Research Topics
| S Itkin ZimmermanSummaryAffiliation: University of North Carolina Country: USA Publications
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Publications
Correlates of bone mineral density in nursing home residentsS Itkin Zimmerman
University of Maryland, School of Medicine, Department of Epidemiology and Preventive Medicine, 660 W Redwood Street, Suite 200, Baltimore, Maryland, 21201, USA
J Nutr Health Aging 3:140-5. 1999..To explore correlates of bone mineral density (BMD) in nursing home residents, examining factors associated with BMD in community cohorts and factors prevalent among nursing home residents...- Outcomes of surgical management of total HIP replacement in patients aged 65 years and older: cemented versus cementless femoral components and lateral or anterolateral versus posterior anatomical approachSheryl Zimmerma
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, 27599 7590, USA
J Orthop Res 20:182-91. 2002.... - Mortality and adverse health events in newly admitted nursing home residents with and without dementiaJay Magaziner
Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 53:1858-66. 2005..g., infections, fevers, pressure ulcers, falls) than residents without dementia because of communication and self-care difficulties... - Cognitive impairment in hip fracture patients: timing of detection and longitudinal follow-upAnn L Gruber-Baldini
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 51:1227-36. 2003..To examine the prevalence, incidence, persistence, predictors, and outcomes of cognitive impairment after hip fracture... - Association of depression with agitation in elderly nursing home residentsOscar Heeren
Mental Health Service Line, Veterans Affairs Maryland Health Care Center, Baltimore, Maryland 21201, USA
J Geriatr Psychiatry Neurol 16:4-7. 2003..However, wandering and psychotic behavior may be less amenable to existing treatments as these behaviors were associated with severe cognitive impairment... - Testing of the SEE and OEE post-hip fractureBarbara Resnick
University of Maryland School of Nursing, Baltimore, Maryland, USA
West J Nurs Res 28:586-601. 2006..Rasch model testing demonstrated that some items had high variability. Based on these findings suggestions are made for how items could be revised and the scales improved for future use... - Pressure ulcers and the transition to long-term careMona Baumgarten
Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, MD, USA
Adv Skin Wound Care 16:299-304. 2003..The identification of pressure ulcer risk factors is essential to the implementation of prevention activities, ensuring that appropriate interventions are targeted to the residents who are most likely to benefit... - Characteristics associated with depression in long-term care residents with dementiaAnn L Gruber-Baldini
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Gerontologist 45:50-5. 2005..Overall, 25% of the participants were depressed. Depression was related to severe cognitive impairment, behavioral symptoms, pain, and for-profit nursing home residence... - Concordance of family and staff member reports about end of life in assisted living and nursing homesShayna E Rich
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, 660 West Redwood Street, Suite 200, Baltimore, MD 21201, USA
Gerontologist 50:112-20. 2010.... - Depression and its relationship to function and medical status, by dementia status, in nursing home admissionsBruce A Kaup
Mental Health Clinical Center, Veterans Affairs Maryland Health Care System, Baltimore, MD 21201, USA
Am J Geriatr Psychiatry 15:438-42. 2007..To determine rates of depression by dementia status in a statewide sample of nursing home admissions, and associations with medical comorbidity and physical functioning... - Testing of the Res-Care Pilot Intervention: Impact on nursing assistantsBarbara Resnick
School of Nursing, University of Maryland, MD, USA
Geriatr Nurs 25:292-7. 2004..56, P > .05), and no difference in self-efficacy expectations (F = .58, P > .05) or job satisfaction (F = .48, P > .05). The findings provide useful information for future research in restorative care... - Dementia as a risk factor for falls and fall injuries among nursing home residentsCarol van Doorn
Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 51:1213-8. 2003..To compare rates of falling between nursing home residents with and without dementia and to examine dementia as an independent risk factor for falls and fall injuries... - Nursing home resident outcomes from the Res-Care interventionBarbara Resnick
Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 57:1156-65. 2009.... - The role of nursing home admission and dementia status on care for diabetes mellitusCharlene C Quinn
Division of Gerontology, Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 57:1628-33. 2009..To study the role of nursing home (NH) admission and dementia status on the provision of five procedures related to diabetes mellitus... - Some predictors of psychiatric consultation in nursing home residentsJoanne Fenton
Mental Health Service Line, Veterans Affairs Maryland Health Care Center, Baltimore, MD 21201, USA
Am J Geriatr Psychiatry 12:297-304. 2004..In this context, it is important for the nursing staff to recognize that lethargy and social withdrawal may be signs of depression, and a referral to a psychiatrist may be in order... - Emotional and physical health of informal caregivers of residents at the end of life: the role of social supportSharon Wallace Williams
Department of Allied Health Sciences, Division of Speech and Hearing Sciences, Bondurant Hall, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
J Gerontol B Psychol Sci Soc Sci 63:S171-83. 2008..We also examined potential mediating effects of social support (informal, staff, and spiritual)... - Nursing home characteristics related to medicare costs for residents with and without dementiaSheryl Zimmerman
Program on Aging, Disability and Long Term Care, Cecil G Sheps Center for Health Services Research and the School of Social Work, University of North Carolina at Chapel Hill, North Carolina 27514, USA
Am J Alzheimers Dis Other Demen 23:57-65. 2008..To evaluate the relationship of nursing home characteristics to Medicare costs overall and by dementia status... - Pain, dyspnea, and the quality of dying in long-term careAnthony J Caprio
Department of Medicine, Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7550, USA
J Am Geriatr Soc 56:683-8. 2008..To evaluate the relationship between pain, dyspnea, and family perceptions of the quality of dying in long-term care... - Symptom experience of dying long-term care residentsLaura C Hanson
Cecil G Sheps Center for Health Services Research, and Division of Geriatric Medicine, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 56:91-8. 2008.... - Residential care/assisted living staff may detect undiagnosed dementia using the minimum data set cognition scaleSheryl Zimmerman
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7590, USA
J Am Geriatr Soc 55:1349-55. 2007.... - Spiritual care at the end of life in long-term careTimothy P Daaleman
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7595, USA
Med Care 46:85-91. 2008..There is growing attention given to the spiritual needs of dying patients and long-term care (LTC) facilities are common settings in which patients receive care as they approach death... - Definition and classification of assisted livingSheryl Zimmerman
University of North Carolina, Cecil G Sheps Center for Health Services Research, 725 Martin Luther King, Jr Boulevard, Chapel Hill, NC 27514, USA
Gerontologist 47:33-9. 2007..The purpose of this article is to discuss the benefits and limitations of, and considerations in, developing a typology of assisted living (AL)... - The importance of family relationships with nursing facility staff for family caregiver burden and depressionCory K Chen
Carolina Program in Healthcare and Aging Research, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA
J Gerontol B Psychol Sci Soc Sci 62:P253-60. 2007..Further, caregiver burden mediates this relationship. Interventions to improve staff-family relationships may impact family caregiver depression by reducing the stress that family caregivers experience... - Determinants and effects of nurse staffing intensity and skill mix in residential care/assisted living settingsSally C Stearns
Department of Health Policy and Administration, University of North Carolina at Chapel Hill, CB 7411, Chapel Hill, NC 27599 7411, USA
Gerontologist 47:662-71. 2007..This study analyzed the intensity and skill mix of nursing staff using data from a four-state study, and their relationship to outcomes... - Dying with dementia in long-term carePhilip D Sloane
Abt Associates, Durham, North Carolina, USA
Gerontologist 48:741-51. 2008..To better understand the experiences and potential unmet need of persons who die in long-term care... - An exploratory model of the relationships between cancer-related trauma outcomes on quality of life in non-Hodgkin lymphoma survivorsSOPHIA K SMITH
Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA sophia
J Psychosoc Oncol 29:19-34. 2011..Trauma outcomes mediated the relationship between specific stressors and QOL. These findings support using PTSD and PTG as a diagnostic framework in understanding symptomatology in survivors... - The importance of physician presence in nursing homes for residents with dementia and pneumoniaMargaret R Helton
The Department of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
J Am Med Dir Assoc 12:68-73. 2011..To study whether physician presence in the nursing home is related to clinical decision making, certainty, and honoring care preferences for patients with dementia and pneumonia... - The PEACE project review of clinical instruments for hospice and palliative careLaura C Hanson
Division of Geriatric Medicine and Center on Aging and Health, Gillings School of Global Public Health University of North Carolina, Chapel Hill, North Carolina 27599 7550, USA
J Palliat Med 13:1253-60. 2010..We undertook a systematic review and evaluation of published patient-level instruments for potential application in hospice and palliative care clinical quality measurement... - Immigrant status and intention to leave of nursing assistants in U.S. nursing homesPhilip D Sloane
Cecil G Sheps Center for Health Services Research, Chapel Hill, North Carolina, USA
J Am Geriatr Soc 58:731-7. 2010..To better understand the characteristics and perceptions of immigrants working as nursing assistants in U.S. nursing homes and to determine whether immigrant status is linked to job turnover... - Adherence to hip protectors and implications for U.S. long-term care settingsSheryl Zimmerman
Program on Aging, Disability and Long Term Care, Cecil G Sheps Center for Health Services Research, and the School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27590 7599, USA
J Am Med Dir Assoc 11:106-15. 2010..Determine nursing home characteristics related to adherence to use of a hip protector (HP) to prevent fracture; also describe adherence and related resident characteristics... - The impact of cancer and quality of life for post-treatment non-Hodgkin lymphoma survivorsSOPHIA K SMITH
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA
Psychooncology 19:1259-67. 2010..This study examines the association between the Impact of Cancer Version 2 Scales (IOCv2) and these outcomes in a large sample of survivors of adult non-Hodgkin lymphoma (NHL)... - Cost to primary care practices of responding to payer requests for quality and performance dataJacqueline R Halladay
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Ann Fam Med 7:495-503. 2009..We wanted to determine how much it costs primary care practices to participate in programs that require them to gather and report data on care quality indicators... - Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivorsSOPHIA K SMITH
University of North Carolina at Chapel Hill, Chapel Hill Duke University, Durham, NC, USA
J Clin Oncol 26:934-41. 2008.... - Practical depression screening in residential care/assisted living: five methods compared with gold standard diagnosesLea C Watson
Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599 7160, USA
Am J Geriatr Psychiatry 17:556-64. 2009..To test the accuracy of five practical depression screening strategies in older adults residing in residential care/assisted living (RC/AL)... - Advance care planning in nursing homes and assisted living communitiesTimothy P Daaleman
Department of Family Medicine, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7595, USA
J Am Med Dir Assoc 10:243-51. 2009.... - Understanding and improving psychosocial services in long-term careSonya E Bowen
Centers for Medicare and Medicaid Services, Baltimore, MD 21244 1850, USA
Health Care Financ Rev 30:1-4. 2008.... - Implementing a restorative care philosophy of care in assisted living: pilot testing of Res-Care-ALBarbara Resnick
University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA
J Am Acad Nurse Pract 21:123-33. 2009..Res-Care-AL is a nurse-initiated intervention using a social ecological model and self-efficacy (SE)-based approach to implement a restorative care intervention for nursing home residents... - High-intensity environmental light in dementia: effect on sleep and activityPhilip D Sloane
Department of Family Medicine, School of Medicine Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
J Am Geriatr Soc 55:1524-33. 2007..To determine whether high-intensity ambient light in public areas of long-term care facilities will improve sleeping patterns and circadian rhythms of persons with dementia... - Effect of specialized bathing systems on resident cleanliness and water quality in nursing homes: a randomized controlled trialPhilip D Sloane
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, 725 Airport Road, Chapel Hill NC 27599, USA
J Water Health 5:283-94. 2007..In addition, staff reported that the ultrasound tub using enhanced skin cleansers made bathing residents easier and faster than the same tub using standard cleansers... - Medicare cost differences between nursing home patients admitted with and without dementiaBruce Stuart
The Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore, 515 W Lombard Street, Suite 157, Baltimore, MD 21201, USA
Gerontologist 45:505-15. 2005..Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings... - How good is assisted living? Findings and implications from an outcomes studySheryl Zimmerman
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Rd, Campus Box 7590, Chapel Hill, NC 27599 7590, USA
J Gerontol B Psychol Sci Soc Sci 60:S195-204. 2005..The objective of this work was to determine 1-year medical outcomes, nursing home transfer, and functional change of assisted living (AL) residents and their relationship to care... - Medication undertreatment in assisted living settingsPhilip D Sloane
Program on Aging, Disability, and Long Term Care, Cecil G Sheps Center for Health Services Research, The Department of Family Medicine, University of North Carolina, Chapel Hill, USA
Arch Intern Med 164:2031-7. 2004..We sought to determine the prevalence and predictors of nonprescribing of selected medications whose value in decreasing morbidity has been established in clinical trials... - Behavioral symptoms in residential care/assisted living facilities: prevalence, risk factors, and medication managementAnn L Gruber-Baldini
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 52:1610-7. 2004..To examine the prevalence, correlates, and medication management of behavioral symptoms in elderly people living in residential care/assisted living (RC/AL) facilities... - End-of-life care in assisted living and related residential care settings: comparison with nursing homesPhilip D Sloane
Department of Family Medicine School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 51:1587-94. 2003..To define the current state of end-of-life care in residential care/assisted living (RC/AL) facilities and nursing homes (NHs) and to compare these two types of care settings... - Staff perceptions of end-of-life care in long-term careSheryl Zimmerman
Cecil G Sheps Center for Health Services Research, The School of Social Work, Chapel Hill, NC, 27599 3386, USA
J Am Med Dir Assoc 4:23-6. 2003.... - Assisted living and nursing homes: apples and oranges?Sheryl Zimmerman
Program on Aging, Disability, and Long Term Care, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Campus Box 7590, Chapel Hill, NC 27599 7590, USA
Gerontologist 43:107-17. 2003.... - Measuring the frequency of contact between nursing home residents and their family and friendsCynthia L Port
Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore 21201, USA
Nurs Res 52:52-6. 2003..The involvement of family and friends in nursing home care represents an important resource for an overburdened long-term care system. However, little guidance exists for researchers interested in measuring family involvement... - Nursing home facility risk factors for infection and hospitalization: importance of registered nurse turnover, administration, and social factorsSheryl Zimmerman
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, 27599, USA
J Am Geriatr Soc 50:1987-95. 2002..Determine the relationship between a broad array of structure and process elements of nursing home care and (a) resident infection and (b) hospitalization for infection... - Inappropriate medication prescribing in residential care/assisted living facilitiesPhilip D Sloane
Sheps Center for Health Services Research, School of Medicine, University of North Carolina at Chapel Hill, 725 Airport Road, Chapel Hill, NC 27599 USA
J Am Geriatr Soc 50:1001-11. 2002.... - The public health impact of Alzheimer's disease, 2000-2050: potential implication of treatment advancesPhilip D Sloane
Cecil G Sheps Center for Health Services Research, Department of Family Medicine, University of North Carolina at Chaper Hill, 27599, USA
Annu Rev Public Health 23:213-31. 2002..Therefore, Alzheimer's care is likely to remain a major public health problem during the coming decades... - Evaluating the quality of life of long-term care residents with dementiaPhilip D Sloane
Cecil G Sheps Center for Health Services Research, Department of Family Medicine, University of North Carolina Chapel Hill, NC 27599 7595, USA
Gerontologist 45:37-49. 2005..This study's purpose was to better understand existing measures of quality of life in dementia residents of long-term care facilities... - Characteristics associated with mobility limitation in long-term care residents with dementiaSharon Wallace Williams
Department of Allied Health Sciences, Division of Speech and Hearing Sciences Wing D Medical School, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7190, USA
Gerontologist 45:62-7. 2005..Overall, 89% of residents had some degree of mobility limitation. Mobility limitation was associated with fewer behavioral symptoms, low fluid intake, professional assessment, and professional and informal treatment... - Physician communication with family caregivers of long-term care residents at the end of lifeHolly Biola
Cecil G Sheps Center for Health Services Research, Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
J Am Geriatr Soc 55:846-56. 2007.... - A good death for residents of long-term care: family members speakJean C Munn
School of Social Work, University of North Carolina at Chapel Hill and the Cecil G Sheps Center for Health Services Research, 725 Martin Luther King, Jr Blvd, Campus Box 7590, Chapel Hill, NC 27599 7590, USA
J Soc Work End Life Palliat Care 2:45-59. 2006..These identified structural components, processes, and outcomes have implications for the role of social workers in these settings despite that social work support is notably absent in these findings... - Assisted living policies promoting autonomy and their relationship to resident depressive symptomsCory K Chen
Carolina Program in Healthcare and Aging Research, The University of North Carolina, Chapel Hill, NC 27599 1030, USA
Am J Geriatr Psychiatry 15:122-9. 2007..The objective of this study is to determine the relationship between facility policies regarding autonomy and depression among residents of residential care/assisted living (RC/AL) facilities... - Characteristics associated with lower activity involvement in long-term care residents with dementiaDebra Dobbs
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7590, USA
Gerontologist 45:81-6. 2005..Activity involvement was related to family involvement in care and staff encouragement, after adjusting for resident age, gender, race, cognitive and functional status, and comorbidity... - Is hospice associated with improved end-of-life care in nursing homes and assisted living facilities?Jean C Munn
School of Social Work, Cecil G Sheps Center for Health Services Research, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 54:490-5. 2006.... - The Lower Extremity Gain Scale: a performance-based measure to assess recovery after hip fractureSheryl Zimmerman
Program on Aging, Disability and Long Term Care, Cecil G Sheps Center for Health Services Research, and the School of Social Work, University of North Carolina, Chapel Hill, NC, USA
Arch Phys Med Rehabil 87:430-6. 2006..To develop and determine the reliability and validity of a sensitive observational measure to assess recovery in clinically meaningful areas of function after hip fracture... - Dementia care and quality of life in assisted living and nursing homesSheryl Zimmerman
Cecil G Sheps Center for Health Services Research and the School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
Gerontologist 45:133-46. 2005..This study relates elements of dementia care in residential care/assisted living (RC/AL) facilities and nursing homes to resident quality of life and considers the guidance this information provides for practice and policy... - Health and functional outcomes and health care utilization of persons with dementia in residential care and assisted living facilities: comparison with nursing homesPhilip D Sloane
Program on Aging, Disability, and Long Term Care, Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA
Gerontologist 45:124-32. 2005..This study compares health and functional outcomes and health care utilization of persons with dementia residing in residential care/assisted living (RC/AL) facilities and nursing homes... - Factors associated with nursing assistant quality-of-life ratings for residents with dementia in long-term care facilitiesGary S Winzelberg
Division of Geriatric Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599 7550, USA
Gerontologist 45:106-14. 2005..We identify resident, nursing assistant, and facility factors associated with nursing assistant quality-of-life ratings for residents with dementia in long-term care... - Attitudes, stress, and satisfaction of staff who care for residents with dementiaSheryl Zimmerman
Program on Aging, Disability and Long Term Care, Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC27599 7590, USA
Gerontologist 45:96-105. 2005.... - Characteristics associated with pain in long-term care residents with dementiaChristianna S Williams
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
Gerontologist 45:68-73. 2005..Overall, 21% of residents had pain, and pain was more commonly reported in for-profit facilities, and for those receiving professional assessment and treatment... - The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): an observational instrument for assessing the physical environment of institutional settings for persons with dementiaPhilip D Sloane
University of North Carolina, Chapel Hill 27599 7590, USA
J Gerontol B Psychol Sci Soc Sci 57:S69-78. 2002..To develop an observational instrument that describes the ability of physical environments of institutional settings to address therapeutic goals for persons with dementia...
Research Grants
- END OF LIFE CARE IN RESIDENTIAL CARE AND NURSING HOMESSheryl Zimmerman; Fiscal Year: 2003..This project will constitute a significant advance in the data available to maximize the end-of-life experience of millions of elderly who die in LTC settings. ..
- Quality Assisted Living For The ElderlySheryl Zimmerman; Fiscal Year: 2006..Overall, the principal investigator's ultimate objective is to improve the quality of LTC for our nation's elderly. ..
- A National Assisted Living CBPR Partnership (to Improve Medication Management)Sheryl Zimmerman; Fiscal Year: 2007....
- A Family-Staff Partnership to Improve LTC QualitySheryl Zimmerman; Fiscal Year: 2007..Results have implications for the workforce crisis in long-term care, and can benefit all individuals who live in, work in, and care about those living and working in, nursing homes and residential care/assisted living facilities. ..