BACKGROUND A residential area supportive for walking may facilitate elderly to live longer independently. However, current evidence on area characteristics potentially important for walking among older persons is mixed. This study hypothesized that the importance of area characteristics for transportational walking depends on the size of the area characteristics measured, and older person's fra...

BACKGROUND The accurate measurement of stature is not possible in many frail elderly persons because of problems affecting their ability to stand straight. In such cases, knee height may be used to estimate stature. OBJECTIVE This study was designed to explore the applicability of published regression equations to estimate stature of Puerto Rican and other Hispanic elderly persons living in t...

OBJECTIVES Cognitive and sensory difficulties frequently jeopardize informed consent of frail elderly patients This study is the first to test whether preliminary research experience could enhance geriatric patients' capacity to consent. DESIGN/SETTING A step-wise consent procedure was introduced in a study on fluid balance in geriatric patients. Eligible patients providing verbal consent par...

Efforts that can be made to improve the performance of native chickens are by crossing them with Bangkok chickens. This study aims determine growth body weight from cross-breeding between Kampung chicken and chicken. As many as 30 male chicks a cross were used in this study. The crosses rooster chicks. DOC female was 35.22 ± 0.96 grams. There significant increase starting at age 5 weeks 8 age, ...

BACKGROUND Prior studies measuring fidelity of complex interventions have mainly evaluated adherence, and not taken factors affecting adherence into consideration. A need for studies that clarify the concept of fidelity and the function of factors moderating fidelity has been emphasized. The aim of the study was to systematically evaluate implementation fidelity and possible factors influencing...

BACKGROUND Elderly patients admitted to Geriatric Assessment Units (GAU) typically have complex health problems that require multi-professional care. Considering the scope of human and technological resources solicited during hospitalization, as well as the many risks and discomforts incurred by the patient, it is important to ensure the communication of pertinent information for quality follow...

OBJECTIVES The aim was to psychometrically evaluate the Swedish version of the Multidimensional Pain Inventory (MPI-S) and the "brief screening version of MPI-S" for use in an elderly sample. METHODS This study comprised 175 people aged 76-99 years reporting pain and in need of help to manage daily living. The instrument's factor structures were investigated through factor analyses, convergen...

An examination of data from the 1982 National Long-Term Care Survey reveals that informal caregivers to the disabled elderly are predominantly female and that three-quarters of them live with the care recipient. The data suggest that caregivers as well as care recipients are a vulnerable group since one-third are over age 65, report incomes in the poor to near-poor category and describe t eir h...

CMS has had a continuing interest in exploring ways to incorporate frailty adjustment into the CMS Hierarchical Condition Categories (CMS-HCC) risk adjustment methodology for Medicare Advantage and other Medicare private organizations. In this article we present research results for Medicare risk adjustment of the frail elderly since the adoption of frailty adjustment for Program of All-Inclusi...

PURPOSE The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. METHODS We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in 2 integrated models of care for frail elderly pa...