OBJECTIVE To derive and apply objective criteria which assess the appropriateness of neuroleptic prescribing, in a random sample of nursing homes. DESIGN Cross-sectional survey of prescribing in a random sample of nursing homes. SETTING 22 homes with more than 35 residents in the former South Thames Region. SUBJECTS 934 nursing home residents aged 65 years or over. METHODS We compared c...

OBJECTIVE to investigate dependency and general health status of a cohort of older people admitted to residential or nursing homes for long-term care. METHOD we assessed 308 people aged over 65 years within 2 weeks of admission for long-term care to one of 30 nursing or residential homes in north-west England. Dependency was assessed using the Barthel activities of daily living index and the ...

Objective To assess whether a multifaceted intervention can reduce the number of prescriptions for antimicrobials for suspected urinary tract infections in residents of nursing homes. Design Cluster randomised controlled trial. Setting 24 nursing homes in Ontario, Canada, and Idaho, United States. Participants 12 nursing homes allocated to a multifaceted intervention and 12 allocated to usual c...

OBJECTIVES The objective of this study was to measure the level of lighting in nursing homes in a variety of areas to determine its adequacy in meeting the visual needs of elderly residents. DESIGN Observational study PARTICIPANTS Eight nursing homes cooperating in an intervention study designed to prevent accidental falls. MEASUREMENTS The amount of light was measured in eight nursing ho...

Objective Exploring urinary continence (UC) assessment and management practices in Australian nursing homes. Design Mixed method using a questionnaire and interviews. Setting Five nursing homes in Australian metropolitan cities. Subjects Participants 121 staff: mostly female (91%) with a range of roles including personal care assistants (PCAs) (63%), enrolled nurses (ENs) (11%), registered nurs...

AIMS AND OBJECTIVES To investigate experiences of residents, their family caregivers and nursing staff in group living homes for older people with dementia and their perception of the care process. BACKGROUND Traditional nursing homes for people with dementia have several shortcomings related to depersonalisation, passivity, loss of skills and use of physical restraints. Group living homes ar...

BACKGROUND Nursing home performance measurement systems are practically ubiquitous. The vast majority of these systems aspire to rank order all nursing homes based on quantitative measures of quality. However, the ability of such systems to identify homes differing in quality is hampered by the multidimensional nature of nursing homes and their residents. As a result, the authors doubt the abil...

BACKGROUND Because the demand for government-subsidized nursing homes in Hong Kong outstrips the supply, the number of for-profit private nursing homes has been increasing rapidly. However, the standard of care in such homes is always criticized. Pressure ulcers are a major long-term care issue that is closely associated with the quality of care delivered in nursing home settings. The aim of th...

BACKGROUND The epidemiology and management of skin infections in nursing homes has not been adequately described. We reviewed the characteristics, diagnosis, and treatment of skin infections among residents of nursing homes to identify opportunities to improve antibiotic use. METHODS This was a retrospective study involving 12 nursing homes in the Denver metropolitan area. For residents at pa...

Most elderly people are not in nursing homes. Of an esti­ mated 28.5 million Americans aged 65 years and over in the United States, only 5 percent were residents of nursing homes n any given day from August 1985 through January 1986. “hisfinding from the 1985 National Nursing Home Survey (NNHS) is consistent with findings from previous National Nursing Home Surveys conducted in 1973–74 and 1977...