The Nursing Home as Total Institution: A Case Study and Suggestions for the Aged Care System

1979 ◽  
Vol 14 (4) ◽  
pp. 274-284 ◽  
Author(s):  
Cherry Swain ◽  
Jo Harrison
Keyword(s):  
Nursing Home ◽  
Aged Care ◽  
Total Institution ◽  
Care System

scholarly journals Internal and external validation of vulnerability indices: a case study of the Multivariate Nursing Home Vulnerability Index

2020 ◽  
Vol 100 (3) ◽  
pp. 1013-1036 ◽  
Author(s):  
Matthew Wilson ◽  
Sandi Lane ◽  
Raghuveer Mohan ◽  
Margaret Sugg
Keyword(s):  
Nursing Home ◽  
External Validation ◽  
Vulnerability Index

Advocacy for The Mentally Impaired Elderly: A Case Study Analysis

1989 ◽  
Vol 14 (4) ◽  
pp. 353-376 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
Marshall B. Kapp
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Self Advocacy ◽  
State Laws ◽  
Case Study Analysis ◽  
Appropriate Treatment ◽  
Mentally Impaired ◽  
And Training

The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

Pharmacist-Initiated Management of a Suspected Case of Risperidone-Induced Neuroleptic Malignant Syndrome in an Aged-Care Resident. The Role of Residential Medication Management Reviews in Medication Safety

2018 ◽  
Vol 33 (3) ◽  
pp. 382-385 ◽  
Author(s):  
Michael Morcos ◽  
Jonathan Corns ◽  
Jodie Belinda Hillen
Keyword(s):  
Medication Safety ◽  
Psychological Symptoms ◽  
Medication Management ◽  
Aged Care ◽  
Suspected Case ◽  
Medication Reviews ◽  
Behavioral And Psychological Symptoms ◽  
Valuable Role

A 70-year-old female aged-care resident was referred by her general practitioner for a residential medication management review after nurses reported difficulties with swallowing, episodes of hyperthermia, elevated blood pressure, and tachycardia. These symptoms were accompanied by increasing confusion and drowsiness. Risperidone had recently been prescribed to treat behavioral and psychological symptoms of dementia. This case study describes the pharmacist-initiated management of the symptoms through a national medication review program. It demonstrates the valuable role collaborative medication reviews play in managing adverse drug reactions in aged-care.

scholarly journals Case Study for Stroke: National Stroke Data Linkage Program

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Monique F Kilkenny ◽  
Joosup Kim ◽  
Lachlan Dalli ◽  
Amminadab Eliakundu ◽  
Muideen Olaiya
Keyword(s):  
Linked Data ◽  
Data Linkage ◽  
Stroke Care ◽  
Aged Care ◽  
Public Hospitals ◽  
Economic Evaluations ◽  
Care Services ◽  
Linkage Program ◽  
The Impact

IntroductionStroke is a leading cause of death and disability. Since 2012, our innovative national data linkage program, has enabled the successful linkage of data from the Australian Stroke Clinical Registry (AuSCR) with national and state-based datasets to investigate the continuum of stroke care and associated outcomes. Objectives and ApproachUsing stroke as a case study, in this symposium we will describe the use of linked data to undertake clinical and economic evaluations and contribute new knowledge for policy and practice. We have undertaken a range of iterative and innovative projects linking the AuSCR (used now in >80 public hospitals across Australia with follow-up survey of patients between 90-180 days) with various administrative datasets. Linkages with the National Death Index, inpatient admissions and emergency presentations, Pharmaceutical Benefits Scheme (PBS), Medicare Benefits Schedule (MBS), Aged Care services; Ambulance Victoria, Australian Rehabilitation Outcomes Centre and general practice network datasets (POLAR) have been achieved. ResultsThe symposium will provide case studies and results from four data linkage projects involving the AuSCR: 1) Stroke123 (NHMRC: #1034415), a study to investigate the impact of quality of acute care on admission/emergency presentations and survival; 2) PRECISE (NHMRC:#1141848), a study to evaluate models of primary care involving linkages with PBS/MBS, aged care services and admissions/emergency data; 3) AMBULANCE: a study to investigate how pre-hospital care affects acute stroke care involving linkages with the ambulance and admissions/emergency datasets; and 4) POLAR: a study to understand the long-term management of stroke involving linkages with primary health data. Conclusion / ImplicationsThe National Stroke Data Linkage Program has been visionary and remains highly contemporary in the field of linked data. A unique feature of this program is the active participation of clinicians and policy-makers to ensure the evidence generated have direct benefits for accelerating change in practice and informing policy.

scholarly journals Analysis of Factors Affecting Self-Acceptance in Older Adult Living in Nursing Homes

2021 ◽  
Vol 6 (2) ◽  
pp. 64
Author(s):  
Dessy Syahfitri Pohan ◽  
Elida Ulfiana ◽  
Ariina Qona'ah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Family Support ◽  
Older Adult ◽  
Aged Care ◽  
Essential Factor ◽  
Factors Affecting ◽  
Self Acceptance

Introduction: Self-acceptance among older adult who lives in the nursing home tends to be poor. It is because they feel abandoned by their families and their inability to accept any changes that occur to them. Thus, older adults find it challenging to adapt to their new environment and cause various physical and psychological problems. The purpose of this study was to determine the factors of self-acceptance in older adults living in aged care based on an empirical study of the last ten years.Method: This study used a literature review design with electronic sources from 4 databases, namely Scopus, PubMed, Google Scholar, and Science Direct, which were published in the period 2010-2020. The keywords used are factors that influence or self-acceptance, older adults or elderly or aged, and nursing homes or nursing home.Results: Thirteen articles were analyzed in this study. Six research articles discuss social support as the most important factor of self-acceptance in older adults living in nursing homes. Other factors that influence self-acceptance in the older adult who lives in the nursing home include spirituality, religiosity, family support, and positive thinking.Conclusion: Social support is the essential factor in self-acceptance in older adults living in nursing homes.

Progressing Towards a Freer Market in Australian Residential Aged Care

2021 ◽  
pp. 1-25
Author(s):  
Susan F Cochrane ◽  
Alice L Holmes ◽  
Joseph E Ibrahim
Keyword(s):  
Current System ◽  
Aged Care ◽  
Care Quality ◽  
Cultural Safety ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Care Providers ◽  
Fit For Purpose ◽  
Market Driven ◽  
Care System

The Royal Commission into Aged Care Quality and Safety has again focussed attention on the failings of the Australian aged care system. Residential aged care in Australia has become increasingly market-driven since the major reforms of 1997. The aims of increased marketisation include providing residents with greater choice, higher quality services, and increasing providers’ efficiency and innovation. However, marketisation is not meeting these aims, predominantly due to asymmetries of knowledge and power between residents and aged care providers. These asymmetries arise from inadequate provision of information, geographic disparities, urgency for care as needs arise acutely, and issues surrounding safety, including cultural safety. We propose a human rights framework, supported by responsive regulation, to overcome the failings of the current system and deliver an improved aged care system which is fit for purpose.

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