long term care


Summary: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.

Top Publications

  1. ncbi Natural history of colonization with vancomycin-resistant enterococci, methicillin-resistant Staphylococcus aureus, and resistant gram-negative bacilli among long-term-care facility residents
    Glenn A Pacio
    Division of Infectious Diseases, New York Medical College, Valhalla 10595, USA
    Infect Control Hosp Epidemiol 24:246-50. 2003
  2. ncbi Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance
    Melissa Viray
    Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Infect Control Hosp Epidemiol 26:56-62. 2005
  3. ncbi Nursing homes in 10 nations: a comparison between countries and settings
    M W Ribbe
    Department of General Practice, Nursing Home Medicine and Social Medicine, Medical Faculty, Vrije Universiteit, Amsterdam, The Netherlands
    Age Ageing 26:3-12. 1997
  4. ncbi Long-term care and a good quality of life: bringing them closer together
    R A Kane
    Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, USA
    Gerontologist 41:293-304. 2001
  5. pmc Effectiveness of home based support for older people: systematic review and meta-analysis
    R Elkan
    School of Nursing, Postgraduate Division, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH
    BMJ 323:719-25. 2001
  6. pmc Multinational evidence-based recommendations for the use of methotrexate in rheumatic disorders with a focus on rheumatoid arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E
    K Visser
    Leiden University Medical Center, Department of Rheumatology, Leiden, The Netherlands
    Ann Rheum Dis 68:1086-93. 2009
  7. pmc Predicting nursing home admission in the U.S: a meta-analysis
    Joseph E Gaugler
    Center on Aging, Center for Gerontological Nursing, School of Nursing, University of Minnesota, Minneapolis, MN, 55455 USA
    BMC Geriatr 7:13. 2007
  8. ncbi Developing relationships in long term care environments: the contribution of staff
    Christine Brown Wilson
    University of Manchester, School of Nursing, Midwifery and Social Work, University Place, Manchester, UK
    J Clin Nurs 18:1746-55. 2009
  9. ncbi Tightly clustered outbreak of group A streptococcal disease at a long-term care facility
    Kathryn E Arnold
    Georgia Department of Human Resources, Division of Public Health, Epidemiology Branch, Atlanta, GA 30303, USA
    Infect Control Hosp Epidemiol 27:1377-84. 2006
  10. pmc Choice and equity: lessons from long term care
    Christopher Deeming
    BMJ 328:1389-90. 2004

Detail Information

Publications303 found, 100 shown here

  1. ncbi Natural history of colonization with vancomycin-resistant enterococci, methicillin-resistant Staphylococcus aureus, and resistant gram-negative bacilli among long-term-care facility residents
    Glenn A Pacio
    Division of Infectious Diseases, New York Medical College, Valhalla 10595, USA
    Infect Control Hosp Epidemiol 24:246-50. 2003
    ..To determine the natural history of colonization with vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), and resistant gram-negative bacilli among long-term-care facility (LTCF) residents...
  2. ncbi Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance
    Melissa Viray
    Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Infect Control Hosp Epidemiol 26:56-62. 2005
    ..Longitudinal trends in antibiotic resistance in LTCFs have not been well described...
  3. ncbi Nursing homes in 10 nations: a comparison between countries and settings
    M W Ribbe
    Department of General Practice, Nursing Home Medicine and Social Medicine, Medical Faculty, Vrije Universiteit, Amsterdam, The Netherlands
    Age Ageing 26:3-12. 1997
  4. ncbi Long-term care and a good quality of life: bringing them closer together
    R A Kane
    Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, USA
    Gerontologist 41:293-304. 2001
    ..Building on these trends, the article concludes with strategies to move beyond current stalemates and polarized arguments toward forms of long-term care that are more compatible with a good quality of life...
  5. pmc Effectiveness of home based support for older people: systematic review and meta-analysis
    R Elkan
    School of Nursing, Postgraduate Division, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH
    BMJ 323:719-25. 2001
    ..06; -0.07 to 0.18). Four studies showed no effect on activities of daily living (0.05; -0.07 to 0.17). CONCLUSION: Home visits to older people can reduce mortality and admission to long term institutional care...
  6. pmc Multinational evidence-based recommendations for the use of methotrexate in rheumatic disorders with a focus on rheumatoid arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E
    K Visser
    Leiden University Medical Center, Department of Rheumatology, Leiden, The Netherlands
    Ann Rheum Dis 68:1086-93. 2009
    ..To develop evidence-based recommendations for the use of methotrexate in daily clinical practice in rheumatic disorders...
  7. pmc Predicting nursing home admission in the U.S: a meta-analysis
    Joseph E Gaugler
    Center on Aging, Center for Gerontological Nursing, School of Nursing, University of Minnesota, Minneapolis, MN, 55455 USA
    BMC Geriatr 7:13. 2007
    ..The present study aimed to generate pooled empirical associations for sociodemographic, functional, cognitive, service use, and informal support indicators that predict nursing home admission among older adults in the U.S...
  8. ncbi Developing relationships in long term care environments: the contribution of staff
    Christine Brown Wilson
    University of Manchester, School of Nursing, Midwifery and Social Work, University Place, Manchester, UK
    J Clin Nurs 18:1746-55. 2009
    ..The main objective reported in this paper considers how these relationships are developed and the contribution that staff make to this process through the routines of care...
  9. ncbi Tightly clustered outbreak of group A streptococcal disease at a long-term care facility
    Kathryn E Arnold
    Georgia Department of Human Resources, Division of Public Health, Epidemiology Branch, Atlanta, GA 30303, USA
    Infect Control Hosp Epidemiol 27:1377-84. 2006
    ..To describe investigation of a tightly clustered outbreak of invasive group A streptococcal (GAS) disease associated with a high mortality rate in a long-term care facility (LTCF)...
  10. pmc Choice and equity: lessons from long term care
    Christopher Deeming
    BMJ 328:1389-90. 2004
  11. ncbi Cost and quality: evidence from Ontario long term care hospitals
    Walter P Wodchis
    Department of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada
    Med Care 45:981-8. 2007
    Although both quality and cost are important concerns for long term care (LTC) facility management and policy, the relationship between cost and quality is poorly understood...
  12. ncbi Natural history of change in physical function among long-stay nursing home residents
    Eleanor S McConnell
    School of Nursing, Duke University, Duke University Center for the Study of Aging and Human Development, Durham, North Carolina 27710, USA
    Nurs Res 52:119-26. 2003
    ..Extrapolating from cross-sectional studies or from longitudinal studies of community-dwelling residents may provide misleading estimates of prognosis, hindering efforts to target preventive care...
  13. ncbi Evidence-based long term care design
    Margaret P Calkins
    IDEAS, Inc, Kirtland, OH, USA
    NeuroRehabilitation 25:145-54. 2009
    ..The vast majority of research that addressed neurological conditions in residents in long-term care settings (assisted living and nursing homes) relates to Alzheimer's disease and related dementias...
  14. ncbi Long term care planning for cancer survivors: a health services research agenda
    Craig C Earle
    Center for Outcomes and Policy Research, Dana Farber Cancer Center, 44 Binney St, SM 271, Boston, MA 02115, USA
    J Cancer Surviv 1:64-74. 2007
    ..The IOM stated that survivorship care plans 'have strong face validity and can reasonably be assumed to improve care unless and until evidence accumulates to the contrary.'..
  15. ncbi Understanding care of people with dementia in Spain: cohabitation arrangements, rotation and rejection to long term care institution
    Jesús Rivera
    Universidad de Salamanca, Departamento de Sociología y Comunicación, Facultad de Ciencias Sociales, Salamanca, Spain
    Int J Geriatr Psychiatry 24:142-8. 2009
    ..Most people with dementia in Spain live at home with their families. Current changes in the family structure are transforming the care of people with dementia through new cohabitation arrangenments and rotation practices...
  16. ncbi Payer incentives and physical rehabilitation therapy for nonelderly institutional long-term care residents: evidence from Michigan and Ontario
    Walter P Wodchis
    Toronto Rehabilitation Institute, Toronto, ON, Canada
    Arch Phys Med Rehabil 85:210-7. 2004
    ..To examine the effect of payment incentives on the provision of rehabilitation therapy to non elderly nursing home residents...
  17. ncbi Risk adjustment of quality indicators in French long term care facilities for elderly people. A preliminary study
    C Moty
    Centre Hospitalier Universitaire de Bordeaux, Unité INSERM 593 ex 330, Institut de Santé Publique, d Épidémiologie et de Développement, Universite Victor Segalen Bordeaux 2, rue Leo Saignat, 33076 Bordeaux Cedex, France
    Rev Epidemiol Sante Publique 51:327-38. 2003
    In France, the funding reform for long term care facilities mandates quality improvement efforts and the measurement of quality of care indicators...
  18. pmc Does a functional activity programme improve function, quality of life, and falls for residents in long term care? Cluster randomised controlled trial
    Ngaire Kerse
    Department of General Practice and Primary Health Care, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1001, New Zealand
    BMJ 337:a1445. 2008
    ..To assess the effectiveness of an activity programme in improving function, quality of life, and falls in older people in residential care...
  19. ncbi Factors influencing oral health in long term care facilities
    M I MacEntee
    Faculty of Dentistry, University of British Columbia, Vancouver, Canada
    Community Dent Oral Epidemiol 15:314-6. 1987
    In a stratified random sample of 41 long term care (LTC) facilities in Vancouver, 653 residents were chosen to investigate oral health needs and demands for treatment...
  20. ncbi Resident characteristics associated with wandering in nursing homes
    D K Kiely
    Hebrew Rehabilitation Center for Aged, HRCA Research and Training Institute, Boston, MA 02131, USA
    Int J Geriatr Psychiatry 15:1013-20. 2000
    ..This retrospective cohort study examined the association between resident characteristics and the development of wandering behavior...
  21. ncbi Agitation in demented patients in an acute care hospital: prevalence, disruptiveness, and staff burden
    R Sourial
    Department of Nursing and Quality Management, St Mary's Hospital, Montreal, PQ, Canada
    Int Psychogeriatr 13:183-97. 2001
    ..DISCUSSION: The prevalence of agitated behaviors in patients with dementia in long-term-care beds at an acute care hospital is similar to that reported in long-term-care facilities. These behaviors are associated with staff burden...
  22. ncbi Evaluating the quality of life of long-term care residents with dementia
    Philip 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...
  23. pmc Long-term care hospitals under Medicare: facility-level characteristics
    K Liu
    Health Care Financ Rev 23:1-18. 2001
    ..We found that most LTCHs specialize in the provision of respiratory care or rehabilitation. Information from this study can help inform the development of a Medicare prospective payment system for LTCHs...
  24. pmc Study protocol for the development of a European measure of best practice for people with long term mental health problems in institutional care (DEMoBinc)
    Helen Killaspy
    Department of Mental Health Sciences, University College London, Royal Free Hospital, London, UK
    BMC Psychiatry 9:36. 2009
    ..They also constitute a major resource pressure for mental health services, social services, informal carers and society as a whole...
  25. pmc Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment
    G Iain Carpenter
    Centre for Health Services Studies, George Allen Wing, University of Kent, Canterbury, Kent, CT2 7NF, UK
    BMC Geriatr 6:7. 2006
  26. ncbi Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes
    Jean Pierre Bassand
    Eur Heart J 28:1598-660. 2007
  27. ncbi Post-ICU mechanical ventilation at 23 long-term care hospitals: a multicenter outcomes study
    David J Scheinhorn
    Barlow Respiratory Hospital and Research Center, 2000 Stadium Way, Los Angeles, CA 90026, USA
    Chest 131:85-93. 2007
  28. ncbi Multiple antibiotic-resistant bacteria in long-term-care facilities: An emerging problem in the practice of infectious diseases
    R A Bonomo
    Geriatric CARE Center, University Hospitals of Cleveland, OH, USA
    Clin Infect Dis 31:1414-22. 2000
    ..Education, antibiotic control measures, and fundamental epidemiological and scientific research are advocated as important preventive measures...
  29. ncbi Long-term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community. TAPS Project 44
    Noam Trieman
    Chase Farm Hospital, Enfield, UK
    Br J Psychiatry 181:428-32. 2002
    ..Whereas the majority of long-stay in-patients have been successfully resettled in the community, there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes...
  30. ncbi Future costs for long-term care: cost projections for long-term care for older people in the United Kingdom
    Martin Karlsson
    Faculty of Actuarial Science and Statistics Cass Business School, City University, London, UK
    Health Policy 75:187-213. 2006
    ..0% of total wages today to 1.3% in 2050. Availability of informal carers is potentially a big problem, but the extent of the problem is very sensitive to the assumptions made concerning health improvements and care-giving patterns...
  31. ncbi Long term care financing in four OECD countries: fiscal burden and distributive effects
    Martin Karlsson
    City University, Cass Business School, Faculty of Actuarial Science and Statistics, 106 Bunhill Row, London EC1Y 8TZ, United Kingdom
    Health Policy 80:107-34. 2007
    This paper compares long term care (LTC) systems in four OECD countries (UK, Japan, Sweden and Germany). In the UK, provision is means tested, so that out of pocket payments depend on levels of income, savings and assets...
  32. ncbi Demoralization and attitudes toward residents among certified nurse assistants in relation to job stressors and work resources: cultural diversity in long term care
    Mildred Ramirez
    Hebrew Home for the Aged, Riverdale, USA
    J Cult Divers 13:119-25. 2006
    ..A decrease in perceived racism and increased in-services about confused residents contributed to more positive attitudes toward residents. Examination of the quality of long-term care should include consideration of cultural diversity...
  33. pmc Prescribers' responses to alerts during medication ordering in the long term care setting
    James Judge
    Meyers Primary Care Institute, 630 Plantation Street, Worcester, MA 01605, USA
    J Am Med Inform Assoc 13:385-90. 2006
  34. ncbi Japan's universal long-term care system reform of 2005: containing costs and realizing a vision
    Takako Tsutsui
    Department of Health and Social Services, National Institute of Public Health, Ministry of Health and Welfare, Tokyo, Japan
    J Am Geriatr Soc 55:1458-63. 2007
    ..The story of this reform is instructive for other countries striving to develop coherent, politically acceptable long-term care policies...
  35. ncbi Rhinovirus outbreak in a long term care facility for elderly persons associated with unusually high mortality
    Janice K Louie
    California Department of Health Services, Richmond, CA 94704, USA
    Clin Infect Dis 41:262-5. 2005
    ..Seven of 13 respiratory specimens were culture-positive for rhinovirus; 6 of the isolates were serotype 82. In elderly populations, severe illness may be associated with organisms typically considered to be "benign," such as rhinovirus...
  36. pmc Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial
    Maria Crotty
    Department of Rehabilitation and Aged Care, Flinders University, Repatriation General Hospital, Daw Park SA 5041, Australia
    BMJ 331:1110. 2005
    To assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility.
  37. pmc Relationship between home care service use and changes in the care needs level of Japanese elderly
    Gohei Kato
    Department of Health Services Research, Doctoral Program in Human Care Science, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan
    BMC Geriatr 9:58. 2009
  38. ncbi Multidrug-resistant gram-negative bacteria in a long-term care facility: prevalence and risk factors
    Aurora Pop-Vicas
    Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts02215, USA
    J Am Geriatr Soc 56:1276-80. 2008
    ..To quantify the prevalence, risk factors, and mode of transmission associated with colonization by multidrug-resistant gram-negative bacteria (MDRGN) in the long-term care (LTC) setting...
  39. ncbi Sex differences in management and outcome after stroke: a Swedish national perspective
    Eva Lotta Glader
    Department of Public Health and Clinical Medicine, University Hospital Umea, S 901 95 Umeå, Sweden
    Stroke 34:1970-5. 2003
    ..The objective of this study was to verify and explain differences between men and women in management and outcome after stroke in a national perspective...
  40. ncbi The effect of a subsidy policy on the utilization of community care services under a public long-term care insurance program in rural Japan
    Mikiya Sato
    Department of Hygiene and Public Health, Teikyo University School of Medicine, Kaga 2 11 1, Itabashi, Tokyo 173 8605, Japan
    Health Policy 77:43-50. 2006
    ..The policy implications of these findings were discussed...
  41. ncbi Resource use in the ICU: short- vs. long-term patients
    K Stricker
    Department of Intensive Care Medicine, University Hospital, Bern, Switzerland
    Acta Anaesthesiol Scand 47:508-15. 2003
    ..Intensive care medicine uses a disproportionate share of medical resources, and little is known about the distribution of resources between different patient groups...
  42. ncbi Early community-based service utilization and its effects on institutionalization in dementia caregiving
    Joseph E Gaugler
    Department of Behavioral Science, The University of Kentucky, Lexington, KY, USA
    Gerontologist 45:177-85. 2005
    ..The present study attempts to determine whether utilizing community-based long-term-care services early in the dementia caregiving career delays time to nursing home placement (adjusting for severity of dementia)...
  43. pmc Addressing the caregiving crisis
    Rosalynn Carter
    Prev Chronic Dis 5:A02. 2008
  44. ncbi Cluster of deaths from group A streptococcus in a long-term care facility--Georgia, 2001
    Carolyn M Greene
    Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Am J Infect Control 33:108-13. 2005
    ..Invasive group A streptococcus (GAS) affects approximately 10,500 persons annually; 1 in 5 patients >/=65 years die. In August 2001, CDC investigated a cluster of GAS deaths in a Georgia long-term care facility (LTCF)...
  45. ncbi Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS)
    Kathryn Peri
    School of Nursing, University of Auckland, Auckland, New Zealand
    Age Ageing 37:57-63. 2008
    ..to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care...
  46. ncbi Who wants to enter a long-term care facility in a rapidly aging non-Western society? Attitudes of older Koreans toward long-term care facilities
    Eun Young Kim
    Seoul National University School of Public Health, Chongno Gu, Seoul, South Korea
    J Am Geriatr Soc 52:2114-9. 2004
    ..The recent introduction of nontraditional religions to Korea has had a positive effect on intention to use LTC facilities, suggesting that cultural factors influence their use...
  47. ncbi Long-term care placement of dementia patients and caregiver health and well-being
    Richard Schulz
    Department of Psychiatry, University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, PA 15260, USA
    JAMA 292:961-7. 2004
    ..Placing a relative with dementia into a long-term care facility is common among caregivers. Placement transition and factors that affect caregiver health and well-being after placement of the patient are not well described...
  48. ncbi The impact of aging on long-term care in Europe and some potential policy responses
    Richard B Saltman
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Int J Health Serv 36:719-46. 2006
  49. ncbi An international review of the long-term care workforce: policies and shortages
    Shereen Hussein
    Social Care Workforce Research Unit, King s College, London
    J Aging Soc Policy 17:75-94. 2005
  50. ncbi Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference
    Neil R MacIntyre
    Duke University Medical Center, Durham, NC 27710, USA
    Chest 128:3937-54. 2005
    ..The document was reworked with input from all concerned until a final product with consensus recommendations on 12 specific issues was achieved...
  51. ncbi Risk factors for antibiotic-resistant infection and treatment outcomes among hospitalized patients transferred from long-term care facilities: does antimicrobial choice make a difference?
    E Toubes
    Section of Infectious Diseases, Rush Presbyterian St Luke s Medical Center, Chicago, IL 60612, USA
    Clin Infect Dis 36:724-30. 2003
    ..However, neither infection with ARB nor appropriateness of initial treatment regimen was significantly related to outcome or resource use...
  52. pmc Long-term safety of methotrexate monotherapy in patients with rheumatoid arthritis: a systematic literature research
    C Salliot
    Paris Descartes University, Medicine Faculty, Rheumatology B Department, Cochin Hospital, Paris, France
    Ann Rheum Dis 68:1100-4. 2009
    ..To perform a systematic literature review of the long-term safety of methotrexate (MTX) monotherapy in rheumatoid arthritis (RA)...
  53. ncbi Prevalence and nosocomial spread of methicillin-resistant Staphylococcus aureus in a long-term-care facility in Slovenia
    Tjasa Zohar Cretnik
    Microbiology Department, Public Health Institute Celje, Celje, Slovenia
    Infect Control Hosp Epidemiol 26:184-90. 2005
  54. ncbi Nurses' personal statements about factors that influence their decisions about the time they spend with residents with long-term mental illness living in psychiatric group dwellings
    Ove Hellzen
    Department of Nursing and Health Sciences, Mid Sweden University, Sundsvall, Sweden
    Scand J Caring Sci 18:257-63. 2004
  55. ncbi A national survey of intensive care follow-up clinics
    J A Griffiths
    Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK
    Anaesthesia 61:950-5. 2006
    ..Nearly half of the follow-up clinics (39 clinics, 49%) have pre-negotiated access to at least one other out-patient service...
  56. ncbi Goals of new long-stay patients in supported housing: a UK study
    Walid K H Fakhoury
    Unit for Social and Community Psychiatry of St Bartholomew s and the Royal London School of Medicine Queen Mary, University of London, Newham Centre for Mental Health, UK
    Int J Soc Psychiatry 51:45-54. 2005
  57. ncbi Termination of disease-modifying antirheumatic drugs in rheumatoid arthritis and in psoriatic arthritis. A comparative study of 270 cases
    I Ujfalussy
    Polyclinic of the Hospitaller Brothers of St John of God, Arpád f u 7, 1023 Budapest, Hungary
    Z Rheumatol 62:155-60. 2003
    ..Therefore, separate treatment strategies are needed, and earlier results with RA may not be directly applicable to PsA...
  58. pmc Managing addiction as a chronic condition
    Michael Dennis
    Chestnut Health Systems, Bloomington, Illinois, USA
    Addict Sci Clin Pract 4:45-55. 2007
    ..We also address the importance of adjusting treatment funding and organizational structures to better meet the needs of individuals with a chronic disease...
  59. ncbi Convergent validity of minimum data set-based performance quality indicators in postacute care settings
    John N Morris
    Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA 2131, USA
    Am J Med Qual 19:242-7. 2004
  60. ncbi The effect of older people's economic resources on care home entry under the United Kingdom's long-term care financing system
    Ruth Hancock
    Nuffield Community Care Studies Unit, Department of Epidemiology and Public Health, University of Leicester, 22 28 Princess Road West, Leicester LE1 6TP, United Kingdom
    J Gerontol B Psychol Sci Soc Sci 57:S285-93. 2002
    ..To determine how older people's economic resources affect their likelihood of care home entry in the United Kingdom...
  61. ncbi Mental health correlates of aggression in nursing home residents with dementia
    Karen Amann Talerico
    Oregon Health and Science University School of Nursing, Portland 97201 3098, USA
    Gerontologist 42:169-77. 2002
  62. pmc Molecular epidemiology of an outbreak caused by methicillin-resistant Staphylococcus aureus in a health care ward and associated nursing home
    Anne Marie Kerttula
    Dept of Bacterial and Inflammatory Diseases, National Public Health Institute, Mannerheimintie 166, FIN 00300 Helsinki, Finland
    J Clin Microbiol 43:6161-3. 2005
    ..All of them possessed SCCmec type V. Six methicillin-sensitive S. aureus strains were genotypically related to the epidemic strains...
  63. ncbi The disparity between the numbers of vulnerable elderly disabled in Kentucky and the number of available long-term care beds
    Ngoc Huynh
    Trover Foundation Family Practice Residency Program, Madisonville, KY, USA
    J Ky Med Assoc 104:195-7. 2006
    ..A comparison is made by using the 2000 US census data. The relationship between the number of patients at risk for long-term placement, the number of beds available, and the shift to home care-giving is explored...
  64. ncbi Whither care of older persons in Sweden?--A prospective analysis based upon simulation model calculations, 2000-2030
    Marten Lagergren
    Stockholm Gerontology Research Center, Olivecronas vag 4, Box 6401, 11382 Stockholm, Sweden
    Health Policy 74:325-34. 2005
    ..This shows the great importance of policy measures directed at improving the health of the elderly--involving among others conditions that stimulate to increased physical and mental activity and also different medical interventions...
  65. ncbi Psychiatric comorbidity, continuing care and mutual help as predictors of five-year remission from substance use disorders
    Jennifer Boyd Ritsher
    Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, and Stanford University School of Medicine, Palo Alto, California, USA
    J Stud Alcohol 63:709-15. 2002
  66. ncbi Health-related quality of life measure based on the minimum data set
    Walter P Wodchis
    Toronto Rehabilitation Institute and Institute for Clinical Evaluative Sciences, Queen Elizabeth Centre, Ontario, Canada
    Int J Technol Assess Health Care 19:490-506. 2003
    ..To introduce a health-related quality of life measure for home care and institutional long-term care settings based on the Minimum Data Set (MDS) and the Health Utilities Index Mark 2 (HUI2)...
  67. ncbi Prevalence and incidence of cardiovascular disease in 1160 older men and 2464 older women in a long-term health care facility
    Wilbert S Aronow
    Hebrew Hospital Home, Bronx, New York, USA
    J Gerontol A Biol Sci Med Sci 57:M45-6. 2002
    ..We report the prevalence and incidence of cardiovascular disease in older men and women in a long-term health care facility...
  68. ncbi A novel device for measuring long-term oxygen therapy adherence: a preliminary validation
    Sun Kai V Lin
    Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Respir Care 51:266-71. 2006
    ..We have developed a novel oxygen-adherence monitor to address these limitations, and this report introduces the monitor and provides preliminary data validating its use...
  69. ncbi The long term care insurance law in Japan: impact on institutional care facilities
    Naoki Ikegami
    Department of Health Policy and Management, Keio University School of Medicine, Tokyo, Japan
    Int J Geriatr Psychiatry 18:217-21. 2003
    ..Except for those assessed as in the least dependent group, individuals can choose either community care or institutional care, with only the cost of food an additional payment for the latter...
  70. ncbi Changing health needs of the elderly demand new policies
    G Burke
    Lewis Burke Consulting Group, Highland Park, IL
    J Am Health Policy 3:22-6. 1993
    ..should take into account the decreasing numbers of elderly people with disabilities by redirecting long term care resources toward quality community-based care, which can contribute to more timely, effective, and affordable ..
  71. pmc Protecting residential care facilities from pandemic influenza
    M Nuno
    Department of Biostatistics, School of Public Health, University of California, Los Angeles, CA 90095 1772, USA
    Proc Natl Acad Sci U S A 105:10625-30. 2008
    ..It appears unavoidable that NPI combinations effective against pandemics more severe than mild imply social disruption that increases with severity...
  72. ncbi Medication error reporting in long term care
    Steven M Handler
    Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    Am J Geriatr Pharmacother 2:190-6. 2004
    ..Before better reporting systems can be developed to reduce clinically significant medication errors, it is necessary to understand how current medication error reporting systems function...
  73. ncbi The assessment and management of pain among older people in care homes: current status and future directions
    David T Cowan
    Ageing and Health Section, Florence Nightingale School of Nursing and Midwifery, King s College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK
    Int J Nurs Stud 40:291-8. 2003
  74. ncbi Survey of long-term-care facilities in Iowa for policies and practices regarding residents with methicillin-resistant Staphylococcus aureus or vancomycin-resistant enterococci
    Trisha Kreman
    Department of Epidemiology, University of lowa College of Public Health, Iowa City, IA 52242 1081, USA
    Infect Control Hosp Epidemiol 26:811-5. 2005
  75. ncbi Infection control in long-term care facilities
    L E Nicolle
    Department of Internal Medicine, University of Manitoba, Health Sciences Centre, St Boniface Hospital, Winnipeg, Manitoba, Canada
    Clin Infect Dis 31:752-6. 2000
    ..Programs to optimize antimicrobial use need to be developed. Thus, although progress in understanding and practice has been made, important questions remain...
  76. ncbi Streptococcus pyogenes outbreak in a long-term care facility
    G A Harkness
    University of Rochester School of Medicine, University of Rochester Medical Center, NY
    Am J Infect Control 20:142-8. 1992
    ..pyogenes infections among residents and personnel...
  77. ncbi Improving prescribing in the elderly: a study in the long term care setting
    S S Gill
    Department of Geriatric Medicine, University of Toronto, Toronto, Ontario, Canada
    Can J Clin Pharmacol 8:78-83. 2001
    ..To determine the prevalence and predictors of potentially inappropriate prescribing of medications in the long term care setting, and to determine the effectiveness of follow-up pharmacist letters to the prescribing physicians in ..
  78. ncbi The use of long-term care services by the Dutch elderly
    F Portrait
    Department of Econometrics, Free University, Amsterdam, Netherlands
    Health Econ 9:513-31. 2000
    ..The model is applied on the Longitudinal Ageing Study Amsterdam (LASA). We find strong effects of health status, gender, socio-economic variables, and prices on the utilization of long-term care services...
  79. ncbi Improving geriatric mental health nursing care: making a case for going beyond psychotropic medications
    Philippe Voyer
    Faculty of Nursing, Laval University, Pavillon Paul Comtois, Cite Universitaire, Quebec G1K 7P4, Canada
    Int J Ment Health Nurs 12:11-21. 2003
    ..Alternative non-pharmacological approaches that nurses can use to augment care are also briefly discussed...
  80. ncbi Advance care planning documents in nursing facilities: results from a nationally representative survey
    Aram Dobalian
    VA GLA HSR and D Center of Excellence for the Study of Healthcare Provider Behavior, Sepulveda Ambulatory Care Center and Nursing Home, 16111 Plummer St 152, Bldg 25, Rm B110, Sepulveda, CA 91343, USA
    Arch Gerontol Geriatr 43:193-212. 2006
    ..To increase the use of advance care plans, interventions should focus on groups with less social engagement and lower household income...
  81. ncbi Care needs of higher-functioning nursing home residents
    Matthew K McNabney
    Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
    J Am Med Dir Assoc 8:409-12. 2007
    ..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...
  82. pmc Pain among nursing home patients in the Netherlands: prevalence, course, clinical correlates, recognition and analgesic treatment--an observational cohort study
    Martin Smalbrugge
    Department of Nursing Home Medicine, VU University Medical Center, Amsterdam, The Netherlands
    BMC Geriatr 7:3. 2007
    ..The aim of the present study is to determine prevalence, course, correlates, recognition and treatment of pain among Dutch NH-patients and to make a comparison with international data...
  83. ncbi One-year follow-up study of elderly group-home residents with dementia
    Mizue Suzuki
    School of Nursing, Mie Prefectural College of Nursing, Yumegaoka, Tsu, Mie, Japan
    Am J Alzheimers Dis Other Demen 23:334-43. 2008
    ..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...
  84. ncbi Prevalence and risk factors of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae in an Israeli long-term care facility
    G Mendelson
    Shoham Geriatric Center, Pardes Hanna, Israel
    Eur J Clin Microbiol Infect Dis 24:17-22. 2005
    ..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...
  85. ncbi A panel multinomial logit analysis of elderly living arrangements: evidence from Aging In Manitoba longitudinal data, Canada
    Sisira Sarma
    Microsimulation Modelling and Data Analysis Division, Applied Research and Analysis Directorate, Health Policy Branch, Health Canada, Ottawa, Ontario, Canada
    Soc Sci Med 65:2539-52. 2007
  86. ncbi Satisfaction with care among community residential care residents
    Michael P Curtis
    Epidemiology and Evaluation Section, Maternal and Child Health Branch, California Department of Health Services, 1615 Capitol Avenue, MS, 8304, P O Box 997420, Sacramento, CA 95899 7420, USA
    J Aging Health 17:3-27. 2005
    ..The inconsistent results of previous satisfaction studies do not provide direction for imposition of uniform standards for facility characteristics, if the goal is improved satisfaction...
  87. ncbi Dementia care mapping as a research tool
    Philip D Sloane
    Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, NC, USA
    Int J Geriatr Psychiatry 22:580-9. 2007
    ..DCM coding involves continuous observation over a 6-h period, with observers recording a Behavior Category Code (BCC, a recording of activity/interaction) and a Well/Ill Being (WIB) score at 5 min intervals...
  88. ncbi Projected use of long-term-care services by enrolled Veterans
    Bruce Kinosian
    Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA 19104, USA
    Gerontologist 47:356-64. 2007
    ..The purpose of this article is to describe the projected use for long-term-care services through 2012...
  89. ncbi Usefulness of the MNA in the long-term and acute-care settings within the United States
    B Langkamp-Henken
    Food Science and Human Nutrition Department, University of Florida, PO Box 110370, Gainesville, FL 32605 USA
    J Nutr Health Aging 10:502-6; discussion 506-9. 2006
    ..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...
  90. ncbi Racial differences in formal long-term care: does the timing of parenthood play a role?
    Kathleen A Cagney
    Department of Health Studies, University of Chicago, 5841 S Maryland Ave, MC 2007, Chicago, IL 60637, USA
    J Gerontol B Psychol Sci Soc Sci 60:S137-45. 2005
    ..In particular, it explores whether the lower rate of formal LTC use among African Americans is due in some part to the earlier inception of parenthood...
  91. ncbi Managing disruptive behaviors with neuroleptics: treatment options for older adults in nursing homes
    Philippe Voyer
    Faculty of Nursing Sciences, Universite Laval, Quebec, Canada
    J Gerontol Nurs 31:49-59; quiz 60-1. 2005
    ..Accordingly, it is suggested that non-pharmacological treatment plans be adapted to each situation and then implemented to potentially reduce the use of neuroleptics...
  92. pmc Factors associated with physiotherapy provision in a population of elderly nursing home residents; a cross sectional study
    Chantal J Leemrijse
    NIVEL Netherlands Institute for Health Services Research, Utrecht, The Netherlands
    BMC Geriatr 7:7. 2007
    ..In this study, we investigated how many nursing home residents receive PT. In addition, we analysed the factors that contribute to the variation in the provision of PT both between nursing homes and between residents...
  93. ncbi Factors predictive of increased influenza and pneumococcal vaccination coverage in long-term care facilities: the CMS-CDC standing orders program Project
    Barbara H Bardenheier
    Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    J Am Med Dir Assoc 6:291-9. 2005
  94. ncbi Transition of new residents to long-term care: basing practice on residents' perspective
    Diane Heliker
    School of Nursing, University of Texas Medical Branch, Galveston, USA
    J Gerontol Nurs 32:34-42. 2006
    ..With the passage of time, residents may be able to create a place of their own. Story sharing is an important way to help new residents integrate into the unfamiliar long-term care facility...
  95. ncbi Pharmacology update: inappropriate prescribing in the long-term care setting
    Ann S Luggen
    Geriatr Nurs 26:233. 2005
  96. ncbi Losing Neverland: creating a better world to age in
    Robert L Kane
    J Am Med Dir Assoc 6:353-6. 2005
  97. ncbi Assessing the capacity to make everyday decisions: a guide for clinicians and an agenda for future research
    James M Lai
    Department of Medicine, Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT 06504, USA
    Am J Geriatr Psychiatry 15:101-11. 2007
    ..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...
  98. ncbi Should I hospitalize my resident with nursing home-acquired pneumonia?
    David Dosa
    Division of Geriatrics and Department of Medicine and Community Health, Brown University, Providence, RI, USA
    J Am Med Dir Assoc 6:327-33. 2005
  99. ncbi The relative benefits and cost of medicaid home- and community-based services in Florida
    Glenn Mitchell
    State Data Center on Aging, School of Aging Studies, Florida Policy Exchange Center on Aging, University of South Florida, USF 30437, Tampa, FL 33620, USA
    Gerontologist 46:483-94. 2006
    ..We compared inpatient days, nursing home days, and total Medicaid claims for five Medicaid-funded home- and community-based services (HCBS) programs for in-home and assisted living services in Florida...
  100. ncbi A nurse goes shopping for a continuing care retirement community
    Dorothy Kirk Bertsch
    Geriatr Nurs 26:241-4. 2005
    ..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...
  101. ncbi Meeting nutrition needs in long-term care
    Peggy K Yen
    Geriatr Nurs 26:216-7. 2005

Research Grants84

  1. Novel PET imaging agents for early diagnosis of plaque deposition in Alzheimer's
    Padmakar Kulkarni; Fiscal Year: 2010
    ..estimates collateral loss of productivity and associated annual costs for diagnosis, treatment, and short-and long term care totaling nearly 100 billion dollars annually to the US economy...
    CLAIRE L MURPHY; Fiscal Year: 2013
    ..2005). Elucidation of age-related changes in brain response to appetitive chemosensory stimuli may suggest avenues to modulate food intake and obesity in middle age, and metabolic disease and cognitive impairment in older adults. ..
  3. Optimizing Chronic Disease Prevention and Management in Advanced Dementia
    Jennifer Tjia; Fiscal Year: 2010
    ..populations: 1) over 12,500 NH residents with dementia who received prescription services from a nationwide long term care pharmacy between 2005-2008;and 2) NH residents of 5 states (Minnesota, Massachusetts, Pennsylvania, California ..
  4. Predictors of Immunologic Failure in Older Adults
    David H Canaday; Fiscal Year: 2012
    ..In order to achieve this, it is necessary to have an increased understanding of the immune dysfunction in older veterans to identify what specific defects must be overcome. ..
    Michael Levin; Fiscal Year: 2013
    ..The combination of both a diagnostic and pathogenic immune reaction is of particular relevance and has the potential to make important contributions to the long- term care and outcomes of people with MS. ..
    Thomas J Rowell; Fiscal Year: 2011
  7. Nontoxigenic Clostridium difficile as an Oral Vaccine for C. difficile Infection
    DALE NICHOLAS GERDING; Fiscal Year: 2013
    ..and in many instances are at higher risk due to advanced age and longer length of stay, particularly in long term care environments. An epidemic strain, BI/NAP1/027, is contributing to the outbreak of CDI...
  8. Chimpanzee Biomedical Research Program Limited Competition (U42)
    M Babette Fontenot; Fiscal Year: 2013
  9. Synchrotron imaging of crystalline biofilms in urinary catheters
    Aaron I Packman; Fiscal Year: 2010
    ..The project results will indicate how the crystalline structure influences the development of Proteus biofilms on urinary catheters and suggest improved strategies for treating these infections and for preventing catheter blockage. ..
  10. The Prevalence of Blood Pressure Abnormalities among Veterans with SCI
    Jill Wecht; Fiscal Year: 2009
  11. Effects of Non-Exercise Activity on Cognitive Function in the Elderly
    Teresa J Buracchio; Fiscal Year: 2011
    ..This will reduce the burden on the VA healthcare system and caregivers as well improve quality of life for both patients and their caregivers. ) ..
  12. Chicago Prevention and Intervention Epicenter (Chicago PIE)
    ROBERT ALAN WEINSTEIN; Fiscal Year: 2013
    ..The impact on ICU infection and prescribing characteristics of doctors will be assessed. To further assess the interventions, costs of averted outcomes and of the interventions will be compared. OPRIONAL OBEJCTIVE SCORE: 2 ..
  13. Personality and Health Services Use and Expenditures of Older Persons
    Bruce Friedman; Fiscal Year: 2010
    ..and (1) Medicare, non-Medicare, and total healthcare expenditures, (2) 4 of the most expensive acute and long term care services (acute hospital days, emergency department visits, nursing home days, and custodial home care hours), ..
  14. Training to Improve Late-Stage Dementia Care
    JOHN V HOBDAY; Fiscal Year: 2011
  15. Activity and Exercise Monitoring System (AEMS)
    MARK A FAUCI; Fiscal Year: 2012
    ..We propose developing a system of software and hardware that will promote the low-cost delivery of these types of programs, as well as provide an important future research platform. ..
  16. Maintenance of Skeletal Integrity in Frail Elders
    Susan L Greenspan; Fiscal Year: 2013
    DESCRIPTION (provided by applicant): Approximately 80% of residents in long term care institutions have osteoporosis and the incidence of hip or vertebral fractures is 8-9 times that in the community...
  17. Arm Motor Rehabilitation, Entertainment and Cognition System for the Elderly
    Grigore C Burdea; Fiscal Year: 2010
    ..The ability of the product to also be used in the future in acute rehabilitation further reduces health care costs by accelerating return to productive life. ..
  18. Entrainment-based mechanical ventilation
    Chi Sang Poon; Fiscal Year: 2010
    ..This project will evolve a novel mechanical ventilation technique called "entrainment-based mechanical ventilation" which will provide a safe and cost-effective solution to this clinical problem. ..
  19. Vitamin D and Immunosenescence in Older Long-Term Care Residents
    Adit A Ginde; Fiscal Year: 2013
    ..Ginde become a leading investigator of interventions to improve immunosenescence and reduce the burden of infection in older adults. ..
    HOWARD D contact WACTLAR; Fiscal Year: 2010
  21. Targeting Staphylococcus aureus Virulence
    Hattie D Gresham; Fiscal Year: 2013
    ..Therefore, novel approaches to drug development could both limit serious infection in veterans and assist the VA in limiting health care costs of infected veterans. ..
  22. A multiethnic comparative effectiveness study for diagnosis of cardiogenic stroke
    Jeffrey R Gulcher; Fiscal Year: 2011
    ..Improved detection of atrial fibrillation, especially in patients who have had a recent stroke may substantially decrease both the recurrent stroke rate and the cost of healthcare. ..
  23. Lifecourse Pathways to Racial Disparities in Late-Life Cognitive Impairment
    Zhenmei Zhang; Fiscal Year: 2012
  24. The Risk of Long-Term Care in Older Mexican-American Families
    Jacqueline L Angel; Fiscal Year: 2011
    ..The ultimate goal of the research is to identify mechanisms for reducing disparities in options in long-term care. ..
  25. Development of Personalized Assistive Technology to Improve Dementia Care at Home
    CHANTAL M F E KERSSENS; Fiscal Year: 2012
    ..This research will test the desktop SimpleC Companion, and a new mobile tablet device, the SimpleC Wellness Coach, in the aging in place, in-home market. ..
  26. Estimation of Intervention Effects in Influenza Outbreaks
    Justin Lessler; Fiscal Year: 2012
    ..the effect of prophylactic use of antivirals combined with reactive vaccination on influenza transmission in long term care facilities, (2) estimate the effectiveness of social distancing measures to control influenza transmission in ..
  27. Engineering Cardiac Progenitor Cells to Enhance Myrocardial Regengeration
    Joseph C Wu; Fiscal Year: 2010
    ..HEALTH RELEVANCE: Heart disease remains a major cause or morbidity and mortality in the United States, with long term care and hospitalization of patients a significant burden on the national health care system...
  28. Non-contact Diffuse Optical Assessment of Pressure Ulcer and Therapy
    Guoqiang Yu; Fiscal Year: 2013
  29. Race and Ethnicity in Vaccination for Influenza in Vulnerable Elderly (REVIVE)
    NANCY JEAN KUPKA; Fiscal Year: 2011
    ..two illnesses are the leading cause of death from preventable disease among older Americans, particularly in Long Term Care Facilities (LTCFs) This study will describe immunization processes and procedures in a national sample of ..
  30. Guideline Implementation to Decrease Inappropriate Bacteriuria Treatment
    BARBARA WELLS TRAUTNER; Fiscal Year: 2013
    ..abstract_text> ..
  31. Online Training &Certification for Competency in Dementia Friendly Hospital Care
    Mary Sherman Mittelman; Fiscal Year: 2013
    David W Oslin; Fiscal Year: 2010
    ..comorbidity of psychiatric and medical disorders and the delivery of mental health care in general medical and long term care settings. It is a component of an NIMH-supported Advanced Center for Interventions and Services Research...
  33. Improving Access to and Quality of Eye Care in an At-Risk, Underserved Population
    Cynthia Owsley; Fiscal Year: 2013
    ..Our center will also participate in TRC network-wide studies to be designed collaboratively with the other network centers and CDC. ..
  34. Neuroimaging Biomarkers for Post-Operative Cognitive Decline in Older Adults
    CATHERINE E PRICE; Fiscal Year: 2013
  35. Quality of Mental Health Care in Assisted Living
    QUINCY MILES SAMUS; Fiscal Year: 2013
    ..The proposed research is both critical and timely and will provide a new mental health care quality instrument for use in AL and empirical data on presence of evidenced-based quality indicators. ..
  36. From Evidence-Base to Practice: Implementing RDAD in AAA Community-Based Services
    Linda Teri; Fiscal Year: 2013
    ..RDAD has demonstrated efficacy in helping older adults with dementia maintain physical function and alter long term care placement...
  37. Asparagus to Zucchini: A Nutrition Education System for Persons with Dementia
    Cameron J Camp; Fiscal Year: 2012
  38. Evaluating the CG ASSIST Program for Caregiving Dyads
    Patricia C Griffiths; Fiscal Year: 2012
  39. Estimating the Demand for Medicaid Financial Long-Term Care for the Elderly
    Arpita Chattopadhyay; Fiscal Year: 2013
    ..A detailed microsimulation model incorporating behavioral and structural determinants of using Medicaid financed longterm care will be proposed for an R01 project at the end of the K01. ..
  40. Improving Clinical Outcomes Following Subarachnoid Hemmorhage Using CT Perfusion
    PINA CHRISTINE SANELLI; Fiscal Year: 2012
  41. Evaluating the Health Benefits of Workplace Policies and Practices - Phase II
    Lisa F Berkman; Fiscal Year: 2012
    ..a strong history of worksite studies especially in long term care and among low wage workers from diverse racial/ethnic backgrounds...
  42. Primary Cilia as Mechanotransducers in Bone
    Christopher Rae Jacobs; Fiscal Year: 2013
    ..A collateral benefit will be contributing to the emerging picture of primary cilia as a nexus of extracellular signal sensing and integration in bone and other cell types. ..
  43. Staff Training to Manage Aggressive Resident Behaviors
    A Irvine; Fiscal Year: 2009
    ..program for professional caregivers who are regularly subjected to aggressive behaviors by older adults in long term care facilities (LTCs;Gates, Fitzwater, &Succop, 2005)...
  44. Family Structure, Informal Care and Long-term Care Insurance
    Courtney Harold Van Houtven; Fiscal Year: 2013
    ..Implications for public LTC costs will be simulated using our results and cost data from the literature. ..
  45. Ethnicity, Breast Cancer Recurrence, & Long-Term QOL
    Kathy B Baumgartner; Fiscal Year: 2010
    ..There are scant data comparing H with NHW women for these outcomes. The proposed study could have important implications for treatment of H vs. NHW women and long-term care of older breast cancer survivors. ..
  46. A sensor-based remote monitoring system to prevent falls in older adults
    DEBRA EVELYN KROTISH; Fiscal Year: 2011
  47. A Randomized Controlled Trial to Reduce Pneumonia in Nursing Home Residents
    ..This trial holds great promise in identifying a simple and effective intervention to reduce pneumonia in this vulnerable population of citizens. ..
  48. Teaching Resourcefulness to Women Caregivers of Elders with Dementia
    Jaclene A Zauszniewski; Fiscal Year: 2010
    ..provide adequate care for their CRs without sacrificing their own health and avoid placement of the elder in a long term care facility. PUBLIC HEALTH RELEVANCE Dementia is one of the greatest challenges facing elders in the U.S...
  49. A Prospective Model of Medicare Cost Trajectories
    Douglas A Wolf; Fiscal Year: 2011
    ..on-using a generalization of latent-class trajectory models and applying longitudinal data from the National Long Term Care Survey and the Cardiovascular Health Study, both of which have been linked to continuous Medicare claims ..
  50. Revealing the role of the cervico-vaginal microbiome in spontaneous preterm birth
    Michal A Elovitz; Fiscal Year: 2013
    ..These costs are not just for immediate neonatal care but also for long term care of these preterm children who are at increased risk for a spectrum of medical and neurobehavioral disorders...
  51. Development of a Multidimensional Pain Measure for Persons with Dementia
    Andrea Lynn Snow; Fiscal Year: 2013
    ..This project will strongly impact VHA patient care because: (a) VHA devotes significant resources to long term care, (b) the prevalence of dementia in long term care facilities is high, (c) the prevalence of dementia in the ..
  52. Moral Hazard in Less Invasive Surgical Technology for Coronary Artery Disease
    Michael Grossman; Fiscal Year: 2011
    ..Overall all these developments would lead to further realization of the potential welfare improvement associated with the introduction of less invasive surgical technology in the treatment of CAD. ..
  53. UTI in Nursing Home Residents: Research Training and Clinical Investigation
    Manisha Juthani-Mehta; Fiscal Year: 2012
    ..The renowned mentors she has assembled and the environment at Yale University will allow for outstanding training and the successful completion of the proposed study. ..
  54. The Impact of Flu and Flu Vaccine on NH Resident Morbitidity
    Vincent Mor; Fiscal Year: 2011
    ..related to prevention and care management as well as patient safety, all framed within the broader agenda of long term care quality and quality measurement...
  55. Imaging and cognitive correlates of blast TBI in OIF/OEF combat veterans
    Effie M Mitsis; Fiscal Year: 2012
    ..Intervention and prevention strategies at the earliest possible stage aimed at prolonging well-being, will certainly reduce costs, but importantly, will prolong quality of life in these veterans. ..
  56. VA Post-Stroke Rehabilitation: Comparing Institutional Long-Term Care Settings
    Huanguang Jia; Fiscal Year: 2013
    ..The study will provide evidence-based information about the quality and geographical variations in post-stroke, institutional long-term rehabilitatio care among Veteran residents in CLCs and CNHs. ..
  57. Cost-Effectiveness of Two Nutrition Interventions in Long-Term Care
    Sandra F Simmons; Fiscal Year: 2013
    ..This translational research effort will provide critical information to improve care practices in nursing homes for nutritionally at risk residents. ..
  58. Do Amputees Benefit from Comprehensive Rehabilitation Services
    Margaret Grace Stineman; Fiscal Year: 2012
    ..Such evidence-based knowledge will be essential to guide future practice and policies in the VHA and private sectors alike. ..
  59. The Value of Long-Term Care Insurance to Married and Single Persons
    Michael D Hurd; Fiscal Year: 2013
    ..abstract_text> ..
  60. Advancing Long -Term Care Research by Linking HRS and LTC Focus
    Vincent Mor; Fiscal Year: 2013
    ..In addition to the 4 projects being undertaken, one aim of the PPG was to make data on the structure of the US long term care (LTC) system available to potential investigators in a public use form...
  61. Life Is A Stage: Dementia Care and the Dramatic Arts
    John Zeisel; Fiscal Year: 2010
    ..Effects produced by the program and satisfaction with it will be assessed, and provide a basis for further development and refinement of this service in a Phase II project. ..
  62. Life Is A Stage: Dementia Care and the Dramatic Arts
    John Zeisel; Fiscal Year: 2013
  63. Community versus Facility-based Long-Term Care: Impact on Medicare Spending &Ser
    ILA HUGHES BROYLES; Fiscal Year: 2013
    ..This will offer other researchers interested in the healthcare costs of the disabled an example of how to apply these exciting new methods to important policy questions. ..
  64. Access to Care of Medicare and Medicaid Enrollees
    Marlene Niefeld; Fiscal Year: 2003
    ..If care is inappropriate or ineffective, then expanded benefits or increased payments for current services may be more important. ..
    Pamela Whitten; Fiscal Year: 2000
    ..Most importantly, this research may serve as an important contributor to policy makers as home health care legislation evolves. ..
  66. Preparing Long-Term Care Facilities for Natural and Man-Made Disasters
    Susan Harrington; Fiscal Year: 2009
    ..This project will seek to reduce the incidence of disaster-related deaths and injuries through the development and distribution of a comprehensive and validated emergency preparedness curriculum. ..
  67. Preparing Long-Term Care Facilities for Natural and Man-Made Disasters
    Susan Harrington; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  68. Treating Sleep Problems in VA Adult Day Health Care
    Jennifer Martin; Fiscal Year: 2009
    ..Findings from this study can inform ongoing re-organization of VA long-term care services, and enhance the quality and outcomes of VA ADHC programs. ..
  69. PillStream: Agile High-Throughput Assembly of Custom Multi-Medication Packaging
    EDWARD ACWORTH; Fiscal Year: 2012
  70. Real-Time Planning and Training System to Improve Long-Term Care Disaster Prepare
    TONY MA; Fiscal Year: 2009
    ..system with an information sharing framework with real-time data aggregation available for access by the long term care (LTC) facility, other LTC facilities and ancillary and cooperating agencies...
  71. Age Difference of Spouses and Long-Term Care
    Darius Lakdawalla; Fiscal Year: 2001
    ..abstract_text> ..
    Mark Loeb; Fiscal Year: 2001
    ..abstract_text> ..
  73. Infection Risk of Urinary Collection Strategies
    Sanjay Saint; Fiscal Year: 2006
    ..The Long Term Care Minimum Data Set for California, Texas, New York, Florida, and Michigan, years 2002-2003, will be utilized...
  74. Shaping Long-Term Care in America
    Vincent Mor; Fiscal Year: 2012
    DESCRIPTION (provided by applicant): America faces a crisis with the impending demand for long term care services by the "Baby Boom" generation that will overwhelm current financing and delivery mechanisms...
  75. Informal Care of Older Adults and Medicare Expenditures
    COURTNEY VAN HOUTVEN; Fiscal Year: 2003
    ..abstract_text> ..
    Kenneth Manton; Fiscal Year: 2002
  77. The Emergence of Institutional Elder Care in China
    Vincent Mor; Fiscal Year: 2010
    ..HEALTH REVELANCE: China's population is aging rapidly and pressures are building to grow institutional long term care as a policy...
  78. Urban-Rural Sedative & Anxiolytic Use in Long Term Care
    Sally Rigler; Fiscal Year: 2005
    JEROME KOWAL; Fiscal Year: 2000
    ..These include lectures, seminars and journal clubs in clinical geriatrics, biology and psychology of aging, long term care, ethics, health care policy issues, and skills development in teaching and administration...
  80. Nursing Practice Models in Long-Term Care Facilities
    Christine Mueller; Fiscal Year: 2003
  81. Long term care e-prescribing standards pilot study.
    MICHAEL BORDELON; Fiscal Year: 2006
    ..and the foundation standards that support it, will have a significant and wide ranging impact on the long term care (LTC) industry, which serves approximately 3...
  82. Restorative Care Training for Staff in Long Term Care Facilities
    BONNIE WALKER; Fiscal Year: 2009
    DESCRIPTION (provided by applicant): There is a significant need for restorative care training for long term care staff...
  83. Implementation of Resident-Centered Care
    MELANIE KRAUSE; Fiscal Year: 2009
    ..In the long-term, this research will have implications for nurse training and will serve as a framework for intervention research to improve the effectiveness and efficiency of implementation of RCC. ..
  84. An Assistive Wardrobe to Support Dressing Independence
    Margaret Calkins; Fiscal Year: 2003
    DESCRIPTION (provided by investigator): The majority of individuals in long term care settings have significant and often severe limitations in their ability to complete basic activities of daily living (ADLs)...