The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care

Objective. To determine the current health status of home based elderly clients receiving government funded aged care packages. Design. Prospective Observational study. Setting. Community based, home care program in Australia. Participants. Community-dwelling older adults receiving aged care package...

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Main Authors: Deborah Yarmo-Roberts, Rosanne Laura Freak-Poli, Brad Cooper, Tim Noonan, Just Stolewinder, Christopher M. Reid
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.4061/2010/275303
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author Deborah Yarmo-Roberts
Rosanne Laura Freak-Poli
Brad Cooper
Tim Noonan
Just Stolewinder
Christopher M. Reid
author_facet Deborah Yarmo-Roberts
Rosanne Laura Freak-Poli
Brad Cooper
Tim Noonan
Just Stolewinder
Christopher M. Reid
author_sort Deborah Yarmo-Roberts
collection DOAJ
description Objective. To determine the current health status of home based elderly clients receiving government funded aged care packages. Design. Prospective Observational study. Setting. Community based, home care program in Australia. Participants. Community-dwelling older adults receiving aged care packages. Measurements. A comprehensive test battery of physical, mental and social scales were completed including a Caregiver Strain Index where appropriate. Results. 37% of the 334 subjects were male and the mean age was 81±8 years. Physical functioning was low compared to the Australian population. Depression was highly prevalent with 15.9% severely depressed and 38.7% mildly depressed. 26% of clients screened positive for dementia. Relatively good levels of social support were reported, however social networking activity levels were low. Sixty one percent of clients had caregivers, of whom 63.3% had high levels of strain. Strain was higher in caregivers of clients on higher levels of care (78.5% versus 50.6% highly strained). Conclusion. The data suggests that as a group there is a high degree of comorbidity, and depression, dementia and caregiver strain are highly prevalent. The findings may aid administrators and health policy planners in directing resources to key areas impacting on health outcomes in this group.
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spelling doaj-art-d9e4b1e369564d97a0003196e440c3262025-02-03T01:23:26ZengWileyJournal of Aging Research2090-22122010-01-01201010.4061/2010/275303275303The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based CareDeborah Yarmo-Roberts0Rosanne Laura Freak-Poli1Brad Cooper2Tim Noonan3Just Stolewinder4Christopher M. Reid5Department of Epidemiology and Preventive Medicine, Monash University, Victoria 3004, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria 3004, AustraliaBaptcare, Eastern Metropolitan Community Packages, Victoria 3134, AustraliaBaptcare, Eastern Metropolitan Community Packages, Victoria 3134, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria 3004, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria 3004, AustraliaObjective. To determine the current health status of home based elderly clients receiving government funded aged care packages. Design. Prospective Observational study. Setting. Community based, home care program in Australia. Participants. Community-dwelling older adults receiving aged care packages. Measurements. A comprehensive test battery of physical, mental and social scales were completed including a Caregiver Strain Index where appropriate. Results. 37% of the 334 subjects were male and the mean age was 81±8 years. Physical functioning was low compared to the Australian population. Depression was highly prevalent with 15.9% severely depressed and 38.7% mildly depressed. 26% of clients screened positive for dementia. Relatively good levels of social support were reported, however social networking activity levels were low. Sixty one percent of clients had caregivers, of whom 63.3% had high levels of strain. Strain was higher in caregivers of clients on higher levels of care (78.5% versus 50.6% highly strained). Conclusion. The data suggests that as a group there is a high degree of comorbidity, and depression, dementia and caregiver strain are highly prevalent. The findings may aid administrators and health policy planners in directing resources to key areas impacting on health outcomes in this group.http://dx.doi.org/10.4061/2010/275303
spellingShingle Deborah Yarmo-Roberts
Rosanne Laura Freak-Poli
Brad Cooper
Tim Noonan
Just Stolewinder
Christopher M. Reid
The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
Journal of Aging Research
title The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
title_full The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
title_fullStr The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
title_full_unstemmed The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
title_short The Heart of the Matter: Health Status of Aged Care Clients Receiving Home- and Community-Based Care
title_sort heart of the matter health status of aged care clients receiving home and community based care
url http://dx.doi.org/10.4061/2010/275303
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