nursing homes


Summary: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.

Top Publications

  1. ncbi Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among residents of nursing homes in Belgium
    Olivier Denis
    Laboratoire de Référence MRSA Staphylocoques, Department of Microbiology, Hopital Erasme, Universite Libre de Bruxelles, Brussels, Belgium
    J Antimicrob Chemother 64:1299-306. 2009
  2. ncbi The course of psychiatric and behavioral symptoms and the use of psychotropic medication in patients with dementia in Norwegian nursing homes--a 12-month follow-up study
    Geir Selbaek
    Research Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway
    Am J Geriatr Psychiatry 16:528-36. 2008
  3. ncbi Prevalence of methicillin-resistant Staphylococcus aureus colonization in residents and staff in nursing homes in Northern Ireland
    Naomi S Baldwin
    Clinical and Practice Research Group, School of Pharmacy, Queen s University Belfast, Belfast, UK
    J Am Geriatr Soc 57:620-6. 2009
  4. ncbi Clostridium difficile infection in Ohio hospitals and nursing homes during 2006
    Robert J Campbell
    Ohio Department of Public Health, Columbus, Ohio, USA
    Infect Control Hosp Epidemiol 30:526-33. 2009
  5. pmc Psychotropic medication use among nursing home residents in Austria: a cross-sectional study
    Eva Mann
    General practice and Institute for Health Services Research, Rankweil, Austria
    BMC Geriatr 9:18. 2009
  6. pmc Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system
    John P Hirdes
    University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
    BMC Health Serv Res 8:277. 2008
  7. ncbi Prevalence and molecular epidemiology of meticillin-resistant Staphylococcus aureus in nursing home residents in northern Germany
    S Pfingsten-Würzburg
    Städtisches Gesundheitsamt, Braunschweig, Germany
    J Hosp Infect 78:108-12. 2011
  8. ncbi Prevalence of psychiatric disorders among older adults in long-term care homes: a systematic review
    Dallas Seitz
    Department of Psychiatry, Baycrest Centre, Toronto, Ontario, Canada
    Int Psychogeriatr 22:1025-39. 2010
  9. ncbi Risk factors for resistance to antimicrobial agents among nursing home residents
    Mark B Loeb
    Department of Pathology and Molecular Medicine, McMaster University and Hamilton Regional Laboratory Program, Hamilton, Ontario, Canada
    Am J Epidemiol 157:40-7. 2003
  10. pmc Risk of death and hospital admission for major medical events after initiation of psychotropic medications in older adults admitted to nursing homes
    Krista F Huybrechts
    Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
    CMAJ 183:E411-9. 2011

Detail Information

Publications387 found, 100 shown here

  1. ncbi Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) among residents of nursing homes in Belgium
    Olivier Denis
    Laboratoire de Référence MRSA Staphylocoques, Department of Microbiology, Hopital Erasme, Universite Libre de Bruxelles, Brussels, Belgium
    J Antimicrob Chemother 64:1299-306. 2009
    ..A national survey was conducted to determine the prevalence, risk factors and molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) carriage among nursing home (NH) residents in Belgium...
  2. ncbi The course of psychiatric and behavioral symptoms and the use of psychotropic medication in patients with dementia in Norwegian nursing homes--a 12-month follow-up study
    Geir Selbaek
    Research Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway
    Am J Geriatr Psychiatry 16:528-36. 2008
    ..This study investigates the natural course of neuropsychiatric symptoms and the concomitant use of psychotropic medication among a large and representative sample of nursing-home patients with dementia...
  3. ncbi Prevalence of methicillin-resistant Staphylococcus aureus colonization in residents and staff in nursing homes in Northern Ireland
    Naomi S Baldwin
    Clinical and Practice Research Group, School of Pharmacy, Queen s University Belfast, Belfast, UK
    J Am Geriatr Soc 57:620-6. 2009
    ..the prevalence of, and factors associated with, methicillin-resistant Staphylococcus aureus (MRSA) colonization in residents and staff in nursing homes in one geographically defined health administration area of Northern Ireland.
  4. ncbi Clostridium difficile infection in Ohio hospitals and nursing homes during 2006
    Robert J Campbell
    Ohio Department of Public Health, Columbus, Ohio, USA
    Infect Control Hosp Epidemiol 30:526-33. 2009
    ..However, the overall burden of disease and the mortality rate associated with CDI, including the contribution from cases of infection that occur in nursing homes, are poorly understood.
  5. pmc Psychotropic medication use among nursing home residents in Austria: a cross-sectional study
    Eva Mann
    General practice and Institute for Health Services Research, Rankweil, Austria
    BMC Geriatr 9:18. 2009
    ..In Austria, prevalence data are lacking. We aimed to determine the prevalence of psychotropic medication prescription in Austrian nursing homes and to explore characteristics associated with their prescription.
  6. pmc Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system
    John P Hirdes
    University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
    BMC Health Serv Res 8:277. 2008
    ..This study examined the reliability of the items from five instruments supporting home care, long term care, mental health, palliative care and post-acute care...
  7. ncbi Prevalence and molecular epidemiology of meticillin-resistant Staphylococcus aureus in nursing home residents in northern Germany
    S Pfingsten-Würzburg
    Städtisches Gesundheitsamt, Braunschweig, Germany
    J Hosp Infect 78:108-12. 2011
    ..Among the 32 participating nursing homes of the available 34 in the region, 68% of residents (1827 of 2688) were screened for nasal and/or wound ..
  8. ncbi Prevalence of psychiatric disorders among older adults in long-term care homes: a systematic review
    Dallas Seitz
    Department of Psychiatry, Baycrest Centre, Toronto, Ontario, Canada
    Int Psychogeriatr 22:1025-39. 2010
    ..An understanding of the prevalence of psychiatric disorders in LTC will help in planning mental health services for this population. This study reviews the prevalence of common psychiatric disorders in LTC populations...
  9. ncbi Risk factors for resistance to antimicrobial agents among nursing home residents
    Mark B Loeb
    Department of Pathology and Molecular Medicine, McMaster University and Hamilton Regional Laboratory Program, Hamilton, Ontario, Canada
    Am J Epidemiol 157:40-7. 2003
    ..agents and susceptibility patterns among all clinical isolates of bacteria taken from 9,156 residents of 50 nursing homes in Canada and the United States in 1998-1999...
  10. pmc Risk of death and hospital admission for major medical events after initiation of psychotropic medications in older adults admitted to nursing homes
    Krista F Huybrechts
    Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
    CMAJ 183:E411-9. 2011
    ..We assessed the comparative safety of different classes of psychotropic medications used in nursing home residents...
  11. ncbi Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial
    Yves Rolland
    Internal Medicine Service and Gerontology Clinic, Hopital La Grave Casselardit, Toulouse, France
    J Am Geriatr Soc 55:158-65. 2007
  12. ncbi Development of a minimum data set-based depression rating scale for use in nursing homes
    A B Burrows
    Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA 02131, USA
    Age Ageing 29:165-72. 2000
    ..depression is common but under-diagnosed in nursing-home residents. There is a need for a standardized screening instrument which incorporates daily observations of nursing-home staff...
  13. ncbi Frequency and pattern of emergency department visits by long-term care residents--a population-based study
    Andrea Gruneir
    Women s College Research Institute, Women s College Hospital, Toronto, Canada
    J Am Geriatr Soc 58:510-7. 2010
    ..To obtain population-based estimates of emergency department (ED) visits by long-term care (LTC) residents...
  14. ncbi QUALIDEM: development and evaluation of a dementia specific quality of life instrument--validation
    Teake P Ettema
    Institute for Extramural Medicine EMGO, VU Medical Center Amsterdam, The Netherlands
    Int J Geriatr Psychiatry 22:424-30. 2007
    ..To validate the QUALIDEM, a quality of life measure for people with dementia within residential settings rated by professional caregivers...
  15. ncbi Dignity and the challenge of dying in nursing homes: the residents' view
    Sabine Pleschberger
    Department of Palliative Care and Organisational Ethics, Faculty for Interdisciplinary Research and Education IFF, Vienna, University of Klagenfurt, Austria
    Age Ageing 36:197-202. 2007
    ..Because nursing homes are gaining importance as places where residents live out their lives in modern western societies and since ..
  16. ncbi Beyond the 'iron lungs of gerontology': using evidence to shape the future of nursing homes in Canada
    John P Hirdes
    Department of Health Studies and Gerontology, University of Waterloo
    Can J Aging 30:371-90. 2011
    ..that efforts to address the underlying causes of age-related declines in health might negate the need for nursing homes. However, the prevalence of chronic disease has increased, and conditions like dementia mean that nursing ..
  17. pmc Modeling the spread of methicillin-resistant Staphylococcus aureus in nursing homes for elderly
    Farida Chamchod
    Department of Mathematics, University of Miami, Coral Gables, Florida, United States of America
    PLoS ONE 7:e29757. 2012
    Methicillin-resistant Staphylococcus aureus (MRSA) is endemic in many hospital settings, including nursing homes. It is an important nosocomial pathogen that causes mortality and an economic burden to patients, hospitals, and the ..
  18. pmc Capabilities and quality of life in Dutch psycho-geriatric nursing homes: an exploratory study using a proxy version of the ICECAP-O
    Peter Makai
    Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
    Qual Life Res 21:801-12. 2012
    To validate the ICECAP-O capability measure in psycho-geriatric elderly in nursing homes, we compared the capability scores of restrained and unrestrained clients...
  19. pmc Improving person-centred care in nursing homes through dementia-care mapping: design of a cluster-randomised controlled trial
    Geertje van de Ven
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, P O Box 9101, 117 ELG, 6500 HB Nijmegen, The Netherlands
    BMC Geriatr 12:1. 2012
    ..The main objective of this study is to evaluate the effectiveness and cost-effectiveness of dementia-care mapping in nursing-home dementia care...
  20. ncbi Views on dignity of elderly nursing home residents
    Lise Lotte Franklin
    Department of Health Sciences, Orebro University, Sweden
    Nurs Ethics 13:130-46. 2006
    ..The aim of the study was to explore the views on dignity at the end of life of 12 elderly people living in two nursing homes in Sweden...
  21. ncbi Evaluation of potentially inappropriate medications among older residents of Malaysian nursing homes
    Li Li Chen
    Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800, Minden, Pulau Pinang, Malaysia
    Int J Clin Pharm 34:596-603. 2012
    ..There is an increasing evidence of medicines related issues such as inappropriate prescribing among older people. Inappropriate prescribing is an important risk factor for adverse drug reactions and hospitalizations in the older people...
  22. ncbi Nursing homes as a reservoir of extended-spectrum beta-lactamase (ESBL)-producing ciprofloxacin-resistant Escherichia coli
    Paul J Rooney
    Department of Microbiology, Belfast City Hospital, Belfast BT9 7AD, UK
    J Antimicrob Chemother 64:635-41. 2009
    To assess the prevalence and risk factors for faecal carriage of fluoroquinolone-resistant, extended-spectrum beta-lactamase (ESBL)-producing, Escherichia coli (MDR E. coli) among residents in nursing homes in Northern Ireland.
  23. ncbi Multidrug-resistant Acinetobacter baumannii: an emerging pathogen among older adults in community hospitals and nursing homes
    D M Sengstock
    Internal Medicine Geriatrics, Oakwood Hospital, Dearborn, Michigan, USA
    Clin Infect Dis 50:1611-6. 2010
    ..Drug-resistant Acinetobacter species are problematic in tertiary-care hospitals. We describe the epidemiology, resistance patterns, and outcomes of older adults with Acinetobacter infection in community hospitals...
  24. ncbi Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment
    Matthias J Kaiser
    Institute for Biomedicine of Aging, Friedrich Alexander University Erlangen Nurnberg, Erlangen, Germany
    J Am Geriatr Soc 58:1734-8. 2010
    ..To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA)...
  25. ncbi Improving the use of hospice services in nursing homes: a randomized controlled trial
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    JAMA 294:211-7. 2005
    ..Hospice care may improve the quality of end-of-life care for nursing home residents, but hospice is underutilized by this population, at least in part because physicians are not aware of their patients' preferences...
  26. ncbi Evaluation of Qualidem: a dementia-specific quality of life instrument for persons with dementia in residential settings; scalability and reliability of subscales in four Dutch field surveys
    A I E Bouman
    Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands
    Int J Geriatr Psychiatry 26:711-22. 2011
    ..To evaluate the scalability and reliability of Qualidem, a quality of life observation instrument rated by professional caregivers of persons with mild to very severe dementia living in residential settings...
  27. ncbi Patient and caregiver characteristics and nursing home placement in patients with dementia
    Kristine Yaffe
    University of California, San Francisco, Box 111G, 4150 Clement St, San Francisco, CA 94121, USA
    JAMA 287:2090-7. 2002
    ..Most studies have determined predictors of nursing home placement primarily according to patient or caregiver characteristics alone...
  28. ncbi The prevalence of psychiatric symptoms and behavioural disturbances and the use of psychotropic drugs in Norwegian nursing homes
    Geir Selbaek
    Research Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway
    Int J Geriatr Psychiatry 22:843-9. 2007
    ..Psychiatric and behavioural symptoms in dementia are associated with a range of negative outcomes, including institutional placement and the widespread use of psychotropic drugs in spite of limited evidence for their efficacy...
  29. ncbi Prediction of institutionalization in the elderly. A systematic review
    Melanie Luppa
    Department of Psychiatry and Psychotherapy, University of Leipzig, Germany
    Age Ageing 39:31-8. 2010 the past decades, many studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of predictors of NHP in the general population of developed countries...
  30. pmc Temporal and Geographic variation in the validity and internal consistency of the Nursing Home Resident Assessment Minimum Data Set 2.0
    Vincent Mor
    Department of Community Health and Center for Gerontology and Health Care Research, Brown University Medical School, Box G S121, Providence, Rhode Island, USA
    BMC Health Serv Res 11:78. 2011
    The Minimum Data Set (MDS) for nursing home resident assessment has been required in all U.S. nursing homes since 1990 and has been universally computerized since 1998...
  31. pmc Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial
    Bettina S Husebo
    Department of Public Health and Primary Health Care, University of Bergen, 5020 Bergen, Norway
    BMJ 343:d4065. 2011
    To determine whether a systematic approach to the treatment of pain can reduce agitation in people with moderate to severe dementia living in nursing homes.
  32. ncbi Quality of life in dementia care--differences in quality of life measurements performed by residents with dementia and by nursing staff
    Johannes Gräske
    Institute of Medical Sociology, Charite Universitatsmedizin Berlin, Berlin, Germany
    Aging Ment Health 16:819-27. 2012
    ..Additionally, a level of agreement was set between self-rated and staff-rated QoL-AD and possible influencing factors...
  33. ncbi Knowledge and skills of professional carers working with older people with depression
    Marita P McCabe
    School of Psychology, Deakin University, Victoria, Australia
    Aging Ment Health 12:228-35. 2008
    ..The current study was designed to evaluate the knowledge, skills and self-efficacy of care providers from the perspective of professionals working in the aged-care industry...
  34. ncbi Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries--results from the European NEXT-Study
    Michael Simon
    Department of Safety Engineering, Section of Occupational Safety and Ergonomics, University of Wuppertal, Germany
    Int J Nurs Stud 45:24-34. 2008
    ..Musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors...
  35. ncbi Analysis of multimorbidity in individual elderly nursing home residents. Development of a multimorbidity matrix
    Gunnar Akner
    Department of Geriatric Medicine, Orebro University Hospital, 701 85 Orebro, Sweden
    Arch Gerontol Geriatr 49:413-9. 2009
  36. pmc Melatonin fails to improve sleep or agitation in double-blind randomized placebo-controlled trial of institutionalized patients with Alzheimer disease
    Philip R Gehrman
    Department of Psychiatry, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Am J Geriatr Psychiatry 17:166-9. 2009
    ..Given that the disease is often associated with low endogenous levels of melatonin, exogenous melatonin administration may lead to improvements in sleep and agitation...
  37. pmc The effects of resident and nursing home characteristics on activities of daily living
    Jye Wang
    Department of Health Care Administration, Chang Jung Christian University, Taiwan, Republic of China
    J Gerontol A Biol Sci Med Sci 64:473-80. 2009
  38. ncbi Figuring it out in the moment: a theory of unregulated care providers' knowledge utilization in dementia care settings
    Nadine Janes
    West Park Healthcare Centre, Toronto, Ontario, Canada
    Worldviews Evid Based Nurs 5:13-24. 2008
    ..Therefore, little is known about how knowledge about best dementia care practice, defined broadly as the person-centered approach, gets used by institutional nursing care providers...
  39. ncbi Estimating the costs associated with malnutrition in Dutch nursing homes
    Judith M M Meijers
    Department of Health Services Research, School for Public Heath and Primary Care CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, P O Box 616, 6200 MD Maastricht, The Netherlands
    Clin Nutr 31:65-8. 2012
    ..In this study the economic implications of malnutrition in Dutch nursing homes are investigated as part of the Health and Economic Impact of Malnutrition in Europe Study from the European ..
  40. ncbi Daily life after moving into a care home--experiences from older people, relatives and contact persons
    Ingegerd Andersson
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden
    J Clin Nurs 16:1712-8. 2007
    ..Furthermore, the aim was to study the experiences of their relatives and contact persons with respect to the daily life of the same residents...
  41. ncbi Benefits and pitfalls of pooling datasets from comparable observational studies: combining US and Dutch nursing home studies
    J T Van Der Steen
    Department of Nursing Home Medicine, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands
    Palliat Med 22:750-9. 2008
    ..Pitfalls included the large amount of time required for equating study procedures and variables and the need for additional funding...
  42. ncbi The influence of drug use on fall incidents among nursing home residents: a systematic review
    Carolyn S Sterke
    De StromenOpmaatGroep, Nursing Home Smeetsland, Rotterdam, The Netherlands
    Int Psychogeriatr 20:890-910. 2008
    Falls are a major health problem among the elderly, particularly in nursing homes. Abnormalities of balance and gait, psychoactive drug use, and dementia have been shown to contribute to fall risk.
  43. ncbi Efficacy of nonpharmacologic interventions for agitation in advanced dementia: a randomized, placebo-controlled trial
    Jiska Cohen-Mansfield
    Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, and Herczeg Institute on Aging, Tel Aviv University, POB 39040, Ramat Aviv, Tel Aviv, 69978, Israel
    J Clin Psychiatry 73:1255-61. 2012
  44. ncbi Vancomycin-resistant enterococci in long-term care facilities
    Shmuel Benenson
    Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
    Infect Control Hosp Epidemiol 30:786-9. 2009
    ..In contrast, moderate and severe levels of dependency and prolonged stay in an LTCF were associated with a decrease in the VRE colonization rate...
  45. pmc The care unit in nursing home research: evidence in support of a definition
    Carole A Estabrooks
    Faculty of Nursing, University of Alberta, Edmonton, Canada
    BMC Med Res Methodol 11:46. 2011
    ..The aim of this paper is to provide evidence in support of a definition of care unit in nursing homes by demonstrating: (1) its feasibility for use in data collection, (2) the acceptability of aggregating ..
  46. ncbi The impact of antipsychotics and neuropsychiatric symptoms on the quality of life of people with dementia living in nursing homes
    Julia van de Ven-Vakhteeva
    Department of Primary and Community Care, Center for Family Medicine, Geriatric Care and Public Health, Alzheimer Center Nijmegen, Radboud University Nijmegen, Medical Center, Nijmegen, The Netherlands
    Int J Geriatr Psychiatry 28:530-8. 2013
    ..This study aimed to establish whether antipsychotic (AP) use in patients with dementia negatively affects quality of life (QoL) independent of neuropsychiatric symptoms (NPS)...
  47. ncbi [Mental impairment in nursing home residents]
    H A Nygaard
    Seksjon for geriatri Institutt for samfunnsmedisinske fag, Bergen
    Tidsskr Nor Laegeforen 120:3113-6. 2000
    b>Nursing homes are the corner stones in long-term institutional care for frail elderly people...
  48. pmc Predicting mortality of residents at admission to nursing home: a longitudinal cohort study
    Ingibjörg Hjaltadóttir
    Department of Health Sciences, Lund University, Lund, Sweden
    BMC Health Serv Res 11:86. 2011
    An increasing numbers of deaths occur in nursing homes. Knowledge of the course of development over the years in death rates and predictors of mortality is important for officials responsible for organizing care to be able to ensure that ..
  49. pmc Translating research into practice in nursing homes: can we close the gap?
    Anna N Rahman
    Davis School of Gerontology, University of Southern California, 3715 McClintock Ave, Los Angeles, CA 90089 0191, USA
    Gerontologist 52:597-606. 2012
    ..This review article examines these two elements through the conceptual lens of Roger's innovation dissemination model...
  50. pmc Urine culture doubtful in determining etiology of diffuse symptoms among elderly individuals: a cross-sectional study of 32 nursing homes
    Pär Daniel Sundvall
    Sandared Primary Health Care Centre, Strandvägen 11, 518 32 Sandared, Sweden
    BMC Fam Pract 12:36. 2011
    ..fatigue, confusion, aggressiveness, not being herself/himself, dysuria, urgency and fever in individuals at nursing homes for elderly when statistically considering the high prevalence of asymptomatic bacteriuria in this population.
  51. pmc Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes
    Kate L Lapane
    Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, VA 23298, USA
    J Am Geriatr Soc 59:1238-45. 2011
    ..To determine the extent to which the use of a clinical informatics tool that implements prospective monitoring plans reduces the incidence of potential delirium, falls, hospitalizations potentially due to adverse drug events, and mortality...
  52. pmc SCOPE: Safer care for older persons (in residential) environments: a study protocol
    Lisa A Cranley
    Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    Implement Sci 6:71. 2011
    The current profile of residents living in Canadian nursing homes includes elder persons with complex physical and social needs. High resident acuity can result in increased staff workload and decreased quality of work life.
  53. ncbi [The influence of understanding diagnostics on perceived stress of nurses caring for nursing home residents with dementia]
    Daniela Holle
    Deutsches Zentrum für Neurodegenerative Erkrankungen, Standort Witten
    Pflege 24:303-16. 2011 conferences and the application of the 'Innovative dementia-oriented Assessment system' (IdA) in nursing homes for the first time...
  54. pmc Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study
    Sunil M Shah
    Division of Population Health Sciences and Education, St George s, University of London, London SW17 0RE, UK
    BMJ 342:d912. 2011
    ..To describe the quality of care for chronic diseases among older people in care homes (nursing and residential) compared with the community in a pay for performance system...
  55. pmc The OPERA trial: a protocol for the process evaluation of a randomised trial of an exercise intervention for older people in residential and nursing accommodation
    David R Ellard
    University of Warwick, Clinical Trials Unit, Warwick Medical School, Gibbet Hill Road, Coventry, CV4 7AL, UK
    Trials 12:28. 2011
    ..The aims of this process evaluation are to provide findings that will assist in the interpretation of the clinical trial results, and to inform potential implementation of the physical activity intervention on a wider scale...
  56. ncbi Comparison of the bacterial isolates and antibiotic resistance patterns of elderly nursing home and general community patients
    C Xie
    Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia
    Intern Med J 42:e157-64. 2012
    ..Nursing home-acquired infections may differ from general community-acquired infections in bacteriology and antibiotic resistance. However, there are currently limited data on this topic in the Australian setting...
  57. pmc The assessment of renal function in relation to the use of drugs in elderly in nursing homes; a cohort study
    Sara Modig
    Department of Clinical Sciences in Malmo, Center for Primary Health Care Research, Lund University, Sweden
    BMC Geriatr 11:1. 2011
    ..The aim of the study was to explore renal function in elderly subjects in nursing homes and the use of pharmaceuticals that may be harmful to patients with renal impairment.
  58. ncbi Prevalence of heart failure in nursing homes: a systematic literature review
    Mariëlle A M J Daamen
    MeanderGroep Zuid Limburg Kerkrade and School for Public Health and Primary Care, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The Netherlands
    Scand J Caring Sci 24:202-8. 2010
    ..In order to deliver adequate nursing care and medical treatment, it is important to get insight into the prevalence of heart failure in this target group of patients...
  59. ncbi Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis
    Alex J Mitchell
    Leicester General Hospital, Leicestershire Partnership Trust, UK
    Am J Geriatr Psychiatry 18:1066-77. 2010
    ..Scale (GDS) has been evaluated in individual studies, but its validity and added value in medical settings and nursing homes is uncertain...
  60. ncbi Factors associated with depression in Norwegian nursing homes
    Maria Lage Barca
    Norwegian Centre for Dementia Research, Centre for Ageing and Health, Department of Geriatric Medicine, Ullevaal University Hospital, Faculty of Medicine, University of Oslo, Norway
    Int J Geriatr Psychiatry 24:417-25. 2009
    Depression among patients in nursing homes is frequent and apparently underdiagnosed...
  61. pmc Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study
    Graziano Onder
    Centro Medicina dell Invecchiamento, Universita Cattolica Sacro Cuore, Rome, Italy
    BMC Health Serv Res 12:5. 2012 present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry...
  62. ncbi Reversal of the British trends in place of death: time series analysis 2004-2010
    Barbara Gomes
    King s College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, London, UK
    Palliat Med 26:102-7. 2012
    ..Secular trends towards an institutionalised dying have been reported in Britain and other developed world regions...
  63. ncbi Assessing depression following two ancient Indian interventions: effects of yoga and ayurveda on older adults in a residential home
    Manjunath Nandi Krishnamurthy
    Division of Life Sciences, Swami Vivekananda Yoga University, Bangalore, India
    J Gerontol Nurs 33:17-23. 2007
    ..001, paired t-test). The other groups showed no change. Hence, an integrated approach of yoga including the mental and philosophical aspects in addition to the physical practices was useful for institutionalized older persons...
  64. ncbi Determinants of nutritional status of older people in long-term care settings on the example of the nursing home in Białystok
    Z B Wojszel
    Department of Geriatrics, Medical University of Białystok, ul Fabryczna 27, 15 471 Białystok, Poland
    Adv Med Sci 51:168-73. 2006
    ..The aim of the study was the assessment of the nutritional status of older people living in the chosen long-term care setting in Poland as well as the determinants having an effect on the nutritional status of the examined subjects...
  65. ncbi Effects of food fortification on nutritional and functional status in frail elderly nursing home residents at risk of malnutrition
    Christine Smoliner
    Medizinische Klinik mit Schwerpunkt Gastroenterologie, Hepatologie und Endokrinologie, Charite Universitatsmedizin Berlin, Berlin, Germany
    Nutrition 24:1139-44. 2008
    ..In this study we evaluated the effect of a 12-wk nutritional intervention with fortified food on nutritional and functional status in nursing home residents at risk of malnutrition...
  66. ncbi Organizational relationships between nursing homes and hospitals and quality of care during hospital-nursing home patient transfers
    Kenneth S Boockvar
    Geriatrics Research, Education, and Clinical Center, J J Peters Veterans Affairs Medical Center, Bronx, New York 10468, USA
    J Am Geriatr Soc 55:1078-84. 2007
    ..To identify organizational factors and hospital and nursing home organizational relationships associated with more-effective processes of care during hospital-nursing home patient transfer...
  67. ncbi Effect of refractive error correction on health-related quality of life and depression in older nursing home residents
    Cynthia Owsley
    Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, 700 S 18th St, Ste 609, Birmingham, AL 35294 0009, USA
    Arch Ophthalmol 125:1471-7. 2007
    ..To examine the effect of treating uncorrected refractive error through spectacle correction on vision-targeted health-related quality of life and depressive symptoms in nursing home residents...
  68. pmc Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial
    Jane Fossey
    Oxford University and Oxford Mental Healthcare Trust, Oxford
    BMJ 332:756-61. 2006
    ..To evaluate the effectiveness of a training and support intervention for nursing home staff in reducing the proportion of residents with dementia who are prescribed neuroleptics...
  69. ncbi Nutritional formula improved immune profiles of seniors living in nursing homes
    Bobbi Langkamp-Henken
    Food Science and Human Nutrition Department, University of Florida, Gainesville, Florida, USA
    J Am Geriatr Soc 54:1861-70. 2006
    ..To assess whether an experimental nutritional formula (EXP) supports immune function in seniors living in long-term care facilities...
  70. ncbi Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes
    Kilian Rapp
    Department of Clinical Gerontology, Robert Bosch Hospital, Stuttgart, Germany
    J Am Med Dir Assoc 13:187.e1-6. 2012
    Falls and fall-related injuries are leading problems in residential aged care facilities. The objective of this study was to provide descriptive data about falls in nursing homes.
  71. pmc Adjustment of nursing home quality indicators
    Richard N Jones
    Institute for Aging Research, Hebrew SeniorLife, Boston MA, USA
    BMC Health Serv Res 10:96. 2010
    ..The goal of obtaining a valid facility-level estimate of true quality of care should include adjustment for resident- and facility-level sources of variability...
  72. ncbi The status of vitamins B6, B12, folate, and of homocysteine in geriatric home residents receiving laxatives or dietary fiber
    B Sturtzel
    Department of Nutritional Sciences, University of Vienna, Althanstrasse 14, A 1090 Vienna, Austsria
    J Nutr Health Aging 14:219-23. 2010
    ..Vitamin B12 deficiency as a digestive disorder and constipation as a gastro motility disorder are common in the elderly. Laxative treatment is often chosen without regard for gut health...
  73. ncbi Stopping antipsychotic drug therapy in demented nursing home patients: a randomized, placebo-controlled study--the Bergen District Nursing Home Study (BEDNURS)
    Sabine Ruths
    Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway
    Int J Geriatr Psychiatry 23:889-95. 2008
    ..Despite modest efficacy, unpredictable individual utility, and a high rate of adverse effects, behavioural and psychological symptoms of dementia (BPSD) are common determinants for antipsychotic drug therapy in nursing home patients...
  74. ncbi ART and conventional root restorations in elders after 12 months
    E C M Lo
    Faculty of Dentistry, University of Hong Kong, 3 F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong SAR, China
    J Dent Res 85:929-32. 2006
    ..7% and 87.0% (p > 0.05). It is concluded that the survival rates of both types of root restorations were high and similar...
  75. pmc Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial
    Mark Loeb
    Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
    BMJ 331:669. 2005
    To assess whether a multifaceted intervention can reduce the number of prescriptions for antimicrobials for suspected urinary tract infections in residents of nursing homes.
  76. ncbi Informal care and health care use of older adults
    Courtney Harold Van Houtven
    Center for Health Services Research in Primary Care, The Durham Department of Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705 3897, USA
    J Health Econ 23:1159-80. 2004
    ..Instrumental variables (IV) estimation controls for the simultaneity of informal and formal care. Informal care reduces home health care use and delays nursing home entry...
  77. 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...
  78. ncbi Pneumonia in the very old
    Jean Paul Janssens
    Division of Lung Diseases and Department of Geriatrics, Geneva University Hospitals, Geneva, Switzerland
    Lancet Infect Dis 4:112-24. 2004
    ..NHAP tends to be much more severe, because milder cases are not referred to the hospital, and residents of nursing homes often suffer from dementia, multiple comorbidities, and decreased functional status...
  79. ncbi Prevalence and predictors of neuropsychiatric symptoms in cognitively impaired nursing home patients
    Sytse Zuidema
    Department of Nursing Home Medicine, Radboud University Nijmegen, Medical Centre, Nijmegen, The Netherlands
    J Geriatr Psychiatry Neurol 20:41-9. 2007
    ..The latter may have important consequences for staff planning and education and the future design of care facilities...
  80. ncbi Agitation in Dutch institutionalized patients with dementia: factor analysis of the Dutch version of the Cohen-Mansfield Agitation Inventory
    Sytse U Zuidema
    Department of Nursing Home Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Dement Geriatr Cogn Disord 23:35-41. 2007
    ..To establish the construct validity of the Dutch version of the Cohen-Mansfield Agitation Inventory (CMAI-D) in institutionalized patients with dementia...
  81. pmc Measuring client experiences in long-term care in the Netherlands: a pilot study with the Consumer Quality Index Long-term Care
    Mattanja Triemstra
    NIVEL, Netherlands Institute for Health Services Research, Otterstraat 118 124, 3513 CR Utrecht, The Netherlands
    BMC Health Serv Res 10:95. 2010
    ..This study aims to describe the development, testing and optimization of a new standard instrument, the Consumer Quality Index (CQ-index) Long-term Care, for measuring client experiences with long-term care in the Netherlands...
  82. ncbi Predictors of nursing home hospitalization: a review of the literature
    David C Grabowski
    Harvard Medical School, USA
    Med Care Res Rev 65:3-39. 2008
    ..Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies...
  83. ncbi Psychosocial treatments of psychological symptoms in dementia: a systematic review of reports meeting quality standards
    Daniel W O'Connor
    Department of Psychological Medicine, Monash University, Melbourne, Australia
    Int Psychogeriatr 21:241-51. 2009
    ..This paper provides a systematic review of selected experimental studies of the effectiveness of psychosocial treatments in reducing psychological symptoms in dementia (e.g. anxiety, depression, irritability and social withdrawal)...
  84. ncbi Everyday ethics in the care of elderly people
    Ingrid Agren Bolmsjö
    Department of Health Sciences, Box 157, Lund University, 221 00 Lund, Sweden
    Nurs Ethics 13:249-63. 2006
    ..An important conclusion that emerged from this study was the need for a structured tool for reflection...
  85. ncbi A multicomponent nonpharmacological intervention improves activity rhythms among nursing home residents with disrupted sleep/wake patterns
    Jennifer L Martin
    Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, USA
    J Gerontol A Biol Sci Med Sci 62:67-72. 2007
    ..Sleep and circadian rhythms are disrupted among many nursing home (NH) residents. We examined the impact of a multicomponent nonpharmacological intervention on 24-hour rest/activity rhythms among long-stay NH residents...
  86. ncbi Functional incidental training: a randomized, controlled, crossover trial in Veterans Affairs nursing homes
    Joseph G Ouslander
    Division of Geriatric Medicine and Gerontology, Department of Medicine, and the Center for Health in Aging, Emory University School of Medicine, Atlanta, Georgia 30329, USA
    J Am Geriatr Soc 53:1091-100. 2005
    To test the effects of a rehabilitative intervention directed at continence, mobility, endurance, and strength (Functional Incidental Training (FIT)) in older patients in Department of Veterans Affairs (VA) nursing homes.
  87. ncbi Where people die (1974--2030): past trends, future projections and implications for care
    Barbara Gomes
    Cicely Saunders International Department of Palliative Care, Policy and Rehabilitation, King s College London, London, UK
    Palliat Med 22:33-41. 2008
    ..We analysed past trends in place of death (1974-2003) and projected likely trends to 2030 in England and Wales and from these need for care...
  88. pmc Nursing homes as complex adaptive systems: relationship between management practice and resident outcomes
    Ruth A Anderson
    Duke University School of Nursing, Durham, North Carolina 27710, USA
    Nurs Res 52:12-21. 2003
    Despite numerous clinical and regulatory efforts, problems of poor quality of care in nursing homes continue, suggesting a need for effective management practices.
  89. ncbi Long-term care funding in Canada: a policy mosaic
    J P Hirdes
    Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada, N2L 3G1
    J Aging Soc Policy 13:69-81. 2001
    ..This paper examines different approaches to funding long-term care with a particular emphasis on the impacts of regionalization and of the implementation of case-mix-based funding systems...
  90. ncbi Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work
    Henry Brodaty
    School of Psychiatry, University of New South Wales, Randwick, New South Wales 2031, Australia
    J Adv Nurs 44:583-90. 2003
    Occupational and resident characteristics affect levels of staff stress and satisfaction in nursing homes, and levels of staff turnover are high...
  91. ncbi A randomized outcome evaluation of group exercise programs in long-term care institutions
    D A Lazowski
    The Centre for Activity and Ageing, The University of Western Ontario, London, Canada
    J Gerontol A Biol Sci Med Sci 54:M621-8. 1999
    Physical activity programs in nursing homes typically consist of seated, range of motion (ROM) exercises, regardless of resident abilities...
  92. ncbi Prevalence of neuropsychiatric symptoms in a large sample of Dutch nursing home patients with dementia
    Sytse U Zuidema
    Kalorama, Beek Ubbergen, The Netherlands
    Int J Geriatr Psychiatry 22:632-8. 2007
    To estimate the prevalence of neuropsychiatric symptoms of dementia patients in Dutch nursing homes.
  93. ncbi Randomized clinical trial of a quality improvement intervention in nursing homes
    M J Rantz
    Sinclair School of Nursing, University of Missouri Columbia, Columbia, MO 65211, USA
    Gerontologist 41:525-38. 2001
  94. ncbi Prospective surveillance for healthcare-associated infections in German nursing home residents
    S T Engelhart
    Institute of Hygiene and Public Health, University of Bonn, Sigmund Freud Str 25, 53105 Bonn, Germany
    J Hosp Infect 60:46-50. 2005
    ..Standardized surveillance in nursing homes is important to assess the effectiveness of infection control standards, and should be based on consensus ..
  95. ncbi A review of evidence on the reliability and validity of Minimum Data Set data
    J W Poss
    Department of Health Studies and Gerontology, University of Waterloo
    Healthc Manage Forum 21:33-9. 2008
    ..and validity of the Minimum Data Set (MDS) assessment, which is being used increasingly in Canadian nursing homes and continuing care facilities...
  96. ncbi An outreach geriatric medication advisory service in residential aged care: a randomised controlled trial of case conferencing
    Maria Crotty
    Flinders University Department of Rehabilitation and Aged Care, Repatriation General Hospital, Daws Road, Daw Park, South Australia 5041, Australia
    Age Ageing 33:612-7. 2004
    efficient strategies are needed to provide specialist advice in nursing homes to ensure quality medical care. We describe a case conference intervention involving a multidisciplinary team of health professionals.
  97. ncbi QUALIDEM: development and evaluation of a dementia specific quality of life instrument. Scalability, reliability and internal structure
    Teake P Ettema
    Department of Psychiatry Alzheimer Centre, Institute for Extramural Medicine EMGO, VU University Medical Centre Amsterdam, The Netherlands
    Int J Geriatr Psychiatry 22:549-56. 2007
    ..To develop a Quality of Life questionnaire rated by professionals that can be used for people with dementia in different stages of the disease, living in residential settings...
  98. pmc Leadership, staffing and quality of care in nursing homes
    Anders Kvale Havig
    Norwegian Social Research NOVA, Norway
    BMC Health Serv Res 11:327. 2011
    ..This study examines the effects of ward leaders' task- and relationship-oriented leadership styles, staffing levels, ratio of registered nurses and ratio of unlicensed staff on three independent measures of quality of care...
  99. ncbi Interventions to reduce hospitalizations from nursing homes: evaluation of the INTERACT II collaborative quality improvement project
    Joseph G Ouslander
    Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
    J Am Geriatr Soc 59:745-53. 2011
  100. ncbi Efficacy of a geriatrics team intervention for residents in dementia-specific assisted living facilities: effect on unanticipated transitions
    Sandra Bellantonio
    Baystate Medical Center Tufts University School of Medicine, Springfield, Massachusetts, USA
    J Am Geriatr Soc 56:523-8. 2008
    ..To determine whether a multidisciplinary team intervention minimizes unanticipated transitions from assisted living for persons with dementia...
  101. pmc Survival of aged nursing home residents with hip fracture
    Sarah D Berry
    Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA
    J Gerontol A Biol Sci Med Sci 64:771-7. 2009
    ..This study examined the effect of pre-fracture characteristics, hospital complications, and post-fracture complications on mortality in residents with hip fracture...

Research Grants89

  1. Durable Visible Light-activated Antivral Coatings for Fabrics Used for Personal P
    JOSEF STEPHAN SCHNEIDER; Fiscal Year: 2011
    ..In closed settings, [e.g., hospitals, child-care centers, military barracks, college dormitories, nursing homes] infections spread rapidly...
  2. OmpR and SsrB Regulation of Salmonella Virulence
    Linda J Kenney; Fiscal Year: 2013
    ..g. military bases, hospitals or nursing homes)...
  3. Development of a Wearable Passive Vibration Therapy System for the Lower Extremit
    JEFFREY MICHAEL LEISMER; Fiscal Year: 2010
    ..of debilitating health conditions such as those associated with limited or no mobility is especially high in nursing homes, assisted living centers, and hospitals...
  4. Breakthroughs to advance the in vitro propagation of human noroviruses
    Qiuhong Wang; Fiscal Year: 2010
    ..Severe and widespread outbreaks often necessitate the closing of schools, nursing homes and hospitals as the only means currently available for their control...
  5. Pharmacological Method to Accelerate Bone Fracture Healing
    J PATRICK O apos CONNOR; Fiscal Year: 2010
    ..In addition, severe muscle atrophy and prolonged stays at hospitals and rehabilitation or nursing homes are especially common in elderly and diabetic patients...
  6. Nontoxigenic Clostridium difficile as an Oral Vaccine for C. difficile Infection
    DALE NICHOLAS GERDING; Fiscal Year: 2013
    ..Veterans Health VA Medical Centers because of their elderly and often chronic patient populations coupled with nursing homes and long-term care facilities have had a disproportionate problem with C. difficile infection (CDI)...
  7. Effects of Non-Exercise Activity on Cognitive Function in the Elderly
    Teresa J Buracchio; Fiscal Year: 2011
    ..Veterans with dementia make greater use of inpatient services, VA-operated nursing homes, and VA sponsored home care services...
  8. Daily Mouth Care to Prevent Pneumonia in Nursing Homes: A Systems-Level Approach
    Sheryl Zimmerman; Fiscal Year: 2013
    ..We expect this project to result in a pragmatic, system-level, comprehensive mouth care program that can be widely adopted and sustained and which will result in fewer episodes of pneumonia and related cost savings. ..
  9. Epitope-specific vaccines targeting the alpha toxin of Staphylococcus aureus
    KEMP BAILEY CEASE; Fiscal Year: 2013
    ..provided by applicant): Staphylococcus aureus has become a multifaceted threat faced in our hospitals, our nursing homes, and increasingly, in our communities. In particular, methicillin-resistant S...
  10. A fully integrated assay and platform for detecting Clostridium difficile
    BRUCE D IRVINE; Fiscal Year: 2010
    ..substantially protect the health of the patient as well as reduce the risk of spread of CDAD in hospitals, nursing homes, and rehabilitation facilities. Most cases of remission are due to re-infection...
  11. Easy-to-Use, Low-Cost, Handheld Retinal Camera for Screening for Diabetic Retinop
    RANDAL CHINNOCK; Fiscal Year: 2009
    ..Settings include hospitals, nursing homes, life care facilities, prisons, schools, ambulances, military environments, clinics, and homes...
  12. Adipose-Derived Stromal/Stem Cell Therapy for Pressure Ulcers
    Xiying Wu; Fiscal Year: 2012
    ..prevention of pressure ulcers requires labor- intensive nursing care, patients in assisted living centers and nursing homes remain at high risk for developing pressure ulcers...
  13. Diabetic Foot and Pressure Ulcer Databank
    Harold Brem; Fiscal Year: 2009
    ..Many of these patients seek treatment in different settings including hospitals, nursing homes, and out patient wound centers...
  14. Training to Improve Late-Stage Dementia Care
    JOHN V HOBDAY; Fiscal Year: 2011
    ..deliver at least 70 percent of the care for those with ADRD at home without reimbursement instead of in nursing homes. Further, late-stage ADRD care is strongly associated with psychosocial costs to caregivers, who must respond ..
  15. Hands-Free Assistive Reading Technology for Persons with Disabilities
    IRENE SANDRA SCHIPPER; Fiscal Year: 2010
    ..This can enable the device to become convenient attachments to pianos, music stands, book stands, and exercise equipment, in addition to its role as an assistive technology in hospitals, nursing homes, and libraries.
  16. Targeted Infection Prevention (TIP) Program in Nursing Homes
    Lona Mody; Fiscal Year: 2013
    ..Our results will allow infection control practitioners, healthcare workers, clinicians, policy makers, legislatures, and consumers to better address antimicrobial resistance and infections in older adults in NHs. ..
  17. Maintenance of Skeletal Integrity in Frail Elders
    Susan L Greenspan; Fiscal Year: 2013
    ..Eleven nursing homes in the Pittsburgh area have agreed to participate...
  18. The Moderating Influence of Personality on Cognitive Stimulation Outcomes in Pers
    Nikki L Hill; Fiscal Year: 2013
    ..Subjects are recruied from five nursing homes in Pennsylvania with post-acute care services for rehabilitation following hospitalization...
  19. The Risk of Long-Term Care in Older Mexican-American Families
    Jacqueline L Angel; Fiscal Year: 2011 immigration factors;and (3) estimate the joint effect of family resources and immigration factors on use of nursing homes and assisted- living facilities by elderly Mexican Americans...
    Wayne A Ray; Fiscal Year: 2010
    ..minorities, persons with mental and somatic disabilities, the chronically ill, the elderly, and persons in nursing homes. Within these populations, we will conduct multi-disciplinary research and education programs with our ..
  21. Translating and Implementing Fall Prevention Research through Clinical Practice
    Fuzhong Li; Fiscal Year: 2011
    ..injuries cause significant premature mortality, disability, loss of independence, and early admission to nursing homes. This study will determine whether an evidence-based Tai Chi fall prevention program can be disseminated ..
  22. Wireless capnograph for respiratory function diagnosis and management
    ERICA SILVIA FORZANI; Fiscal Year: 2012
    ..They will work closely with physicians and nurses in nursing homes to develop the innovative technology and transform it into a high performance mobile device to address the ..
  23. MRSA in Nursing Homes: Predictors of Burden and Environmental Contamination
    COURTNEY ANN REYNOLDS; Fiscal Year: 2013
    ..While MRSA is a well-characterized pathogen in hospitals, relatively little is known about MRSA in nursing homes despite the fact that some nursing home studies have found that residents may be 3 to 5 times as likely to ..
    Kyriakos S Markides; Fiscal Year: 2013
    ..Given the advanced age of the sample, we expect to have sufficient numbers of subjects entering nursing homes and assisted living facilities to learn about factors leading to institutionalization...
  25. Oral Cancer Detection Methods in a Community Setting
    Taru Kinnunen; Fiscal Year: 2010
    ..collaboration with the Massachusetts Department of Public Health we plan to select in random a sample of 80 nursing homes and 80 free-meal sites across a diverse range of Massachusetts cities and towns to implement the screening...
  26. Patient-provider communication for patients with communication disorders
    CAROLYN RAE BAYLOR; Fiscal Year: 2013
    ..The prevalence of communication disorders is high among aging patients and in a number of settings including nursing homes, palliative care, and stroke units...
  27. Quality of Mental Health Care in Assisted Living
    QUINCY MILES SAMUS; Fiscal Year: 2013
    ..prevalent in the AL setting and are associated with a number of adverse outcomes including early discharge to nursing homes and poorer quality of life...
  28. An Evaluation of Vaccination Practices of Nursing Home Residents and Staff
    David H Howard; Fiscal Year: 2011
    ..the processes for offering, delivering, and documenting influenza vaccination for residents and staff at nursing homes, and identify barriers that may exist toward vaccinating residents and staff against seasonal influenza...
  29. A Monoclonal Cocktail for CDI
    ANDREW HIATT; Fiscal Year: 2012
    ..Clostridium difficile infection (CDI), a cause of significant morbidity and mortality in hospitals and nursing homes. The economic cost of CDI has been conservatively estimated at $1-3 billion per year in the U.S...
  30. A Measurement-to-Management Tool to Improve Dementia Care
    TONY XUYEN MA; Fiscal Year: 2010
    ..Two staff members in each of ten dementia care settings including skilled nursing homes, assisted living facilities, and adult day centers will be trained to use the system...
  31. Prevention of Nosocomial Infections and Cost Effectiveness in Nursing Homes
    Patricia W Stone; Fiscal Year: 2013
    DESCRIPTION (provided by applicant): Approximately 1.6 million Americans live in the nation's 16,000 nursing homes (NHs) and the "frail elderly" account for 90% of the residents...
  32. Quality of Care and Outcomes of Healthcare-Associated Pneumonia
    Peter K Lindenauer; Fiscal Year: 2012 risk for multi-drug resistant organisms due to past healthcare exposures such as recent hospitalizations, nursing homes, and dialysis units, and tend to have a high burden of co-morbid illnesses...
  33. Vitamin D Production by Sperti Lamp in Fat Malabsorption Patients
    JAMES GAMBLE SHEPHERD; Fiscal Year: 2010
    ..vitamin D producing fluorescent lamp not only for patients with malabsorption syndromes but also elderly in nursing homes and for children and adults who cannot be exposed to sunlight and have a difficult time taking a vitamin D ..
  34. Evaluation of a Pulsed-Xenon Ultraviolet Room Disinfection Device
    John Zeber; Fiscal Year: 2013
    ..Future applications include use in other VA inpatient settings and contract nursing homes where HAI presents a significant problem for aging veterans...
  35. A multilevel approach to understanding healthcare disparities in the nursing home
    LATARSHA CHISHOLM; Fiscal Year: 2009
    ..home residents'race, nursing home segregation and residential segregation influence quality of care in nursing homes. The dissimilarity index will be used to measure nursing home and residential segregation...
  36. A Randomized Controlled Trial to Reduce Pneumonia in Nursing Home Residents
    VINCENT JAMES QUAGLIARELLO; Fiscal Year: 2013 nursing home staff, in a cohort of residents with modifiable pneumonia risk factors, in New Haven, CT, area nursing homes. The primary hypothesis is that the multicomponent intervention will reduce the cumulative rate of pneumonia ..
  37. Monoclonal Antibodies for Alzheimer's Immunotherapy
    ANDREW HIATT; Fiscal Year: 2010
    ..AD is an increasingly important cause of morbidity and mortality in both hospital and long term nursing homes as well as in family environments...
  38. A sensor-based remote monitoring system to prevent falls in older adults
    DEBRA EVELYN KROTISH; Fiscal Year: 2011 workers available to care for an increasingly number of frail older adults, such a monitoring system has enormous potential for uptake by nursing homes, assisted living facilities, and other environments where older adults reside.
  39. Evaluating Pay for Performance and its Design: Evidence from Nursing Homes
    Rachel M Werner; Fiscal Year: 2012
    ..resources in the development and implementation of pay-for-performance programs for hospitals, physicians, nursing homes, and home health providers...
  40. Is acupuncture a viable alternative to medication in overactive bladder for an el
    Ilana Addis; Fiscal Year: 2013
    ..that is present in up to 30 percent of older community dwelling women and more than half of those living in nursing homes. This project will evaluate whether elderly women with OAB are willing to participate and adhere to treatment ..
  41. Survey and Test Platform for Use in Underserved Populations
    Gislin Dagnelie; Fiscal Year: 2012
    ..of tests and survey instruments in settings ranging from living rooms to libraries, from community centers to nursing homes, and from inner cities and rural counties in the US to locations throughout the developing world...
  42. UTI in Nursing Home Residents: Research Training and Clinical Investigation
    Manisha Juthani-Mehta; Fiscal Year: 2012
    ..3) to obtain skills in clinical trial design, geriatric medicine, and infection control methodology in nursing homes that will be necessary for future studies...
  43. VA Post-Stroke Rehabilitation: Comparing Institutional Long-Term Care Settings
    Huanguang Jia; Fiscal Year: 2013
    ..3,900 and 14,100 Veterans reside in VA community living centers (CLCs) and VA per diem contracted community nursing homes (CNHs) for post-stroke care, respectively...
  44. Computerized Assessment by Remote Examiner System (CARES)
    JAMES P O'HALLORAN; Fiscal Year: 2011
    ..broadly include clinical evaluation units at hospitals, managed care facilities, group practice sites, nursing homes, correctional facilities, regional health clinics, and in patient's homes, in both rural and metropolitan ..
  45. Functional Recovery in Post-Acute Care
    Susan E Hardy; Fiscal Year: 2012
    ..If older adults admitted to nursing homes for additional post-acute care are still medically unstable, confused, and depressed from their acute illness, ..
  46. Neglected By The Evidence: The Intersection of Medical Complexity and Dementia
    Lori A Daiello; Fiscal Year: 2013
    ..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 ..
  47. Anticholinergics and Cognitive Decline in the Elderly with Depression
    Rajender R Aparasu; Fiscal Year: 2013
    ..These conditions are a major source of morbidity and health care burden in nursing homes that significantly affect patients'quality of life...
  48. The Value of Long-Term Care Insurance to Married and Single Persons
    Michael D Hurd; Fiscal Year: 2013
    ..spending that cover such health-related components as out-of-pocket spending on health care, long-term care in nursing homes, and LTCI...
  49. Advancing Long -Term Care Research by Linking HRS and LTC Focus
    Vincent Mor; Fiscal Year: 2013
    ..usefulness to date in understanding provider behavior and documenting temporal and geographic variation in US nursing homes, a whole new class of questions could be addressed were the data linked with individual level data...
  50. 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.
  51. Cranberry Capsules for Prevention of UTI in Nursing Home Residents
    Manisha Juthani-Mehta; Fiscal Year: 2013
    ..The setting will be 10 Connecticut nursing homes from which participants will be recruited...
  52. Implementing and Evaluating INTERACT in VA CLCs
    Vincent Mor; Fiscal Year: 2013
    DESCRIPTION (provided by applicant): Transfers from nursing homes (NHs) or community living centers (CLCs) to hospitals place residents at risk for iatrogenic events, disruptions in care, disorientation, stress and increase costs...
  53. Portable Instrument For Assessing Zinc Deficiency In Children and The Elderly
    Christopher J Frederickson; Fiscal Year: 2013
    ..the instruments we develop can certainly be field-portable and easily used in schools, clinics, exam rooms, nursing homes, or mobile "health-Fair" units...
  54. Organizational Factors and the Delivery of Nursing Home Care
    DAVID GEORGE STEVENSON; Fiscal Year: 2013
    ..scope and relevance of nursing home chain ownership in the United States;ii) the delivery of hospice care in nursing homes;and iii) the growing role of post-acute care in nursing homes...
  55. Moral Hazard and Long-Term Care Insurance
    RITA TAMARA KONETZKA; Fiscal Year: 2013
    ..A broader perspective, including all nursing home use and especially favorable alternatives to nursing homes, such as home care, is required in order to capture fully the extent of moral hazard...
  56. Reduction in medication administration and charting errors in nursing facilities
    ALAN J JACOBS; Fiscal Year: 2013
    ..We propose to implement, test and evaluate the IdentRx system for medication administration and charting in nursing homes. We hypothesize that the IdentRx system will reduce both medication administration errors and charting errors ..
  57. Nursing Home Compare: Predictors and Impact of Differing Organizational Response
    Jennifer Meagher; Fiscal Year: 2010
    ..Determine whether NHC has had a different impact on nursing homes that serve higher proportions of black elders compared to facilities serving predominantly white residents...
  58. Improving Quality of Care for Nursing Home Residents with Dementia
    RITA TAMARA KONETZKA; Fiscal Year: 2012
    ..b>Nursing homes are a major site of care for persons with dementia, but the nursing home sector has been plagued with quality ..
  59. Improving Dementia Caregiver Sleep and The Effect on Heart Disease Biomarkers
    Meredeth A Rowe; Fiscal Year: 2013 in research aiming to reduce the trend of PWD caregiver mortality and CHD as well as PWD placement in nursing homes. A longer study would then be proposed to determine how to deliver effective sleep therapies to sustain ..
  60. PillStream: Agile High-Throughput Assembly of Custom Multi-Medication Packaging
    EDWARD ACWORTH; Fiscal Year: 2012
    ..Another unnecessary cost, estimated at $5 billion in US nursing homes alone, arises from medications that are wasted due to prescription changes and patient turnover...
  61. Cost-Effectiveness of Weight Loss Prevention in Nursing Homes: A Controlled Trial
    Sandra F Simmons; Fiscal Year: 2012
    ..These outcomes will be independently monitored for all three groups across 24-weeks by trained research staff using standardized, validated protocols. ..
  62. Outbreak detection:combinatorial tests for small samples
    SCOTT D FERSON; Fiscal Year: 2010
    In delimited populations, such as nursing homes, day care centers, prisons, hospitals, and cruise ships, serious outbreaks of illness generally produce small absolute numbers of disease incidence...
  63. Micro-patterned surfaces for reducing the risk of catheter-associated UTI
    SHRAVANTHI REDDY; Fiscal Year: 2009
    ..UTI) is the most common type of nosocomial infection, accounting for over 40% of infections in hospitals and nursing homes. Some 95% of UTIs are associated with urinary catheters, and these catheter-associated UTIs account for an ..
    Kate Lapane; Fiscal Year: 2001
    DESCRIPTION: (Applicant's Abstract) Using individual level data on all residents of all U.S. nursing homes in five states collected for the Health Care Financing Administration (HCFA) Multistate Nursing Home Case-mix and Quality ..
  65. The Sexual Abuse of Vulnerable Adults in Institutions
    Pamela Teaster; Fiscal Year: 2006 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...
    Robert Wallace; Fiscal Year: 1993
    ..Among the elderly in nursing homes, falls account for more than 90% of reported injuries and 60% of those who sustain fractures die shortly ..
    Sarah Myers; Fiscal Year: 2003
    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...
  68. Market and Provider Effects on Hospice in Nursing Homes
    Pedro Gozalo; Fiscal Year: 2004
    DESCRIPTION (Provided by Applicant): Despite the rapid growth of hospice in nursing homes (NHs) and its benefits, NH residents constitute a vulnerable population facing access barriers to hospice beyond those experienced by persons in ..
  69. Technology to Improve Medication Safety in Nursing Homes
    Jill Scott Cawiezell; Fiscal Year: 2004
  70. Selection and the Quality Impact of Nursing Home Ownership
    David C Grabowski; Fiscal Year: 2010
    The quality of care delivered to frail elders residing in nursing homes remains an important and perplexing issue in American health policy...
  71. Improving Pressure Ulcer Care in Nursing Homes
    Barbara Bates Jensen; Fiscal Year: 2006
    ..a quality assessment (QA) system for monitoring pressure ulcer (PU) care processes, into practice in nursing homes (NHs)...
  72. Shaping Long-Term Care in America
    Vincent Mor; Fiscal Year: 2012
    ..The long term care industry -- nursing homes, home health agencies, assisted living and various forms of day care programming - has evolved in response to ..
  73. Nurse Staffing & Nursing Care Quality in Nursing Homes
    THOMAS WAN; Fiscal Year: 2006
    ..It is unclear how those staff changes may have affected nursing homes' quality of care...
  74. State Policies and Hospitalizations from Nursing Homes
    Vincent Mor; Fiscal Year: 2004
    ..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 ..
    Nancy Watson; Fiscal Year: 1999 important concern to the quality of life and well- being of many Americans living in the community and in nursing homes. It is estimated that more than half a million nursing home residents have UI...
    Nicholas Castle; Fiscal Year: 2004
    ..In 1989, it was estimated that 44 percent of all residents in nursing homes were physically restrained...
  77. An Assistive Wardrobe to Support Dressing Independence
    Margaret Calkins; Fiscal Year: 2003
    ..MDS data indicate that over 80% of individuals in nursing homes are unable to dress independently with verbal prompts, and over 55% of individuals in assisted living also ..
  78. Implementation of Resident-Centered Care
    MELANIE KRAUSE; Fiscal Year: 2009 stakeholders as a promising strategy for achieving higher quality of care and quality of life in nursing homes (NHs)...
    Jay Magaziner; Fiscal Year: 2005
    ..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...
  80. Staffing Characteristics of Nursing Homes and Quality
    Nicholas Castle; Fiscal Year: 2008 the Applicant): It is possible that much can be learned from examining the effect of workforce factors in nursing homes, given the almost intransigent low quality seen in many of these facilities...
  81. The Influence of Staff Turnover on Quality
    Nicholas Castle; Fiscal Year: 2007
    ..Indeed, staff turnover in nursing homes is often used as a quality indicator...
    Nicholas Castle; Fiscal Year: 2005
    ..validity assessment has recently been identified for Nursing Home Compare (NHC) - a national report card for nursing homes. With the exception of a recent GAO report describing this initiative, we could not identify any research on ..
    Nicholas Castle; Fiscal Year: 2008
    ..unreadable] Further research is necessary on the current practice of how incidents are evaluated in nursing homes. Moreover, in order to improve how incidents are reported and analyzed for quality improvement, the role ..
  84. Nursing Home Care Research and Capacity-Building in China
    NING JACKIE contact ZHANG; Fiscal Year: 2010
    ..Our research team believes that the research methods and findings developed in US nursing homes will benefit China...
    Nancy Watson; Fiscal Year: 2002
    ..of a new model of care to translate the AHCPR Urinary Incontinence (UI) Guideline into practice in nursing homes. The model will utilize nurse practitioners in nursing homes to implement a carefully designed and focused ..
  86. Organizational Culture and Quality of Life in Nursing Homes: A Qualitative Study
    Miriam Ryvicker; Fiscal Year: 2006 the applicant): This dissertation examines the effects of organizational culture on quality of life in two nursing homes. Previous ethnographic studies of nursing homes suggest that the bureaucratic regulations meant to improve ..
  87. Health Information Technology in the Nursing Home
    Jerry Gurwitz; Fiscal Year: 2006
    ..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 ..
    VERONICA ENGLE; Fiscal Year: 2000
    ..Little is known about these at-risk residents, although their numbers are increasing and 29% of adults die in nursing homes. All nursing homes now use the Minimum Data Set (MDS) to assess and direct care planning, but it is not known ..
    Andrew Foster; Fiscal Year: 1999
    ..This application examines the process by which aging individuals in need of long-term care are allocated to nursing homes and the implications of the selection process for the evaluation of the effects of individual and nursing home ..