{"title":"STAY OR GO: NURSING HOMES’ NATURAL DISASTER RESPONSE IN A CHANGING CLIMATE","authors":"D. A. Harris, G. Wellenius","doi":"10.14283/jnhrs.2018.12","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.12","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86662618","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":"IMPLEMENTATION OF THE MONTESSORI PROGRAM IN ASSISTED LIVING: POSITIVE OUTCOMES AND CHALLENGES","authors":"J. Brush, N. Douglas, M. Bourgeois","doi":"10.14283/jnhrs.2018.9","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.9","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"609 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77491269","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}
B. Jesdale, S. Chrysanthopoulou, C. Dube, K. Lapane
{"title":"EVALUATING THE IMPACT OF SAFE PATIENT HANDLING AND MOVEMENT LAWS ON NURSING HOME WORKER INJURIES","authors":"B. Jesdale, S. Chrysanthopoulou, C. Dube, K. Lapane","doi":"10.14283/jnhrs.2018.8","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.8","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77925485","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":"Treatment of atrial fibrillation in nursing homes: A place for direct acting oral anticoagulants?","authors":"M. Alcusky, K. Lapane","doi":"10.14283/jnhrs.2018.4","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.4","url":null,"abstract":"Atrial fibrillation affects ~1 in 6 long-term nursing home residents. After an ischemic stroke hospitalization, ~2/3 of nursing home residents receive skilled nursing care and functional independence continues to decline, a process often complicated by rehospitalization and stroke recurrence. Due to advanced age and multimorbidity, anticoagulation is indicated for essentially all nursing home residents with atrial fibrillation. Yet as the severity of cognitive and/or functional deficits increases, the net clinical benefit of anticoagulation becomes less certain. Therefore, nursing home residents are most likely to be in need of supportive clinical evidence regarding anticoagulation, but least likely to have risk/benefit information from trials. Approximately half of US nursing home residents with atrial fibrillation have been treated with warfarin historically. Trial evidence in ambulatory older adults supports a large relative risk reduction (~50%) for stroke with warfarin versus aspirin and generally comparable bleeding risk. However, nursing home residents have a complex confluence of multimorbidity and polypharmacy that distinguishes them from healthier, non-institutionalized trial populations. Exemplifying this distinction, maintaining nursing home residents treated with warfarin within the therapeutic range has been a challenge historically, increasing the risk of adverse events. The direct acting oral anticoagulants may be a preferred therapeutic option for an indeterminate fraction of nursing home residents with atrial fibrillation. A review of the literature on anticoagulant use in nursing homes underscores the need for evidence on the effectiveness and safety of the direct acting oral anticoagulants specific to clinically complex older adults.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"12 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89825300","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":"Treatment of atrial fibrillation in nursing homes: A place for direct acting oral anticoagulants?","authors":"Matthew Alcusky, Kate L Lapane","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Atrial fibrillation affects ~1 in 6 long-term nursing home residents. After an ischemic stroke hospitalization, ~2/3 of nursing home residents receive skilled nursing care and functional independence continues to decline, a process often complicated by rehospitalization and stroke recurrence. Due to advanced age and multimorbidity, anticoagulation is indicated for essentially all nursing home residents with atrial fibrillation. Yet as the severity of cognitive and/or functional deficits increases, the net clinical benefit of anticoagulation becomes less certain. Therefore, nursing home residents are most likely to be in need of supportive clinical evidence regarding anticoagulation, but least likely to have risk/benefit information from trials. Approximately half of US nursing home residents with atrial fibrillation have been treated with warfarin historically. Trial evidence in ambulatory older adults supports a large relative risk reduction (~50%) for stroke with warfarin versus aspirin and generally comparable bleeding risk. However, nursing home residents have a complex confluence of multimorbidity and polypharmacy that distinguishes them from healthier, non-institutionalized trial populations. Exemplifying this distinction, maintaining nursing home residents treated with warfarin within the therapeutic range has been a challenge historically, increasing the risk of adverse events. The direct acting oral anticoagulants may be a preferred therapeutic option for an indeterminate fraction of nursing home residents with atrial fibrillation. A review of the literature on anticoagulant use in nursing homes underscores the need for evidence on the effectiveness and safety of the direct acting oral anticoagulants specific to clinically complex older adults.</p>","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"4 ","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756768/pdf/nihms-1004822.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223092","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}
T. Krams, C. Lafont, T. Voisin, A. Castex, M. Houles, Y. Rolland
{"title":"REHABILITATION CARE AFTER HIP FRACTURE IN OLDER PATIENTS WITH COGNITIVE IMPAIRMENT: SYSTEMATIC REVIEW","authors":"T. Krams, C. Lafont, T. Voisin, A. Castex, M. Houles, Y. Rolland","doi":"10.14283/jnhrs.2018.6","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.6","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72614274","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}
J. Burton, T. Quinn, A. Gordon, A. MacLullich, E. Reynish, S. Shenkin
{"title":"IDENTIFYING PUBLISHED STUDIES OF CARE HOME RESEARCH: AN INTERNATIONAL SURVEY OF RESEARCHERS","authors":"J. Burton, T. Quinn, A. Gordon, A. MacLullich, E. Reynish, S. Shenkin","doi":"10.14283/JNHRS.2017.15","DOIUrl":"https://doi.org/10.14283/JNHRS.2017.15","url":null,"abstract":"Collating the published research around institutional, long term care is confounded by the differing terminologies used to describe this health-care setting. We aimed to collate the descriptors used by researchers to inform the future development of a ‘search filter’ (a collection of search terms to help identify relevant records from electronic literature databases). We surveyed international researchers via the Nursing Home Research International Working Group, European Geriatric Medicine Society and published reviewers, achieving at 38% response rate across 21 countries. Our findings identified variation in terminology used by researchers to describe long-term care settings in their country of practice. Nursing home was the most accepted term (96%). ‘Homes for the Aged’ was selected by 48% of respondents. A range of terms are likely to be necessary to identify all relevant research and these may not be intuitive. We will use these data to help inform development of a search filter.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"194 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76781829","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}
Samantha Fien, Michael Climstein, T. Henwood, E. Rathbone, J. Keogh
{"title":"GAIT SPEED AND ADVERSE EVENTS IN NURSING HOME RESIDENTS: A PROSPECTIVE COHORT STUDY","authors":"Samantha Fien, Michael Climstein, T. Henwood, E. Rathbone, J. Keogh","doi":"10.14283/jnhrs.2017.13","DOIUrl":"https://doi.org/10.14283/jnhrs.2017.13","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77290618","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}
A. Jansson, S. Muurinen, N. Savikko, H. Soini, M. Suominen, K. Pitkälä
{"title":"LONELINESS IN NURSING HOMES AND ASSISTED LIVING FACILITIES: PREVALENCE, ASSOCIATED FACTORS AND PROGNOSIS","authors":"A. Jansson, S. Muurinen, N. Savikko, H. Soini, M. Suominen, K. Pitkälä","doi":"10.14283/jnhrs.2017.7","DOIUrl":"https://doi.org/10.14283/jnhrs.2017.7","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"304 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83018796","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":"WHAT IS THE “RIGHT” NUMBER OF NURSING HOME BEDS FOR POPULATION NEEDS? AN INDICATOR DEVELOPMENT PROJECT","authors":"Donna M. Wilson, R. Brow, R. Playfair","doi":"10.14283/jnhrs.2017.3","DOIUrl":"https://doi.org/10.14283/jnhrs.2017.3","url":null,"abstract":"The need for nursing homes is increasing rapidly now with accelerating population aging and other socio-demographic developments. No indicators currently exist to specify the number of nursing home beds that should be available to meet population requirements. To meet this gap, descriptive-comparative information was gathered on the number of nursing home beds that exist in 10 Canadian provinces and 15 high-income countries and other relevant information. Major differences were found in bed numbers relative to population age structures, with a set of three median indicators (109.4, 17.5, and 4.5) developed to identify the mid-range number of citizens of all ages per nursing home bed, citizens aged 65+ per nursing home bed, and citizens aged 80+ per nursing home bed. Indicators such as these enable comparisons of actual to optimal. The devised set of three indicators should raise nursing attention to nursing home bed accessibility, and further policy and planning for the nursing home expansion required with population aging.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88841134","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}