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The functional health needs of older persons in custody: A rapid review
Affiliation:1. School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada;2. Correctional Services Canada, Ottawa, Ontario, K1A 0P9, Canada;3. Nipissing University, North Bay, Ontario, P1B 8L7, Canada;4. Sinai Health System, Toronto, Ontario, M5G 1X5, Canada;5. University Health Network, Toronto, Ontario, M5G 2C4, Canada;1. Department of Forensic Odontology and Anthropology, Tokyo Dental College, Tokyo, 101-0061, Japan;2. Department of Histology and Developmental Biology, Tokyo Dental College, Tokyo, 101-0061, Japan;3. Department of Critical Care Medicine and Dentistry, Division of Anesthesiology, Kanagawa Dental University, 238-8580, Japan;1. FCFPSL–Professor in Forensic Medicine, Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka;2. Consultant Judicial Medical Officer, Teaching Hospital, Kandy, Kandy, Sri Lanka;1. University of Coimbra, Centre for Functional Ecology, Laboratory of Forensic Anthropology, Department of Life Sciences, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal;2. University of Coimbra, Molecular Physical-Chemistry R&D Unit, Department of Chemistry, Coimbra, Portugal;3. LIBPhys-UC, Department of Physics, Faculty of Sciences and Technology, University of Coimbra, Rua Larga, 3004-516, Coimbra, Portugal;1. Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India;2. Department of Forensic Medicine and Toxicology, Dr Sampurnanand Medical College, Jodhpur, India;3. Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Abstract:IntroductionThe number of older persons in custody is increasing and older incarcerated individuals have higher functional healthcare needs and higher healthcare costs. Consideration of available measures and interventions to address functional decline, are therefore imperative given the importance of disability to healthcare spending.PurposeTo identify the existing literature describing the functional health needs of older incarcerated individuals.MethodsThis rapid review synthesized existing literature on the functional health of older incarcerated individuals. Three electronic databases and two correctional service health-related journals were searched. Bibliographic searches of seminal articles and key authors were conducted for thoroughness.ResultsFifteen articles were retained in the final analysis. The methods of the included studies were heterogenous. Consideration of basic self-care (activities of daily living) and functional mobility were the primary ways of capturing functional health. The concept of ‘Prison ADLs’ emerged and measured the unique aspects of correction-specific functional activities.ConclusionsThis review identified the existing literature on how the functional health of older incarcerated persons is operationalized and measured, and how it is considered within this unique context. The concept of ‘Prison ADLs’ provides insight into the functional experiences of this population. Additionally, performance across PADLs typically declines before abilities across traditional ADLs.
Keywords:Aging  Health  Function  Disability  Assessment
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