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Presenters Dawn Pittman, MSN, RN, PhD [...], Context: Newfoundland and Labrador (NL) has an aging population (Statistics Canada, 2019) and high levels of chronic disease amongst older adults (Government of NL, 2017). Nutrition directly influences health (World Health Organization, 2015) and the nutrition of older adults living in NL is of low quality (Sarkar et al., 2015). Nutrition in NL is affected by the high cost, limited in-province production, and reliance on import via marine and truck transport for approximately 90% of consumed food (Food First NL, 2015). Objective: The aim of the research project was to explore the individual and environmental factors that influence older adult nutrition and to understand areas for potential change that can be supported by community-based organizations and nursing practice. Study Design and Analysis: Qualitative research study guided by Interpretative Description methodology (Thorne, 2016) and the theoretical perspective of the Social Ecological Model (Stokols, 1996; 2000). A community-engaged approach with community partner organizations that are directly involved in older adult nutrition. Setting: An area along the west coast of Newfoundland, the most eastern province in Canada. Population Studied: Engagement with older adults, key informants, and nurses living in western NL. Intervention/Instrument: Through review of the literature, focus groups with older adults, and individual semi-structured interviews with key informants and nurses. Outcome Measures: In-depth understanding about the individual and environmental factors that impact the nutrition of older adults. Working with community organizations to develop programming to achieve positive nutritional change. Results: A visual map of the older adult nutritional ecosystem in western NL that identifies specific individual and environmental factors that influence older adult nutrition. Individual factors that impact older adult nutrition include availability and affordability of food, time and planning, motivation, and health. Environmental factors include climate, distribution systems, finances, government policy, and social groups. A tool kit of community-based nutrition programming, including examples that were recommended by study participants and examples of programing already being implemented by community groups to positively impact older adult nutrition, highlighting the creation of an academic- community research collective and a new health and wellness facility with a community kitchen.

One of the current debates in the literature on aging inmates asks, what is the most efficient housing/health care model for this 'special needs' population? State and federal correctional systems place elderly inmates either in specialized segregated housing units away from the general inmate population, consolidate elderly inmates in housing units within the prison, or provide a combination of both models. In general, proponents of the segregated housing model argue that aging inmates will receive specialized medical services in geriatric units. However, proponents of consolidated housing model argue that aging inmates will have the benefit of both geriatric and non-geriatric health services. This paper examines the association between the type of housing management model for aging inmates and the availability of non-geriatric physical and mental health services. Data for the analysis come from the 2000 Bureau of Justice Statistics Census of State and Federal Adult Correctional Facilities. The results suggest that institutions offering consolidated geriatric care provide more mental health services and that these effects are independent of the characteristics of prison facility. doi: 10.1300/J031v19n04_03 KEYWORDS. Aging inmates, housing models, geriatric health care

Functional deficits, deterministic service needs of disabled individuals and remedial interventions are obtained by functional status evaluations that are applied in clinical and research contents. Nursing homes catering to the needs of the elderly depend on the functional status evaluation. The people treated in geriatric nursing homes will increase and the method of handling will depend on the functional status.

Determining neglect is a clinical judgement Approximately 412,000 individuals will develop a new pressure ulcer annually in the UK. Pressure ulcers represent a significant cost burden in the UK: a [...]

Kneafsey R, Long AF, Ryan J (2003) Health and Social Care in the Community 11, 4, 321-328 In all the recent discussion of the need to improve the co-ordination and [...]