AIM To investigate registered hospital and nursing home nurses' experiences of coordination and communication within and between care settings when older persons are transferred from nursing homes to hospital and vice versa. BACKGROUND It has previously been reported that transfers to hospital from nursing homes and discharge of patients from hospital are surrounded by communication difficult...

OBJECTIVE To assess the risk of nursing home admission in a representative sample of older, visually impaired, community-dwelling people 75 years and older living in Great Britain. DESIGN Prospective study. SETTING General practices (n = 53). PARTICIPANTS Participants in the Medical Research Council trial of assessment and management of older people in the community (N = 14 037). Main Out...

OBJECTIVES To describe lengths of stay of nursing home decedents. DESIGN Retrospective cohort study. SETTING The Health and Retirement Study (HRS), a nationally representative survey of U.S. adults aged 50 and older. PARTICIPANTS One thousand eight hundred seventeen nursing home residents who died between 1992 and 2006. MEASUREMENTS The primary outcome was length of stay, defined as the...

BACKGROUND Agitation and aggression are common behaviors that often lead to psychiatric emergency center (PEC) admission of nursing home patients with dementia or Alzheimer's disease. However, few if any data are available that adequately describe characteristics and psychosocial triggers of agitation and aggression leading to transport and admission to a PEC. METHODS A preliminary investigat...

PURPOSE OF THE STUDY To compare acute care outcomes and costs among nursing home residents with community-dwelling home health recipients. DESIGN AND METHODS A matched retrospective cohort study of Alabamians aged more than or equal to 65 years admitted to a nursing home or home health between March 31, 2007 and December 31, 2008 (N = 1,291 pairs). Medicare claims were compared up to one year...

A 79-year-old man was admitted to hospital from his nursing home for treatment of pneumonia, but died 7 days after admission. Legionella pneumonia was diagnosed after isolation of Legionella pneumophila serogroup-5 from sputum culture. The environment of the nursing home was investigated; only water specimens from the 24-hour bath were positive by culture for Legionella pneumophila serogroup-5....

We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural ar...