PURPOSE To determine the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) to the effects of home healthcare nursing interventions. METHODS A quasi-experimental before-after study was conducted using a sample of 106 home healthcare participants referred to one of seven participating Midwest home healthcare agenci...

Gains in life expectancy around the world have increasingly placed pressure on governments to ensure that the elderly receive assistance with activities of daily living. This research examines the impact of government oversight of Medicaid payment policies on access to nursing home care services in the United States. Variation in price levels induced by a federal policy shift in 1997 is used to...

A role of Visiting Nursing Station (VNS) is getting crucial due to recent medical system reformation policy in Japan, to encourage home medical care in place of hospitals. In the future, home health care will be substantial in the aging society and the VNS will play a much more important role. Typical VNS’s are operated by so-called “social entrepreneurs” who are highly motivated in pursuing so...

BACKGROUND AND PURPOSE There are few population-based data available regarding nursing home use after stroke. This study clarifies the use of a nursing home after stroke, as well as its dependence on stroke severity, in a defined population. METHODS All first stroke events among residents of Rochester, Minn, during 1987-1989 were ascertained, subtyped, and assigned Rankin disability scores (R...

OBJECTIVES To determine the effect of long-term care (LTC) insurance on nursing home use. DESIGN Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study. SETTING Community-dwelling nationally representative sample. PARTICIPANTS Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave. METHODS Two groups of respondents were created at baseline: those wit...

More than 25% of Americans now die in a nursing home, with this percentage growing as our country rapidly ages.1,2 By 2030, the nursing home will likely be where 40% or more of Americans will die. Thus, it is imperative that nursing homes prepare for their compelling mission as “palliative care providers.”3 Nursing homes must embrace their role in providing palliative care for their residents w...

• Demand for nursing home and other health-care services for the eldely will increase significantly as the baby-boomers age, presenting formidable challenges. Overview Nursing homes are an important component of health services for the elderly population. Specifically, nursing homes or skilled nursing facilities provide 24-hour nursing care to sick or disabled individuals who do not require exp...