OBJECTIVES This article examines the views of nursing staff and administrators in long-term care facilities (LTCFs) regarding a clinical pathway for managing urinary tract infections (UTIs) in LTCF residents. DESIGN A qualitative (case study) design was used. SETTING Data were collected from 8 LTCFs in southern Ontario and 2 in Iowa enrolled in a larger randomized controlled trial of clinic...

BACKGROUND Growing evidence shows that sense of coherence (SOC) is related to health promotion. Knowledge of SOC among older adults in Taiwan is limited. The present study aimed to investigate SOC status and its relationship to personal and environmental factors among older adult residents of long-term care facilities (LTCFs) in northeastern Taiwan. METHODS This cross-sectional study was perf...

The North Shore-LIJ Health System is the third-largest nonsectarian health system in the country. Created in 1998, the health system’s laboratory model consists of a strategically located core lab that uses total laboratory automation and offers consolidated testing, a rapid response lab in each of the system’s 18 hospitals, a standardized LIS, and standardized laboratory instrumentation. The c...

Congress is considering proposals to improve its financing of long-term care. The key issue is whether it should support a social insurance program or a program targeted to a population group defined by income and assets. Social insurance is expensive, costing between $15 and $20 billion. For the most part, it provides benefits--primarily asset protection--to middle- and upper-income individual...

OBJECTIVES To evaluate the impact of oseltamivir prophylaxis in the management and control of influenza outbreaks in long-term care facilities in Alberta, Canada. SETTING AND PARTICIPANTS Long-term care facilities where 127 influenza outbreaks were reported to public health authorities in Alberta, Canada, during two influenza seasons from 2013 to 2015. DESIGN AND OUTCOME MEASURES Using rout...

Hospitalized sub-acute medicine patients face challenges to their functional and cognitive abilities as they await transfer to long-term care facilities or return home. The Continuous Quality Improvement (CQI) Council, representing a multidisciplinary team of healthcare professionals working in the Sub-Acute Medicine Unit (SAMU), implemented a twice-weekly lunch program called the Lunch Bunch i...

We describe a course in the Veterans Affairs (VA) Employee Education System designed to engage nursing staff working in VA long-term care facilities as partners in antimicrobial stewardship. We found that the course addressed an important knowledge gap. Our outcomes suggest opportunities to engage nursing staff in advancing antimicrobial stewardship, particularly in the long-term care setting.

AIMS To compare the perceptions of dentists in British Columbia regarding their decisions to provide treatment in long-term care facilities and to explore changes since 1985 in Vancouver dentists' attitudes to treating elderly patients in such facilities. MATERIALS AND METHODS Dentists were randomly selected from all of British Columbia in 2008 and surveyed with a similar questionnaire to tha...

This paper provides empirical evidence of Medicaid crowd out of demand for private long-term care insurance. Using data on the nearand young-elderly in the Health and Retirement Survey, our central estimate suggests that a $10,000 decrease in the level of assets an individual can keep while qualifying for Medicaid would increase private long-term care insurance coverage by 1.1 percentage points...

Long-term care ombudsman programs were established by Congress in the early 1970s to provide a community presence in long-term care facilities. Ombudsmen are advocates who identify, investigate, and resolve individual and systems level complaints that affect residents in nursing homes and assisted living facilities. This article provides an overview of the program and addresses ways in which om...