Elderly nursing home residents who were tested as part of an intervention designed to increase feelings of choice and personal responsibility over daily events were reevaluated 18 month later. Nurses' ratings and health and mortality indicators suggest that the experimental treatment and /or the processes that it set in motion had sustained beneficial effects.

Assign each rural county to an urban county. Let i index urban counties, and let j each of the rural counties assigned to a particular urban county; let j = 0 for the urban county. DeÞne an urban county and its assigned rural counties as a group, and let Ji be the number of rural counties in group i. Let Nij be the number of nurses in county j of group i, and let Pij be the population of county...

Malnutrition is a common and serious problem in nursing homes. Dietary strategies need to be augmented by person-centered mealtime care practices to address this complex issue. This review will focus on literature from the past two decades on mealtime experiences and feeding assistance in nursing homes. The purpose is to examine how mealtime care practices can be made more person-centered. It w...

Introduction: The elderly population has increased rapidly in recent decades, and consequently, admission to nursing homes is growing, but their experiences of this transfer have not been paid adequate attention. The aim of this study is to explain the elderly and care givers’ experiences of transfer to nursing homes in Bam city, Kerman Province, Iran. Methods: This study was conducted u...

This study examines how the demographic characteristics of the top management team in 236 nursing homes can affect the adoption of innovations. The computerization of the Minimum Data Set (MDS) is the innovation we examine, and tenure, education, and involvement in a professional society are the demographic characteristics investigated. Controlling for 10 organizational and environmental factor...

There is an increasing focus on promoting person-centred systems across continuing care settings, emphasizing the need to enhance the quality of life of older adults. Life story books (LSB) can provide a holistic view of older adults, promote relationship-centred care and enhance person-centred care. The process of developing LSB involve collecting and recording aspects of a person's life both ...

We report an outbreak of Legionnaires' disease ina nursing home in Slovenia in August 2010 affecting 15 of 234 residents. To date, Legionnaires' disease has been confirmed in four patients. Further serum analyses and genotyping of isolates are ongoing. The building's water distribution system with dead end sections has been identified as the probable source of infection.

This article is the fourth of a 6-part JAMDA series devoted to medical ethics in the nursing home. In each issue, a case is presented from the Ethics Committee at the Hebrew Rehabilitation Center for Aged (HRCA) in Boston, Massachusetts. Following a description of the case and a discussion of the ethical issues that the case raises, Dr. Steven Levenson discusses the implications for medical dir...