43 results on '"Kurrle, Susan"'
Search Results
2. Preventing falls and fall‐related injuries in older people
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Cameron, Ian D, Kurrle, Susan E, and Sherrington, Cathie
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- 2024
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3. The cultural adaptation of iSupport program: Experiences from Australia, Brazil, Indonesia, New Zealand and Qatar.
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Nguyen, Tuan Anh, McCalmont, Danielle, Kosowicz, Leona, Sinclair, Ron, Sani, Tara P, Cullum, Sarah J, Turana, Yuda, Oliveira, Déborah, Hamad, Hanadi Al, Chandran, Mani, Xiao, Lily Dongxia, Brodaty, Henry, Andrade, Andre, Esterman, Adrian, Kurrle, Susan, Crotty, Maria, Schofield, Penelope, Bhar, Sunil, Wickramasinghe, Nilmini, and Dang, Thu Ha
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Background: To support informal dementia carers, the World Health Organization (WHO) developed 'iSupport for Dementia' online skills training program, culturally adaptable to local contexts. Several WHO Member States are adapting the program. This study was conducted to draw lessons about iSupport adaptation in Australia, Brazil, Indonesia, New Zealand, and Qatar. Method: A short questionnaire regarding modifications made to the WHO iSupport adaptation methodology, changes made to the WHO iSupport manual, and the enablers of and barriers to the iSupport adaptation process was sent to the iSupport adaptation research teams in the five countries. Data were analysed thematically. Result: Countries modified the WHO adaptation methodology, undertaking more focus group discussions (FGDs) than recommended. Prior to the FGDs, iSupport manual was divided into smaller, more manageable sections. Individual participants only reviewed a section rather than the entire manual to reduce burden. Common adaptation includes changes to language and terminology used in the manual to be more empathetic and person‐centred. In Australia, and later New Zealand, an additional module was added about person‐centred care principles and access to formal care services. In Brazil, additional topics such as fall prevention were suggested. Four countries identified short video clips as a method to increase usability of and real‐time access to the iSupport manual. In Australia, scenarios from the Australian adapted iSupport manual were translated into scripts then storyboards and 50 animations were produced via an iterative, ongoing stakeholder feedback process. Themes emerged include an emphasis on carers understanding of the disease, validating their experiences and emotions and creating authentic content that genuinely reflects caring for someone with dementia. In New Zealand and Indonesia, Australian animations were used and adjusted to suit the local contexts through modifications to terminology and animation characters. Qatar developed five short videos, each reflecting a module of the iSupport, to encourage carers to seek further information in the adapted iSupport program. Conclusion: Modifications of the current WHO iSupport Adaptation and Implementation Guidelines are needed. There is a need to improve the accessibility and usability of the iSupport online program, with the inclusion of short video clips being one possible solution. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Reaction Time and Postural Sway Modify the Effect of Executive Function on Risk of Falls in Older People with Mild to Moderate Cognitive Impairment.
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Mikolaizak, A. Stefanie, Taylor, Morag E., Close, Jacqueline C. T., Lord, Stephen R., Delbaere, Kim, and Kurrle, Susan E.
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Objectives: To explore the relationship between cognitive performance and falls in older people with mild to moderate cognitive impairment (CI) by investigating the mediational effects of medical, medication, neuropsychological, and physiological factors.Design: Secondary analysis, prospective cohort study.Setting: Community and low-level care.Participants: 177 older people (aged 82 ± 7 years) with mild to moderate CI (MMSE 11-23; ACE-R < 83).Measurements: Global cognition and six neuropsychological domains (memory, language, visuospatial, processing speed, executive function [EF], and affect) were assessed. Participants also underwent sensorimotor and balance assessments. Falls were recorded prospectively for 12 months.Results: The EF domain was most strongly associated with multiple falls (relative risk [RR]: 1.50, 95% CI: 1.18-1.91). Global cognition was not associated with falls (RR: 1.09, 95% CI: 0.92-1.30). Additional analyses showed that participants with poorer EF (median cutpoint) were more likely to be taking centrally acting medications and were less physically active. They also had significantly worse vision, reaction time, knee extension strength, balance (postural sway, controlled leaning balance), and higher physiological fall risk scores. Participants with poorer EF were 1.5 times (RR: 1.50, 95% CI: 1.03-2.18) more likely to have multiple falls. Mediational analyses demonstrated that reaction time and postural sway reduced the relative risk of EF on multiple falls by 31% (RR: 1.19, 95% CI: 0.81-1.74).Conclusions: Within this sample of older people with mild to moderate CI, poorer EF increased the risk of multiple falls. This relationship was mediated by reaction time and postural sway,suggesting cognitively impaired older people with poorer EF may benefit from fall prevention programs targeting these mediating factors. [ABSTRACT FROM AUTHOR]- Published
- 2017
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5. A multifactorial intervention for frail older people is more than twice as effective among those who are compliant: complier average causal effect analysis of a randomised trial.
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Fairhall, Nicola, Sherrington, Catherine, Cameron, Ian D, Kurrle, Susan E, Lord, Stephen R, Lockwood, Keri, and Herbert, Robert D
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FRAIL elderly ,HEALTH care teams ,HOME care services ,HEALTH outcome assessment ,PATIENT compliance ,PHYSICAL therapy ,SECONDARY analysis ,CONTROL groups ,INDEPENDENT living - Abstract
Question: What is the effect of a multifactorial intervention on frailty and mobility in frail older people who comply with their allocated treatment? Design: Secondary analysis of a randomised, controlled trial to derive an estimate of complier average causal effect (CACE) of treatment. Participants: A total of 241 frail community-dwelling people aged ≥ 70 years. Intervention: Intervention participants received a 12-month multidisciplinary intervention targeting frailty, with home exercise as an important component. Control participants received usual care. Outcome measures: Primary outcomes were frailty, assessed using the Cardiovascular Health Study criteria (range 0 to 5 criteria), and mobility measured using the 12-point Short Physical Performance Battery. Outcomes were assessed 12 months after randomisation. The treating physiotherapist evaluated the amount of treatment received on a 5-point scale. Results: 216 participants (90%) completed the study. The median amount of treatment received was 25 to 50% (range 0 to 100). The CACE (ie, the effect of treatment in participants compliant with allocation) was to reduce frailty by 1.0 frailty criterion (95% CI 0.4 to 1.5) and increase mobility by 3.2 points (95% CI 1.8 to 4.6) at 12 months. The mean CACE was substantially larger than the intention-to-treat effect, which was to reduce frailty by 0.4 frailty criteria (95% CI 0.1 to 0.7) and increase mobility by 1.4 points (95% CI 0.8 to 2.1) at 12 months. Conclusion: Overall, compliance was low in this group of frail people. The effect of the treatment on participants who comply with allocated treatment was substantially greater than the effect of allocation on all trial participants. Trial registration: Australian and New Zealand Trial Registry ANZCTRN12608000250336. [Fairhall N, Sherrington C, Cameron ID, Kurrle SE, Lord SR, Lockwood K, Herbert RD (2016) A multifactorial intervention for frail older people is more than twice as effective among those who are compliant: complier average causal effect analysis of a randomised trial. Journal of Physiotherapy 63: 40–44] [ABSTRACT FROM AUTHOR]
- Published
- 2017
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6. Appropriate care for older people with cognitive impairment in hospital.
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Caplan, Gideon A, Kurrle, Susan E, and Cumming, Anne
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More than half of the patients in adult hospitals are over 65 years of age. Although not a normal part of ageing, many older people will present to hospital with cognitive impairment (dementia or delirium) along with other complex comorbidities. Older people, and particularly those with dementia, are also at increased risk of developing delirium during their hospital stay. Delirium has serious short and long term consequences, such as increased mortality, falls, accelerated functional and cognitive decline, and earlier entry to residential care. Appropriate delirium care consists of introducing evidence-based prevention strategies for all patients at risk. For patients with delirium, it is crucial that delirium is not missed and that the underlying causes are identified and treated. Screening, assessment and a systematic workup is vital. As well as treating the underlying medical and surgical causes, the involvement of family members and a calm, safe environment are important. Patients with cognitive impairment should receive person-centred, goal-directed care so that their particular risks of harm are identified and minimised, and their care is aligned with their preferences and is medically appropriate for their circumstances. Three de-identified, composite case scenarios illustrate, respectively, the role of medicines in causing delirium, how family members can assist in evaluation, and the importance of the appropriate management of post-operative delirium. [ABSTRACT FROM AUTHOR]
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- 2016
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7. Appropriate care for older people with cognitive impairment in hospital.
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Caplan, Gideon A, Kurrle, Susan E, and Cumming, Anne
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Summary: More than half of the patients in adult hospitals are over 65 years of age. Although not a normal part of ageing, many older people will present to hospital with cognitive impairment (dementia or delirium) along with other complex comorbidities.Older people, and particularly those with dementia, are also at increased risk of developing delirium during their hospital stay. Delirium has serious short and long term consequences, such as increased mortality, falls, accelerated functional and cognitive decline, and earlier entry to residential care.Appropriate delirium care consists of introducing evidence‐based prevention strategies for all patients at risk. For patients with delirium, it is crucial that delirium is not missed and that the underlying causes are identified and treated. Screening, assessment and a systematic workup is vital. As well as treating the underlying medical and surgical causes, the involvement of family members and a calm, safe environment are important.Patients with cognitive impairment should receive person‐centred, goal‐directed care so that their particular risks of harm are identified and minimised, and their care is aligned with their preferences and is medically appropriate for their circumstances.Three de‐identified, composite case scenarios illustrate, respectively, the role of medicines in causing delirium, how family members can assist in evaluation, and the importance of the appropriate management of post‐operative delirium. [ABSTRACT FROM AUTHOR]
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- 2016
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8. Life experiences of people with dementia in Vietnam and among the Vietnamese diaspora: A systematic review of qualitative studies.
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Nguyen, Tuan Anh, Tran, Kham, Hinton, Ladson, Roughead, Elizabeth E, Esterman, Adrian, Dang, Thu Ha, Kim, Giang Bao, Pham, Diep Bich, Nguyen, Huong Thi Diem, Crotty, Maria, Kurrle, Susan, Pham, Thang, Le Pham, Tuan, and Brodaty, Henry
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Background: As part of the effort to gather research evidence for the development of Vietnam's National Dementia Plan, a systematic review was conducted to map dementia research in Vietnam or among the Vietnamese diaspora. This paper aimed to report the qualitative research evidence on the life experiences of people with dementia in Vietnam and among the Vietnamese diaspora. Method: Systematic searches were conducted in June 2019 using Medline, Embase, Emcare, PsycINFO and Cochrane electronic databases, as well as grey literature. Keywords and Medical Subject Headings [MeSH terms] for dementia and associated terms were combined with keywords for Vietnam and its provinces. Qualitative research articles published in English or Vietnamese were included to examine evidence on the life experiences of Vietnamese people with dementia using thematic analysis. Result: Our searches resulted in 3,940 papers, from which 21 qualitative research studies were included for final analysis. The majority of research has not been undertaken in Vietnam but with the Vietnamese diaspora in Western countries and has taken a cultural perspective to analyses. Research in Western countries has focused on the need for culturally adapted and culturally sensitive models of care. Emerging themes about the life experiences of Vietnamese people with dementia identified from the studies included: many people do not have diagnostic terms for dementia but use the descriptive language of symptoms; stigma was a reported problem and on occasions can be observed in the descriptive language used for people with dementia; cultural and traditional values create both an opportunity and a barrier, supporting compassion, family care and relaxation, but creating barriers to accessing health services or long‐term residential care. Conclusion: This is the first systematic review reporting evidence on the life experiences of people with dementia in Vietnam and among the Vietnamese diaspora. Future research is needed on the voice of people with dementia themselves and their caregivers particularly in low and middle‐income countries with regards to living with dementia, pathways to care from diagnosis, treatment, care and support, additional social care and preparedness for end of life care for people with dementia. [ABSTRACT FROM AUTHOR]
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- 2021
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9. Dementia, medication and transitions of care.
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Deeks, Louise S., Cooper, Gabrielle M., Draper, Brian, Kurrle, Susan, and Gibson, Diane M.
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Background: Persons with dementia (PWD) often have complex medication regimens and are at risk of medication problems during the multiple transitions of care experienced as the condition progresses.Objectives: To explore medication processes in acute care episodes and care transitions for PWD and to make recommendations to improve practice.Method: Semi-structured interviews were conducted by two pharmacy researchers from a focused purposive sample of fifty-one participants (carers, health professionals, Alzheimer's Australia staff) from urban and rural Australia. After written consent, the interviews were audio-recorded then transcribed verbatim for face-to-face interviews, or notes were taken during the interview if conducted by telephone. The transcripts were checked for accuracy by the pharmacy researchers. Thematic analysis of the data was undertaken independently by the two researchers to reduce bias and any disagreements were resolved by discussion.Results: Themes identified were: medication reconciliation; no modified planning for care transitions; underutilization of information technology; multiple prescribers; residential aged care facilities; and medication reviews by pharmacists. Sub themes were: access to appropriate staff; identification of dementia; dose administration aids; and staff training.Conclusions: Medication management is sub-optimal for PWD during care transitions and may compromise safety. Suggested improvements included: increased involvement of pharmacists in care transitions; outreach or transitional health care professionals; modified planning for care transitions for individuals over 80 years; co-ordinated electronic records; structured communication; and staff training. [ABSTRACT FROM AUTHOR]- Published
- 2016
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10. Reaction Time and Postural Sway Modify the Effect of Executive Function on Risk of Falls in Older People with Mild to Moderate Cognitive Impairment
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Taylor, Morag E., Lord, Stephen R., Delbaere, Kim, Kurrle, Susan E., Mikolaizak, A. Stefanie, and Close, Jacqueline C.T.
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To explore the relationship between cognitive performance and falls in older people with mild to moderate cognitive impairment (CI) by investigating the mediational effects of medical, medication, neuropsychological, and physiological factors.
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- 2017
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11. The future of rehabilitation for older Australians.
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Cameron, Ian D, Crotty, Maria, and Kurrle, Susan E
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The rehabilitation of people with frailty takes time,5 and hospitals are under pressure to reduce patients' stays in hospital (the median rehabilitation length of stay reported by Soh and his co-authors was 20 days1). Key priorities are to build the capacity and competence of primary health services to provide general rehabilitation services to older people, and to improve networking of and collaboration between primary care and specialist rehabilitation units. Some health services have worked through these intersectoral problems and have articulated a model that could be implemented broadly in Australia.11 Australia urgently needs a national rehabilitation strategy to reduce overreliance on hospital services for functional recovery and rehabilitation treatments. [Extracted from the article]
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- 2021
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12. Exploring client adherence factors related to clinical outcomes.
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Gill, Liz, Cassia, Fabio, Cameron, Ian D., Kurrle, Susan, Lord, Stephen, Fairhall, Nicola, Lockwood, Keri, and Langron, Colleen
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Copyright of Australasian Marketing Journal is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2014
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13. The future of rehabilitation for older Australians
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Cameron, Ian D, Crotty, Maria, and Kurrle, Susan E
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- 2021
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14. Healthcare services for people with dementia in Vietnam: A situational analysis.
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Dang, Thu Ha, Tran, Kham, Esterman, Adrian, Roughead, Elizabeth E, Brodaty, Henry, Hinton, Ladson, Kim, Giang Bao, Kurrle, Susan, Crotty, Maria, Pham, Thang, Le Pham, Tuan, Hoang, Phuong, and Nguyen, Tuan Anh
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Background: Vietnam is facing rapid population ageing, with one in four Vietnamese citizens being over 60 years old by 2050. This has contributed to a boom of chronic and non‐communicable diseases, such as dementia. In order to develop a national dementia plan as recommended by the World Health Organization (WHO) and increase the preparedness of the healthcare system to tackle dementia, a situational analysis of the current healthcare services related to dementia is needed. Method: In late 2019, we conducted a situational analysis desk review of the healthcare system in Vietnam, focusing on health service delivery for the elderly, using the guidance developed by the Strengthening Responses to Dementia In Developing Countries (STRiDE) project. The WHO's six‐building‐block framework was used to analyse the healthcare system in Vietnam, followed by the thematic and SWOT (Strengths, Weaknesses, Opportunities and Threats) analyses of dementia‐related healthcare services. Result: Although Vietnam has achieved significant improvement in healthcare in general, there are still inefficiencies in health service delivery. There are also discrepancies in health service readiness and quality across areas of healthcare. Despite of extensive primary healthcare system, grassroots‐level facilities have inadequate infrastructure required for basic care delivery and none for dementia. There are few healthcare facilities at central and provincial levels, mainly located in the three biggest cities of Hanoi, Ho Chi Minh and Danang, providing services for people with dementia. There is limited training in dementia diagnosis and management for health professionals. Conclusion: Developing a national dementia plan, including transforming the current healthcare services to better cope with rapid population ageing and dementia disease is urgently needed in Vietnam. Integrating dementia services into existing health and social services for the elderly and the disabled, making use of the extensive primary healthcare system in detection, early interventions, management and support for people with dementia at community level are strategic solutions to deal with dementia in a sustainable way. To this end, a whole‐system approach in transformation and operation with implementing a patient centred care model is necessary. [ABSTRACT FROM AUTHOR]
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- 2021
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15. Walking aid use after discharge following hip fracture is rarely reviewed and often inappropriate: an observational study.
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Thomas, Susie, Halbert, Julie, Mackintosh, Shylie, Cameron, Ian D., Kurrle, Susan, Whitehead, Craig, Miller, Michelle, and Crotty, Maria
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BONE fractures ,PHYSICAL therapists ,FRAIL elderly ,PHYSICAL therapy ,ACCIDENTAL falls - Abstract
Questions: What walking aid prescription occurs at discharge after hip fracture? What changes in walking aid use occur in the following six months? Who initiates changes in walking aids and why? Design: Prospective longitudinal observational study. Participants: 95 community-dwelling older adults who had undergone surgical treatment of a hip fracture. Outcome measures: Range of walking aids prescribed at discharge and participants' recall of advice about progression were recorded. Progression of walking aids was observed fortnightly over 6 months. With any change in walking aid use, an independent physiotherapist determined if it was appropriate and participants reported the reason for the change. Results: Most participants were discharged from their final inpatient setting with a wheeled frame (92%). Eighty-two (86%) participants were not aware of any goals set by the physiotherapist for the first 6 months and 89 (94%) stated that a review time had not been set. Despite this, 78 (82%) participants changed their walking aid, on average 8 weeks (SD 6) after discharge. However, 32% of those who changed their walking aids were using an inappropriate aid or using it incorrectly. Six months after discharge, 40% of participants had not returned to using their pre-morbid indoor aid and 50% their outdoor aid. Conclusion: A review of walking aid by a physiotherapist is rare within six months after discharge following hip fracture. Most patients make their own decision about what walking aid is most appropriate. This has safety implications in a group at high risk of falls. [ABSTRACT FROM AUTHOR]
- Published
- 2010
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16. Clinical practice guidelines for dementia in Australia.
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Laver, Kate, Cumming, Robert G, Dyer, Suzanne M, Agar, Meera R, Anstey, Kaarin J, Beattie, Elizabeth, Brodaty, Henry, Broe, Tony, Clemson, Lindy, Crotty, Maria, Dietz, Margaret, Draper, Brian M, Flicker, Leon, Friel, Margeret, Heuzenroeder, Louise Mary, Koch, Susan, Kurrle, Susan, Nay, Rhonda, Pond, C Dimity, and Thompson, Jane
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About 9% of Australians aged 65 years and over have a diagnosis of dementia. Clinical practice guidelines aim to enhance research translation by synthesising recent evidence for health and aged care professionals. New clinical practice guidelines and principles of care for people with dementia detail the optimal diagnosis and management in community, residential and hospital settings. The guidelines have been approved by the National Health and Medical Research Council. The guidelines emphasise timely diagnosis; living well with dementia and delaying functional decline; managing symptoms through training staff in how to provide person-centred care and using non-pharmacological approaches in the first instance; and training and supporting families and carers to provide care. [ABSTRACT FROM AUTHOR]
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- 2016
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17. A new model of care and in‐house general practitioners for residential aged care facilities.
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Cameron, Ian D, Steinke, Helen, and Kurrle, Susan E
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- 2021
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18. Walking aid use after discharge following hip fracture is rarely reviewed and often inappropriate: an observational study
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Thomas, Susie, Halbert, Julie, Mackintosh, Shylie, Cameron, Ian D., Kurrle, Susan, Whitehead, Craig, Miller, Michelle, and Crotty, Maria
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What walking aid prescription occurs at discharge after hip fracture? What changes in walking aid use occur in the following six months? Who initiates changes in walking aids and why?
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- 2010
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19. How to treat: Elder abuse.
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Kurrle, Susan
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The article focuses on the methods to be used when assessing elder abuse in Victoria. According to physician Mark Lachs, proper management of elder abuse will create improvement in the quality of life. It is stated that management of elder abuse requires the involvement of several individuals or service providers. Counseling is essential for the recovery of the victim and legal intervention is the last resort when a severe domestic violence happened.
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- 2006
20. The impact of domestic violence on individuals
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Astbury, Jill, Atkinson, Judy, Duke, Janet E, Easteal, Patricia, Kurrle, Susan E, Talt, Paul R, and Turner, Jane
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• There is extensive evidence of the adverse effects of domestic violence across all age groups and cultural backgrounds. • The impact of domestic violence may be long‐term, affecting emotional adjustment, physical health and subsequent relationships. • Health professionals should be aware of the confounding effect of youth, age and cultural diversity on presentation. • Shame and isolation militate against disclosure. • Specific, sensitive questioning that incorporates awareness of cultural and social issues is essential to detect domestic violence and initiate appropriate assistance.
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- 2000
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21. Dementia in Vietnam: A situational analysis: Health services research / Policy and plans.
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Nguyen, Tuan Anh, Dang, Thu Ha, Tran, Kham, Kim, Giang Bao, Brodaty, Henry, Pham, Thang, Pham, Tuan Le, Crotty, Maria, Kurrle, Susan, Hinton, Ladson, Esterman, Adrian, Nguyen, Trung Anh, and Roughead, Elizabeth E
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Background: Vietnam has decided to develop an integrated national action plan that integrates dementia into existing non‐communicable diseases (NCD) initiatives. Prior to formulating an effective plan, however, reliable information on current situation of dementia care, treatment and support in Vietnam is needed. This study was conducted to better understand the context, barriers and opportunities for improving dementia care, treatment and support in Vietnam and guide the plan development. Method: A desk review was conducted using the Situational Analysis Desk Review Topic guide developed by the Strengthening responses to dementia in developing countries (STRiDE) project. Key WHO Global Dementia Observatory (GDO) indicators were collected, focusing on Policy, Service Delivery and Epidemiological assessments. Result: Vietnam has a high level institutional and policy framework on aging, NCD, mental health and disability including the 2009 Law on the Elderly, which provides the legal umbrella for policies on older people. However, no dementia‐specific policy exists and policies to promote healthy brain remain weak. Rapid aging significantly contributes to the explosion of NCD including dementia in Vietnam. There are 660000 Vietnamese people estimated to be living with dementia, with resultant dementia related costs of US$ 960 million. The healthcare system is not yet prepared for the shift to NCD from an acute, communicable disease burden in the past. Health service delivery is hospital‐centric, with over‐reliance on hospitals and under‐utilization of primary care system that in turn is fragmented and poorly prepared to address the rising challenge of dementia. Social care and support specific for dementia is lacking although there is an impressive grassroots organisation of older people with nearly 100,000 branches. Conclusion: To allow for a more harmonized response across the health sector and more effective use of limited resources, an integrated national action plan for dementia is sensible. However, Vietnam should take into consideration the potential for fragmentation and lack of dedicated resources being allocated to dementia. A new, integrated model of care focusing on a stronger primary healthcare system, community‐based social care and a healthy aging approach is needed to improve dementia prevention, care, treatment and support in Vietnam. [ABSTRACT FROM AUTHOR]
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- 2020
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22. A new model of care and in‐house general practitioners for residential aged care facilities
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Cameron, Ian D, Steinke, Helen, and Kurrle, Susan E
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- 2021
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23. How best to fix a broken hip
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March, Lynette M, Brnabic, Alan J M, Chamberlain, Anne C, Schwarz, Jennifer M, Cameron, Ian D, Cumming, Robert G, Finnegan, Terrence P, Kurrle, Susan E, Nade, Sydney M L, and Taylor, Tom K F
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Objectives:To develop evidence‐based guidelines for the treatment of proximal femoral fractures to optimise functional outcome while minimising length of stay in hospital. Data sources:Systematic literature search of MEDLINE and CINAHL computer databases, bibliographies, and current contents of key journals for 1966‐1995. Study selection:English‐language randomised controlled trials of all aspects of acute‐care hospital treatment of proximal femoral fracture among subjects aged 50 years and over with proximal femoral fractures not due to metastatic disease. Data extraction:Two independent reviewers, blinded to authors, institution and study results, followed a standard Cochrane Collaboration protocol and assessed study quality and treatment conclusions. When necessary, a third review was performed to reach consensus. Results:Of the 120 articles published between 1966 and December 1995, 97 met the inclusion criteria. Fifteen clinical interventions were reviewed. Five were supported by National Health and Medical Research Council (NHMRC) level I evidence (prophylactic anticoagulants, prophylactic antibiotics, regional anaesthesia, pressure‐relieving mattresses, and internal surgical fixation), two had no supporting randomised controlled trial evidence (time to surgery, time to mobilisation after surgery) and the remainder were classified as having Level II evidence. A review of current practice (1993‐94) identified wide variability in these interventions across five acute‐care hospitals in the Northern Sydney Area Health Service. Conclusions:Randomised controlled trial evidence (NHMRC Levels I and II) exists for many, but not all, aspects of hip fracture treatment. There is a need for changes to be made to some aspects of practice in accordance with evidence‐based guidelines.
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- 1999
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24. Hip Protectors: Results of a User Survey
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Birks, Carol, Lockwood, Keri, Cameron, Ian, Kurrle, Susan, Burnside, Wendy, Easter, Sandra, Venman, Jennifer, Cumming, Robert, Quine, Susan, Salkeld, Glenn, and Finnegan, Terence
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Introduction: Hip fracture has the greatest personal and economic impact of all fall‐related injuries in the elderly population. External hip protectors have been developed and have been effective in reducing the incidence of hip fracture in one study. Their level of effectiveness, however, is influenced significantly by whether people will wear them.
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- 1999
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25. General practice and dementia
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Brodaty, Henry, Howarth, Gregory C, and Kurrle, Susan E
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Objective:To find out what difficulties general practitioners (GPs) experience with diagnosing and managing dementia. Design:Postal questionnaire to a random stratified sample of one in seven active Australian GPs (2182 of 14932). Results:1473 GPs (67.5%) responded to the questionnaire. The results indicated reasonable knowledge about diagnostic features of dementia and good insight into common issues facing family carers. Even so, GPs had difficulties with diagnosis and management of dementia and wanted assessment protocols and educational programs. A minority of GPs regularly screened elderly patients for cognitive impairment but the majority relied on passive means of diagnosing dementia. Although generally positive about Aged Care Assessment Teams (ACATs) and Aged Care Community Services (ACCS), GPs expressed some concerns about these services. Conclusions:Recommendations arising from the survey were: development of an assessment protocol and a screening instrument, regular cognitive check‐ups for patients over 75 years, educational programs, improved coordination with Aged Care Assessment Teams and Community Services, inventories and registers of local community services and residential facilities, and appropriate Medicare rebates.
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- 1994
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26. Geriatric assessment by general practitioners
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Broe, Gerald Anthony and Kurrle, Susan
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- 1990
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27. Australian Service Providers' Responses to Elder Abuse
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Sadler, Paul and Kurrle, Susan
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This article presents the findings of a survey of 175 service providers in Sydney, Australia, the majority of whom were doctors in general practice. Thirty-two percent of respondents had encountered cases of physical, psychological, or financial abuse or caregiver neglect of people 65 years old and over. Community nurses and social/welfare workers were particularly likely to have encountered cases of abuse. The findings suggest that coordination between health, welfare, and criminal justice agencies in Australia needs improvement. Policies to address elder abuse and neglect in Australia are in their infancy. As a priority governments should work towards effective training of professionals and appropriate intervention guidelines for services.
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- 1993
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28. Elder abuse — an Australian case series
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Kurrle, Susan E, Sadler, Paul M, and Cameron, Ian D
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Objective:To report a series of older patients who had been physically abused or neglected and to describe their disabilities and social situation, the abuser, interventions offered and outcomes. Design:A retrospective case series. Patients were included if they met the requirements of a predetermined definition of physical abuse or neglect. Setting:An area‐based geriatric and rehabilitation service attached to a district hospital. Patients:Fifteen men and women aged over 65 who met the requirements of our definition of abuse and who were referred to the service over a 12‐month period. For each patient an abuser was identified. Results:Risk factors for elder abuse were a high degree of dependency of the elderly person resulting from cognitive or physical impairment; psychopathology in the abuser or stress on the carer. Intervention was effective for a majority of the patients. Conclusions:The findings are similar to those of overseas studies. Awareness of the problem and early intervention with counselling, provision of appropriate services and accommodation are likely to be successful in limiting the impact of elder abuse.
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- 1991
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29. Challenging Behaviours in Dementia: a Project at Hornsby/Ku‐Ring‐Gai Hospital
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Bird, Mike, Llewellyn‐Jones, Robert, Smithers, Heather, Andrews, Carol, Cameron, Ian, Cottee, Angus, Hutson, Cathie, Jenneke, Bill, Kurrle, Susan, and Russell, Bob
- Abstract
Abstract:This paper introduces a two year study at Hornsby/Ku‐Ring‐Gai Hospital which aims to shed more light on the nature of behaviour problems in dementia, and on methods of dealing with them. Rather than trialing a standard therapeutic technique across a range of behaviours, the project attempts to reflect what is often a complex clinical situation not amenable to standard answers. A series of interventions is being instituted in a controlled trial on the assumption that each case is idiosyncratic both in aetiology and other variables which affect treatment choice. Data are collected on quantitative and qualitative aspects of each case, including presumed causes of the behaviour. Outcome is assessed two and five months after the intervention using measures of patient behaviour, and of carer distress, coping and perception of the problem.
- Published
- 1998
- Full Text
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30. Elder abuse: prevalence, intervention and outcomes in patients referred to four Aged Care Assessment Teams
- Author
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Kurrle, Susan E, Sadler, Paul M, Lockwood, Keri, and Cameron, Ian D
- Abstract
Objective: To establish the prevalence and patterns of elder abuse, and outcomes of intervention, among patients of four Australian Aged Care Assessment Teams. Design: Descriptive study, with victims identified retrospectively from medical records for the first three months, and prospectively for the remaining nine months, of 1994. Setting: Four area‐based Aged Care Assessment Teams in three States. Patients:Referred patients over 65 years of age who lived in private homes and who met a predetermined definition of elder abuse. Main outcome measures: Prevalence of abuse, types of abuse and the effect of interventions. Results: The overall prevalence of elder abuse in the study population was 1.2% (95% CI, 0.4%–2.0%). The rate identified retrospectively was double that identified prospectively. Psychological abuse was the most common form of abuse detected. Patterns of abuse were identified and related to psychopathology of the abuser (30%), dependency of the older person and carer stress (25%), domestic violence (19%), carer abuse (18%) and financial dependency (8%). Interventions and outcomes varied according to the pattern of abuse. Conclusion: Our findings on the factors causing elder abuse are consistent with those identified in previous Australian studies. The prevalence of elder abuse detected in this study was lower than that in other Australian and overseas studies. A more uniform approach to detection is necessary, which may be aided by improved identification and management techniques, and appropriate training of health professionals in aged care services in case definition, interventions and management.
- Published
- 1997
- Full Text
- View/download PDF
31. Patterns of elder abuse
- Author
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Kurrle, Susan E, BA(Hons), Paul M Sadler., and Cameron, Ian 0
- Abstract
Objective:To establish the rate of occurrence and patterns of elder abuse, and outcomes of intervention, in an Australian population. Design:Retrospective review of medical records over a 12‐month period from July 1990 to June 1991. Setting:An area‐based geriatric and rehabilitation service attached to a district hospital. Patients:Referred patients over 65 years of age, who lived in private homes and who met a predetermined definition of elder abuse. Results: The rate of occurrence of elder abuse in the study population was 4.6%, with 29 cases of psychological abuse, 25 cases of physical abuse, 16 cases of neglect, and 13 cases of material/financial abuse. Patterns of abuse were identified and related to dependency of the older person (42%), psychopathology of the abuser (37%), family violence (14%), and carer stress (5%). Interventions and outcomes varied according to the pattern of abuse. Conclusion:The rate of occurrence and patterns of abuse of the elderly have been established for the first time in an Australian population. Intervention aimed at reducing the impact of elder abuse is effective, and should be tailored to the pattern of abuse that is occurring.
- Published
- 1992
- Full Text
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32. Ageing well.
- Author
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Kurrle, Susan
- Abstract
The article shares the views of geriatric specialist Susan Kurrle on issues related to the welfare and health care of the elderly in New South Wales as of August 2019. Topics discussed include the importance of aging gracefully according to a research about old people such as French Jeanne Louise Calment, the concept of life expectancy, and the beneficial effects of exercise including a lower risk for age-related illness such as dementia.
- Published
- 2019
33. P4‐642: ENGAGEMENT OF MULTI‐STAKEHOLDERS FOR THE DEVELOPMENT OF VIETNAM'S NATIONAL DEMENTIA PLAN: LESSONS LEARNED FROM THE FIRST VIETNAM NATIONAL DEMENTIA CONFERENCE.
- Author
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Dang, Thu Ha, Nguyen, Tuan Anh, Pham, Thang, Hinton, Ladson, Nguyen, Trung Anh, Le Pham, Tuan, Crotty, Maria, Kurrle, Susan, Bui, Quang Thuc, Nguyen, Huong, and Roughead, Elizabeth E.
- Published
- 2019
- Full Text
- View/download PDF
34. O1‐05‐01: PUBLIC INVOLVEMENT IN RESEARCH: COLLABORATIONS IN DEMENTIA CARE.
- Author
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Kurrle, Susan, Kitching, Alexandra, and McDermott, Shannon
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- 2019
- Full Text
- View/download PDF
35. Editorial (Thematic Issue: Medication Management for People with Dementia or Cognitive Impairment)
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Simon Bell, J., Kurrle, Susan, and N. Hilmer, Sarah
- Published
- 2015
36. Hip protectors.
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D Cameron, Ian and E Kurrle, Susan
- Published
- 2003
- Full Text
- View/download PDF
37. Preventing falls in elderly people living in hospitals and care homes
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Cameron, Ian D and Kurrle, Susan
- Published
- 2007
38. The association of frailty with cognitive impairment in a cohort of community living older people.
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Kurrle, Susan and Cameron, Ian
- Published
- 2009
- Full Text
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39. My wife has dementia
- Author
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Kurrle, Susan E
- Abstract
A funny thing happened on the way to the nursing home. A different handbook for dementia patients. 2nd edition. John Connor, Ourimbah, NSW: BookBound 1998 (ix + 75 pp., 814.95), ISBN; 1 876231 18 1.
- Published
- 1999
- Full Text
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40. Patterns of elder abuse
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Kurrle, Susan E and Sadler, Paul M
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- 1993
- Full Text
- View/download PDF
41. Strangeness in the night
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Kurrle, Susan
- Abstract
Alzheimer disease: from molecular biology to therapy. Robert Becker, Ezio Giacobini, editors. Boston: Birkhauser 1996 (xiv + 620 pp., $132 plus $4.75 postage and handling). ISBN: 3‐7643‐3879‐2.
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- 1997
- Full Text
- View/download PDF
42. Preventing falls in the elderly at home: a community‐based program
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Cameron, Ian, Kurrle, Susan, and Cumming, Robert
- Published
- 1996
- Full Text
- View/download PDF
43. EXTERNAL HIP PROTECTORS
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Cameron, Ian and Kurrle, Susan
- Published
- 1997
- Full Text
- View/download PDF
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