Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Home Care Agencies: Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed)Accidents, HomeHome Care Services, Hospital-Based: Hospital-sponsored provision of health services, such as nursing, therapy, and health-related homemaker or social services, in the patient's home. (Hospital Administration Terminology, 2d ed)Hemodialysis, Home: Long-term maintenance hemodialysis in the home.Home Childbirth: Childbirth taking place in the home.Home Health Aides: Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202)Housing: Living facilities for humans.House Calls: Visits to the patient's home by professional personnel for the purpose of diagnosis and/or treatment.Group Homes: Housing for groups of patients, children, or others who need or desire emotional or physical support. They are usually established as planned, single housekeeping units in residential dwellings that provide care and supervision for small groups of residents, who, although unrelated, live together as a family.Home Infusion Therapy: Use of any infusion therapy on an ambulatory, outpatient, or other non-institutionalized basis.Parenteral Nutrition, Home: The at-home administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered via a route other than the alimentary canal (e.g., intravenously, subcutaneously).Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Air Pollution, Indoor: The contamination of indoor air.Home Health Nursing: A nursing specialty in which skilled nursing care is provided to patients in their homes by registered or licensed practical NURSES. Home health nursing differs from HOME NURSING in that home health nurses are licensed professionals, while home nursing involves non-professional caregivers.Foster Home Care: Families who care for neglected children or patients unable to care for themselves.United StatesCommunity Health Nursing: General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Residential Facilities: Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Housing for the Elderly: Housing arrangements for the elderly or aged, intended to foster independent living. The housing may take the form of group homes or small apartments. It is available to the economically self-supporting but the concept includes housing for the elderly with some physical limitations. The concept should be differentiated from HOMES FOR THE AGED which is restricted to long-term geriatric facilities providing supervised medical and nursing services.Nurses' Aides: Allied health personnel who assist the professional nurse in routine duties.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Homing Behavior: Instinctual patterns of activity related to a specific area including ability of certain animals to return to a given place when displaced from it, often over great distances using navigational clues such as those used in migration (ANIMAL MIGRATION).Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Institutionalization: The caring for individuals in institutions and their adaptation to routines characteristic of the institutional environment, and/or their loss of adaptation to life outside the institution.Tobacco Smoke Pollution: Contamination of the air by tobacco smoke.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Environmental Exposure: The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals.Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Protective Devices: Devices designed to provide personal protection against injury to individuals exposed to hazards in industry, sports, aviation, or daily activities.Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Dementia: An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.Housekeeping: The care and management of property.Hospices: Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Accidental Falls: Falls due to slipping or tripping which may result in injury.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Dust: Earth or other matter in fine, dry particles. (Random House Unabridged Dictionary, 2d ed)Family: A social group consisting of parents or parent substitutes and children.Safety: Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.Dependency (Psychology): The tendency of an individual or individuals to rely on others for advice, guidance, or support.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Household Articles: Various material objects and items in the home. It includes temporary or permanent machinery and appliances. It does not include furniture or interior furnishings (FURNITURE see INTERIOR DESIGN AND FURNISHINGS; INTERIOR FURNISHINGS see INTERIOR DESIGN AND FURNISHINGS).Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Social Environment: The aggregate of social and cultural institutions, forms, patterns, and processes that influence the life of an individual or community.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)EnglandInfant, Newborn: An infant during the first month after birth.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Homebound Persons: Those unable to leave home without exceptional effort and support; patients (in this condition) who are provided with or are eligible for home health services, including medical treatment and personal care. Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not indicate an ability to receive health care in a professional's office or health care facility. (From Facts on File Dictionary of Health Care Management, 1988, p309)Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Heating: The application of heat to raise the temperature of the environment, ambient or local, or the systems for accomplishing this effect. It is distinguished from HEAT, the physical property and principle of physics.Accident Prevention: Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations.Midwifery: The practice of assisting women in childbirth.Family Characteristics: Size and composition of the family.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Blood Pressure Monitoring, Ambulatory: Method in which repeated blood pressure readings are made while the patient undergoes normal daily activities. It allows quantitative analysis of the high blood pressure load over time, can help distinguish between types of HYPERTENSION, and can assess the effectiveness of antihypertensive therapy.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Patient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Parenteral Nutrition, Home Total: The at-home administering of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously or by some other non-alimentary route.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Time Factors: Elements of limited time intervals, contributing to particular results or situations.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Nursing Services: A general concept referring to the organization and administration of nursing activities.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Architectural Accessibility: Designs for approaching areas inside or outside facilities.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Nursing Assessment: Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Mothers: Female parents, human or animal.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Floors and Floorcoverings: The surface of a structure upon which one stands or walks.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Health Facilities, Proprietary: Health care institutions operated by private groups or corporations for a profit.Pressure Ulcer: An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure.Self-Help Devices: Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Child Welfare: Organized efforts by communities or organizations to improve the health and well-being of the child.Insurance, Long-Term Care: Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.Monitoring, Ambulatory: The use of electronic equipment to observe or record physiologic processes while the patient undergoes normal daily activities.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Great BritainLongitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.FiresHealth Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Centers for Medicare and Medicaid Services (U.S.): A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.Environment: The external elements and conditions which surround, influence, and affect the life and development of an organism or population.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Infant Care: Care of infants in the home or institution.Environmental Monitoring: The monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the environment (soil, air, and water), workplace, or in the bodies of people and animals present in that environment.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Firearms: Small-arms weapons, including handguns, pistols, revolvers, rifles, shotguns, etc.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Independent Living: A housing and community arrangement that maximizes independence and self-determination.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Interior Design and Furnishings: The planning of the furnishings and decorations of an architectural interior.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Intermediate Care Facilities: Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Psychomotor Agitation: A feeling of restlessness associated with increased motor activity. This may occur as a manifestation of nervous system drug toxicity or other conditions.Death: Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.New YorkChild Health Services: Organized services to provide health care for children.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Telemetry: Transmission of the readings of instruments to a remote location by means of wires, radio waves, or other means. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Delivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Household Products: Substances or materials used in the course of housekeeping or personal routine.Northern IrelandOccupational Therapy: Skilled treatment that helps individuals achieve independence in all facets of their lives. It assists in the development of skills needed for independent living.Community Health Workers: Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.Child Care: Care of CHILDREN in the home or in an institution.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Blood Pressure Determination: Techniques for measuring blood pressure.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Oxygen Inhalation Therapy: Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Nursing Evaluation Research: Research carried out by nurses that uses interviews, data collection, observation, surveys, etc., to evaluate nursing, health, clinical, and nursing education programs and curricula, and which also demonstrates the value of such evaluation.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Asthma: A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).Parent-Child Relations: The interactions between parent and child.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Nurse Midwives: Professional nurses who have received postgraduate training in midwifery.Durable Medical Equipment: Devices which are very resistant to wear and may be used over a long period of time. They include items such as wheelchairs, hospital beds, artificial limbs, etc.Organizations, Nonprofit: Organizations which are not operated for a profit and may be supported by endowments or private contributions.Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.

The economic value of informal caregiving. (1/446)

This study explores the current market value of the care provided by unpaid family members and friends to ill and disabled adults. Using large, national data sets we estimate that the national economic value of informal caregiving was $196 billion in 1997. This figure dwarfs national spending for formal home health care ($32 billion) and nursing home care ($83 billion). Estimates for five states also are presented. This study broadens the issue of informal caregiving from the micro level, where individual caregivers attempt to cope with the stresses and responsibilities of caregiving, to the macro level of the health care system, which must find more effective ways to support family caregivers.  (+info)

Alzheimer's disease in the United Kingdom: developing patient and carer support strategies to encourage care in the community. (2/446)

Alzheimer's disease is a growing challenge for care providers and purchasers. With the shift away from the provision of long term institutional care in most developed countries, there is a growing tendency for patients with Alzheimer's disease to be cared for at home. In the United Kingdom, this change of direction contrasts with the policies of the 1980s and 90s which focused more attention on controlling costs than on assessment of the needs of the patient and carer and patient management. In recent years, the resources available for management of Alzheimer's disease have focused on institutional care, coupled with drug treatment to control difficult behaviour as the disease progresses. For these reasons, the current system has led to crisis management rather than preventive support--that is, long term care for a few rather than assistance in the home before the crises occur and institutional care is needed. Despite recent innovations in the care of patients with Alzheimer's disease, the nature of the support that patients and carers receive is poorly defined and sometimes inadequate. As a result of the shift towards care in the community, the informal carer occupies an increasingly central role in the care of these patients and the issue of how the best quality of care may be defined and delivered is an issue which is now ripe for review. The objective of this paper is to redefine the type of support that patients and carers should receive so that the disease can be managed more effectively in the community. The needs of patients with Alzheimer's disease and their carers are many and this should be taken into account in defining the quality and structure of healthcare support. This paper shows how new initiatives, combined with recently available symptomatic drug treatment, can allow patients with Alzheimer's disease to be maintained at home for longer. This will have the dual impact of raising the quality of care for patients and improving the quality of life for their carers. Moreover, maintaining patients in a home environment will tend to limit public and private expenditure on institutional care due to a possible delay in the need for it.  (+info)

Do social factors affect where patients die: an analysis of 10 years of cancer deaths in England. (3/446)

BACKGROUND: This study investigated whether indices of social deprivation were related to the proportion of cancer patients who died at home. METHODS: Data were derived from death registrations for all cancer deaths 1985-1994 in England. Two indices of deprivation (Underprivileged Area Score (UPA), or Jarman, and Townsend scores) were calculated for each electoral ward; 1991 Census data were used. The scores use combinations of variables, including the percentage in overcrowded homes, the percentage of elderly people living alone, the percentage of one-parent families, etc. A high score indicates more deprivation. The main outcome measures were the proportion (in five and ten year averages) of cancer deaths which occurred at home, calculated for every electoral ward (with populations usually ranging from 5000 to 11,000). Spearman rho was used to test for correlations between the proportion of cancer deaths at home and deprivation score. Electoral wards were categorized by deprivation score into three groups of equal size and analysed over 10 years. Multivariate analysis was used to determine the relative association of different patient based and electoral ward variables with cancer death at home. p < 0.05 (two-tailed) was taken as significant. RESULTS: There were over 1.3 million death registrations from cancer in the 10 years. The proportion who died at home was 0.27, in hospital 0.47, and other setting 0.26. There were wide variations (0.05-0.75) in the proportion of people who died at home in different electoral wards. Small inverse correlations were found between the percentage who died at home and the UPA (-0.35; p < 0.001) and Townsend (-0.26; p < 0.001) scores. The correlations were greatest in North Thames (-0.63, UPA) and smallest in West Midlands (-0.20, UPA). The proportion of home deaths for the different bands of deprivation were: 0.30 (low deprivation), 0.27 (middle deprivation) and 0.24 (high deprivation). Plotting the trends over 10 years suggests no change in this relationship. Multiple regression analysis predicted several ward and patient characteristics and accounted for 30 per cent of the variation. Increased age (patient variable), Jarman score and ethnic minorities (both ward variables) were associated with fewer patients dying at home. Being male and having cancer of the digestive organs were associated with home death. CONCLUSION: There are wide variations in the percentage of cancer deaths at home in different electoral wards. Social factors are inversely correlated with home cancer death, and may explain part of this variation. Home care in deprived areas may be especially difficult to achieve.  (+info)

Children with cystic fibrosis benefit from massage therapy. (4/446)

OBJECTIVE: To measure the effects of parents giving massage therapy to their children with cystic fibrosis to reduce anxiety in parents and their children and to improve the children's mood and peak air flow readings. METHODS: Twenty children (5-12 years old) with cystic fibrosis and their parents were randomly assigned to a massage therapy or a reading control group. Parents in the treatment group were instructed and asked to conduct a 20-minute child massage every night at bedtime for one month. Parents in the reading control group were instructed to read for 20 minutes a night with their child for one month. On days 1 and 30, parents and children answered questions relating to present anxiety levels and children answered questions relating to mood, and their peak air flow was measured. RESULTS: Following the first and last massage session, children and parents reported reduced anxiety. Mood and peak air flow readings also improved for children in the massage therapy group. CONCLUSIONS: These findings suggest that parents may reduce anxiety levels by massaging their children with cystic fibrosis and their children may benefit from receiving massage by having less anxiety and improved mood, which in turn may facilitate breathing.  (+info)

Experiences of hospital care and treatment seeking for pain from sickle cell disease: qualitative study. (5/446)

OBJECTIVE: To investigate how sociocultural factors influence management of pain from sickle cell disease by comparing the experiences of those who usually manage their pain at home with those who are more frequently admitted to hospital for management of their pain. DESIGN: Qualitative analysis of semistructured individual interviews and focus group discussions. PARTICIPANTS: 57 participants with genotype SS or S/beta-thal (44 subjects) or SC (9) (4 were unknown). 40 participants took part in focus groups, six took part in both focus groups and interviews, and nine were interviewed only. Participants were allocated to focus groups according to number of hospital admissions for painful crisis management during the previous year, ethnic origin, and sex. RESULTS: The relation between patients with sickle cell disease and hospital services is one of several major non-clinical dimensions shaping experiences of pain management and behaviour for seeking health care. Experiences of hospital care show a range of interrelated themes, which are common to most participants across variables of sex, ethnicity, and hospital attended: mistrust of patients with sickle cell disease; stigmatisation; excessive control (including both over- and undertreatment of pain); and neglect. Individuals respond to the challenge of negotiating care with various strategies. Patients with sickle cell disease who are frequently admitted to hospital may try to develop long term relationships with their carers, may become passive or aggressive in their interactions with health professionals, or may regularly attend different hospitals. Those individuals who usually manage their pain at home express a strong sense of self responsibility for their management of pain and advocate self education, assertiveness, and resistance as strategies towards hospital services. CONCLUSIONS: The current organisation and delivery of management of pain for sickle cell crisis discourage self reliance and encourage hospital dependence. Models of care should recognise the chronic nature of sickle cell disorders and prioritise patients' involvement in their care.  (+info)

Where are the missing elders? The decline in nursing home use, 1985 and 1995. (6/446)

Findings from the 1995 National Nursing Home Survey suggest that elderly Americans are reducing their use of nursing home care. The numbers reflect a change in the role of the nursing home, as defined in this survey. By 1995 nursing facilities were increasingly focusing on patients with greater disability and postacute care needs. Preferred alternatives, most notably home-delivered care and assisted living, were likely filling the gap left by declining nursing home use. Better population-based studies are needed to track emerging trends and ascertain whether elders with disabilities are receiving the care they need. Such data could inform development of better public and private financing strategies for long-term care.  (+info)

Home case management of malaria: an ethnographic study of lay people's classification of drugs in Suneka division, Kenya. (7/446)

Lay people in malaria-affected regions frequently have to choose from many over-the-counter malaria management drugs, requiring them to be able to identify these medications and distinguish between them. Lay people make these distinctions at two levels - age of the patient and the whether he or she has fever, pain or malaria. Sometimes decisions are based on incorrect information given by friends and relatives, causing prolonged suffering to the patient, exacerbating chloroquine resistance and leading to resistance to the sulfodoxine/pyrymethamine drugs now recommended as first-line treatment in Kenya.  (+info)

Awareness of urban slum mothers regarding home management of diarrhoea and symptoms of pneumonia. (8/446)

A total of 635 mothers of under five children from urban slum area of Nanded city were assessed to know their awareness about home management of diarrhoea and symptoms of pneumonia. 48.5% of the mothers were unaware of any method of rehydrating the child with diarrhoea at home level followed by 36.2% mothers who were knowing home available fluids for rehydrating the child. 50.4% of the mothers were not knowing a single symptom of pneumonia followed by 35.1% mothers who were aware rapid abdominal movements (Pet Udna) as a symptom of pneumonia.  (+info)

  • The recommendations, in part, set up guidelines for general visitation at nursing homes and assisted living facilities and would allow visitors to enter buildings without being tested for COVID-19, a move that was criticized by the senior-advocacy group AARP Florida. (
  • While Florida clamped down on visitation during the early days of the pandemic, pressure has been building to again allow family members to be able to visit nursing homes and other senior centers. (
  • Gov. Rick Scott called on Florida emergency workers to immediately check on all nursing homes to make sure patients are safe, and he vowed to punish anyone found culpable in the deaths. (
  • Not counting the nursing home deaths, at least 17 people in Florida have died under Irma-related circumstances, and six more in South Carolina and Georgia, many of them well after the storm had passed. (
  • As of 2016, Florida had about 680 nursing homes. (
  • Medical staff at the Memorial Regional Hospital in Hollywood, Florida described the scene as patients from a nearby nursing home arrived in the early morning hours after eight patients died days after Hurricane Irma. (
  • HOLLYWOOD, Fla./SAN JUAN, Puerto Rico (Reuters) - Florida Governor Rick Scott vowed on Wednesday that the state would aggressively investigate how six people died at a nursing home that lost power when Hurricane Irma rampaged through the region, as millions coped with another day without electricity. (
  • Some 4.2 million homes and businesses, or about 9 million people, were without power on Wednesday in Florida and nearby states. (
  • Florida Power & Light said it had provided power to some parts of the Hollywood nursing home but that the facility was not on a county top tier list for emergency power restoration. (
  • The Florida Keys were particularly hard hit, with federal officials saying that 25 percent of homes were destroyed and 65 percent suffered major damage when Irma barreled ashore on Sunday as a Category 4 hurricane. (
  • Police are investigating four deaths at an Edinburgh nursing home. (
  • The force said it was now investigating four deaths at the Bupa-run home, which has been ordered to carry out a series of improvements by the regulator. (
  • The Crown Office and Procurator Fiscal Service (COPFS) has confirmed that it is studying reports relating to deaths at the home of three women and a 75-year-old man. (
  • These newly added measures will be reported on Nursing Home Compare, but will not be incorporated into the methodology to compute nursing home star ratings until July 2016. (
  • These recommendations supplement the CDC's Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings and are specific for nursing homes, including skilled nursing facilities. (
  • most prominent nursing home operators in exchange for access to a lucrative pool of patients, according to federal investigative reports obtained by the Tribune. (
  • For-profit nursing home operators are using scare tactics to persuade psychiatric patients to stay in the facilities instead of moving into supportive community housing, according to court papers filed by the American Civil Liberties Union and other legal advocates for the mentally ill. (
  • The increased challenge for nursing home patients is the different level of staffing seen in nursing homes. (
  • October 11, 2011 - The use of antidementia drugs may give patients an extra year at home and delay admission to nursing homes, new research confirms. (
  • A cautious interpretation of this study is that in an observational sample it appears that consistent use of cholinesterase inhibitors is associated with temporary delay in admission to a nursing home, and as published previously, more patients on the drugs were alive at the end of the 4-year observation period," Dr. Porsteinsson said. (
  • Kate's Home Nursing is a Registered Charity set up to nurse patients in their own home through the last stage of illness and to support their families. (
  • When patients have been told that they are in the final stages of their illness and have expressed the wish to be at home where this is possible, their GP or District Nurse can ask us to provide nursing for them, working with other home nursing services. (
  • In Hollywood, four patients were found dead at the nursing home early Wednesday after emergency workers received a call about a person with a heart attack, and four more died later at the hospital, authorities said. (
  • The headline of a recent New York Times article, "To Collect Debts, Nursing Homes Are Seizing Control of Patients," certainly caught my eye. (
  • Patients are going home from the hospital with more acute problems and the home health nurse must rise to the occasion. (
  • Cuomo was one of five Democratic governors who ordered nursing homes to accept patients regardless of their COVID status - the others being Phil Murphy (New Jersey), Gretchen Whitmer (Michigan), Tom Wolf (Pennsylvania) and Gavin Newsom (California) - despite federal recommendations advising against that. (
  • Patients will die in nursing homes that otherwise would not have died if we'd kept them out by screening everybody. (
  • Rutgers received F.D.A. permission last month to collect saliva samples from patients at test sites but can now sell the collection kits for individuals to use at home. (
  • Feb. 15, 2001 -- According to the federal government, more than one out of four nursing homes are so substandard they threaten their patients' health. (
  • It is essential for the success of any healthcare organization that all its activities especially the nursing tasks are organized meticulously and performed promptly. (
  • For administration level jobs in nursing, all healthcare organizations require at least a bachelor level degree. (
  • Nursing administration certification is concerned with the training that can help nurses to handle the administrative processes in a healthcare setting. (
  • Bell, 49, was admitted to the nursing home owned by Genesis HealthCare after suffering a stroke and lived there for 21 months. (
  • Like Kaiser, Barton fretted that staffing shortages at skilled nursing facilities and other healthcare establishments may become a growing problem. (
  • Marguerite Warren seeks punitive damages from Valley View Skilled Nursing Center, of Ukiah, its corporate parent, Horizon West Healthcare of California, and seven individuals - six employees and the nursing home administrator. (
  • That was the verdict in the corruption trial of Albany County Nursing Home administrator Larry Slatky , who was acquitted of two misdemeanor allegations stemming from his prior job as a top official at NuHealth, the Nassau County Healthcare Corporation. (
  • There's a tremendous need for nursing staff at the moment. (
  • The job as a head nurse is quite challenging as he/she has to oversee the staff nurses and is answerable for their performance. (
  • Bell quickly realized the mistake and alerted the nursing staff. (
  • Jonathan Webb, Bell's roommate, pleaded with nurses to help Bell and eventually called an ambulance on his own after being ignored by staff, the complaint states. (
  • This paper reports on (1) what is known about the status of minimum nursing staff ratios, and (2) gaps in knowledge about this type of nursing staff standard and its implementation. (
  • While we salute and appreciate nursing-home staff on the front lines during this pandemic, we will not tolerate those who mistreat our seniors and break the law," state Attorney General Josh Shapiro told NBC News . (
  • BRUSH, Colo. - Administrators at a Colorado nursing home hard hit by COVID-19 say shipments of personal protective equipment needed to protect their staff were seized and redirected by the federal government. (
  • Is there a licensed nursing staff available 24-hours a day? (
  • Pomeranz thinks the idea hasn't caught on with other nursing homes because it is difficult to find staff who are willing to work the overnight shift. (
  • Her nephew raised concerns to Spring Gate and "to his great surprise, the nursing staff openly admitted to (him) that (she) was being prescribed these drugs 'to keep her in the bed,'" according to the lawsuit. (
  • They have argued the nursing home staff followed an emergency plan approved by Broward County officials, and they said Gov. Rick Scott and other state officials ignored their pleas to help restore power at the nursing home. (
  • Published commentary by RAND staff: Saving Money and Saving Lives in Nursing Homes, in (
  • The highest payed staff nurse gets $19/hour. (
  • The Institute of Medicine proposed sweeping reforms, most of which became law in 1987 with the passage of the Nursing Home Reform Act, part of the Omnibus Budget Reconciliation Act of 1987. (
  • Enforcement issues are addressed in PPI Fact Sheet: 'Enforcement of the 1987 Nursing Home Reform Act. (
  • A nursing home is a place for people who don't need to be in a hospital but can't be cared for at home. (
  • Some nursing homes are set up like a hospital. (
  • Two hours after turning away the first ambulance and 24 hours after the lethal dose, the nursing home decided Bell needed emergency attention and called its own ambulance, but Bell quickly died in the hospital, the complaint states. (
  • ALBANY - After a week in the hospital and an unscheduled surgery, Food Network star Sandra Lee woke up Thursday in her Westchester County home, which she shares with Gov. Andrew M. Cuomo, her spokeswoman said. (
  • The court heard the weekly nursing home cost is €880, the weekly cost of a hospital bed is €1,615 and the hospital has between 35-40 people on trolleys on a daily basis awaiting beds, he noted. (
  • Across the street from the stifling nursing home sat a fully air-conditioned hospital, Memorial Regional. (
  • A powerful player that contributed a record $35 million to federal candidates, parties and outside spending groups during the 2012 election cycle, the hospital and nursing home industry has a great deal at stake in Congress. (
  • The origins of the "motion picture home," as it is commonly referred to by people in the entertainment industry, date to 1940, when actor Jean Hersholt, who played Shirley Temple's grandfather in the film "Heidi," planted 48 acres of walnut and orange trees in Woodland Hills on the site of the future Motion Picture & Television Country House and Hospital, opened eight years later. (
  • But even modern-day Hollywood's biggest names couldn't script a happy ending for the hospital and home. (
  • But fundraising was not enough to cover the hospital and home shortfall, plus millions more the fund spends annually on direct financial assistance to needy entertainers, Tillman said. (
  • Casey Wasserman, chairman of the Wasserman Foundation, one of the fund's biggest benefactors, said he and Katzenberg realized 18 months ago that it was no longer sustainable to continue operating the money-losing hospital and nursing home, and closing the facilities was necessary to support the fund's other programs. (
  • Some nursing homes still resemble a hospital while others look more like a home. (
  • To be allowed to work as a Registered Nurse, one must complete a nursing program at one of several educational levels, including associate and baccalaureate degree programs, hospital-based diploma programs and master's degree programs. (
  • LIFE NEWS) Democratic New York Governor Andrew Cuomo referred to the COVID crisis in his state's nursing homes as a "shiny object," chalking criticisms aimed at him up to politics. (
  • But the measure does face significant opposition: Most members of the state's task force on nursing homes are unlikely to support it. (
  • Medical and Health Services Managers, that includes nurses working in an administrative capacity, earned a median annual wage of $92,810 in May 2014, according to the US Bureau of Labor Statistics. (
  • April Brown v. Amedisys, Inc., CV-10-BE-0135-S (NDAL 2009), which today resulted in the largest home health fraud settlement in U.S. history, prompting the company - which denied all wrongdoing - to return $150,000,000 to the taxpayers, according to court documents. (
  • Home health nurses have a new environment every day and face many challenges. (
  • I work PRN for a Home Health Company who has not been able to make payroll on time twice now. (
  • This correspondence is to address the concerns and issues you have raised in your September 24, 1997 letter to me regarding the Occupational Safety and Health Administration's (OSHA) Nursing Home Initiative. (
  • On April 30, 1997, AAHSA wrote to Frank Strasheim, Deputy Assistant Secretary for Occupational Safety and Health, to voice our concerns about the Nursing Home Initiative Inspections Policy and Procedures. (
  • Benedictine Health System is closing its nursing home in western Wisconsin. (
  • WEAU-TV ( ) reports Mayo Clinic Health System says a clinic connected to the nursing home will continue to operate. (
  • A fellow caregiver saw male nursing assistant George Kpingbah in 83-year-old Sonja Fischer's room at 4:30 a.m. on December 18, 2014, at the Walker Methodist Health Center in Minneapolis. (
  • The Department of Nursing is the flagship of the Faculty of Health Sciences. (
  • This guidance has been updated and reorganized according to core IPC practices that should remain in place even as nursing homes resume normal practices, plus additional strategies depending on the stages described in the CMS Reopening Guidance pdf icon external icon or at the direction of state and local officials. (
  • Even before Gov. Pat Quinn signed landmark nursing home safety reforms into law Thursday in a room packed with senior citizens, top state officials have been working behind the scenes to implement many provisions of the new legislation aimed at ending chronic violence in the facilities. (
  • While several wrongful death lawsuits have been filed already, officials said it is too early in the investigation to know whether charges will be filed against employees of the nursing home. (
  • Five people were shot dead, including the suspected gunman, in an attack at a Texas nursing home and a victim's residence July 27, officials said. (
  • Calls to the owner and other officials at the Hollywood home were not immediately returned, but the facility's administrator, Jorge Caballo, said in a statement that it was "cooperating fully with relevant authorities to investigate the circumstances that led to this unfortunate and tragic outcome. (
  • Even more disturbing: In many cases, nursing homes and the government officials who oversee them are doing little -- or nothing -- to stop it. (
  • Yet state officials allow troubled nursing homes to continue operating with little or no penalty. (
  • Larkin is owned by Dr. Jack Michel, whose Hollywood nursing home is the focus of a separate criminal investigation after 12 people died in the days following Irma. (
  • Slatky's hard-nosed approach has at times irked the facility's unions, which long had the ear of county lawmakers, but County Executive Dan McCoy and legislative leaders credit Slatky with dramatically reducing the taxpayers' roughly $12 million annual subsidy of the nursing home, which was becoming a political liability even for its most ardent defenders. (
  • They reported that 13 large institutions were certified as SNFs (skilled nursing facilities), that all were "absolutely inappropriate" placements for the developmental disabilities' clients (the federal GAO[clarification needed] then reported a need to upgrade services in the homes, including day services), and the facilities resembled the institutions that resulted in the national exposés of institutions such as Willowbrook in other fields. (
  • The various facilities at a retirement community can now be made available at the senior's home. (
  • Dr. Rivkees, we've got a lot of people in our nursing homes and assisted living facilities who are suffering from significant depression," Mayhew said. (
  • For example, the first nursing home inspected in Missouri under OSHA's nursing home initiative had to be inspected twice because of inspectors lack of knowledge about nursing facilities. (
  • Special focus facilities , or homes flagged for having a history of serious quality issues, are marked with an sign. (
  • 2. A second objective is for you to think about alternatives to nursing home life and to consider why these facilities exist as successful businesses. (
  • In some cases, the state repeatedly threatened to suspend or revoke the licenses of facilities with chronic problems, yet Texas rarely took action against those nursing homes. (
  • Hi I'm currently a jazz student and was looking into the possibility of playing at retirement homes, senior centers and such, for pay. (
  • The nursing home told the Broward County Emergency Operations Center that it had lost power, according to a statement by the center. (
  • The nursing home was asked if it had any medical needs or emergencies, Broward County Mayor Barbara Sharief said in the center's statement. (
  • Broward County said the nursing home had alerted the county emergency operations center on Tuesday that it had lost power, but when asked if it had any medical needs or emergencies, it did not request help. (
  • Backed by the necessary experience and compassionate counsel to represent nursing home abuse or neglect victims, Pintas & Mullins Law Firm is dedicated to helping all clients reach the outcomes they desire. (
  • Genesis, based in Pennsylvania, is the largest nursing home company in the country, with 44,805 beds in 380 outlets and $4.8 billion in operating revenue, according to (
  • I have a second interview tomorrow for a DON position at a small nursing home (60 beds). (
  • Surveyors also conduct more targeted surveys, or complaint investigations, in response to complaints against nursing homes. (
  • Some schools also offer a certificate in nursing administration for individuals with a master's degree in nursing who are interested in exploring other dimensions of the field and advancing their career. (
  • The post-baccalaureate certificate in nursing administration requires at least a Bachelor of Science degree in Nursing (BSN) and a post-master certificate requires a master's degree. (
  • Or if the nursing home provides Internet and your loved one is computer-savvy, consider an electronic notebook for emailing, YouTube and Facebook -- in 2013, 49 percent of those aged 65 and older used social media, according to Pew Research Center. (
  • Online courses are ideal for working registered nurses who want to enhance their set of skills without leaving their existing jobs. (
  • Yet, in the last two years alone, the state has increased payments to nursing homes by a total of $90-million, with little apparent benefit. (
  • The agency, which is probing the inter-state and possible international ramifications of the multi-million dollar racket, carried out the searches also at some other nursing homes, guest houses and residences at Gurgaon. (
  • Lawyers for Michel's nursing and assisted living homes have said they will fight the state actions. (
  • To assess the quality of the city's nursing homes, the Express-News reviewed ratings provided by the state and federal governments. (
  • Licensed practical nurses complete a state-approved one-year program. (
  • UKIAH, Calif. (CN) - A nursing home resident claims she was injured after her caretakers slathered her with slippery ointment as a "prank" on the next shift, who would have to handle her. (
  • NORRIS: Yesterday, in Birmingham, 75 contestants from the retirement set went wheelchair to walker for the title of Miss Alabama Nursing Home, and reporter Brigid Elsken Galloway explains how they're redefining what it means to be a beauty queen. (
EEOC accuses Evansville nursing home of racist policies
EEOC accuses Evansville nursing home of racist policies (
Laundry Machines for a South African Nursing Home | Indiegogo
Laundry Machines for a South African Nursing Home | Indiegogo (
Nursing-home fine print takes away families' rights | Miami Herald
Nursing-home fine print takes away families' rights | Miami Herald (
Nursing home VA data treatment veterans patients substandard
Nursing home VA data treatment veterans patients substandard (
Man dies after shooting at nursing home parking lot | Lexington Herald Leader
Man dies after shooting at nursing home parking lot | Lexington Herald Leader (
Nursing home patient loses toes after stays at Florida's largest chain
Nursing home patient loses toes after stays at Florida's largest chain (
Beshear says he will work to improve nursing home care in Kentucky | Lexington Herald Leader
Beshear says he will work to improve nursing home care in Kentucky | Lexington Herald Leader (
Root out who's to blame for eight senseless nursing-home deaths in Broward County | Miami Herald
Root out who's to blame for eight senseless nursing-home deaths in Broward County | Miami Herald (
More Than 50 Nursing Home Residents Test Positive for COVID-19 - NBC Los Angeles
More Than 50 Nursing Home Residents Test Positive for COVID-19 - NBC Los Angeles (
Redding nurse returns home after helping COVID-19 patients in Detroit
Redding nurse returns home after helping COVID-19 patients in Detroit (
Working for Clevedon Court Nursing Home | Clevedon Court Nursing Home Career | Monster
Working for Clevedon Court Nursing Home | Clevedon Court Nursing Home Career | Monster (
'My confidence is shaken': Fresh case of abuse at city nursing home prompts outsider review | Ottawa...
'My confidence is shaken': Fresh case of abuse at city nursing home prompts outsider review | Ottawa... (
Hampton Court Nursing & Rehabilitation Center | Orthopedic and Spine Rehab Unit
Hampton Court Nursing & Rehabilitation Center | Orthopedic and Spine Rehab Unit (
Furniture - Race Horses |
Furniture - Race Horses | (
Transmission of Hepatitis B Virus Among Persons Undergoing 
Blood Glucose Monitoring in Long-Term--Care Facilities ---...
Transmission of Hepatitis B Virus Among Persons Undergoing Blood Glucose Monitoring in Long-Term--Care Facilities ---... (
Mental Illness Surveillance Among Adults in the United States
Mental Illness Surveillance Among Adults in the United States (
Health Professional Boards
Health Professional Boards (
Nursing home safety - Chicago Tribune
Nursing home safety - Chicago Tribune (
U.S. GAO - Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened
U.S. GAO - Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened (
U.S. GAO - Medicare: Small and Rural Practices' Experiences in Previous Programs and Expected Performance in the Merit-based...
U.S. GAO - Medicare: Small and Rural Practices' Experiences in Previous Programs and Expected Performance in the Merit-based... (
Jobs in Buffalo, NY. Buffalo Jobs, Employment |
Jobs in Buffalo, NY. Buffalo Jobs, Employment | (
Nursing homes turn to eviction to drop difficult patients | Daily Mail Online
Nursing homes turn to eviction to drop difficult patients | Daily Mail Online (
Nurse RES
Nurse RES (