BACKGROUND Studies on health-related quality of life (HRQOL) are missing for nursing home residents independent from their health conditions or interventions after admission. Our aim was to analyse if the care dependency of nursing home residents influence their HRQOL and to describe HRQOL of nursing home residents at the time of admission. METHOD Eleven German nursing homes were randomly sel...

BACKGROUND With the intention to aid planning for elderly focused public health and residential care needs in rapidly aging societies, a simple model using only age, gender and three Minimum Data Set (MDS) subscales (MDS-ADL Self-Performance Hierarchy, MDS-Cognitive Performance and the MDS-Changes in Health, End-stage disease and Symptoms and Signs scales) was used to estimate long-term surviva...

OBJECTIVE to prove the effectiveness of geriatric evaluation and management for elderly, hospitalized patients, combined with post-discharge home intervention by an interdisciplinary team. DESIGN randomized controlled trial with outcome and costs assessed for 12 months after the date of admission. SETTING university-affiliated geriatric hospital and the homes of elderly patients. SUBJECTS...

OBJECTIVE To assess the effect of home-based health assessments for older Australians on health-related quality of life, hospital and nursing home admissions, and death. DESIGN Randomised controlled trial of the effect of health assessments over 3 years. PARTICIPANTS AND SETTING 1569 community-living veterans and war widows receiving full benefits from the Department of Veterans' Affairs an...

OBJECTIVES To investigate whether it is possible to determine signs of imminent dying and change in pain and symptom intensity during pharmacological treatment in nursing home patients, from day perceived as dying and to day of death. DESIGN Prospective, longitudinal trajectory trial. SETTING Forty-seven nursing homes within 35 municipalities of Norway. PARTICIPANTS A total of 691 nursing...

BACKGROUND Transfer to an emergency room and hospitalization of nursing home residents is a growing problem that is poorly defined and reported. OBJECTIVES To assess the clinical effectiveness of a pilot project involving hospitalization of nursing home residents directly to an acute-care geriatric department. METHODS We retrospectively compared the hospitalization in an acute-care geriatri...

BACKGROUND The increasing prevalence and associated cost of treating Chronic Obstructive Pulmonary Disease (COPD) is unsustainable, and focus is needed on self-management and prevention of hospital admissions. Telehealth monitoring of patients' vital signs allows clinicians to prioritise their workload and enables patients to take more responsibility for their health. This paper reports the res...

BACKGROUND Persons with longstanding substance abuse might become increasingly dependent on help by the public, eventually requiring permanent care. In 2006 the municipality of Stavanger established a so-called addiction ward for these clients, comprising 17 beds at the largest municipal nursing home. We assumed that the residents of this ward were high consumers of health care and social servi...

Introduction: This study carried out to investigate the causes and motivations of older people residing in nursing home. Methods: A qualitative description study was designed by choosing a sample of the elderly residing in a nursing home in Tabriz, Iran. Based on purposive sampling, fifteen residents in the age range of 65-85 participated in the study. Data was collected through unstructur...

OBJECTIVE To describe the effect of cholinesterase inhibitors (CEIs) on the natural course of Alzheimer's disease (AD). METHODS The short and long term effects of CEIs were evaluated in 135 patients with probable Alzheimer's disease relative to 135 patients who were never exposed to CEIs matched by age, education, duration of the symptoms, and cognitive status. We measured 1 year change in co...