Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.
Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.
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.
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)
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)
Long-term maintenance hemodialysis in the home.
Childbirth taking place in the home.
Living facilities for humans.
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)
Visits to the patient's home by professional personnel for the purpose of diagnosis and/or treatment.
The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.
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.
Use of any infusion therapy on an ambulatory, outpatient, or other non-institutionalized basis.
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).
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.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
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.
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.
Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.
The contamination of indoor air.
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.
The performance of the basic activities of self care, such as dressing, ambulation, or eating.
Social and economic factors that characterize the individual or group within the social structure.
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.
Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.
Families who care for neglected children or patients unable to care for themselves.
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.
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.
Evaluation of the level of physical, physiological, or mental functioning in the older population group.
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.
Elements of limited time intervals, contributing to particular results or situations.
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.
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.
An infant during the first month after birth.
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)
Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.
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.
The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
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.
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.
Contamination of the air by tobacco smoke.
Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.
Allied health personnel who assist the professional nurse in routine duties.
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.
The inhabitants of rural areas or of small towns classified as rural.
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.
Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.
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).
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
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.
Falls due to slipping or tripping which may result in injury.
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.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.
The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
Devices designed to provide personal protection against injury to individuals exposed to hazards in industry, sports, aviation, or daily activities.
Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.
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)
Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
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.
Inhaling and exhaling the smoke of burning TOBACCO.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
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.
The care and management of property.
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
A social group consisting of parents or parent substitutes and children.
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.
Size and composition of the family.
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.
The aggregate of social and cultural institutions, forms, patterns, and processes that influence the life of an individual or community.
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.
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)
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
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)
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.
Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.
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.
The tendency of an individual or individuals to rely on others for advice, guidance, or support.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
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.
Medical and nursing care of patients in the terminal stage of an illness.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
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.
Earth or other matter in fine, dry particles. (Random House Unabridged Dictionary, 2d ed)
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.
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).
Voluntary cooperation of the patient in following a prescribed regimen.
Female parents, human or animal.
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).
Educational attainment or level of education of individuals.
The seeking and acceptance by patients of health service.
Organized efforts by communities or organizations to improve the health and well-being of the child.
Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations.
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).
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.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
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)
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
The period of confinement of a patient to a hospital or other health facility.
A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.
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.
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
Organized periodic procedures performed on large groups of people for the purpose of detecting disease.
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).
An indicator of body density as determined by the relationship of BODY WEIGHT to BODY HEIGHT. BMI=weight (kg)/height squared (m2). BMI correlates with body fat (ADIPOSE TISSUE). Their relationship varies with age and gender. For adults, BMI falls into these categories: below 18.5 (underweight); 18.5-24.9 (normal); 25.0-29.9 (overweight); 30.0 and above (obese). (National Center for Health Statistics, Centers for Disease Control and Prevention)
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.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
The status of health in rural populations.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.
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.
The status of health in urban populations.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
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.
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.
The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
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.
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)
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.
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.
Public attitudes toward health, disease, and the medical care system.
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
The practice of assisting women in childbirth.
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.
Regular course of eating and drinking adopted by a person or animal.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
The teaching or training of patients concerning their own health needs.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
The use of electronic equipment to observe or record physiologic processes while the patient undergoes normal daily activities.
Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
A housing and community arrangement that maximizes independence and self-determination.
Designs for approaching areas inside or outside facilities.
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.
The external elements and conditions which surround, influence, and affect the life and development of an organism or population.
Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.
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.
Divisions of the year according to some regularly recurrent phenomena usually astronomical or climatic. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
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.
Statistical interpretation and description of a population with reference to distribution, composition, or structure.
The surface of a structure upon which one stands or walks.
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.
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.
A general concept referring to the organization and administration of nursing activities.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
The inhabitants of a city or town, including metropolitan areas and suburban areas.
Educational institutions.
All deaths reported in a given population.
Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.
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)
A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
Small-arms weapons, including handguns, pistols, revolvers, rifles, shotguns, etc.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Health care institutions operated by private groups or corporations for a profit.
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.
Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement.
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.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.
The technique that deals with the measurement of the size, weight, and proportions of the human or other primate body.
The physical activity of a human or an animal as a behavioral phenomenon.
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.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms.
Organized services to provide health care for children.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure.
State of the body in relation to the consumption and utilization of nutrients.
Subsequent admissions of a patient to a hospital or other health care institution for treatment.
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.
Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
The physical space or dimensions of a facility. Size may be indicated by bed capacity.
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
Persons living in the United States having origins in any of the black groups of Africa.
Techniques for measuring blood pressure.
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.
A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.

Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease? (1/747)

1. Despite their entrance into advanced illness, the majority (83%) of participants in the study displayed evidence of having begun a therapeutic relationship with their assigned advanced practice nurse. 2. With one exception, those participants who did not evidence development of the relationship had severely limited speech, perseverative speech, or did not speak at all. 3. It is time to challenge the assumption that individuals in the middle and later stages of Alzheimer's disease are not good candidates for developing a therapeutic relationship.  (+info)

Changes in behavioural characteristics of elderly populations of local authority homes and long-stay hospital wards, 1976-7. (2/747)

Behavioural characteristics of the elderly populations of seven local authority residential homes and three long-stay hospital wards were assessed in 1976 and 1977 with the Crichton Royal behavioural rating scale. In 1977 the levels of behavioural problems had increased in the residential homes, but declined in the hospital wards. Differences between the homes had decreased as the overall level of problems increased. The findings suggested that the additional burden of caring for increasing numbers of severely disabled elderly people was affecting the balance of institutional care, and a radical reappraisal of present patterns of care may be necessary to meet their future needs.  (+info)

Admission and adjustment of residents in homes for the elderly. (3/747)

This paper discusses the relationship between psychological variables, a brief cognitive measure and a behavioural rating scale, and the subsequent adjustment of a group of elderly people newly admitted to a social services home for the elderly. It shows that, in this sample, three groups can be identified: a fairly independent group of people who show no apparent deterioration in functioning during the first year of admission; a more dependent group who show loss of functioning during the same period; and a third group who show an immediate negative effect from admission, and who have a poor outcome. We comment on the lack of evidence in support of a general negative relocation effect, and on the value of the procedures used.  (+info)

Small bowel bacterial overgrowth in subjects living in residential care homes. (4/747)

OBJECTIVES: in elderly people, bacterial overgrowth of the small bowel may be occult. The significance of positive breath tests are uncertain: many fit elderly subjects with positive tests show no evidence of malabsorption. We assessed the prevalence and significance of bacterial overgrowth in the small bowel in a relatively unselected elderly population. METHODS: residents of seven elderly people's homes had a glucose hydrogen breath test. A medical history and anthropomorphic measurements were recorded. Volunteers with positive breath tests were given doxycycline. After 4 months all volunteers were reassessed. RESULTS: of 140 residents, 62 were tested. Nine (14.5%) had a positive breath test. There was no difference in anthropomorphic and bowel habit data between those with positive and those with negative breath tests. After 4 months of antibiotic treatment, volunteers with a positive breath test had increased weight and body mass index, while those with a negative test had decreased weight and body mass index. CONCLUSIONS: the percentage of volunteers with a positive breath test was much lower than in previous studies. This may be due to the relatively unselected nature of the volunteers. Treatment of bacterial overgrowth resulted in a small but significant improvement in anthropometric indices. The lack of association of positive breath tests with baseline anthropomorphic measurements or bowel habit highlights the occult nature of the bacterial overgrowth and questions its clinical importance.  (+info)

Nasal colonization by Staphylococcus aureus in active, independent, community seniors. (5/747)

OBJECTIVE: to evaluate the prevalence of nasal colonization with Staphylococcus aureus (SA) in active, independent community seniors and old people in a nursing home. DESIGN: cross-sectional brief questionnaire and screening culture of anterior nares specimens from 165 elders at a community centre and cross-sectional data from a recent survey in a nursing home. RESULTS: the prevalence of SA colonization in community seniors (27%) was similar to that in the nursing home (29%). The proportion of SA isolates that were methicillin-resistant was much lower in the community seniors (2.3%) than in the nursing-home residents (31%). There was less antibiotic resistance in those living at home. CONCLUSION: in community seniors the prevalence of SA colonization was similar to that in nursing-home residents, but the prevalence of methicillin-resistant SA was lower. Susceptibility patterns of antibiotics tested against the SA showed less resistance than isolates from nursing-home patients.  (+info)

Consequences of MRSA carriage in nursing home residents. (6/747)

A prospective cohort study with 1 year follow-up evaluated the relation between MRSA carriage and mortality, likelihood of hospitalization and functional status in residents of a nursing home for the elderly. Included were all 447 residents living in the home in early June 1994. From all patients, swabs were taken from nose, throat and perineum. Additional swabs (sputum, urine or wounds) were taken when indicated. The relative risk (RR) of dying within 6 months in MRSA carriers compared to non-carriers was 2.29 (95% CI = 1.04-5.04). This RR remained stable (1.57-2.40) after adjustment for co-variables using Mantel-Haenszel stratified analysis. After I year, the RR was reduced to 1.30 (95% CI = 0.65-2.58). Univariate survival analysis confirmed a difference in survival between carriers and non-carriers after 6 months (log-rank P = 0.04) and no difference after 1 year. Cox regression analysis resulted in a hazard ratio for dying within 6 months of 1.73 (95% CI = 0.72-4.17). No relation was found between carriage and either likelihood of hospitalization or indicators of functional status. These results are compatible with a possible relation between 6 months mortality and MRSA carriage in nursing home patients. It calls for a large scale, multicentre cohort study in order to either confirm or refute these findings.  (+info)

Socioeconomic differences in general practice consultation rates in patients aged 65 and over: prospective cohort study. (7/747)

OBJECTIVE: To examine socioeconomic differences in general practice consultation rates among patients aged 65 years and over. DESIGN: Secondary analysis of data from the fourth national survey of morbidity in general practice. SETTING: 60 general practices in England and Wales. SUBJECTS: 71 984 people aged 65 years and over. MAIN OUTCOME MEASURES: Annual contact rates and home visiting rates with general practitioners and practice nurses. RESULTS: Social class differences in tact rates were greatest in 65-74 year olds, with rates 23% higher in patients from social class V than in class I (4.82 v 3.93 per person). In 75-84 year olds there was no clear association between social class and contact rates, and in people aged >/=85 years contact rates were highest in patients from class I. Home visiting rates were twice as high in patients from class V as in patients from class I (1.38 v 0.66 per person). Contact rates were 17% higher in people living in communal establishments and 8% higher in those living alone than in those living with others but not in a communal establishment. 66% of contacts with patients in communal establishments and 26% of those with patients living alone were in patients' homes compared with 18% with those living in standard accommodation. These differences persisted after adjustment in a generalised linear model. CONCLUSIONS: Elderly people show socioeconomic differences in consultation rates. The extra workload generated by elderly people living alone and in communal establishments suggests additional payments to general practitioners are needed.  (+info)

Cost-effectiveness of screening compared to case-finding approaches to tuberculosis in long-term care facilities for the elderly. (8/747)

BACKGROUND: To determine if the more interventionist approach of screening with the tuberculin test and chemoprophylaxis for high-risk positive reactors to control tuberculosis in long-term care facilities is cost-effective when compared to the case-finding and treatment approach. METHOD: A decision-analysis model was designed wherein systematic screening with the tuberculin skin test of all elderly patients newly admitted to facilities was compared to public health interventions restricted to investigation of cases and contacts with symptoms of tuberculosis after suspected exposure. Differences in life-years (LY), quality-adjusted life-years (QALY), cost per QALY and LY gained, annual cost per 1000 institutional patients were calculated in a health-care system perspective. RESULTS: In every situation analysed, screening and chemoprophylaxis were more effective. The cost per LY gained was within an acceptable range: $3437 per LY with a 0.6% nosocomial transmission rate and $7552 per LY when no nosocomial transmission was postulated. CONCLUSION: Screening plus chemoprophylaxis for high-risk reactors is more cost-effective than case-finding. This holds even when nosocomial transmission is assumed not to occur in facilities.  (+info)

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Objectives: To determine the feasibility of using the activPAL3TM activity monitor, and, to describe the activity patterns of residential aged care residents. Design: Cross-sectional. Setting: Randomly selected aged care facilities within 100 km of the Gold Coast, Queensland, Australia. Participants: Ambulatory, older (≥60 years) residential aged care adults without cognitive impairment. Measurements: Feasibility was assessed by consent rate, sleep/wear diary completion, and through interviews with staff/participants. Activity patterns (sitting/lying, standing, and stepping) were measured via activPAL3TM monitors worn continuously for seven days. Times spent in each activity were described and then compared across days of the week and hours of the day using linear mixed models. Results: Consent rate was 48% (n = 41). Activity patterns are described for the 31 participants (mean age 84.2 years) who provided at least one day of valid monitor data. In total, 14 (45%) completed the sleep/wear diary.
The use of hospitals by people living in residential care and the admission of people into residential care following a period in hospital is of interest to both policy analysts and service providers in the hospital and residential care sectors. This report updates a 2001-02 study on movement from hospital into residential care by people aged 65 and over. The use of hospitals by people already living in residential care is examined for the first time.. The analysis is based on multi-day hospital episodes ending in 2008-09 for people aged 65 and over on 1 July 2008. Movements between the two sectors were identified by linking national 2008-09 hospital and residential aged care service use data. To allow for the different age-sex profiles of the various movement groups, estimates have been age-sex standardised where appropriate.. ...
Information about the feasibility, barriers and facilitators of antimicrobial stewardship (AMS) in residential aged care facilities (RACFs) has been scant. Exploring the prevailing perceptions and attitudes of key healthcare providers towards antibiotic prescribing behaviour, antibiotic resistance and AMS in the RACF setting is imperative to guide AMS interventions. Semi-structured interviews and focus groups were conducted with key RACF healthcare providers until saturation of themes occurred. Participants were recruited using purposive and snowball sampling. The framework approach was applied for data analysis. A total of 40 nurses, 15 general practitioners (GPs) and 6 pharmacists from 12 RACFs were recruited. Five major themes emerged; perceptions of current antibiotic prescribing behaviour, perceptions of antibiotic resistance, attitude towards and understanding of AMS, perceived barriers to and facilitators of AMS implementation, and feasible AMS interventions. A higher proportion of GPs and
As national residential aged care interior designers we often work with clients building or renovating multiple properties throughout Australia, including brands with a mix of urban, regional and rural locations. Given our designs and procurement services always centre on the end user, we never adopt a one size fits
The Editor of Park & Holiday Home Inspiration magazine has chosen the Stately-Albion Woburn as the top residential home of January 2021
The inspection. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.. Inspection team. The inspection was carried out by one inspector, one inspection manager and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The inspection manager was observing the inspector as part of Care Quality Commissions quality assurance processes. They also assisted with the inspection. Service and service type. Freshfields Residential Home is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC ...
The inspection We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.. Inspection team This inspection was carried out by an inspector.. Service and service type Court House Residential Home is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. A registered manager means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. Notice of inspection This inspection was ...
Get information from Which? Elderly Care about Stuart House Residential Home including contact details, care specialisms and how to pay for care.
Get information from Which? Elderly Care about The Manor House Residential Home including contact details, care specialisms and how to pay for care.
A food management safety system is an investment, rather than a cost, and is essential to aged-care facilities to help avoid food poisoning incidents.
Early in 2016, the Alliance made a submission to the Senate Community Affairs References Committee on the Future of Australias Aged-Care Sector Workforce. On 31 October the Alliance was invited to present at the Public Hearing.
Whether this care is provided at home or in a residential care facility will depend on the person, the carer, the family and their situation.. For people who live alone, the move to residential care may come sooner than for those who live with family. The timing may also be influenced by the presence of comorbidities. For many people, the move is rushed as it follows a crisis at home or an admission to hospital. This can increase the stress and distress for all involved.. Moving into residential care is a time of upheaval for the person living with dementia, their carers and family. Adjustment to residential care is more than a discrete event (10). It begins with thinking about and planning the move, and continues with the actual move into care and beyond as people settle in and adjust to change.. People going through this major transition do better when given holistic support. Health professionals working in aged care assessment teams, community services, aged care facilities, hospitals and ...
A NSW nursing home has rejected claims it abused or neglected a man who died from a staph infection after spending just 51 days at the facility.
This page was generated on Saturday 20 January 2018 at 7:51pm.. The full address of this page is http://dhhs.tas.gov.au/service_information/service_delivery_points/healthwest_-_west_coast_district_hospital_at_queenstown/lyell_house_west_cost_district_hospital_-_residential_aged_care_price_and_key_features_information. For questions relating to the contents of this page, please use any contact details above, or alternatively phone 1300 135 513 or email [email protected] ...
August 27: Tell us about Design and Construct.. We are a leading affordable construction company that deals with end-to-end needs of home and commercial construction such as Interiors, renovation, floor addition, and even painting with an option of customizing your requirements, creating a synergy between the teams to ensure there is proper coordination. Hence, we give our clients peace of mind as our top talents are working on building your dream home.. We are an end to end tech-enabled construction company with an in-house team of planning managers, architects, structural engineers and project management team.. How is Design and Construct different from other building and construction companies?. As the industry is growing, a significant size of the companies aims at enlarging business by targeting only high valued projects such as commercial places, residential apartments & high valued Individual residential homes but not affordable Individual residential homes.. We have in-house team ...
Just think of the following figures. At present, (June 2015 figures) around 173,000 older Australians live in residential aged-care homes. Of these people, about 30,000 have symptoms of some form of mental illness, from anxiety or depression, and another 86,000 have some form of dementia. Thats a lot of people in residential aged care! One[…]. ...
The provision of an extra 60 Transition Care Program (TCP) beds in Perth will help alleviate pressure on public hospitals and provide additional care options for older members of the community.
11 May 2020 released Industry Code for Visiting Residential Aged Care Homes During COVID-19, with details including visiting hours extended.
Premier Smith Premier Dr D Orlando Smith has said the quality of life among residents has remarkably improved since the hurricanes. He made the statement
Aegis is WAs largest residential aged care provider and provides ongoing training and opportunities that are second to none in the aged care sector.
A Victorian government resource providing information and advice on designing and caring for people with dementia in residential aged care settings.
Many people do not receive the right care at the end of life in residential aged care. Nigel McGothigan from LASA discusses complexities of the Aged Care Industry and the importance of resources such as the palliAGED Practice Tip Sheets for aged care workers to support them in providing exceptional and exemplary care.
NABERS Perform is the new and improved platform for Assessors to lodge, access and modify ratings for Shopping Centres. Residential Aged Care and Retirement Living ratings will also be available through Perform once these products are released later in 2021.. ...
Kelly Real Estate is located along the Upper Iowa River in scenic Decorah, Iowa. Established in 1976 by Dave Kelly, the firm continues to be proudly family-owned and operated today.. We offer a fine selection of residential homes, historic homes, and commercial properties as well as country homes, recreational land and farm land in Decorah and Northeast Iowa.. ...
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At the Swiss residential home Fux Campagna, GEZE automatic door drives for swing doors and sliding doors offer ease of access and accessibility.
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NSW Fair Trading is investigating a gang of tree loppers who have bullied and tricked elderly residents in Sydney into paying for unnecessary work.
The decision about whether it is time for mum or dad to move into an aged-care facility is never an easy one, but this year there is more incentive than ever to get a wriggle on.
Mnemonic Device: Old People Catch Easy Breaks Explanation: the five levels at which relationships, between biotic and abiotic factors, in
TY - JOUR. T1 - Quality and Costs in the Nursing-Home Market. AU - Ullmann, Steven G.. PY - 1983/3/17. Y1 - 1983/3/17. N2 - To the Editor: In one of a series of articles appearing in the Journal concerning the nursing-home industry, Vladeck (Sept. 30 issue)1 indicates that there is an implicit assumption that a positive relation exists between the quality of resident care and facility costs. As Vladeck points out, however, there is no empirical evidence supporting this assumption. Nursing-home quality may be more a function of staff and administrative attitudes - characteristics that may be independent of facility costs. I recently conducted an extensive study of New York nursing homes and obtained interesting results concerning the relation between the quality of facilities.. AB - To the Editor: In one of a series of articles appearing in the Journal concerning the nursing-home industry, Vladeck (Sept. 30 issue)1 indicates that there is an implicit assumption that a positive relation exists ...
TY - CONF. T1 - How do care home staff make sense of safety?. AU - Gartshore, Emily. AU - Waring, Justin. AU - Timmons, Stephen. PY - 2018/9/14. Y1 - 2018/9/14. N2 - Care homes are a setting that have been largely neglected by health researchers, particularly in the area of patient safety. In response to evidence of poor practice within this sector, approaches to safety have been translated from large NHS organisations that often take a bureaucratised approach to patient safety and applied to care homes with little consideration of whether these methods are appropriate. Drawing on qualitative data from 4 months of ethnographic fieldwork and 33 interviews with staff, this paper explores how care home staff make sense of safety, and how they construct notions of safety and safe practice. Safety practices in care homes are varied and largely centred on, and conditioned by the relatively low-skilled workforce. These organisations are highly differentiated, ranging from small family run businesses, ...
Individualised psychosocial interventions are needed as alternatives to pharmacological sedation. Sedating psychotropic drugs, including antipsychotics and benzodiazepines, are commonly prescribed in residential aged care facilities (RACFs), despite extensive evidence of their limited efficacy for treating behavioural and psychological symptoms in older people and of their potential for eliciting serious adverse effects, including death.1 As a consequence, efforts are afoot in many countries to minimise the use of these medications in RACFs. In this issue of the MJA, Westbury and colleagues2 report findings from the RedUSe study of a multi-component intervention designed to reduce the prescribing of sedative medications in Australian RACFs. This uncontrolled investigation employed four complementary interventions in 150 nursing homes: psychotropic medication audits by a local champion nurse; RACF staff education sessions conducted by a pharmacist using benchmarked local data and incorporating ...
Cockatoo Lodge is a Residential Aged Care facility located in Aitkenvale, Queensland offereing Supported Residential (SRS), Independent Living,
Objective: To ascertain whether the meals provided in residential homes (RHs) in Wales fulfil the minimum recommended standards set by the National Association of Care Catering (NACC) and the Food Standards Agency (FSA). Methods: A cross-sectional study of meal provision among three randomly chosen RHs in South Wales was conducted using the guidelines provided by the NACC and FSA. The menus for meals provided at these RHs on individual days were followed over a period of 14 days per RH. Total number of menus analysed was 42; each menu was considered one unit (n = 42). Further data were obtained by using a structured questionnaire. Results: Several deficiencies were identified in the practices at RHs with regard to the recommended allocations including bread with every meal, 400 mL of milk per day, five servings of fruit per day, and the provision of meat/meat alternatives at every meal. Conclusion: Despite certain study limitations such as a smaller study population and limited data availability ...
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Almost 60 per cent of staff working in residential facilities for the elderly in Co Donegal have never had a flu vaccine, according to worrying new research.. A study carried out by Dr Louise Doherty, a Donegal-based consultant in public health medicine, found 57 per cent of staff, employed at 20 nursing homes in the county, have never been vaccinated against influenza.. Seven elderly residents died in a nursing home in Fahan, Co Donegal last year during a flu outbreak. Only 9 per cent of the staff there had the flu vaccine, but Dr Doherty stressed that the source of this outbreak, which affected 35 of the 46 residents, had never been identified. The average uptake of the vaccine among staff in the 20 residential facilities was 21 per cent in 2012/2013 - above the national average of just 15 per cent. Dr Dohertys research confirmed widespread concerns among healthcare staff about the safety of the vaccine, with over 60 per cent of respondents worried about the side effects.. One of the most ...
AGED-care homes and retirement villages should be more welcoming of pets so fewer residents are separated from their beloved cat or dog, animal advocates say.
As COVID-19 cases start to rise again due to the highly contagious Delta variant, nursing homes are considering requiring staff members to be vaccinated. Only 59 percent of nursing home staff are partially or fully vaccinated nationwide, and the percentages are much lower in some states.. While 81 percent of nursing home residents are fully vaccinated, the numbers are much lower for staff. Louisiana and Florida have the lowest percentages of vaccinated staff at 43.17 percent and 44.22 percent vaccinated, respectively. Moreover, staff with the closest contact with residents are the least likely to be vaccinated, according to new research. All this could leave elderly vulnerable to infection, even if they are vaccinated themselves. While the vaccines are very effective, breakthrough infections are possible. And due to weakened immune systems, some elderly individuals may not respond fully to the vaccine. According to the Centers for Medicare and Medicaid Services, more than 133,000 nursing home ...
WASHINGTON, Aug. 9, 2017 /PRNewswire/ -- Nursing Home Complaint Center Now Urges the Family Members of Nursing Home Patients Nationwide With Recently...
Objectives - To compare the prevalence of inappropriate prescribing before and after nursing home admission and to determine which patient and physician characteristics are associated with inappropriate prescribing in the nursing home setting.. Design - A pre/post retrospective, cohort study.. Setting - All licensed nursing homes in Ontario, Canada.. Participants - Nineteen thousand nine hundred eleven individuals aged 66 and older, newly admitted to nursing homes in Ontario between April 1, 1997, and March 31, 1999.. Measurements - For each patient in the cohort, a subset of the Beers criteria was used to characterize and compare the prevalence of inappropriate prescribing (as indicated by the prescription of one of 49 inappropriate drugs) before and after nursing home admission. A logistic regression model was used to study the association between inappropriate prescribing and patient and physician characteristics.. Results - The proportion of patients receiving a prescription for at least one ...
Restrictions on what Medicaid and Medicare will cover for nursing home patients can often lead to unnecessary hospitalizations - an estimated $8 billion in
PDF - 88 KB]. Description: Table 12 provides the number and percent distribution of nursing home residents by length of time since admission (in days). Nursing home residents are tabulated by demographics (age at interview, sex, race, and Hispanic or Latino origin), and other resident characteristics (marital status, residence before admission, and living arrangements before admission), and mean and median length of time since admission (in days). Cdc-pdf ...
Staff need the confidence, communication skills and knowledge to initiate and handle relationships with GPs. Nurses in care homes should be offered joint training with their counterparts employed in the NHS, and the opportunity to obtain practice hours in order to validate specific training. GPs and health care professionals can play a valuable role in training and updating staff, and homes can also contribute to the training of doctors and nursing staff. Relatives in one study [22] thought that more information and support could be provided by health specialists already working with the home, including the community pharmacist and GP. GPs, nurses and relatives report a low level of confidence, knowledge and skills among care home staff, associated with a lack of access to training. This can affect their interactions with GPs, and GPs or relatives perceptions of care home staff, as well as being a barrier to partnership working. This can be exacerbated by high turnover among staff. [1] It has ...
The length of time care recipients spend accessing aged care is an important measure of demand for services and levels of service utilisation. Improving understanding of length of stay (LOS), particularly when compared across residential aged care and community-based care, can provide insight into service delivery planning at the whole-of-government level.. The AIHW has been funded by the Department of Health (DoH) to explore options for the development of a dynamic data display tool focusing on LOS in aged care.. Current LOS data published as a part of the annual Residential aged care and Home Care web reports are well suited towards adaptation to a dynamic data display environment. These data require minimal effort to translate to a SAS VA environment, and are low risk in terms of confidentiality and reliability. Based on this the following recommendations are made:. ...
Nursing homes are a blessing for those who need to ensure that loved ones are well cared for when they are unable to provide care at home. Sadly, they can also be a source of pain and suffering for patients and their loved ones in the case of abuse or neglect. We frequently hear news reports that are simply shocking; mistreatment of nursing home residents seems to be a growing epidemic in our country and abroad.. Nursing homes are also known by other names such as rest homes, assisted living homes, and skilled nursing units (SNU) to name a few. Regardless of the name, they serve a very useful purpose. They are homes for the elderly who are unable to live alone as they can no longer effectively perform normal daily activities without assistance.. Many people of varying ages are also residents of nursing homes due to some disability, whether mental or physical which prevents them from taking care of themselves at home. In many cases, family members are unable to provide the needed care at home so ...
Residential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of residential care infrastructure. A systematic review of English language articles using AgeLine, CINAHL, Econlit, Informit (databases in Health; Business and Law; Social Sciences), Medline, ProQuest, Scopus, and Web of Science with retrieval up to 14 December 2015. The search strategy combined terms relating to nursing homes, economics, and older people. Full economic evaluations, partial economic evaluations, and randomised trials reporting more limited economic information, such as estimates of resource use or costs of interventions were included. Data was extracted using predefined data fields and synthesized in a narrative summary to address the stated review objective. Fourteen studies containing an
Established in 1930, Churches of Christ in Queensland is one of Australias largest and most diverse not-for-profit organisations, operating more than 190 services throughout Queensland and Victoria. Active in the areas of children, youth and family services; community housing; retirement living; home care; and residential aged care services, we provide Christ-inspired care and compassion to vulnerable people at different stages of their life journey.. Our other missional services include childrens, youth, womens ministry and second half ministry; chaplaincy support in community and residential aged care services; mission action partnerships; and global mission projects.. ...
You can research home values, browse Dimondales hottest homes, and see what Coldwell Banker… There are currently 39 for sale by owner homes for sale in Chicago at a median listing price of $350K. There are thousands of listings including homes, condos, townhomes, foreclosures, and new homes/new construction. 2 Dimondale MI Mobile, Manufactured and Trailer Homes for Sale. Find a Dimondale manufactured home today. Michigan realtors are here to offer detailed information about ranches for sale or help you make an informed buying decision.View comprehensive demographics data or compare side by side up to 4 farm listings. Dimondale MI Homes for Sale & Properties. homeFor Sale By Owner Buyers Guide.com. ... Homes For Sale in Haslett, MI Homes For Sale in Haslett, MI. 1; $53,900. Some of these homes are Hot Homes, meaning theyre likely to sell quickly. Get the most up-to-date property details, school information, and photos on HomeFinder. Find foreclosures and foreclosed homes in Dimondale, MI. ...
PopPov is a group of academic researchers and funders from around the globe studying the ways that population dynamics affect economic outcomes.
National Nursing Home Week, established by the American Health Care Association, honors those who promote quality of care at nursing home facilities, including residents, family members, volunteers, community, and staff. A Nursing Home Survey conducted by CDC indicated that approximately 18,000 nursing homes in the United States provide care for 1.6 million residents; 1.4 million (90%) of these residents are aged ,65 years (1,2). By 2030, approximately 70 million U.S. residents will be aged ,65 years, and the number of persons residing in nursing homes will increase to 3 million persons (3). Infections, particularly respiratory and urinary tract infections, are a major cause of morbidity, mortality, and excess health-care costs among nursing home residents (4,5). To address the burden of infections among nursing homes residents, CDC launched a national educational campaign targeting clinicians who provide care to persons in long-term--care facilities. The campaign promotes 12 evidence-based ...
Data for the 1977 National Nursing Home Survey were collected in a nationwide sample of nursing homes, personal care homes (with or without nursing), and domicilary care homes. Information on staff, residents, and discharges was collected via a combination of personal interviews and self-enumerated forms. Four files are contained within this data collection. Part 1, Facility-Expense File, contains information on type of facility, certification, bed size, services and therapy routinely provided to residents or non-residents, regular and temporary admissions, vacant staff positions, facility income, and expenditures. Parts 2 and 3, Current and Discharged Resident Files, supply data on residents regarding admissions, impairments, conditions, behavioral problems, visits to a physician, services, therapy or treatments received, use of aids or need of assistance, level of care received, total charges for care, and sources and amount of payments. Part 4, Staff File, contains information on employees ...
One-third of nursing homes residents are admitted to the hospital at least once each year, and half of those admissions could be avoided. Preventing them could protect hundreds of thousands of older adults from potential harm and save Medicare billions of dollars. The problem is neither new nor surprising. But it [...]
The average stay of patients in a nursing home for acute rehabilitation is 23 days; only 9 percent of nursing home patients fall into this category. According to Medicare, approximately 43 percent of people over the age of 65 are likely to spend time in a nursing home; of these, 24 percent will be there less than one year. According to the California Association of Health Facilities, 78 percent of the nursing home population stays there for three months or less. ...
Health and Human Services had considered easing up on homes with a history of good care. By Laura Meckler ASSOCIATED PRESS WASHINGTON - White House officials said yesterday that they had
A cleaning supervisor at Queens nursing home was shot dead on the job yesterday, and police say they suspect a disgruntled employee. Elizabeth Parker, 58,...
Mayor de Blasio said on March 28 that he had only recently learned about a controversial deal to turn a Lower East Side nursing home into luxury condos, and...
Mobile Homes Manufactured and mobile homes that sit on land NOT owned by the same person that owns the mobile home are considered Personal Property. Owners of these homes are required by Indiana Law to obtain a certificate of title for their home. These homes are assessed on January 15th of each year and taxed in the same year. If you are the owner on record on January 15th, you are responsible for the entire years taxes. Bills are mailed in the spring and are due May 10th and November 10th. To ensure property tax bills are mailed to the correct homeowner and appropriate individuals receive their homestead deduction, the Putnam County Assessors Office requests a copy of each homes title. All deductions must be filed through the Auditors Office.
New care home management features added to the CoolCare4 software, in its latest release, to help care homes communicate more easily with their staff.
Find cleaning services UK for care homes and nursing homes. Visit carehome.co.uk the market leading care home, residential home and nursing home resource.
Firehouse knows the importance of great window cleaning … and how to do it. All windows are cleaned by hand. Firehouse does not use poles to reach high windows. Every outside window is cleaned at eye level, so we can see that your window is clean with no streaks or smears. We use special cleaning solutions to cut through the dirt, soft squeegees that are gentle on your glass, and lint-free towels to wipe around the window frame. Sometimes scraping is necessary to remove paint, silicone or heavy layers of dirt. If needed, scraping is always done with great care. For interior window cleaning, Firehouse crews always wear booties. If your windows are tinted, it is important to let Firehouse know. Even though Firehouse is a 3M Prestige Dealer for 3M Window Films, if we did not tint your windows our crew may not notice the film immediately. Just tell the crew which windows are tinted and Firehouse will then be able to clean your tinted windows perfectly ...
Objectives: UK guidelines recommend that care staff who provide daily personal care to residents: Understand the importance of residents oral health and the potential effect on their general health, wellbeing and dignity. This study aimed to explore care home residents views and perspectives of dental care in care homes. Methods: Care homes were identified using care home inspection reports for Wales, UK. Care homes for older people with residents having mental capacity to consent were invited to participate. Data were collected using semi-structured one-to-one interviews with care home residents, care home managers and oral health care leads. Interviews were audio recorded, transcribed and analysed using a thematic approach to data. Analysis was assisted by NVivo 10 software. Data collection was completed when no new themes emerged. Results: This analysis presents findings from 26 interviews with residents, across five care homes. Going into care was associated with a loss of identity. ...
Longitudinal changes in the characteristics of the nursing home population as represented in the most recent National Nursing Home Surveys (NNHS) were analyzed (1977 and 1985). This period is characterized by major changes in the delivery and financi
Residents in nursing homes are being sedated to make up for poor ratios, the Australian Medical Association warns. AMA president Dr Michael Gannon tells Ben Fordham its a systemic problem in the care of elderly people in Australia.. These medications are prescribed by medical practitioners, we are all in this together.. We have called for better nursing ratios, a higher proportion of registered nurses, who have a higher level of training than enrolled nurses and other support staff.. We want to see a system where it is more attractive for doctors to go and visit residential aged care facilities. ...
Routine dual x-ray absorptiometry (DXA) scanning of patients on entry to nursing or residential homes would cut morbidity and cost of care for this at-risk group, UK research findings suggest.
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