Adverse Events in Home Care: Identifying and Responding with interRAI Scales and Clinical Assessment Protocols

TitleAdverse Events in Home Care: Identifying and Responding with interRAI Scales and Clinical Assessment Protocols
Publication TypeJournal Article
Year of Publication2018
AuthorsSinn C.J, Betini R.SD, Wright J., Eckler L., Chang B.W, Hogeveen S., Turcotte L., Hirdes J.P
JournalCan J Aging
Volume37
Issue1
Pagination60-69
Date PublishedMar
ISBN Number0714-9808
Accession Number29306338
Keywords*aging, *aidants, *caregivers, *Case Management, *decision support, *Decision Support Techniques, *gestion de cas, *Home care, *InterRAI, *Outcome Assessment (Health Care), *soins a domicile, *soutien a la decision, *vieillissement, Aged, Aged, 80 and over, aging, Algorithms, Cross-Sectional Studies, Female, Geriatric Assessment/*methods, Home Care Services/*statistics & numerical data, Humans, Male, Ontario, Risk Factors
Abstract

Outcomes of adverse events in home care are varied and multifactorial. This study tested a framework combining two health measures to identify home care recipients at higher risk of long-term care placement or death within one year. Both measures come from the Resident Assessment Instrument-Home Care (RAI-HC), a standardized comprehensive clinical assessment. Persons scoring high in the Method for Assigning Priority Levels (MAPLe) algorithm and Changes in Health, End-stage disease, Signs and Symptoms (CHESS) scale were at the greatest risk of placement or death and more than twice as likely to experience either outcome earlier than others. The target group was more likely to trigger mood, social relationship, and caregiver distress issues, suggesting mental health and psychosocial interventions might help in addition to medical care and/or personal support services. Home care agencies can use this framework to identify home care patients who may require a more intensive care coordinator approach.

DOI10.1017/s0714980817000538
PMCID

PMC5851050

interRAI Member Link to Full Text Article

https://interrai.sharepoint.com/Bibliography%20Text/S

Short TitleCanadian journal on aging = La revue canadienne du vieillissementCanadian journal on aging = La revue canadienne du vieillissement
Alternate JournalCanadian journal on aging = La revue canadienne du vieillissement