Caring for continence in stroke care settings: A qualitative study of patients' and staff perspectives on the implementation of a new continence care intervention.

CONCLUSION: Patients (particularly those with severe urinary incontinence) described challenges communicating about and involvement in continence care decisions. In contrast, nurses described improved continence knowledge, attitudes and confidence alongside a shift from containment to rehabilitative approaches. Contextual components including care from point of hospital admission, equipment accessibility and interdisciplinary approaches were perceived as important factors to enhancing continence care. PMID: 26048436 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - Category: Rehabilitation Authors: Tags: Clin Rehabil Source Type: research

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CONCLUSION: Older adults in rural areas have a high prevalence of functional dependence. Knowledge of functional dependence and associated factors in rural populations is necessary for the planning and developing actions, especially in the routine of primary care, which promote health and prevent or postpone the decline in functional capacity. PMID: 33002364 [PubMed - in process]
Source: Rural and Remote Health - Category: Rural Health Tags: Rural Remote Health Source Type: research
This study will provide a comprehensive evaluation of the efficacy and safety of electroacupuncture against UI after stroke, with a view of providing more reliable evidence-based solutions for UI. Ethics and dissemination: This work synthesises evidence from previously published studies and does not require ethics review or approval. A manuscript describing the findings will be submitted for publication in a peer-reviewed scientific journal. INPLASY registration number: INPLASY202050073
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
Photo credit Jared Rice Increasingly, stress is considered a risk factor for dementia, particularly Alzheimer’s. Stress is also a risk factor for stroke and heart attack as well as a trigger for many diseases from arthritis to psoriasis. Obviously, limiting stress in our lives is a good idea. But how? Simply living what we call modern life seems to make stress the norm. View slideshow on HealthCentral for more insight into managing stress: Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook  Incontinence problems? Try Egosan premium underwear for discrete, dignified p...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Photo credit Aaron Andrew Dear Carol: I moved my 81-year-old dad in with me so that I could keep an eye on him after he had a stroke last year and have kept him with me because of COVID-19. He’s doing very well, partly because he has some in-home physical therapy where he happily cooperates. When we had some general in-home help for a while after his stroke, he also did everything they asked, including eating the food that they suggested. When I insist on the same things, he shrugs me off or says he’ll think about it. I love him and we get along quite well. Why will he do what he needs to do for other people an...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Photo credit Vladimir Soares Dear Carol: My mother has been in a nursing home for over a year due to back-to-back strokes. She’s only 74, so this has been a hard adjustment for everyone. She has minor dementia symptoms due to vascular dementia which I’m told is common after strokes. My problem is that during a video chat the floor nurse casually mentioned a reaction that mom had from a medication change that I hadn’t been told about before. I try not to be overbearing when it comes to Mom’s care, but since I haven't been allowed to see her close up, it seems more important than ever that I&rsqu...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
My mom passed two years ago and my dad hasn’t done well since. Recently he had a stroke. My sister, who lives 1,000 miles away, came out for mom’s funeral, and she also visited for a few days after dad’s stroke, but she has a job and a family and couldn’t stay long. Now, dad’s been diagnosed with vascular dementia. Realistically, I’m the sole caregiver. I have two teenaged children, a husband who is, so far, supportive, and a job. I’m already beginning to feel burned out after just a few months. What can I do to help myself get through this and still take care of my dad? — Fr...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Photo credit Amin Lofti Dear Carol: My mother, age 94, has smoked her whole life, carried too much weight, eaten junk, wouldn’t exercise, and wouldn’t even take a vitamin. Late last year she had a stroke that left her physically disabled to the point that she needs to be in a nursing home. So far, she shows no sign of dementia, but she’s angrier than ever because of her situation. The care staff is angelic. I don’t know how they do it because I’m a mess. I’m almost glad that the COVID situation has kept us separate because on video she’s usually distracted enough to not let loose h...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Photo credit Ani Kolleshi Dear Carol: My husband and I are in our late 70s but due to his health problems, I’ve been his caregiver for years.  Recently he had his second stroke, so he’s been in rehab. He’s going to be discharged soon because they feel like all that can be done to improve his mobility has been done, but unfortunately, he will continue to need a wheelchair when not in bed. He’s a large man and I know that I can’t handle transferring him on my own. We are fortunate that we can afford in-home care for a while so that’s what I want to do, but is this safe? Thankfully, th...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Discussions with Elders about HousingRespecting Elders' Dignity May Require Accepting Risk 
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
CONCLUSIONS: Trials of antidepressants may be driven mainly by commercial interests, focusing on prevalent diseases and everyday problems. No one can live a full life without experiencing several of the problems for which these drugs were tested. Antidepressants, sometimes called happy pills, could be seen as the modern version of Aldous Huxley's soma pill intended to keep everyone happy in the "Brave New World". PMID: 32444565 [PubMed - as supplied by publisher]
Source: International Journal of Risk and Safety in Medicine - Category: Drugs & Pharmacology Tags: Int J Risk Saf Med Source Type: research
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