OBJECTIVE This report presents data on the characteristics of nursing homes, utilization by current residents and number of employees. Characteristics of the nursing homes include ownership, certification, bed size, location, and affiliation. Current residents are presented by age, sex and race. Selected trend data are presented from three previous National Nursing Home Surveys. METHODS Data ...

CONTEXT Although advance directives are commonly used in the community, little is known about the effects of their systematic implementation. OBJECTIVES To examine the effect of systematically implementing an advance directive in nursing homes on patient and family satisfaction with involvement in decision making and on health care costs. DESIGN Randomized controlled trial conducted June 1,...

From October 23, 1991, through January 18, 1992, 46 state health departments reported regional or widespread influenza activity for 1 or more weeks. For the week ending January 4, 34 states reported regional or widespread activity, the most during any single week this season. From late October through mid-December, influenza outbreaks reported from 11 states involved primarily school children. ...

Social workers play a crucial role in the lives of people living in nursing homes. Many of us are trying to change the prevailing nursing home culture from one of merely delivering services that sustain life to one of infusing life with the joy of living it. As social workers, our education teaches us that we must engage with the person where she or he is, use ourselves purposefully to help tho...

As known, to finish this book, you may not need to get it at once in a day. Doing the activities along the day may make you feel so bored. If you try to force reading, you may prefer to do other entertaining activities. But, one of concepts we want you to have this book is that it will not make you feel bored. Feeling bored when reading will be only unless you don't like the book. borders of ti...

PURPOSE Effective pain management remains a serious problem in the nursing home setting. Barriers to achieving optimal pain practices include staff knowledge deficits, biases, and attitudes that influence assessment and management of the residents' pain. DESIGN AND METHODS Twelve nursing homes participated in this intervention study: six treatment homes and six control homes, divided evenly b...

Quality report cards addressing information asymmetry in the health care market have become a popular strategy used by policymakers to improve the quality of care for elderly. Using individual level data from the largest German sickness fund merged with institutional level data, we examine the relationship between nursing home quality, as measured by recently introduced report cards, nursing ho...

Nursing homes provide long-term care services and can help preserve the quality of life of elderly people subject to physical and cognitive impairments. In this chapter, we explore the role of intelligent technologies as a supplement to human care-giving and the potential to improve quality of life for both older adults and their caregivers in nursing homes. A study was conducted on elderly peo...

To the Editor: We wish to compliment Dr Susan D. Horn and colleagues on their clinical trial, ‘‘Beyond CMS quality measure adjustments: Identifying key resident and nursing home facility factors associated with quality measures.’’ Their summary of the controversies surrounding the quality care improvement efforts assist in paving the way for a clearer vision and methodology to positively impact...