ABSTRACT CULTIVATING KNOWING AND RELATIONSHIPS: A GROUNDED THEORY OF QUALITY OF DEATH IN THE NURSING HOME Rebecca L. Trotta, Author Sarah H. Kagan, Supervisor Understanding quality of death in the nursing home is mandated both by demographics and morality in an aging society. Nursing home residents are among the oldest and most physically and mentally frail members of our society. Today, approx...

Functionality, as measured by activities of daily living (ADL), is the most important predictor of the cost of nursing home care. Data from a field-test version of the federally mandated Minimum Data Set (MDS) were examined using analysis of variance (ANOVA) and recursive partitioning methods to determine the relationships between ADL limitations and nursing cost (wage-weighted nursing time) am...

PURPOSE The goal of the study was to understand the experiences of life among nursing home residents. METHODS Qualitative study was conducted using Colaizzi's phenomenological method. The participants were 11 people aged 76-96 years in two nursing homes in Korea. RESULTS Nine themes were identified: giving up on one self, growing apart from familiar relationships, perceiving the monotony of...

Patient outcomes and cost were compared when home healthcare was delivered by telemedicine or by traditional means for patients receiving skilled nursing care at home. A randomized controlled trial was established using three groups. The first group, control group C, received traditional skilled nursing care at home. The second group, video intervention group V, received traditional skilled nur...

Introduction The probability of entering a nursing home is not the same for everyone. Age, being a woman, and living alone are all risk factors. These risk factors are also interrelated: women have a higher probability of entering a nursing home, largely because they live longer and are more likely to live alone during their last years. Disability also increases the risk of entering a nursing h...

OBJECTIVE To study whether physician presence in the nursing home is related to clinical decision making, certainty, and honoring care preferences for patients with dementia and pneumonia. DESIGN Cross-sectional survey of physicians. SETTING Nursing homes in the United States and the Netherlands. PARTICIPANTS Twenty-four US and 38 Dutch physicians who provide care for nursing home patient...

BACKGROUND Lower respiratory infection (LRI) is the leading cause of hospitalization for nursing home residents, but hospitalization is costly and may cause complications. OBJECTIVE We sought to compare mortality and cost between episodes of LRI initially treated in the hospital versus the nursing home after controlling for illness severity and the probability of hospitalization. DESIGN Thi...

OBJECTIVE To evaluate innate immune responses of older disabled nursing home residents that may contribute to infectious disease susceptibility, we compared surface markers and signaling efficiency of neutrophils from nursing home residents and community dwelling elders. DESIGN Observational pilot study. SETTING Five New Haven, CT area nursing homes and the greater New Haven community. PA...

BACKGROUND Back pain is one of the most frequent complaints in the nursing profession. Thus, the 12-month prevalence of pain in the lumbar spine in nursing staff is as high as 76%. Only a few representative studies have assessed the prevalence rates of back pain and its risk factors among nursing staff in nursing homes in comparison to staff in home-based care facilities. The present study acco...