BACKGROUND the number of nursing home residents (NHRs) in hospital is increasing although hospital admission may be deleterious to their health. OBJECTIVE to evaluate a system of educating residents, their families, staff and general practitioners about outcomes of dementia, advance care planning (ACP) and hospital in the home. METHODS we employed one clinical nurse consultant, who utilised...

PURPOSE Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings. DESIGN AND METHODS An expert panel established the dementia status of a stratified random sample of newly admitted residents in 59 Maryland nursing homes between 1992 and 1995. Medicare expenditures per-person month (PPM) were compared for 640 resident...

OBJECTIVES To examine the relationship between insomnia, hypnotic use, falls, and hip fractures in older people. DESIGN Secondary analysis of a large, longitudinal, assessment database. SETTING Four hundred thirty-seven nursing homes in Michigan. PARTICIPANTS Residents aged 65 and older in 2001 with a baseline Minimum Data Set assessment and a follow-up 150 to 210 days later. MEASUREMEN...

OBJECTIVES To determine the effects of a small-house nursing home model, THE GREEN HOUSE (GH), on residents' reported outcomes and quality of care. DESIGN Two-year longitudinal quasi-experimental study comparing GH residents with residents at two comparison sites using data collected at baseline and three follow-up intervals. SETTING Four 10-person GHs, the sponsoring nursing home for those...

To the Editor: Senior citizens are the most rapidly growing age group worldwide. They are also aging; in 2007, 27% of the 651 age group were octogenarians or older. More than 20% of those 801 suffer from amoderate to severe form of dementia, their needs often exceed the resources of their families, and placement in a nursing home is sometimes inevitable. In Israel, approximately 4% of the elder...

The study aimed to find whether subcutaneous morphine administration by syringe driver for terminally ill patients in a Dutch nursing home led to higher morphine doses and earlier death than routine morphine administration. The data comprised the files of all patients dying over a 2 year period in a 355-bed nursing home in Delft in the Netherlands. Thirty-eight per cent of the patients had been...

BACKGROUND There is limited knowledge on the ability of a poor quality of life (QOL) and health-related QOL (HRQOL) to predict mortality and other adverse health events, independently of the frailty syndrome and other confounders, in older people living in the community and not selected on the basis of specific chronic conditions. Aim of this study was to evaluate the ability of the overall QOL...

In this paper, we present an online platform for the field of Ambient Assisted Living (AAL) which is designed to support a selfdetermined and safe life for elderly people in their own homes instead of admission to a nursing home. This goal is achieved through in-home monitoring of the clients using wireless sensor networks in combination with a social networking approach based on personal Patro...