(In)visibility of Good and Bad Care Practices in Nursing Homes: A Vicious Circle

2020 ◽  
pp. 157-179
Author(s):  
Ana Paula Gil
1998 ◽  
Vol 46 (2) ◽  
pp. 181-186 ◽  
Author(s):  
Patrice A. Cruise ◽  
John F. Schnelle ◽  
Cathy A. Alessi ◽  
Sandra F. Simmons ◽  
Joseph G. Ouslander
Keyword(s):  

Dementia ◽  
2015 ◽  
Vol 16 (7) ◽  
pp. 853-864 ◽  
Author(s):  
Jens Bohlken ◽  
Louis Jacob ◽  
Peter Schaum ◽  
Michael A Rapp ◽  
Karel Kostev

The aim was to analyze the risk of hip fracture in German primary care patients with dementia. This study included patients aged 65–90 from 1072 primary care practices who were first diagnosed with dementia between 2010 and 2013. Controls were matched (1:1) to cases for age, sex, and type of health insurance. The primary outcome was the diagnosis of hip fracture during the three-year follow-up period. A total of 53,156 dementia patients and 53,156 controls were included. A total of 5.3% of patients and 0.7% of controls displayed hip fracture after three years. Hip fracture occurred more frequently in dementia subjects living in nursing homes than in those living at home (9.2% versus 4.3%). Dementia, residence in nursing homes, and osteoporosis were risk factors for fracture development. Antidementia, antipsychotic, and antidepressant drugs generally had no significant impact on hip fracture risk when prescribed for less than six months. Dementia increased hip fracture risk in German primary care practices.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Clément Cormi ◽  
Marie Petit ◽  
Juline Auclair ◽  
Emmanuel Bagaragaza ◽  
Isabelle Colombet ◽  
...  

Abstract Background Despite increasing use of telemedicine in the field of palliative care, studies about the best circumstances and processes where it could replace face-to-face interaction are lacking. This study aimed to: (1) identify situations that are most amenable to the use of telemedicine for the provision of palliative care to patients in nursing homes; and (2) understand how telemedicine could best be integrated into the routine practice of mobile palliative care teams. Methods A qualitative study based on semi-structured focus groups (n = 7) with professionals (n = 33) working in mobile palliative care teams in France. Results Between June and July 2019, 7 mobile palliative care teams participated in one focus group each. Using thematic analysis, we found that telemedicine use in palliative care is about navigating between usual and new practices. Several influencing factors also emerged, which influence the use of telemedicine for palliative care, depending on the situation. Finally, we built a use-case model of palliative care to help mobile palliative care teams identify circumstances where telemedicine could be useful, or not. Conclusions The potential utility of telemedicine for delivering palliative care in nursing homes largely depends on the motive for calling on the mobile palliative care team. Requests regarding symptoms may be particularly amenable to telemedicine, whereas psycho-social distress may not. Further studies are warranted to assess the impact of influencing factors on real-life palliative care practices. Telemedicine could nonetheless be a useful addition to the mobile palliative care teams’ armamentarium.


2022 ◽  
Vol 43 ◽  
pp. 188-196
Author(s):  
Sarah Dys ◽  
Ozcan Tunalilar ◽  
Serena Hasworth ◽  
Jaclyn Winfree ◽  
Diana L. White

Medical Care ◽  
2013 ◽  
Vol 51 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Jennifer L. Sullivan ◽  
Michael Shwartz ◽  
James F. Burgess ◽  
Erol A. Peköz ◽  
Cindy L. Christiansen ◽  
...  

2016 ◽  
Vol 37 (3) ◽  
pp. 349-370 ◽  
Author(s):  
M. Lindsey Jacobs ◽  
A. Lynn Snow ◽  
Patricia A. Parmelee ◽  
Jullet A. Davis

The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.


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