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Evidence based article about any subject in nursing care of the elderly. explain what the article...

Evidence based article about any subject in nursing care of the elderly. explain what the article is about, and then how this knowledge could influence your career. 3PAGES AND APA CITATION FORMAT.

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Answer #1

Article - Impact of home care versus alternative locaty of care an elder health outcomes .

As we all know everyone loves to be at home , it's there personal space ,where they don't have to adjust , have privacy etc. In this same way every patient wants to be cared at home more than at hospital . Elderly are the ones who majority of times wants to be cared at home . So to know the benefits and outcome home care in elderly patients a research was done and here are the methods and results .

Methods

We conducted an overview of systematic reviews. Data sources included MEDLINE, the Cochrane Library, EMBASE, and CINAHL. Eligible reviews included adults 65+ years, elder home care, alternative care locations, and elder health outcomes. Two independent reviewers screened citations. We extracted data and appraised review quality using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) checklist.

Results

The search yielded 2575 citations, of which 19 systematic reviews were eligible. Three hundred and forty studies with 271,660 participants were synthesized across the systematic reviews. The categories of comparisons included: home with support versus independent living at home (n = 11 reviews), home care versus institutional care (n = 3 reviews), and rehabilitation at home versus conventional rehabilitation services (n = 7 reviews). Two reviews had data relevant to two categories. Most reviews favoured home with support to independent living at home. Findings comparing home care to institutional care were mixed. Most reviews found no differences in health outcomes between rehabilitation at home versus conventional rehabilitation services. Systematic review quality was moderate, with a median AMSTAR score of 6 (range 4 - 10 out of 11).

Conclusions

The evidence on the impact of home care compared to alternative care locations on elder health outcomes is heterogeneous. Our findings support positive health impacts of home support interventions for community dwelling elders compared to independent living at home. There is insufficient evidence to determine the impact of alternative care locations on elders’ health. Additional research targeting housing and care options for the elderly is needed.

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