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...

OBJECTIVE To describe physician telephone management of newly admitted nursing home residents before direct evaluation by the physician, and the effect on resident outcomes. DESIGN Retrospective chart review of 111 consecutive discharge records from two proprietary community nursing homes in Baltimore, Maryland in 1999. MEASUREMENTS Data regarding the admission process were collected, with ...

PURPOSE A national quality report card for nursing homes, Nursing Home Compare, has been published since 2002. It has been shown to have some, albeit limited, positive impact on quality of care. The objective of this study was to test empirically the hypothesis that nursing homes have responded to the publication of the report by adopting cream skimming admission policies. DESIGN AND METHODS ...

Abstract Background Data from the Nursing Home support scheme 2018 (NHSS) shows majority of applications to NHSS come acute hospitals (44%) followed by referrals community (38%). We examined this transition in a cohort dwelling older adults assess how many home nursing and, when admission hospital occurred, indications for same. Methods Retrospective examination Integrated Care Team (ICT) and A...

BACKGROUND The course of cognitive aging has demonstrated substantial heterogeneity. This study attempted to identify distinctive cognitive trajectories and examine their relationship with burdens of disability, hospitalization, and nursing home admission. METHODS Seven hundred and fifty-four community-living persons aged 70 years or older in the Yale Precipitating Events Project were assesse...

OBJECTIVES To identify factors associated with the use of selected medical services near the end of life in cognitively impaired residents of rural and urban nursing homes. DESIGN Retrospective cohort study using Centers for Medicare and Medicaid Services administrative data for 1998 through 2002. SETTING Minnesota and Texas nursing homes. PARTICIPANTS Nursing home residents aged 65 and o...

The 2004 National Nursing Home Survey collected cross-sectional data for 11,939 nursing home residents aged >or=65 years representing approximately 1.32 million individuals. That year, 24.6% of nursing home residents had diabetes as a primary admission and/or current diagnosis. Diabetes was present in 22.5 and 35.6% of white and nonwhite residents, respectively. Diabetic residents were admitted...

PURPOSE The aim of this study was to validate a pain scale for the Minimum Data Set (MDS) assessment instrument and examine prevalence of pain in major nursing home subpopulations, including type of admission and cognitive status. DESIGN AND METHODS This study considered validation of the MDS pain items and derivation of scale performed against the Visual Analogue Scale (VAS), using Automatic...

OBJECTIVE To identify nursing home standards through a nationwide survey of directors of nursing regarding transitions of care for residents transferred from acute care hospitals to skilled nursing facilities (SNFs). METHODS A national survey was distributed online and was completed by 241 directors of nursing of SNFs. The directors of nursing were asked about communication methods, transfer ...