Katherine Bloomfield
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View article: Association of Clinical Indicators of Acute Deterioration and Morbidity and Mortality in the Residential Aged Care Population: A Retrospective Cohort Study of Routinely Collected Health Data
Association of Clinical Indicators of Acute Deterioration and Morbidity and Mortality in the Residential Aged Care Population: A Retrospective Cohort Study of Routinely Collected Health Data Open
Introduction The timely identification of acute deterioration in people living in residential aged care is critical to reducing rates of resident morbidity and mortality. However, residents often present with atypical or nonspecific presen…
View article: Comparison of frailty instruments for predicting mortality and prolon ged hospitalization in acute coronary syndrome patients
Comparison of frailty instruments for predicting mortality and prolon ged hospitalization in acute coronary syndrome patients Open
Objective To evaluate the relative strengths of 3 frailty assessment instruments for predicting mortality and prolonged hospitalization in acute coronary syndrome patients. Design Prospective cohort study. Setting Acute cardiac care units …
View article: “Your soul will rest in the fresh air” health-influencing factors among older adult Russian and Spanish-speaking (im)migrants in Southeastern, Wisconsin, United States
“Your soul will rest in the fresh air” health-influencing factors among older adult Russian and Spanish-speaking (im)migrants in Southeastern, Wisconsin, United States Open
View article: Medicines use and polypharmacy in retirement village residents in Aotearoa New Zealand: a point prevalence observational study
Medicines use and polypharmacy in retirement village residents in Aotearoa New Zealand: a point prevalence observational study Open
Introduction Polypharmacy increases the risk of medicines-related harm, including falls, in older adults. Falls have a significant impact on quality of life and health system resources. Little is known about medicine use in retirement vill…
View article: A systematic review of reasons and risks for acute service use by older adult residents of long‐term care
A systematic review of reasons and risks for acute service use by older adult residents of long‐term care Open
Aims and Objectives To identify the reasons and/or risk factors for hospital admission and/or emergency department attendance for older (≥60 years) residents of long‐term care facilities. Background Older adults' use of acute services is a…
View article: Association of clinical indicators of acute deterioration and morbidity and mortality in the residential aged care population: a retrospective cohort study of routinely collected health data (interRAI-LTCF New Zealand)
Association of clinical indicators of acute deterioration and morbidity and mortality in the residential aged care population: a retrospective cohort study of routinely collected health data (interRAI-LTCF New Zealand) Open
Background: The timely identification of acute deterioration in people living in residential aged care is critical to avoiding or reducing rates of adverse events such as Emergency Department (ED) presentation or hospitalisation or death. …
View article: Comparison of frailty instruments in acute coronary syndrome patients
Comparison of frailty instruments in acute coronary syndrome patients Open
Background Recognising frailty is important to guide clinical decisions in older patients with cardiac disease. The relative strengths of different frailty instruments to predict mortality and hospitalization risk are uncertain. Methods Th…
View article: Changes in hospitalisation rates in older people before and after moving to a retirement village
Changes in hospitalisation rates in older people before and after moving to a retirement village Open
Objectives An increasing proportion of older people live in Retirement Villages (‘villages’). This population cites support for health‐care issues as one reason for relocation to villages. Here, we examine whether relocation to villages is…
View article: Older people, medication safety, and the role of the community pharmacist: a longitudinal ethnographic study
Older people, medication safety, and the role of the community pharmacist: a longitudinal ethnographic study Open
Background Older people with frailty and multimorbidity are at high risk of problematic polypharmacy. Community pharmacists have a key role in medication safety for older people. Aim The aim of this study was to investigate the perspective…
View article: Opportunities to be active in retirement villages and factors associated with physical activity in residents
Opportunities to be active in retirement villages and factors associated with physical activity in residents Open
Introduction Physical activity (PA) in older people is associated with improved morbidity and mortality outcomes. Increasing numbers of older people are choosing to live in retirement villages, many of which promote themselves as providing…
View article: “Making an effort for the very elderly”: The acceptability of a multidisciplinary intervention to retirement village residents
“Making an effort for the very elderly”: The acceptability of a multidisciplinary intervention to retirement village residents Open
The retirement village (RV) population is a growing one, with many residents having unmet healthcare needs. Despite this, there is a relative paucity of research in the RV community. We previously performed a randomised controlled trial (R…
View article: The prevalence and intensity of pain in older people living in retirement villages in Auckland, New Zealand
The prevalence and intensity of pain in older people living in retirement villages in Auckland, New Zealand Open
Chronic pain is common in older people. However, little is known about how pain is experienced in residents of retirement villages ('villages'), and how pain intensity and associations are experienced in relation to characteristics of resi…
View article: Referral for publicly funded aged care services in Indigenous populations: An exploratory cohort study of ethnic variation in Aotearoa New Zealand
Referral for publicly funded aged care services in Indigenous populations: An exploratory cohort study of ethnic variation in Aotearoa New Zealand Open
Objectives As people age, they are more likely to require support to maintain activities of daily living. Referral for formal assessment of need (assessed using the ‘international Resident Assessment Instrument’ [interRAI]) is the first st…
View article: An interRAI derived frailty index predicts acute hospitalizations in older adults residing in retirement villages: A prospective cohort study
An interRAI derived frailty index predicts acute hospitalizations in older adults residing in retirement villages: A prospective cohort study Open
Objectives The development of frailty tools from electronically recorded healthcare data allows frailty assessments to be routinely generated, potentially beneficial for individuals and healthcare providers. We wished to assess the predict…
View article: Health profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment
Health profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment Open
Objectives Retirement villages (RV) have expanded rapidly, now housing perhaps one in eight people aged 75+ years in New Zealand. Health service initiatives might better support residents and offer cost advantages, but little is known of r…
View article: Study protocol: older people in retirement villages. A survey and randomised trial of a multi-disciplinary invention designed to avoid adverse outcomes
Study protocol: older people in retirement villages. A survey and randomised trial of a multi-disciplinary invention designed to avoid adverse outcomes Open
View article: Lonely in a crowd: loneliness in New Zealand retirement village residents
Lonely in a crowd: loneliness in New Zealand retirement village residents Open
A considerable proportion of older people living in RVs reported feelings of loneliness, particularly those who were without partners, at risk of depression and decreased quality of life and those who had moved into RVs to increase social …
View article: RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION?
RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION? Open
Background Retirement Villages (RVs) for older people represent a burgeoning industry. However, we know little about residents’ demographics and health/disability issues - information which could inform health planning, facilitate independ…
View article: RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION?
RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION? Open
Background Retirement Villages (RVs) for older people represent a burgeoning industry. However, we know little about residents’ demographics and health/disability issues - information which could inform health planning, facilitate independ…
View article: 83RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY: DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION?
83RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY: DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION? Open
View article: 66HEALTH OF RESIDENTS IN RETIREMENT VILLAGES IN NEW ZEALAND: WHO LIVES THERE, WHY DID THEY MOVE IN, WHAT ARE THEIR HEALTH NEEDS?
66HEALTH OF RESIDENTS IN RETIREMENT VILLAGES IN NEW ZEALAND: WHO LIVES THERE, WHY DID THEY MOVE IN, WHAT ARE THEIR HEALTH NEEDS? Open
View article: RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION?
RESEARCH IN THE RETIREMENT VILLAGE COMMUNITY – DOES THE RECRUITED SAMPLE REFLECT THE RESIDENT POPULATION? Open
Background Retirement Villages (RVs) for older people represent a burgeoning industry. However, we know little about residents’ demographics and health/disability issues - information which could inform health planning, facilitate independ…
View article: Risk Assessment in Public Contracts
Risk Assessment in Public Contracts Open
This article aims to introduce a novel approach to risk assessment in public service commissioning contracts, through the lens of the UK’s defence sector. It begins by providing a concise background to the contemporary service commissionin…
View article: Systemic risk in public sector outsourcing contracts
Systemic risk in public sector outsourcing contracts Open
The research presented in this thesis responds to a call towards the expansion of current perceptions of risk in complex organisational settings. Observing the literature, it becomes apparent that risk in projects is frequently treated as …
View article: 18HOW DO WE “DO” POST-DISCHARGE CARE FOR OLDER PEOPLE?
18HOW DO WE “DO” POST-DISCHARGE CARE FOR OLDER PEOPLE? Open
Introduction: Home-hospital transitions are frequent among acutely ill older people, and may be reduced (fewer readmissions) by post-discharge secondary care (PDSC).We aimed to determine the proportion of older patients receiving PDSC afte…
View article: 69FOLLOW-UP AND READMISSION RATES AFTER HOSPITAL ADMISSION FOR CHRONIC CONDITIONS: A MULTI-SITE PILOT OBSERVATIONAL STUDY
69FOLLOW-UP AND READMISSION RATES AFTER HOSPITAL ADMISSION FOR CHRONIC CONDITIONS: A MULTI-SITE PILOT OBSERVATIONAL STUDY Open
View article: 82FOLLOW-UP AND READMISSION RATES AFTER HOSPITAL ADMISSION FOR CHRONIC CONDITIONS: A MULTI-SITE PILOT OBSERVATIONAL STUDY
82FOLLOW-UP AND READMISSION RATES AFTER HOSPITAL ADMISSION FOR CHRONIC CONDITIONS: A MULTI-SITE PILOT OBSERVATIONAL STUDY Open