Berit Seiger Cronfalk1, Astrid Fjell2, Nina Carstens3, Lars Malvin Kvinge Rosseland4, Arvid Rongve5, Dag-Helge Rönnevik6, Åke Seiger7, Knut Skaug8, Karen Johanne Ugland Vae7, Marianne Hauge Wennersberg4, Anne-Marie Boström2. 1. 1Department of Nursing Sciences,Ersta Sköndal Bräcke University College,Stockholm,Sweden. 2. 2Department of Nursing,Western Norway University of Applied Sciences,Haugesund,Norway. 3. 4Pharmaceutical Services Advisor,Hospital Pharmacies Enterprise,Haugesund,Norway. 4. 5FOUSAM,Stord Haugesund University College,Haugesund,Norway. 5. 6Department of Psychiatry,Haugesund Hospital,Institute of Clinical Medicine,University of Bergen,Bergen,Norway. 6. 7Department of Integrated Health Care,Helse Fonna Haugesund Hospital,Haugesund,Norway. 7. 3Department of Neurobiology, Care Sciences and Society,Karolinska Institutet,Stockholm,Sweden. 8. 8Department of Medicine,Helse Fonna Haugesund Hospital,Haugesund,Norway.
Abstract
The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. BACKGROUND: Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care. METHOD: Descriptive explorative design describing the development, utilization and feasibility of preventive home visits in two different settings. All 77-year-old persons living at home in an urban municipality and all 75 years and older in a rural municipality were invited to participate. A questionnaire including a substantial number of tests concerning; fall, nutrition, polypharmacy and cognitive impairment was used by Health Team Nurses as base for a risk assessment. Pilot studies were conducted to validate the questionnaire including an inter-rater reliability study of the risk assessment tool. A multiprofessional team, Health Team for the Elderly met each week to evaluate risk assessments and make recommendations to be sent to each respective general practitioner. Data were analysed using descriptive and inferential statistics. In total, 167 persons (109 from the urban municipality and 58 from the rural municipality) participated, corresponding to 60% of the approached individuals. The mean time for the visits was 108 minutes (SD 20). Missing data were identified for; Do you feel safe in your municipality (17.5%) and Are you looking forward to ageing (11.4%). In total, 36 persons (21.7%) were identified with increased risk for developing illness. We suggest that a structured model of preventive home visits and collaboration between highly specialized health care professionals are important factors for reliable health promoting risk assessments of elderly home dwellers.
The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. BACKGROUND: Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care. METHOD: Descriptive explorative design describing the development, utilization and feasibility of preventive home visits in two different settings. All 77-year-old persons living at home in an urban municipality and all 75 years and older in a rural municipality were invited to participate. A questionnaire including a substantial number of tests concerning; fall, nutrition, polypharmacy and cognitive impairment was used by Health Team Nurses as base for a risk assessment. Pilot studies were conducted to validate the questionnaire including an inter-rater reliability study of the risk assessment tool. A multiprofessional team, Health Team for the Elderly met each week to evaluate risk assessments and make recommendations to be sent to each respective general practitioner. Data were analysed using descriptive and inferential statistics. In total, 167 persons (109 from the urban municipality and 58 from the rural municipality) participated, corresponding to 60% of the approached individuals. The mean time for the visits was 108 minutes (SD 20). Missing data were identified for; Do you feel safe in your municipality (17.5%) and Are you looking forward to ageing (11.4%). In total, 36 persons (21.7%) were identified with increased risk for developing illness. We suggest that a structured model of preventive home visits and collaboration between highly specialized health care professionals are important factors for reliable health promoting risk assessments of elderly home dwellers.
Entities:
Keywords:
elderly; home visits; risk assessment; self-evaluation; team
Authors: Yea Lu Tay; Nurul Salwana Abu Bakar; Ruzimah Tumiran; Noor Hasidah Ab Rahman; Noor Areefa Ameera Mohd Ma'amor; Weng Keong Yau; Zalilah Abdullah Journal: Syst Rev Date: 2021-12-06