in older adults with advanced non-malignant diseases or frailty.

     
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    Source: BASE Selection for Comparative Literature
    Language: English
    Media type: Article (journal)
    Format: Online
    Subjects: Advanced disease; Care model; Chronic disease; End-of-life care; Frailty; Non-malignant; Older adult; Palliative care; Transitional care
    Rights:

    info:eu-repo/semantics/openAccess
  2. ICT-supported interventions targeting pre-frailty: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study
    Author: O'Caoimh R.; Molloy D. W.; Fitzgerald C.; Van Velsen L.; Cabrita M.; Nassabi M. H.; de Vette F.; van Weering M. D.; Jansen-Kosterink S.; Kenter W.; Frazer S.; Rauter A. P.; Turkman A.; Antunes M.; Turkman F.; Silva M. S.; Martins A.; Costa H. S.; Albuquerque T. G.; Ferreira A.; Scherillo M.; De Luca V.; Abete P.; Colao A.; Garcia-Rudolph A.; Sanchez-Carrion R.; Sanchez J. S.; Gomez Aguilera E. J.; Illario M.; Hermens H.; Vollenbroek-Hutten M.
    Published: 2018

    As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early... more

     

    As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early intervention is desirable and pre-frailty, before onset of functional decline, may represent a suitable transition stage to target, albeit evidence for reversibility and appropriate interventions are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. This work describes 25 healthcare related findings from the recently completed PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project, funded under the 2013–2016 European Union Framework Programme 7 (grant #610359). PERSSILAA developed a comprehensive Information and Communication Technologies (ICT)-supported platform to screen, assess, intervene and then monitor community-dwellers in two regions (Enschede in the Netherlands and Campania in Italy) in order to address pre-frailty and promote active and healthy ageing, targeting three important pre-frailty subdomains: nutrition, cognition and physical function. Proposed definitions of pre-frailty, ICT-based approaches to screen and monitor for the onset of frailty and targeted management strategies employing technology across these domains are described. The potential of these 25 healthcare recommendations in the development of future European guidelines on the screening and prevention of frailty is explored.

     
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    Source: BASE Selection for Comparative Literature
    Language: English
    Media type: Article (edited volume)
    Format: Online
    Subjects: Frailty; Guideline; Healthcare recommendation; Information and communication technology; Pre-frailty
  3. Healthcare recommendations from the personalised ict supported service for independent living and active ageing (PERSSILAA) study
    Author: O'Caoimh R.; Molloy D. W.; Fitzgerald C.; Van Velsen L.; Cabrita M.; Nassabi M. H.; De Vette F.; Weering M. D. -V.; Jansen-Kosterink S.; Kenter W.; Frazer S.; Rauter A. P.; Turkman A.; Antunes M.; Turkman F.; Silva M. S.; Martins A.; Costa H. S.; Albuquerque T. G.; Ferreira A.; Scherillo M.; De Luca V.; Illario M.; Garcia-Rudolph A.; Sanchez-Carrion R.; Sanchez J. S.; Aguilera E. J. G.; Hermens H.; Vollenbroek-Hutten M.
    Published: 2017

    In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional... more

     

    In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional decline, is suggested to be reversible but interventions targeting this risk syndrome are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. The PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project (2013-2016 under Framework Programme 7, grant #610359) developed a comprehensive Information and Communication Technologies (ICT) supported platform to screen, assess, manage and monitor pre-frail community-dwelling older adults in order to address pre-frailty and promote active and healthy ageing. PERSSILAA, a multi-domain ICT service, targets three pre-frailty: nutrition, cognition and physical function. The project produced 42 recommendations across clinical (screening, monitoring and managing of pre-frail older adults) technical (ICT-based innovations) and societal (health literacy in older adults, guidance to healthcare professional, patients, caregivers and policy makers) areas. This paper describes the 25 healthcare related recommendations of PERSSILAA, exploring how they could be used in the development of future European guidelines on the screening and prevention of frailty.

     
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    Source: BASE Selection for Comparative Literature
    Language: English
    Media type: Conference object
    Format: Online
    Subjects: Clinical; Frailty; Guideline; Healthcare recommendation; Information and communication technology; Pre-frailty