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  • 251.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Hellström, Ingrid
    Linköping University, Sweden.
    Kjellström, Sofia
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sliding interactions: An ethnography about how persons with dementia interact in housing with care for the elderly.2011In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 10, no 4, p. 523-538Article in journal (Refereed)
    Abstract [en]

    This ethnography describes how persons with dementia interact with cognitively intact persons in housing with care for the elderly. The results, drawing upon 31 observation sessions and nine interviews, are described under the following themes, which were interpreted from the standpoint of social interaction theory: interaction with expression of satisfaction, disorientation, and dissociation. Interaction provided satisfaction, but did not always reflect a positive experience. Awareness in persons with dementia seemed to be greater than others perceived and, as a result, interaction was adversely affected by frequent well-intentioned corrections and comments. Participation in interaction can be encouraged and feelings of indignation avoided by assuming that persons with dementia are aware of their situation and how others behave toward them. Sensitivity is required to interpret individuals' expressions of desire not to participate, while simultaneously it is important to try to interpret why they want to refrain.

  • 252.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Kjellström, Sofia
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Hellström, Ingrid
    Linköping University.
    Creating relationships with persons with moderate to severe dementia2013In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 12, no 1, p. 63-79Article in journal (Refereed)
    Abstract [en]

    The study describes how relationships are created with persons with moderate to severe dementia. The material comprises 24 video sequences of Relational Time (RT) sessions, 24 interviews with persons with dementia and eight interviews with professional caregivers. The study method was Constructivist Grounded Theory. The categories of 'Assigning time', 'Establishing security and trust' and 'Communicating equality' were strategies for arriving at the core category, 'Opening up', which was the process that led to creating relationships. Both parties had to contribute to create a relationship; the professional caregiver controlled the process, but the person with dementia permitted the caregiver’s overtures and opened up, thus making the relationship possible. Interpersonal relationships are significant to enhancing the well-being of persons with dementia. Small measures like RT that do not require major resources can open paths to creating relationships.

  • 253.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Läkemedelsgenomgång på boendet Blomstervägen i Gislaved 2008 och 2009.2010Other (Other (popular science, discussion, etc.))
  • 254.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Haglund, Anders
    Test för klinisk uppföljning av personer med medelsvår till svår demenssjukdom (KUD).2008Report (Other academic)
  • 255.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health. Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Langworth, Sven
    Haglund, Anders
    Almborg, Ann-Helene
    KUD- a scale for clinical evaluation of moderate-to-severe dementia2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 11-12, p. 1542-1552Article in journal (Refereed)
    Abstract [en]

    Aim.  To develop a test of cognitive performance in persons with moderate-to-severe dementia.

    Background.  Various instruments are used to assess the course of dementia and to evaluate treatments in persons with dementia. Most neuropsychological assessments are inappropriate for measuring cognitive abilities in persons with severe dementia, because these persons perform at floor level in such measurements.

    Design.  A cross-sectional research design.

    Methods.  The test (Clinical Evaluation of Moderate-to-Severe Dementia; Swedish acronym: KUD) was developed from a pool of 25 test items with the final KUD consisting of 15 items. Reliability and validity were established using 220 subjects (with various dementia diagnoses) with scores of Mini-Mental State Examination between 0–20. Approximately two weeks after the first test, 116 of the original 220 subjects were retested.

    Results.  A factor analysis with the 15-item scale revealed an interaction factor comprising three items and a cognitive performance factor with 12 items. The internal consistence reliability was 0·93 for the KUD (Cronbach’s alpha). Test–retest reliability was also high (0·92) and correlation between the KUD and the MMSE (≤20) was high (r = 0·80).

    Conclusion.  The KUD seems to be a valid, reliable performance-based assessment scale for measuring cognitive performance in persons with MMSE score below 12 or 15 points.

    Relevance to clinical practice.  It is of outmost interest that cognitive performance can be easily followed for persons with moderate-to-severe dementia in, for example, drug therapies and other therapies, but also in terms of treatment of and support to the person based on his or her abilities.

  • 256.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sundström, Gerdt
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Metodutveckling inom vård och omsorg: en studie för att pröva olika metoder för kunskapsinhämtning av äldres preferenser om den kommunala äldreomsorgen2006Report (Other academic)
  • 257.
    Eriksson, Henrik
    et al.
    Mälardalens University, School of Health, Care and Social Welfare, Eskilstuna, Sweden.
    Sandberg, Jonas
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Hellström, Ingrid
    Experiences of long-term home care as an informal caregiver to a spouse: gendered meanings in everyday life for female carers2013In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, no 2, p. 159-165Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: In this article, we explore the gender aspects of long-term caregiving from the perspective of women providing home care for a spouse suffering from dementia.

    Background: One of the most common circumstances in which a woman gradually steps into a long-term caregiver role at home involves caring for a spouse suffering from dementia. Little attention has been paid to examining the experiences and motivations of such caregivers from a feminist perspective.

    Methods: Twelve women, all of whom were informal caregivers to a partner suffering from dementia, were interviewed on the following themes: the home, their partner’s disease, everyday life, their relationship and autonomy. The results of these interviews were analysed in relation to gender identity and social power structures using a feminist perspective.

    Results: The findings of this study show that the informants frequently reflected on their caregiving activities in terms of both general and heteronormative expectations. The results suggest that the process of heteropolarisation in these cases can be an understood as a consequence of both the spouse’s illness and the resulting caring duties. Also, the results suggest that the act of caring leads to introspections concerning perceived ‘shortcomings’ as a caregiver. Finally, the results indicate that it is important to recognise when the need for support in day-to-day caring is downplayed.

    Conclusions: Women view their caregiving role and responsibilities as paramount; their other duties, including caring for themselves, are deemed less important. We stress that the intense commitment and responsibilities that women experience in their day-to-day caring must be acknowledged and that it is important for healthcare professionals to find mechanisms for providing choices for female caregivers without neglecting their moral concerns.

    Implications for practice: Female carers face difficulties in always living up to gendered standards and this need to be considered when evaluating policies and practices for family carers.

  • 258.
    Eriksson, Henrik
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Sandberg, Jonas
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health. Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Holmgren, Jessica
    Pringle, Keith
    His helping hands-adult daughter's perceptions' of fathers with caregiving responsibility2013In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 16, no 2, p. 235-248Article in journal (Refereed)
    Abstract [en]

    Women's position as informal carers has been taken for granted in social policy and social professions, while relatively few discussions have elaborated on caring as a later life activity for men and the impact on family care. This study explores the processes connected to informal caregiving in later life through the position of adult daughters of older fathers engaged with long-term caregiving responsibilities for a partner. A sample of eight daughters, with fathers having primary caregiving responsibility for their ill partners was recruited and in-depth interviews were carried out and analysed according to qualitative procedures. The daughters' descriptions of their relationships with their fathers show that being an older man who engages in caring can have a positive outcome on relations. Even if some of the daughters have doubts about their fathers “masculine authenticity”, all of them appear to cherish “his helping hands” as a carer and closer more intimate relationships with their fathers. Caring for an old and frail spouse may potentially present alternative ways of being a man beyond traditional ‘male activities’ and that caring might also sometimes involve a re-construction of gender identities. It is suggested that social work professionals may use a gendered understanding to assess and work strategically with daughters and other family members who support caring fathers.

  • 259.
    Ernsth Bavell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Avlösningsvård-korttidsvård-växelvård.2001Conference paper (Refereed)
  • 260.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    ADL-function in late life. A matter of gender roles or objective function?:  2011Conference paper (Refereed)
  • 261.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Avlösningsvård ur flera perspektiv.2002Conference paper (Refereed)
  • 262.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Avlösningsvård ur flera perspektiv.2002Conference paper (Refereed)
  • 263.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Bedömning av prevalens och risk att drabbas av trycksår av personer boende i särskilda boendeformer för äldre.2003Conference paper (Refereed)
  • 264.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Bedömning med modifierad Nortonskala av vårdtagare på särskilda boendeformer för äldre.2000Conference paper (Refereed)
  • 265.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Biologiskt åldrande.2011In: Äldre och åldrande.: Grundbok i gerontologi. / [ed] Marie Ernsth Bravell, Stockholm: Gothia Förlag AB , 2011, p. 109-141Chapter in book (Other (popular science, discussion, etc.))
  • 266.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Care Trajectories in the Oldest Old2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis demonstrates relations among health, social network, ADL and patterns of care in the oldest old guided by a resource theoretical model.

    The analyzed data are based on two studies: the Nona study, a longitudinal study of 157 individuals aged 86 to 94 years, and the H70 study, a longitudinal study of 964 individuals aged 70 at baseline. Data were collected by interviews and to some extent in the H70 study, medical exams and medical records.

    The results demonstrate that perceived resources seem to affect patterns of care to a higher extent than the more objective resources in the sample of the oldest old. On the other hand, sociodemographic variables such as gender, marital status and SES, in addition to the more objective resources of having children nearby and the number of symptoms of illness predicted institutionalization during a subsequent 30-year period from the age of 70. The proportion of elderly persons’ institutionalization was further significantly higher than that generally found in cross-sectional studies. ADL was one of the strongest predictors for both use of formal care and institutionalization in both samples, indicating an effective targeting of the formal care system in Sweden. The care at end of life in the oldest old is challenged by the problems with progressive declines in ADL and health, which makes it hard to fit in the dying oldest old in the palliative care system. There is a need to increase the knowledge and the possibility for care staff to support and encourage social network factors and for decision-making staff to consider factors beyond ADL.

  • 267.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Changes in Health, ADL and Use of Care in the Oldest Old.2006Conference paper (Refereed)
  • 268.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gerontologi - vad är det?2011In: Äldre och åldrande.: Grundbok i gerontologi. / [ed] Marie Ernsth Bravell, Stockholm: Gothia Förlag AB , 2011, p. 21-49Chapter in book (Other (popular science, discussion, etc.))
  • 269.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Hur mår de äldre människorna som bor i särskilda boende för äldre - egentligen?2011Conference paper (Other academic)
  • 270.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Institutionalization: Sooner or Later?2007Conference paper (Refereed)
  • 271.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Last year in life of the oldest old.2007Conference paper (Refereed)
  • 272.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Prevention.2011In: Äldre och åldrande.: Grundbok i gerontologi. / [ed] Marie Ernsth Bravell, Stockholm: Gothia Förlag AB , 2011, p. 348-373Chapter in book (Other (popular science, discussion, etc.))
  • 273.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Professional Development in Gerontology.2008Conference paper (Refereed)
  • 274.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Resources and Help Patterns in the Oldest old Swedes.2005Conference paper (Refereed)
  • 275.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Self-reports of Activities of Daily Living: Their Correspondence with Performance-based Measures.2009Conference paper (Refereed)
  • 276.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Studies of the oldest old - troublesome yet necessary+2010Conference paper (Refereed)
  • 277.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Trycksår bland äldre inom särskilda boendeformer.1997Conference paper (Refereed)
  • 278.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Uppföljning av hemsjukvården i kommunerna i Jönköpings län.2015Report (Other (popular science, discussion, etc.))
  • 279.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Vård i livets slutskede bland de allra äldsta.2011In: Äldre och åldrande.: Grundbok i gerontologi. / [ed] Marie Ernsth Bravell, Stockholm: Gothia Förlag AB , 2011, p. 322-329Chapter in book (Other (popular science, discussion, etc.))
  • 280.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Vårdplanering-att överföra information.1997Conference paper (Refereed)
  • 281.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Äldre och åldrande.: Grundbok i gerontologi.2011Book (Other (popular science, discussion, etc.))
  • 282.
    Ernsth Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Är de äldre i riskzonen att utveckla trycksår?2001Conference paper (Refereed)
  • 283.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Andersson, Birgitta
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Svensson, Gabriella
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Folke, Gunnel
    Det lilla nära- utvärdering av verksamhet på Mjölkafållan och Öxnebacka äldreboende: Rapport från Institutet för gerontologi på uppdrag av Jönköpings kommun2001Report (Other academic)
  • 284.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Health, functional capacity, formal care, and survival in the oldest old: a longitudinal study.2008In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 46, no 1, p. 1-14Article in journal (Refereed)
    Abstract [en]

    There are surprisingly few longitudinal studies of the oldest old, but these studies are of high importance because the number of oldest old continues to increase in most countries and because of the uniqueness in this population. The aims of this study were to investigate how health, Activities of Daily Living (ADL), and use of care change over time in the oldest old and to seek how differences in health and ADL affect survival of the oldest old. The study was longitudinal in design, and the participants were interviewed by trained nurses. A group of 300 persons was randomly selected from three age-groups; 86, 90, and 94. For the first phase, in 1999, 157 persons could and wanted to participate; from these 98 persons continued to participate in the second phase and 62 in the third. Repeated Measures (GLM) from the oldest old showed a decline in objective health and ADL functioning with increasing age, but subjective health remained positive and stable. The use of formal help increased with age, and once the oldest old entered the old-age care system, it was rare that they returned to independent living. Analysis using a Cox regression model showed that health and ADL functioning significantly predicted survival, but age did not.

  • 285.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sundström, Gerdt
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sooner or later?: A study of institutionalization in late life2009In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 21, no 4/5, p. 329-337Article in journal (Refereed)
    Abstract [en]

    Background and aims: Existing information about institutionalization of elderly individuals is mainly based on cross-sectional data and does not address the cumulative risk of institutionalization. The purpose of the present study was to analyze longitudinal data prospectively and estimate the risk of placement in an elder care institution for individuals aged 70 years or older. Methods: The study was based on a longitudinal investigation (the H70 study) of a random sample of 70-year-olds living in Gothenburg, Sweden, in 1971. Individuals were followed from age 70-100 years. Three different analyses were performed: a descriptive prospective analysis, cross-sectional analyses at ages 70, 79 and 85 years, and a longitudinal analysis of predictors for institutionalization. Results: The prospective analysis indicated that 50% of the individuals eventually moved to an elder care institution. Significantly more women than men were institutionalized, although for women the move occurred later in life. Cross-sectional analyses demonstrated that various factors were important to institutionalization at different ages. The Cox regression model with time-varying covariates indicated that gender, socio-economic situation, marital status, number of symptoms, having children living nearby, and activities in daily life were related to institutionalization. Conclusions: The proportion of elderly persons relocating to institutions was significantly higher than that generally found in cross-sectional studies. It was possible to identify variables that predict institutionalization during a subsequent 30-year period, but different analyses revealed different effects from the factors evaluated.

  • 286.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Ericsson, Iréne
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Geriatrik och psykogeriatrik.2011In: Äldre och åldrande.: Grundbok i gerontologi. / [ed] Marie Ernsth Bravell, Stockholm: Gothia Förlag AB , 2011, p. 261-307Chapter in book (Other (popular science, discussion, etc.))
  • 287.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, Gunnel
    Att undvika trycksår på äldre da´r.1996Conference paper (Refereed)
  • 288.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, Gunnel
    Trycksår bland äldre inom särskilda boendeformer.1996Conference paper (Refereed)
  • 289.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Larsson, Birgitta
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    En kartläggning av kvälls- och nattpatrullernas arbete i Jönköpings kommun.2000Conference paper (Refereed)
  • 290.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Risk för trycksår?: Bedömning med modifierad Nortonskala av vårdtagare på särskilda boendeformer på distrikt Öster i Jönköping2004Report (Other academic)
    Abstract [sv]

    Trycksår orsakas av många olika faktorer, så kallade direkta och indirekta riskfaktorer som blir vanligare med stigande ålder. En tidigare undersökning i Jönköpings kommun 1995 (Socialstyrelsen 1996) visade att prevalensen av trycksår var på sjukhem 4,9 %, på serviceboende med helinackordering 0,9 %, på servicehus 0,8 % och på gruppboende slutligen 0,6 %. En något senare undersökning från 1996 visade att prevalens trycksår på distrikt Öster i Jönköping var 6 % (Malmberg et al 1997). I undersökningen var samtliga äldreboende inkluderade men inte uppdelade på olika boendeformer såsom i undersökningen från Socialstyrelsen (1996). Alla faktorer som exponerar huden för tryck eller försämrar hudens tolerans för tryck ska beaktas som en riskfaktor för trycksår. Syftet med att använda ett instrument eller en skala för identifiering av personer som löper risk att utveckla trycksår är att i ett tidigt skede kunna sätta in preventiva åtgärder. De mest använda instrumenten är Norton Risk Assessment Score, the Waterlow Risk Assessment Card och the Braden Scale (Murray et al 2001). Ek (1989) har utarbetat en modifierad Nortonskala som använts i svenska studier av riskfaktorer vid trycksår. Den skattar födointag och vätskeintag, förutom variablerna i ursprungsskalan (Norton Risk Assessment Score). Var och en av de sju variablerna graderas från 1 till 4. Totalt kan en person erhålla högst 28 poäng och lägst 7 poäng (Ek et al 1989).

    Syftet med den här undersökningen var att med hjälp av den modifierade Norton-skalan uppskatta hur många vårdtagare på särskilda boendeformer för äldre som befann sig i riskzonen för att utveckla trycksår för att få ett underlag för förebyggande åtgärder. Undersökningen riktade sig till samtliga vårdtagare som bodde på särskilda boendeformer för äldre inom ett distrikt/kommundel i Jönköpings kommun, som skattades med den modifierade Nortonskalan under tre år i följd (1999, 2000 och 2001).

    Enligt skalan anses personer som har 21 poäng eller lägre vara i riskzonen för att utveckla trycksår. Medelvärdet för samtliga bedömda personer låg mellan 22 och 23. De flesta vårdtagarna (mellan 58 och 65 %) hade mer än 21 poäng. Mellan 35 % och 42 % bedömdes vara i riskzonen att drabbas av trycksår enligt den modifierade Nortonskalan. Av de vårdtagare som låg i riskzonen att drabbas av trycksår var det få (mellan 2 % och 4 % av samtliga bedömda) som hade så låga poäng som 7 – 14. De flesta av dem som låg i riskzonen hade mellan 15 och 21 poäng. År 1999 var det 38 personer som hade någon typ av trycksår, det vill säga 7,9 %, år 2000 var det 35 personer, 9,3 %, och år 2001 var det 32 personer som hade trycksår, vilket innebar 8,5 % av de bedömda. Personerna som hade utvecklat trycksår hade överlag lägre totalpoäng på den modifierade Nortonskalan. Det var dock varje mätår en fem - sex personer som hade över 21 poäng och alltså inte bedömdes vara i riskzonen att utveckla trycksår enligt den modifierade Nortonskalan som trots allt hade trycksår. Detta innebär att 14 – 19 % av dem som utvecklar trycksår inte bedömdes att vara i riskzonen enligt den modifierade Nortonskalan. De så kallade speciella riskfaktorerna, som beskrivs närmare i rapporten, ”träffade rätt” i högre grad men går heller inte att helt förlita sig på. Trycksår ger ett stort lidande för den som drabbas och en känsla av misslyckande bland personalen. Kontinuerliga skattningar av trycksårsrisken kan ha stor betydelse för att ständigt hålla dessa frågeställningar aktuella och därigenom minimera risken för att någon skall utveckla trycksår.

  • 291.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    The Last Year in Life: A Study of the Oldest-Old2007In: Gerontolocial Society of America 60th Annual Scientific Meeting, 2007Conference paper (Refereed)
  • 292.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    End of life care in the oldest old2010In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 8, p. 335-344Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to describe the last year of life of a sample of the oldest old, focusing on care trajectories, health, social networks, and function in daily life activities.

    METHOD: Data originated from the NONA study, a longitudinal study of 193 individuals among the oldest old living in a Swedish municipality. During this longitudinal study, 109 participants died. Approximately one month after their death, a relative was asked to participate in a telephone interview concerning their relative's last year of life. One hundred two relatives agreed to participate.

    RESULTS: Most of the elderly in this sample of the oldest old (74.5%) died at an institution and the relatives were mostly satisfied with the end-of-life care. The oldest old relatives estimated that the health steadily declined during the last year of life, and that there was a decline in performing of daily life activities. They also estimated that those dying in institutions had fewer social contacts than those dying in a hospital or at home.

    SIGNIFICANCE OF RESULTS: Care at end of life for the oldest old is challenged by problems with progressive declines in ability to perform activities of daily living and health. The findings also highlight the need to support social networks at eldercare institutions.

  • 293.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, G
    Vårdplanering av äldre personer vid utskrivning från sjukhus1998Conference paper (Refereed)
  • 294.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Westerlind, Björn
    Midlöv, Patrik
    Östgren, Carl-Johan
    Borgquist, Lars
    Lannering, Christina
    Mölstad, Sigvard
    How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden.2010In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976Article in journal (Refereed)
  • 295.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Att äta i trädgården....: Ett försök med berikning av vårdtagarnas mat och dryck på trädgårdens äldreboende, Jönköpings kommun2001Report (Other academic)
  • 296.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Dag klockan tolv på natten1998In: Äldreomsorg, no 6Article in journal (Refereed)
  • 297.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    "Det ska inte bero på vem som jobbar.....": Utvärdering av verksamhet på ett äldreboende för personer med demenssjukdom2001Report (Other scientific)
  • 298.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Hjälp att sova1998In: Äldreomsorg, no 6Article in journal (Refereed)
  • 299.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Kostprojekt på Trädgårdens äldreboende2000In: Socialbladet, no 4Article in journal (Refereed)
  • 300.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Vårdplanering- att överföra information1997In: 11. Jönköpingskonferensen i Äldreomsorg, Jönköping, 1997Conference paper (Refereed)
3456789 251 - 300 of 1072
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