SENIORS LIVING IN RESIDENTIAL HOMES: A TARGET POPULATION TO IMPLEMENT ICOPE (INTEGRATED CARE FOR OLDER PEOPLE) PROGRAM IN PRIMARY CARE
J. De Kerimel, N. Tavassoli, C. Mathieu, P. De Souto Barreto, C. Berbon, H. Blain, B. Vellas, Y. Rolland
Jour Nursing Home Res 2020;6:82-88
Background: Few researches describe old people living in residential homes despite this population being reported to consume much of medical care. Our hypothesis is that many older people living in these structures are frail and that residential home may be targeted places for the implementation of strategy to prevent functional decline. Objective: Our goal is to describe the geriatric characteristics of older people living in residential homes. Methods: This study was a cross-sectional, observational survey carried out in residential homes in Toulouse (France). A questionnaire covering general informations about the residential homes and services offered to residents and a self-assessment questionnaire for all residents (including, FinD questionnaire for frailty, SARC-F for sarcopenia, loneliness, and depressive symptoms, fear of falling) were completed. Results: 1,274 older adults living in 29 residential homes received the questionnaire and 807 (63.3%) people participated (mean age; standard deviation, SD = 83.0; 9.5, female 74.5%). A large majority are not disabled (mean ADL score; SD = 5.4; 0.9), lived alone (83.9%) and suffer from loneliness (29.8%). More than half were positively screened for frailty (53.7%) and 37.2% for sarcopenia; 53.5% had depressive symptoms, and 59.1% reported a fear of falling. Conclusion: Our study suggests that prevalence of frailty in older people living in residential homes is high. This result supports that older people living in residential homes could be a target population to implement strategy to prevent functional decline.
J. De Kerimel ; N. Tavassoli ; C. Mathieu ; P. De Souto Barreto ; C. Berbon ; H. Blain ; B. Vellas ; Y. Rolland (2020): Seniors living in residential homes: A target population to implement ICOPE (Integrated Care for Older PEople) program in primary care . The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.22