The journal of nursing home research sciences最新文献

{"title":"RISE IN ASSISTED LIVING LAWSUITS INDICATES THE NEED FOR A CONSUMER-CENTERED MODEL OF CARE","authors":"M. Fetterolf, P. Kao, N. Castle","doi":"10.14283/jnhrs.2019.5","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.5","url":null,"abstract":"Across the United States, 60% of Assisted Living administrators noticed an increase in legal claims; meanwhile nearly 75% noticed an increase in lawsuits and 71% noticed an increase in settlements. This article asks whether or not the rise in legal pressure may be attributed to a higher proportion of residents with moderate to severe cognitive impairment in Assisted Living. More broadly, the findings indicate that there is a lack of consumer choice and solutions for the elderly in need of long-term services. As a short-term option to mitigate the rise in legal pressure, long-term facilities could explore ways to work with residents in defining various thresholds of care that are safe, sustainable and economically sound whilst preserving certain aspects of residents’ desired lifestyles. Over the long term, the United States needs to develop innovative options for the provision of long-term care services with a focus on redesigning care for older adults with their input. The consequences of such a positive change are examined.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73619467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GER-E-TEC: TELEMONITORING PROJECT FOR ELDERLY RESIDENTS IN NURSING HOMES","authors":"A. Zulfiqar, A. Hajjam, B. Gény, S. Talha, M. Hajjam, J. Hajjam, S. Ervé, D. Letourneau, E. Andrès","doi":"10.14283/jnhrs.2019.3","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.3","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"12 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75530712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"POOR DENTAL HEALTH AND CRUSHED DRUGS IN NURSING HOME RESIDENTS","authors":"S. Pasqualini, A. Barišić, M. Serris, C. Rio, I. Prêcheur","doi":"10.14283/jnhrs.2019.13","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.13","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77077357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DERMATOLOGICAL CONSULTATIONS IN A NURSING HOME","authors":"Klapwijk, S. Kouwenhoven, W. Achterberg, M. Vermeer","doi":"10.14283/jnhrs.2019.10","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.10","url":null,"abstract":"Skin diseases are predominantly non-lethal, but can have a significant impact on quality of life in older people living in a nursing home. This short report shows the results of consultations of a dermatologist visiting people in a nursing home. The frequency of the visits was 3-4 times a year, from June 2013 to December 2016. This is the description of all consultations of fifty residents, seen during eleven visits, 53 treatment plans were made. Sixty percent of consults were on suspected oncological conditions and treatment decisions were often more reticent due to impairment in mobility, life expectancy and comorbidities. The model (visiting dermatologist in nursing home) was evaluated as very valuable complementary care alongside normal dermatological care provided by the physician in the nursing home and the possibility of telemedicine. This type of palliative dermatological care in cooperation between a hospital and a nursing home is worth being studied.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"181 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75210105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FEAR OF CHOKING AND FEAR OF FALLING IN HUNTINGTON’S DISEASE: STUDY PROTOCOL FOR A MULTI-CENTER OBSERVATIONAL CROSS-SECTIONAL STUDY","authors":"K. Kalkers, J. Schols, J. Neyens, R. Roos","doi":"10.14283/jnhrs.2019.12","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.12","url":null,"abstract":"Background: Dysphagia and accidental falls are common in patients with Huntington’s disease; they can have serious consequences and may, therefore lead to fear of choking and fear of falling. Objectives: In this article, a protocol is described to explore the prevalence of fear of choking and fear of falling in patients with Huntington’s disease, to identify the relationship between fear of choking and fear of falling and, respectively, anxiety, awareness and cognitive functioning and to define the care demands with regard to fear of choking and fear of falling. In addition, the related problems encountered by their (in)formal caregivers are investigated. Design: This study protocol describes a multi-center observational cross-sectional study. Participants: Our aim is to include 150 patients with Huntington’s Disease living in or attending day care in Dutch nursing homes specialized in Huntington’s Disease and their (in)formal caregivers. Setting: Dutch nursing homes, specialized in long-term care for patients with Huntington’s Disease. Measurements: The patients will be assessed by means of questionnaires enquiring about mobility, swallowing and their feelings and experiences related to these topics, a mobility task, a cognitive screening and a neurological examination. Other patient information will be derived from regular patient files, registered by formal caregivers. Data about fear of choking and fear of falling from the formal and informal caregiver’s perspective will be obtained by means of self–administered questionnaires. Conclusions: This study may contribute to improving insight into the cognitive, emotional and behavioral functioning of patients with Huntington’s disease. The findings may lead to relevant interventions for patients or support advice for caregivers, with regard to adequate coping strategies for risk-taking behavior.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"137 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85317805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MEDICAL DIAGNOSIS DOES NOT INFLUENCE FOOD INTAKE IN FRAIL LONG-TERM CARE RESIDENTS","authors":"W. Barkema, G. Heckman, S. Slaughter, N. Carrier, C. Lengyel, H. Keller","doi":"10.14283/jnhrs.2019.9","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.9","url":null,"abstract":"Background: Frailty is common in long-term care (LTC) and leads to decreased survival. Certain diagnoses (asthma, heart failure (HF)), Chronic Obstructive Pulmonary Disease (COPD), depressive symptoms and chronic renal failure) are associated with frailty. Objective: This study investigated food and fluid intake of residents with certain diagnoses and if the conditions were independently associated with food intake. Design & participants: Cross-sectional study with 633 participants’ where three days of weighed food and fluid intake were observed. T-tests and multiple linear regression were used to analyze associations between energy, protein, fluid and Mean Adequacy Ratio (MAR) and diagnoses and their multi-morbidity. Covariates included age, BMI, sex, cognition, eating challenges, therapeutic diets, total medications, modified diet texture, malnutrition, oral health status affecting food intake and dysphagia risk. Results: Diet quality was moderate (MAR = 0.780.80) and mean daily energy, protein and fluid were 1554 (±295) kcal, 57.4 (±13.0) grams, and 1102 (±383) ml respectively. Diagnoses were not associated with energy, protein or fluid intake or MAR after adjusting for covariates. However, significantly higher fluid intake was seen in residents with HF (p=0.014) and multiple selected diagnoses (p =0.011) as compared to those without. Conclusion: Diagnoses were found to be irrelevant for explaining food and fluid intake of LTC residents. Other covariates, potential symptoms of the condition (e.g., dysphagia), were associated with intake, suggesting that the stage of frailty may be more relevant than the diagnoses leading to frailty with respect to food intake.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79895664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEVELOPMENT OF A NEW DEVICE FOR IDENTIFICATION OF NUTRITIONAL NEEDS OF DYSPHAGIC INPATIENTS","authors":"F. Bortolazzi, A. Calabrò, M. Pesce, U. Tortorolo, T. Piccinno, Michele Masini, C. Chiorri","doi":"10.14283/jnhrs.2019.6","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.6","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78266080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EXPLORING THE TRAJECTORIES OF QUALITY OF LIFE AND ITS COVARIATES IN NURSING HOME RESIDENTS: A LONGITUDINAL STUDY","authors":"Irene Røen, J. Benth, Ø. Kirkevold, I. Testad, G. Selbæk, K. Engedal, S. Bergh","doi":"10.14283/jnhrs.2019.2","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.2","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72765716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE MEANING OF THE DEATH AND DYING OF TAIWANESE NURSING HOME RESIDENTS: THE NURSING STAFF’S VIEW","authors":"S. Tsai, J. Stocker, C. Tsai, S. Yeh","doi":"10.14283/jnhrs.2019.1","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.1","url":null,"abstract":"Background: The number of people living in long-term care (LTC) facilities has been rising in many parts of the world, and most current residents will end their lives in LTC facilities. The perceptions of residential care and practices in most current research of nursing homes (NHs) in Taiwan are based on evidence from an ego-centric rather than socio-cultural-centric model. Objectives: This study was designed to address the overlooked cultural aspect in NHs research and thereby advance understanding of how the NH staff in an East Asian setting perceive NH resident death and dying. Design: A qualitative study was designed in line with the hermeneutic phenomenological method. Data were collected via in-depth semi-structured interviews. Setting: The research was conducted in five hospital affiliated nursing homes and seven independent nursing homes in central and southern Taiwan. Participants: Through purposive sampling, twenty-five participants were recruited for interview, twelve registered nurses (RNs) and thirteen nursing aides (NAs). Measurements: An interview guide was used to produce the digitally-recorded contents, which was then transcribed verbatim and translated. The hermeneutic phenomenological analysis was conducted such that authors went back and forth through every interview text (parts) and the research questions (whole) until they reached a comprehensive understanding of the subject matter in terms of reduced, emerging themes. Results: Four themes were identified in the data analysis. They were ‘impact of a resident’s death,’ ‘reflections on entangled feelings,’ ‘insufficiencies.’ and ‘tremendous pressure of informing death.’ Conclusion: This qualitative study confirmed previous findings of non-Asian studies about the significance of ‘assessment of dying’ and ‘family communication’ in quality NH care. In addition, NH nurses were in need of palliative training in dying care. The nurses’ felt pressure due to family requests to send residents home for their ‘last breath,’ which was both the nurses’ most challenging work of care and the most culturally grounded aspect of it.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77074527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, Anxiety, and Pain among Newly Admitted Nursing Home Residents.","authors":"Christine M Ulbricht, Jacob N Hunnicutt, Anne L Hume, Kate L Lapane","doi":"10.14283/jnhrs.2019.8","DOIUrl":"10.14283/jnhrs.2019.8","url":null,"abstract":"<p><strong>Background: </strong>Depression, anxiety, and pain are commonly experienced by older adults living in nursing homes.</p><p><strong>Objectives: </strong>To describe the prevalence of depression, anxiety disorders, and pain among newly admitted nursing home residents in the United States and to describe the treatment of these disorders.</p><p><strong>Design: </strong>Cross-sectional study of newly admitted residents.</p><p><strong>Setting: </strong>Residents able to complete a pain assessment (n=783,826) living in Medicare- and Medicaid-certified nursing homes in the United States in 2011-2012.</p><p><strong>Measures: </strong>Measures of sociodemographic, mood and behavior, pain, diagnoses, and functioning items from the Minimum Data Set (MDS) version 3.0.</p><p><strong>Results: </strong>Approximately 36% of residents had a diagnosis of depression (other than bipolar disorder) and/or an anxiety disorder (n = 272,311). Of these residents, 25.2% had both depression and an anxiety disorder (95% CI = 25.0-25.4%), 54.3% (95% CI = 54.1-54.5%) had depression without an anxiety disorder, and 20.5% had an anxiety disorder without depression (95% CI = 20.3-20.6%). Fifteen percent had the triad of depression, anxiety, and pain at admission (95% CI = 9.3-23.3%). Depressive symptoms were more commonly reported by residents with pain than by those without pain. Receipt of psychological therapy (range: 0.9%-2.0%) or any psychiatric medication was lacking (range: 35.3%-48.5%), regardless of pain status. Participants reporting pain received a combination of scheduled, <i>pro re nata (</i>PRN)/as-needed, and non-medication pain interventions (range: 59.8% depression without anxiety to 62.9% depression and anxiety disorder).</p><p><strong>Conclusion: </strong>Residents often suffer from combinations of depression, anxiety and pain at admission to nursing home. While treatment of pain is more common than treatment of psychiatric treatments, both psychiatric treatment and pain management may be suboptimal in nursing homes.</p>","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"5 ","pages":"40-48"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7978416/pdf/nihms-1591649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25503846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}