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Tag: Long-term Care

Public Perception of Long-Term Care Spells Trouble

As long-term care becomes a growing public policy issue, having a clearer idea of the American public’s perception of policy options, finances, and information sources related to ongoing living assistance becomes increasingly important for understanding and successfully addressing the population’s needs. A recent survey conducted by the National Opinion Research Center and the...

The Uneven Playing Field of End-of-Life Care

New research indicates that people with dementia received better-quality end-of-life care when they lived in a skilled nursing home, or when they had advance directives in place. These factors reduced the likelihood that “aggressive treatments” would be used to extend life. Despite a common reluctance to moving into a nursing home, new research indicates that people with dementia...

Concerns about Discrimination Against Individuals with AIDS and HIV in Senior Housing

The population of individuals living into older age with HIV is increasing. It is estimated that within the next year, 50 percent of those living with HIV will be over the age of 50. These individuals have a multitude of experiences and unique conditions related to this disease. The increasing numbers of older adults with HIV are due to multiple causes; for instance, older adults who...

Why Turnover in Nursing Home Staff Matters

Although prior research on factors impacting quality indicators of resident outcomes in nursing homes has focused on nursing home staffing and skill mix, less attention has been paid to the potential impact of staff turnover. A recent study used data from the National Nursing Home Survey to determine the impact of nursing staff turnover on residents. Even when staffing mix, bed size,...

Individual & Facility Characteristics Predict Quality of Life Scores for Nursing Home Residents

Much attention has been paid to factors influencing quality of care in nursing home facilities, but less attention has been paid to what contributes to quality of life for nursing home residents. A recent study in the Gerontologist looks at which aspects of nursing home residents and nursing home facilities correlate with the different aspects of quality of life. To address this...

Discharge Destination’s Impact on Rehospitalization Rates among the Cognitively Impaired

Policy makers and health care professionals are united in a desire to reduce the number of avoidable rehospitalizations, which not only come at an enormous cost to the health care delivery system, but have also been shown to increase functional decline in older adults. New research suggests that discharge destinations are an important factor in readmission rates for older adults,...

Influences on Caregivers’ Self-Perceived Ability to Provide Individualized Care

Individualized care (also referred to as person-centered care, consumer-directed care, and self-directed care) takes into account resident individuality, includes resident participation in decision-making processes, and provides a holistic approach to wellness. However, providing individualized care can be a resource- and energy-intensive process for long-term care staff. Such...

How Do Medication Aides Affect Care Quality?

Several states have allowed skilled nursing facilities (SNFs) to hire medication aides to administer medications to residents. Medication aides have less formal training than registered nurses (RNs) or licensed practical nurses (LPNs), and some observers have voiced concern that the use of medication aides would lead SNFs to employ fewer RNs and LPNs, reducing quality of care for...

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