Subjective Experiences of Health Care Service Utilization in Older Adulthood
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - March 1, 2016 Category: Geriatrics Authors: Gaugler, J. E. Tags: Editor ' s Introduction Source Type: research
Women in Late Life: Critical Perspectives on Gender and Age
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Inker, J. Tags: Book Review Source Type: research
Well-Being With Objects: Evaluating a Museum Object-Handling Intervention for Older Adults in Health Care Settings
The extent to which a museum object-handling intervention enhanced older adult well-being across three health care settings was examined. The program aimed to determine whether therapeutic benefits could be measured objectively using clinical scales. Facilitator-led, 30 to 40 min sessions handling and discussing museum objects were conducted in acute and elderly care (11 one-to-ones), residential (4 one-to-ones and 1 group of five), and psychiatric (4 groups of five) settings. Pre–post measures of psychological well-being (Positive Affect and Negative Affect Schedule) and subjective wellness and happiness (Visual Ana...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Thomson, L. J. M., Chatterjee, H. J. Tags: Brief Report Source Type: research
Electronic Information Systems Use in Residential Care Facilities: The Differential Effect of Ownership Status and Chain Affiliation
The use of electronic information systems (EISs) including electronic health records continues to increase in all sectors of the health care industry. Research shows that EISs may be useful for improving care delivery and decreasing medical errors. The purpose of this project is twofold: First, we describe the prevalence of EIS use among residential care facilities (RCFs), and second, we explore utilization differences by ownership status and chain affiliation. We anticipate that RCFs that are non-profit and non-chain will use more EIS than other categories of RCFs. Data for this project come from the 2010 National Survey ...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Davis, J. A., Zakoscielna, K., Jacobs, L. Tags: Original Articles Source Type: research
Discharge Criteria and Follow-Up Support for Dementia Care Units
This study aimed to describe, in a random sample of DCUs, the current admission criteria, current/recommended discharge criteria, and services to support discharge. Usable surveys were returned by 23 of 30 facilities. Residents were most frequently admitted because they had a diagnosis of dementia and exhibited cognitive/behavioral problems. The four most common discharge criteria in place/recommended were resident ability to manage in a non-specialized long-term care environment, lack of socially inappropriate behaviors, dependency in activities of daily living, and inability to participate in dementia care activities. Th...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Mortenson, W. B., Bishop, A. M. Tags: Original Articles Source Type: research
Ownership Status and Length of Stay in Skilled Nursing Facilities: Does Endogeneity Matter?
In 1998, Medicare implemented the Prospective Payment System for post-acute care provided by skilled nursing facilities. This system paid a fixed price per day above the cost of care, creating an incentive to provide longer length of stays to increase revenues. In this paper, we examine whether there are systematic differences in length of stay for post-acute care patients between for-profit and not-for-profit skilled nursing facilities. Based on the financial incentives inherent in the reimbursement system, we develop a conceptual framework that argues for-profits will provide a greater number of days of care to increase ...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Bowblis, J. R., Horowitz, J., Brunt, C. S. Tags: Original Articles Source Type: research
Nursing Home Perspectives on the Admission of Morbidly Obese Patients From Hospitals to Nursing Homes
This study identified issues NHs consider in admission decisions for MO patients transitioning from hospitals. Design and Method: Approved surveys were mailed to nursing directors at federally-certified NHs in Arkansas (n = 234) and Pennsylvania (n = 710) to collect NH experience in the admission of patients weighing ≥325 pounds. Analyses included descriptive and inferential statistics to summarize and identify predictors of MO patient admission decisions. Results: In total, 360 surveys were returned (38.1% response rate). Although two-thirds of respondents reported patient size as an admission barrier, only 6% reported...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Felix, H. C., Bradway, C., Ali, M. M., Li, X. Tags: Original Articles Source Type: research
Hand Hygiene Practices Reported by Nurse Aides in Nursing Homes
Information from nurse aides describing their opinions of hand hygiene practices in nursing homes including perceived barriers to hand hygiene is presented. The information comes from a questionnaire developed for this investigation, with items addressing compliance, facility guidelines and protocols, training, hand washing facilities and materials, and hand washing barriers. Information from 4,211 nurse aides (response rate of 56%) working in a nationally representative sample of 767 nursing homes (participation rate = 51%) is used. We find that 57.4% of nurse aides comply with hand washing when caring for residents most ...
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Castle, N., Handler, S., Wagner, L. Tags: Original Articles Source Type: research
Understanding Quality of Care in Nursing Homes and Other Residential Settings
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - February 5, 2016 Category: Geriatrics Authors: Gaugler, J. E. Tags: Editorial Source Type: research
Substance Misuse and Abuse Among Older American Adults: Individual and Public Health Implications
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Kellett, K. Tags: Book Review Source Type: research
Schedule Control and Nursing Home Quality: Exploratory Evidence of a Psychosocial Predictor of Resident Care
Conclusion: Higher schedule control might enhance the planning and delivery of strategies to prevent or cure pressure ulcers. Further research is needed to identify potential causal mechanisms by which schedule control could improve quality of care. (Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Hurtado, D. A., Berkman, L. F., Buxton, O. M., Okechukwu, C. A. Tags: Brief Report Source Type: research
Mobile Diabetes Intervention for Glycemic Control in 45- to 64-Year-Old Persons With Type 2 Diabetes
The purpose of this study was to assess effects of a mobile coaching system on glycated hemoglobin (HbA1c) levels in younger versus older patients over 1 year. Participants (n = 118) included adult patients with Type 2 diabetes cared for by community physicians. Intervention patients received mobile phone coaching and individualized web portal. Control patients received usual care. Patients were stratified into two age groups: younger (<55 years) and older (≥55 years). The intervention resulted in greater 12-month declines in HbA1c, compared with usual care, for patients in both age groups (p < .0001). Among older...
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Quinn, C. C., Shardell, M. D., Terrin, M. L., Barr, E. A., Park, D., Shaikh, F., Guralnik, J. M., Gruber-Baldini, A. L. Tags: Original Articles Source Type: research
"The Red Dress or the Blue?": How Do Staff Perceive That They Support Decision Making for People With Dementia Living in Residential Aged Care Facilities?
Respect for a person’s right to make choices and participate in decision making is generally seen as central to quality of life and well-being. When a person moves into a residential aged care facility (RACF), however, decision making becomes more complicated, particularly if the person has a diagnosis of dementia. Little is known about how staff in RACFs perceive that they support decision making for people with dementia within their everyday practice, and this article seeks to address this knowledge gap. The article reports on the findings of a qualitative study conducted in the states of Victoria and Queensland, A...
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Fetherstonhaugh, D., Tarzia, L., Bauer, M., Nay, R., Beattie, E. Tags: Original Articles Source Type: research
Environmental Predictors of Unmet Home-and Community-Based Service Needs of Older Adults
This study is based on the supposition that lack of accounting for environmental factors has resulted in such small explanatory power. Through the use of 2008 Southeastern Pennsylvania Household Health Survey data, this exploratory study modeled predictors of unmet HCBS needs. Findings reveal that lack of access to healthy foods and poor housing quality have a significant relationship to unmet HCBS needs. This model predicted 54% of the variance. Results reveal environmental questions to ask, a way to identify older adults with unmet HCBS needs and environmental barriers that if addressed may reduce older adults’ eve...
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Ferris, R. E., Glicksman, A., Kleban, M. H. Tags: Original Articles Source Type: research
Rural Caregivers for a Family Member With Dementia: Models of Burden and Distress Differ for Women and Men
Forecasts of increasing prevalence of dementia in rural settings, coupled with reliance on family caregiver support, indicate that a greater understanding of caregiver distress in these contexts is necessary. The purpose of this study was to examine family caregiver burden and severity of distress on the day that a family member was diagnosed with dementia at a memory clinic that serves a rural population. Participants in this retrospective study were 231 primary family caregivers of a rural community-dwelling person with dementia. On the diagnostic day, women reported more burden and severity of distress than men and spou...
Source: Journal of Applied Gerontology - January 4, 2016 Category: Geriatrics Authors: Stewart, N. J., Morgan, D. G., Karunanayake, C. P., Wickenhauser, J. P., Cammer, A., Minish, D., OConnell, M. E., Hayduk, L. A. Tags: Original Articles Source Type: research
