Latest news with #nursingHome
Medscape
30-06-2025
- Health
- Medscape
Tool Predicts if Seniors with Cancer Can Stay Home Post Op
TOPLINE: A novel predictive model named STAYHOME effectively estimated the risk of losing the ability to live at home among older adults after cancer surgery, demonstrating good calibration with minimal deviation from observed risks. The model predicted a 2.4% and 3.4% risk for admission to a nursing home at 6 months and 12 months, respectively. METHODOLOGY: Older adults prioritize long-term functional independence, and the ability to return and stay at home after cancer surgery remains a key concern. However, current prognostic tools focus on short-term outcomes, lacking individualized long-term risk estimates. To estimate the risk of losing the ability to live at home post-surgery, researchers developed and internally validated a risk prediction model, named STAYHOME, among 97,353 community-dwelling older adults (median age, 76 years) who underwent cancer surgery between 2007 and 2019. The predictive model included preoperative variables such as age, sex, rural residence, previous cancer diagnosis, surgery type, frailty, receipt of home care support, receipt of neoadjuvant therapy, cancer site, and cancer stage. The primary outcome was the inability to stay at home after cancer surgery, defined as the time to admission to a nursing home, and was measured at 6 months and 12 months. TAKEAWAY: Overall, 2658 patients (2.7%) at 6 months and 3746 (3.8%) at 12 months were admitted to a nursing home post-surgery. The mean predicted risk of not staying home was 2.4% at 6 months and 3.4% at 12 months. The STAYHOME tool demonstrated a strong predictive capability, with areas under the curve of 0.76 and 0.75 for 6- and 12-month predictions, respectively. The tool also demonstrated minimal deviation from the observed risk for 6-month (0.33 percentage point on average; calibration slope, 1.27) and 12-month (0.46 percentage point on average; calibration slope, 1.17) predictions. The model's calibration was excellent for most predictors at 6 months and 12 months, with a deviation of < 0.8 percentage points from the observed probability; only age older than 85 years (1.13%), preoperative frailty (1.16%), and receipt of preoperative home care support (1.25%) exceeded the deviation of 1 percentage point at 12 months. Across risk deciles, deviations between predicted and observed probabilities were 0.1%-1.5% at 6 months and 0.1%-1.9% at 12 months, reflecting good calibration. The deviation for the slight overestimation at or above the seventh decile remained under 2% for both timepoints. IN PRACTICE: 'The STAYHOME tool demonstrated good discrimination and was well calibrated. Thus, it may be a useful tool to identify a specific group of individuals at risk of not remaining home,' the authors wrote. '[The tool] used information readily available to patients, care partners, and healthcare professionals and may be implemented to provide them with individualized risk estimates and improve surgical oncology care delivery and experience for older adults,' they concluded. SOURCE: This study, led by Julie Hallet, MD, Odette Cancer Centre, Sunnybrook Health Sciences Centre in Toronto, Ontario, Canada, was published online in JAMA Surgery. LIMITATIONS: The STAYHOME tool showed slightly reduced discrimination for predictor levels of preoperative frailty, preoperative home care use, receipt of neoadjuvant therapy, and having stage IV disease. The model was also less well calibrated at the extremes of the risk distribution, with a slight overestimation in higher-risk categories. DISCLOSURES: This study was funded by operating grants from the Canadian Institutes for Health Research, Ontario Cancer Research Institute, and ICES. One author reported receiving speaker fees from Ipsen, outside the submitted work. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Daily Mail
14-06-2025
- Business
- Daily Mail
Why has Virgin Money held up an Isa transfer to Lloyds for four months
My father died last September and after the grant of probate in January this year, as executor, I arranged the transfer of his cash Isa with Virgin Money to a Virgin account in my mother's name as per his will. My mother is in a nursing home and I hold Power of Attorney and manage her affairs. As the Virgin Money Isa has a low interest rate and Virgin Money only allows attorneys to issue instructions by post, I decided to transfer the funds from Virgin Money to my mother's Lloyds Bank Isa. The nursing home fees are almost £7,000 every four weeks and my parent's property has not yet sold, so we require every penny of income to pay the fees. But since January we have been unable to access the income from my father's Virgin Money Isa as Lloyds has been unable to complete the transfer of these funds. Why is the transer taking so long? Helen Kirrane of This is Money replies: You would think the transfer of an Isa from one establshed bank to another would be smooth enough. But Isa transfers between providers can be thwarted by old technology or the fact that different providers use different systems for transfers. For example, the majority of transfers from Virgin Money stocks and shares Isas are processed by default as a cheque and posted to the new provider while other providers use electronic transfers. You requested to transfer the Isa from Virgin Money to Lloyds on Janury 10. But four months later when you contacted This is Money, the transfer had still not moved forward. Given that a transfer from one cash Isa to another is supposed to take no more than 15 calendar days and no more than 30 calendar days for other types of Isas, according to HMRC rules, it's clear this is a huge hold-up. Virgin Money says it never received a transfer request to move your mother's funds out of the account and into Lloyds. You were bounced around between Virgin Money and Lloyds, with both providers insisting the issue was the problem of the other. You were told that Lloyds sent the transfer request via the interbank system to Clydesdale bank, but the automatic system rejected it as the Virgin Money details are not recognised by Clydesdale. Clysedale Bank acquired Virgin Money in 2019 but retained the Virgin Money brand. Virgin Money confirmed as much when it looked into your case at This is Money's request. It said it could not find a record of your transfer being submitted with the likely reason being because the request didn't have the correct details included, therefore its systems were not able to make a match. Your most recent request, received by Lloyds on 14 April was again sent to Clydesdale on 25 April, where it was rejected again after which you got in touch with This is Money. Unfortunately, this is not the first time we have heard of very long Isa transfer delays like yours. In November 2023, almost £1million worth of Isa transfers went 'missing' at NatWest after the bank became overwhelmed by the volume of savers requesting to transfer their Isas into its best buy two-year cash Isa. Given the rules say transfers between a cash Isas should take no longer than 15 days I think the delay you have faced is very poor. Virgin Money said the issue has now been resolved and it will process the transfer to Lloyds. You told me it has also agreed to backdate interest to January 10 when you originally requested the transfer. A Virgin Money spokesman replies: After a thorough review, we found no record of a transfer request being submitted to us. It could be that the request didn't have the correct details included, therefore our systems haven't been able to make a match. Our team contacted the customer to confirm the correct account details needed for Lloyds to request the transfer. We've also reached out to our senior contact at Lloyds to help expedite the process once the customer submits the request using the confirmed information. We've arranged to call the customer next week and will continue to monitor the account closely, keeping them updated throughout the process until the transfer is complete.
Health Line
06-06-2025
- Health
- Health Line
What's the Life Expectancy for Parkinson's Disease?
Key takeaways At age 65, patients with Parkinson's disease have a life expectancy reduced by 6.7 years compared to those without the disease, while at age 85, the difference in life expectancy is 1.2 years. Severe clinical milestones that can impact survival include visual hallucinations, recurrent falls, dementia, and placement in a nursing home. Each milestone may double the risk of death during a 10-year period. Males with Parkinson's disease may experience a greater reduction in life expectancy than females, and those diagnosed before age 70 typically see a larger decrease in life expectancy compared to later diagnoses. If you or a loved one has received a diagnosis of Parkinson's, you may be wondering how the disease may progress over time. Parkinson's disease is a slow, progressive disease. This means that symptoms gradually worsen over time. While Parkinson's disease itself isn't fatal, related complications can reduce life expectancy. The individual outlook can vary based on the severity of Parkinson's disease, a person's overall health, and the type of Parkinson's disease they have. Research from 2020 suggests that at 65 years, the life expectancy of patients with Parkinson's was reduced by 6.7 years compared to that of people without Parkinson's disease. At 85, the difference in life expectancy was 1.2 years. Keep reading to learn more about the disease course and outlook with Parkinson's disease and the factors that may inform a doctor's prediction about a person's outlook. Factors that affect the outlook with Parkinson's disease Symptoms and complications can affect the outlook of a person with Parkinson's disease. Symptoms and severity Research from 2022 suggests that the presence of certain severe clinical milestones may predict a person's disease course with Parkinson's disease and increase the risk of death. Each milestone may double the risk of death during a 10-year period. These milestones include: visual hallucinations recurrent falls dementia placement in a nursing home Parkinson's and falls Falls are a common secondary symptom of Parkinson's disease. The risk of falling increases in stages 3 and is greater in stages 4 and 5. In these stages, you may not be able to stand or walk on your own. You'll also be prone to broken bones and concussions, and severe falls can be dangerous. Complications from a serious fall can reduce your life expectancy. Age Age is another factor in the diagnosis and outlook for Parkinson's disease. Most people will receive a diagnosis after 70. As you get older, you may be more prone to falls and more likely to develop certain diseases, even if you don't have Parkinson's disease. These risks can increase if you have Parkinson's. Research from 2020 suggests that people who receive a diagnosis before age 70 usually experience a greater reduction in life expectancy: In people at age 55: a 10.1-year reduction In people at age 65: a 6.7-year reduction In people at age 75: a 3.5-year reduction In people at age 85: a 1.2-year reduction Sex Research suggests that males with Parkinson's may have a greater reduction in life expectancy than females. Access to treatment Life expectancy has increased significantly due to advances in treatment. Medications and physical and occupational therapy are especially helpful in the earliest stages of Parkinson's. These treatments can improve your quality of life. Type of disease The type of parkinsonism can also impact a person's life expectancy, according to 2020 research. People with atypical parkinsonism, including Lewy body dementia, progressive supranuclear palsy, and multiple system atrophy, have increased mortality compared to people with typical Parkinson's disease and people without Parkinson's disease. Long-term outlook Early detection of Parkinson's disease is key to helping reduce complications that can negatively affect the outlook. If you suspect that you or a loved one may have Parkinson's disease, consult a doctor right away. Parkinson's symptoms and severity by stage Doctors classify Parkinson's disease into stages 1 to 5, with stage 5 being the most advanced. Advanced stages may increase the risk of health complications that can reduce life span. The symptoms of Parkinson's are gradual and are sometimes not noticeable in the early stages of the disease. They may include: tremors loss of balance slowing of movements spontaneous, uncontrollable movements Symptoms in later stages of Parkinson's may include: more frequent falls trouble dressing difficulty eating swallowing severe stiffness in your legs, which makes it impossible to stand or walk hallucinations or delusions cognitive changes (problems with planning, language, attention, or memory) dementia lightheadedness mood disorders loss of sense of smell or taste vision problems sleep disorders sexual problems As Parkinson's progresses to stages 3, 4, and 5, the risk of falling may increase, and motor balance may worsen. Pneumonia, particularly aspiration pneumonia, is the leading cause of death for people with Parkinson's, accounting for 70% of Parkinson's deaths. Aspiration pneumonia happens when you inhale food, stomach acid, or saliva into the lungs. As Parkinson's progresses, swallowing can become more difficult, causing food and liquid to enter the lungs. Treatment may help reduce symptoms. Frequently asked questions Why does it take so long for a diagnosis of Parkinson's disease? There is no definitive medical test that can be performed to diagnose Parkinson's disease. It's essentially a clinical diagnosis, meaning a doctor will make the diagnosis based on several clinical features seen. Symptoms of Parkinson's disease include tremor, slowness of movement, stiffness, and balance problems. However, the presentation and progression of these symptoms vary widely from person to person. The initial presentation is often subtle and may be similar to other conditions. Some people think their symptoms are due to normal aging, which may make them delay seeking medical attention. Another common finding in patients with Parkinson's disease is 'masked facies,' or an expressionless face, which often gets mistaken for depression. If there's concern that someone is developing Parkinson's disease, they should get a clinical exam from a neurologist to get a diagnosis. There is no definitive medical test that can be performed to diagnose Parkinson's disease. It's essentially a clinical diagnosis, meaning a doctor will make the diagnosis based on several clinical features seen. Symptoms of Parkinson's disease include tremor, slowness of movement, stiffness, and balance problems. However, the presentation and progression of these symptoms vary widely from person to person. The initial presentation is often subtle and may be similar to other conditions. Some people think their symptoms are due to normal aging, which may make them delay seeking medical attention. Another common finding in patients with Parkinson's disease is 'masked facies,' or an expressionless face, which often gets mistaken for depression. If there's concern that someone is developing Parkinson's disease, they should get a clinical exam from a neurologist to get a diagnosis. Is Parkinson's disease fatal? While Parkinson's disease is not fatal, it can cause complications that increase the risk of death. People with Parkinson's have a mortality rate 3 times that of people without Parkinson's. While Parkinson's disease is not fatal, it can cause complications that increase the risk of death. People with Parkinson's have a mortality rate 3 times that of people without Parkinson's. Can treatment help prevent Parkinson's disease complications? Parkinson's disease cannot be cured, but medications, supportive treatments, lifestyle changes, and even surgery can help manage your symptoms or delay more severe symptoms, especially if you start treatment early. This may reduce complications. Parkinson's disease cannot be cured, but medications, supportive treatments, lifestyle changes, and even surgery can help manage your symptoms or delay more severe symptoms, especially if you start treatment early. This may reduce complications.
Yahoo
31-05-2025
- General
- Yahoo
Fire crews called overnight to Northumberland County nursing center
MOUNT CARMEL, Pa. (WHTM) — No injuries were reported when firefighters were called for the second fire at a coal region nursing center this year. Firefighters were called to the Mount Carmel Senior Living Community around 1 a.m. early Saturday morning for a report of a fire. Crews at the scene said the fire was small in nature and contained to one room of the complex. Initially, a second alarm was struck for manpower and additional medical units were called as well. No residents were displaced and no one was injured. Firefighters from Northumberland and Columbia counties responded. Schuylkill County crews were cancelled en-route. Download the abc27 News+ app on your Roku, Amazon Fire TV Stick, and Apple TV devices In January, 20 people were transported after a fire broke out at the same facility. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Gizmodo
29-05-2025
- Entertainment
- Gizmodo
‘The Purge' Creator's Latest Movie Pits Pete Davison Against Elderly Eldritch Horrors
A young man begins his community service gig as a janitor at a nursing home, which seems like a boring, ordinary place at first—though he's cautioned against ever visiting the fourth floor. Since The Home is a horror movie, you can guess he'll discover there's a lot more to that warning than he realizes at first—and since The Home is from the guy who created The Purge, you can assume the darkest sides of humanity will absolutely be making themselves known. Check out the first trailer for The Home, which stars Saturday Night Live alum Pete Davidson and offers an urgent reminder that if someone says 'you've got interesting eyes' early in the movie, there'll definitely be someone poking into your corneas by act three. 'There's something very wrong with this place! Something terribly wrong!' Could it be that whatever's happening on the fourth floor involves organ theft or maybe even some kind of supernatural appropriation of youth? It's unclear, but tuxedos are a part of it, in the most sinister way possible. In a statement included with the trailer release, James DeMonaco—creator of The Purge franchise, and director and co-writer of The Home—gave a tiny bit more insight into his latest film. 'When I set out to create The Home, I aimed to capture the spine-chilling eeriness of '70s horror, where suspense simmers and ultimately erupts into glorious chaos,' he said. 'Joining me is my Staten Island brother, Pete Davidson, who unveils a darker, dramatic side as his character navigates a bizarre group of residents in an old age home. The growing tension culminates in an epic blood-soaked finale, designed to leave audiences gasping, terrified, and cheering. I can't wait for everyone to visit The Home. Cover your eyes, folks.' We will definitely be doing just that—or at the very least peeking through our fingers—when The Home hits theaters July 25.
