Improving Screening for Depression and Fall Risk in Community Dwelling Older Adults

Purpose. Falls and depressive symptoms are common in the older adult population and are associated with significant morbidity and mortality. The relationship between depression and falls is bidirectional. Given that community health nurses are critical health care personnel in assessing risk for depression and falls in the older adult population, the purpose of this project was to implement screening measures for depression and falls in an older adult population. Methods:Nurses from a community health outreach team implemented depression and fall risk screening assessment with an older adult population 65 years and older in their homes. The Geriatric Depression Scale, Short Form (GDS-15) was used to assess depression and a risk assessment for falls was developed for the purposes of this project by content experts and piloted. Data was collected over a 4-month period, with results provided to the individuals’ primary care providers (PCPs) for referral as indicated. Community health nurses provided screening results to primary care providers (PCPs). Referrals were initiated at the discretion of the PCP. Results: During the 4-month screening period, thirty depression and fall risk assessments were completed. Seven (23%)of the thirty individuals screened positive for depression and falls; 7 positive screenings for falls; 9 individuals (30%) scored suggestive of depression (GDS-15\u3e5) and 2 individuals (7%) scored indicative of depression (GDS-15 \u3e=10). The screening resulted in 10 referrals to counseling, 7 referrals to physical therapy and 2 referrals to psychiatric nurse practitioners. Conclusion: Implementation for depression and fall risk screening is feasible by community health nurses. Challenges in understanding whether the referrals were accomplished remain

Eliminating Fruit and Vegetable Planting Restrictions: How Would Markets Be Affected?

Eighty-nine percent of American households were food secure throughout the entire year in 2005, meaning that they had access, at all times, to enough food for an active, healthy life for all household members. The remaining households were food insecure at least some time during that year. The prevalence of food insecurity declined from 11.9 percent of households in 2004 to 11.0 percent in 2005, while the prevalence of very low food security remained unchanged at 3.9 percent. This report, based on data from the December 2005 food security survey, provides the most recent statistics on the food security of U.S. households, as well as on how much they spent for food and the extent to which food-insecure households participated in Federal and community food assistance programs. Survey responses indicate that the typical food-secure household in the U.S. spent 34 percent more on food than the typical food-insecure household of the same size and household composition. Just over one-half of all food-insecure households participated in one or more of the three largest Federal food assistance programs during the month prior to the survey. About 22 percent of food-insecure households—3.5 percent of all U.S. households—obtained emergency food from a food pantry at some time during the year.Food security, food insecurity, food spending, food pantry, hunger, soup kitchen, emergency kitchen, material well-being, Food Stamp Program, National School, Crop Production/Industries,

Identity tags: A vector for cross-infection?

Background. Nosocomial infections represent one of the challenging problems of modern medicine. Healthcare providers play an important role in the transmission of these infections on their hands, clothing and equipment. Modern security systems require personnel to wear clearly displayed identity (ID) tags, and to have an easily accessible access disc. These access and ID tags are often worn around the neck on a lanyard, and could possibly harbour bacteria and be a vector for cross-infection.Method. Saline-moistened swabs of the front and back of ID tags of 50 healthcare workers were taken for bacterial culture. Swabs were inoculated onto standard microbiological media. Potential pathogens were subjected to sensitivity testing while organisms resembling normal skin commensals were reported as such.Results. Twenty-eight of the 50 (56%) ID swabs cultured exhibited no bacterial growth. Eighteen (36%) swabs grew primarily skin flora. Neutrophils were observed under microscopy on two (4%) swabs. Seven (14%) swabs grew potentially pathogenic bacteria. Doctors were found to have almost three times the risk of carrying pathogenic bacteria on their ID tags compared with nurses. Recent patient contact also showed a higher incidence of colonisation. There were no statistically significant differences between variables such as ward or area of work, nature of patient contact, time since qualification, level of qualification or length of employment at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa.Conclusions. Prevention of hospital-acquired infections is important in any setting. The ID tag has been identified as a possible source of infection spread in this and previous studies. The ID tag has to date been neglected as a potential source of pathogen spread, and efforts to make staff aware of this potential danger should be considered in every institution