nursing homes

..culturally sensitive training module, "Dementia Care: Sleep Behavior Disorders" targeting formal caregivers in nursing homes and assisted living facilities as well as informal (family) caregivers providing care in the home, using DVD/..

..culturally sensitive training module, "Dementia Care: Sleep Behavior Disorders" targeting formal caregivers in nursing homes and assisted living facilities as well as informal (family) caregivers providing care in the home, using DVD/..

..Our research team believes that the research methods and findings developed in US nursing homes will benefit China...

..of care for residents; and (3) testing the effects of implementation of the MMP/MAS by nursing staff in three nursing homes, using experimental and control nursing units, with measures of treatment fidelity, multiple outcome measures ..

..of care for residents; and (3) testing the effects of implementation of the MMP/MAS by nursing staff in three nursing homes, using experimental and control nursing units, with measures of treatment fidelity, multiple outcome measures ..

..e., nursing homes), which will complement my experience with program evaluation in community settings; and 3) quality assessment ..

..Approximately 750,000 persons with dementia in the United States reside in nursing homes, and more than 800,000 new cases enter these facilities each year...

..It is essential to understand that any medical device used in long-term care facilities, nursing homes or private homes also has the potential to cause infections if not used, stored, cleaned and disinfect ..

..in cases of abuse, neglect, or exploitation, received 473,095 domestic (in the community) and institutional (nursing homes, assisted living, group homes) reports concerning vulnerable adults...

..Approximately 750,000 persons with dementia in the United States reside in nursing homes, and more than 800,000 new cases enter these facilities each year...

..We expect the smart stethoscope to find its applications in many settings: in physician's offices, hospitals, nursing homes - essentially everywhere the stethoscope is used...

..An estimated 1.8 million persons with dementia reside in 25,000 nursing homes alone. Another 2.8 million live at home...

..Census data will be employed to define trends in the use of nursing homes over time for the U.S. elderly population...

..Equally distributed throughout major providers of LTC, nursing homes (NHs), assisted living facilities (ALFs), and home and community-based services (H&CBS), a total of 468 ..

..will test methods of generating estimates of the prevalence of elder mistreatment (EM) in LTC settings (nursing homes & residential care facilities) housing over two million frail older persons, many of whom have cognitive ..

..will test methods of generating estimates of the prevalence of elder mistreatment (EM) in LTC settings (nursing homes & residential care facilities) housing over two million frail older persons, many of whom have cognitive ..

..Eleven nursing homes in the Pittsburgh area have agreed to participate...

..Eleven nursing homes in the Pittsburgh area have agreed to participate...

DESCRIPTION (provided by applicant): Pain remains an important cause of morbidity for frail, older persons in nursing homes. As high as 83% of nursing home residents voice complaints of pain...

..Equally distributed throughout major providers of LTC, nursing homes (NHs), assisted living facilities (ALFs), and home and community-based services (H&CBS), a total of 468 ..

..focuses on comparative effectiveness research in an oft neglected population - persons with dementia living in nursing homes. The research questions seek to investigate the cognitive, functional, and neurobehavioral outcomes associated ..

DESCRIPTION (provided by applicant): Using 1998 data, we have estimated persons with mental disorders in U.S. nursing homes may now total approximately 1,000,000, or 67% of all residents...

..The long term care industry -- nursing homes, home health agencies, assisted living and various forms of day care programming - has evolved in response to ..

..The study looks at health, economic and family impacts on aging and the transitions into nursing homes and other institutional settings Public Health Relevance: This Public Health Relevance is not available.

..meet specific patient education requirements, hospitals which are seeking stroke specialty certification and nursing homes. Additionally, insurance companies that wish to improve stroke prevention efforts (and thus save costs as well ..

..Almost half of the care recipients entered nursing homes during the demonstration's study period...

..policy-makers, researchers and the general public recognize a need to improve the quality of care in nursing homes and other residential long-term care settings...

..design; 3) to obtain skills in clinical trial design, geriatric medicine, and infection control methodology in nursing homes; and 4) to prepare the candidate to conduct multi-center observational and interventional clinical trials in ..

..6 million nursing home residents matches or exceeds that of hospitalized patients. The residents of nursing homes are among the most frail patients in the population; the challenges of using medications in this setting are ..

..Almost half of the care recipients entered nursing homes during the demonstration's study period...

..policy-makers, researchers and the general public recognize a need to improve the quality of care in nursing homes and other residential long-term care settings...

..and adverse drug events particularly related to antibiotics are common preventable medical problems in nursing homes. Dr...

..This collaborative study will develop and test a survey of nursing homes in two Chinese cities to document the growth and character of such facilities in China. Public Healt..

DESCRIPTION (provided by applicant): US nursing homes (NH), with their 1...

..The Alzheimer's Association (2003) reports people with Alzheimer's disease (AD) and related dementias in nursing homes and assisted living centers require better quality care than they now receive...

..control costs, there are a wide range of possible unintended effects on rural hospitals, their hospital-based nursing homes and home health agencies, and the relationship between hospitals and external post-acute and long-term care ..

..The Alzheimer's Association (2003) reports people with Alzheimer's disease (AD) and related dementias in nursing homes and assisted living centers require better quality care than they now receive...

..A more complete analysis of how state policies affect the strategic clinical and management investment choices nursing homes make should inform the development of more coherent and equitable state and federal policies affecting this ..

..Agitation is the foremost behavioral management problem in nursing homes. More specifically, it is aggressive behaviors (verbal, physical or sexual) that pose the greatest safety risk ..

..Agitation is the foremost behavioral management problem in nursing homes. More specifically, it is aggressive behaviors (verbal, physical or sexual) that pose the greatest safety risk ..

..Although efforts to reduce PR in nursing homes have demonstrated success, the variables associated with hospital PR use have not been identified...

..The specific aim of the proposed study is to test the hypothesis that nursing homes' quality rankings and outlier status based on the published "Nursing Home Compare" quality measure of ADL ..

..Only a handful of research papers document the limited involvement of physicians in nursing homes and relate them to poor interdisciplinary communication and ineffective treatment, often leading to ..

..Only a handful of research papers document the limited involvement of physicians in nursing homes and relate them to poor interdisciplinary communication and ineffective treatment, often leading to ..

..The specific aim of the proposed study is to test the hypothesis that nursing homes' quality rankings and outlier status based on the published "Nursing Home Compare" quality measure of ADL ..

..from an independent life style, through frailty in the community to life in assisted living facilities and nursing homes; 2...

..study, the research team will interview 75 resident-family-staff triads and facility administrators from 5 nursing homes, 5 assisted living facilities, and 15 family care homes randomly selected from all licensed/certified long- ..

..by applicant): Advanced dementia is a life-defining illness affecting elderly persons; many of whom reside in nursing homes. With a final disease trajectory that typically involves difficulty swallowing, weight loss, and recurrent ..

..by applicant): Advanced dementia is a life-defining illness affecting elderly persons; many of whom reside in nursing homes. With a final disease trajectory that typically involves difficulty swallowing, weight loss, and recurrent ..

..by applicant): Advanced dementia is a life-defining illness affecting elderly persons; many of whom reside in nursing homes. With a final disease trajectory that typically involves difficulty swallowing, weight loss, and recurrent ..

..groups of elders, the benefits of the past decade of research have yet to reach the frailest elders living in nursing homes. Depression in long-term care is a significant public health issue...

..Until recently, most LTC was provided in nursing homes (NHs), but non-nursing home residential care/assisted living (RC/AL) has been proliferating as an alternative ..

..aims to become an academic geriatrician and a nationally-recognized leader in improving the quality of care in nursing homes. Her initial work toward this goal has included the completion of a Masters of Health Science in Clinical ..

..This research will give residents, physicians, nursing homes, and families important information to help define the resident's main care goals, such as a focus on ..

..Methods: Focus groups will be convened in six nursing homes: three in rural counties and three in urban counties...

..aims to become an academic geriatrician and a nationally-recognized leader in improving the quality of care in nursing homes. Her initial work toward this goal has included the completion of a Masters of Health Science in Clinical ..

..including the home, adult day care, partial hospital programs, assisted living, personal care settings, nursing homes or life care communities...

..Public Health Relevance: This Public Health Relevance is not available...

..Among the specific topics to be covered are the roles of nursing homes in the changing context of long-term care and reimbursement patterns, organization and staffing issues, and ..

..are risk factors for elders transitioning from independent community living to dependent environments such as nursing homes. Medication-related behaviors that lead to adverse drug events and subsequent transitions are preventable with ..

..are risk factors for elders transitioning from independent community living to dependent environments such as nursing homes. Medication-related behaviors that lead to adverse drug events and subsequent transitions are preventable with ..

..Home Quality has two specific aims: 1) Compare pressure ulcer quality measures in Nursing Home Compare data in nursing homes with high IT sophistication versus nursing homes with low IT sophistication; and 2) Explore strategies to ..

..Assessing ADLs within the context of residents' cooperation with LTC is an important part of understanding residents' overall quality of life...

..Furthermore, these findings suggest that behavioral disorders significantly improved in the group-home residents because of the incorporation of activities combining basic and instrumental activities of daily living...

..The MNA may be more useful in an assisted living facility, where nutrition screening and assessment tools are not currently in place, yet maintenance of functional status is important to prevent transfer to a nursing facility...

OBJECTIVES: To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings...

..Using the Nursing Role Effectiveness Model developed by Irvine et at. (1998) as the organizing framework, this project highlights the importance of the nurse's role in quality improvement initiatives...

..3 (range 4-10). Family members were more content now than in 1998, when the corresponding figures were 86% and 7.3 (range 4-10). Nevertheless, the results still highlight certain aspects that should be improved and developed...

..Strategies for empowering nursing staff and residents are suggested...

..CONCLUSIONS: There was a sharp task demarcation between RNs and CAs in the three less frequent task categories. There was no indication that RNs were delegating tasks to CAs...

..Nursing assistants employed at the nursing homes recorded the occurrence of disruptive behaviors...

This study is based on the outcomes of the program "Privacy In Nursing Homes" that has been initiated by the Dutch Department of Health in the late 90's...

..In addition, we analysed the factors that contribute to the variation in the provision of PT both between nursing homes and between residents...

..a study of the effect of residence in special care units (SCUs) for demented elderly on the daily function of nursing homes residents...

..These findings suggest that, where there are dedicated staff and equipment resources, the need for wheel-chair seating intervention can be minimized and independent mobility for long-term care residents maximized...

..The ADL assessments based on residents' and family or staff reports differ, but the size of these differences depends on the proxy type and the method of data collection...

..Future research should develop and validate methods to identify patients with impaired capacity to make everyday decisions. These data will supplement functional, cognitive, and medical assessments...

..5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed...

..Accordingly, it is suggested that non-pharmacological treatment plans be adapted to each situation and then implemented to potentially reduce the use of neuroleptics...

..The care provided to residents with diabetes should address depression, pain, and low rates of advance care planning...

..This article discusses the applicability of EBM to the long-term care setting and some of the barriers to implementation...

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..IMPLICATIONS: The article provides an example and a basis for future discussion on this topic, with the hope that it will prompt other institutions to expand the level of flexibility in their policies and procedures...

..This development has, however, created a division between medical care in the community and medical care in nursing homes, which challenges the quality of the transitional processes taking place when a patient is admitted to or ..

..Most physical health characteristics, such as health care usage, were not significantly different in the three groups. Suggestions for strategies to promote the health and well-being of this growing population are discussed...

..The effect of dementia was more prominent for those with mobility problems. Intervention for continence problems and mobility problems has the potential to reduce the use of residential care...

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..Recommendations include implementing more comprehensive violence prevention programs that includes conflict management and training tailored to the type of residents...

..At what point does someone lose the capacity to vote, and who decides? What kinds of assistance should these voters get, and who should provide it? And how can the voting rights of residents in long-term care facilities be protected?..

..These interviews identified the components of the environments most used and enjoyed by residents and the ways in which they could be improved to maximize well-being...

..This personal account gives insight into one person's experience with the process. Nurses who are knowledgeable about the types of CCRCs available are in a position to help their patients make more informed choices...

..The chart was found to be content valid, informative and easy to use, facilitating clinical assessments and monitoring, and assisting visual readings of patients' temporal pain trends...

..This month we examine the interdisciplinary team approach to assessment, method, and implementing strategies for an effective fall prevention program. Tools used for prevention, monitoring, and investigation of falls are also detailed...

..A total of 66 residents from two nursing homes participated in this two-phase study...

..Interventions for individuals with dementia should impact the behavioral aspects of the condition and slow disease progression in addition to improving physical functioning...

..The burden of care has increased since 1992 in nursing homes as well as in other residential care units...

..CONCLUSION: EOL care in nursing homes is rated lower than care in all other venues and must be improved...

..Furthermore, residents who exhibited picking behaviour were experienced by care providers as more uncertain and unhappier than residents who did not behave in this way...

..DESIGN AND METHODS: We used a crossover design and randomized 15 nursing homes into two treatment groups and a control group of 5 facilities each...

..Identification of the risk factors for ESBLs is the first step in formulating an effective strategy to curtail the spread of ESBL resistance in long-term care facilities...

BACKGROUND: Pain is highly prevalent in nursing homes (NH) in several countries. Data about pain in Dutch NH's, where medical care is delivered by specifically trained NH-physicians, are not available...

..Data collection took place in ten Dutch nursing homes (N = 227). The proportion of residents that could complete each scale varied...

..Significant relationships between vision impairment, odds ratio (OR) = 3.67, confidence interval (CI) (1.13, 11.92), and dual sensory impairment, OR = 2.88, CI (1.04, 8.26), with the development of acute confusion were identified...

..Access-block cannot be understood by viewing the hospital system in isolation from other sectors that support the health and well-being of older Australians...

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..These results suggest that LTC residents with mild to moderate dementia might be capable of reliably answering certain types of customer satisfaction surveys...

..7 years) and 38 older residents ( M = 79.92 years). Results indicate that there were no age differences in QOL, suggesting the need for a broad conceptualization of QOL in the nursing-home population...

..Adequate indications may not have been achieved in all cases. More attention should be paid to the appropriate use of antipsychotics in this frail population...