PURPOSE Our objective in this study was to compare the quality of care provided under the Minnesota Senior Health Options (MSHO), a special program designed to serve dually eligible older persons, to care provided to controls who received fee-for-service Medicare and Medicaid managed care. DESIGN AND METHODS Two control groups were used; one was drawn from nonenrollees living in the same area...

The purpose of this study is to describe the physiologic health care needs of HIV-infected Black men on admission to an AIDS-dedicated nursing home. Participants were 68 Black men aged 26 to 60 years who were admitted to an AIDS-dedicated nursing home in the southern New England area between 1995 and 1999. The participants were very ill and weak on their admission to the nursing home, with most...

BACKGROUND Many older persons with advanced dementia receive terminal care in nursing homes, others remain in the community with home care services. OBJECTIVES To describe and compare the end-of-life experience of persons dying with advanced dementia in the nursing home and home care settings. DESIGN Retrospective cohort study. SETTING/SUBJECTS Persons 65 years or older with advanced deme...

OBJECTIVE To investigate the usefulness of a Dutch pressure sore risk assessment scale--the Centraal Begeleidingsorgaan voor de Intercollegiale Toetsing (CBO; National Organization for Quality Assurance in Hospitals) score--in the detection of patients at risk of developing pressure sores after admission to a nursing home. As the Norton score is the standard method of risk assessment, we also i...

OBJECTIVES To determine whether environmental cleaning and contamination are associated with variation in the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) between nursing homes. DESIGN Prospective study of environmental contamination and cleaning quality. SETTING Nursing home. PARTICIPANTS Ten California nursing homes. MEASUREMENTS Nursing homes were categorized into...

Is there Seasonal Variation in Nursing Home Acquired Pneumonia? Shelli Farhadian, M.D., Ph.D., Peter Van Ness, Ph.D., M.P.H., Vincent Quagliarello, M.D. Background: Pneumonia is a leading cause of hospitalization among elderly adults, and particularly among nursing home residents. The seasonal variation in nursing home acquired pneumonia is not yet known. Studies to date on seasonal variation i...

A survey of all elderly people aged 65 years and over from North and West Belfast receiving long-term care in residential and nursing homes, and in psycho-geriatric and geriatric care was undertaken. A total of 967 subjects was studied and physical dependency and mental impairment documented. The high dependency of residents in geriatric and psycho-geriatric care was highlighted, with greater l...

BACKGROUND Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS A cross-sectional survey ...