Screening malnutrition in long-term care facility: A cross-sectional study comparing mini nutritional assessment (MNA) and minimum data set (MDS)

2021 ◽  
Author(s):  
Mu-Hsing Ho ◽  
Yi-Wei Lee ◽  
Ming-Hsu Wang ◽  
Yu-Fang Lin ◽  
Hui-Chen (Rita) Chang ◽  
...  
Keyword(s):  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Data Set ◽  
Long Term Care Facility ◽  
Minimum Data

scholarly journals BETTER LIVING THROUGH TECH: TECHNOLOGY-MEDIATED RECREATION AND LONG-TERM CARE FACILITY RESIDENTS’ QUALITY OF LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S442-S442
Author(s):  
Ethan A McMahan ◽  
Marion Godoy ◽  
Abiola Awosanya ◽  
Robert Winningham ◽  
Charles De Vilmorin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Data Set ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Care Facilities

Abstract Empirical research on long-term care facility resident engagement has consistently indicated that increased engagement is associated with more positive clinical outcomes and increased quality of life. The current study adds to this existing literature by documenting the positive effects of technologically-mediated recreational programing on quality of life and medication usage in aged residents living in long-term care facilities. Technologically-mediated recreational programming was defined as recreational programming that was developed, implemented, and /or monitored using software platforms dedicated specifically for these types of activities. This study utilized a longitudinal design and was part of a larger project examining quality of life in older adults. A sample of 272 residents from three long-term care facilities in Toronto, Ontario participated in this project. Resident quality of life was assessed at multiple time points across a span of approximately 12 months, and resident engagement in recreational programming was monitored continuously during this twelve-month period. Quality of life was measured using the Resident Assessment Instrument Minimum Data Set Version 2.0. Number of pharmacological medication prescriptions received during the twelve-month study period was also assessed. Descriptive analyses indicated that, in general, resident functioning tended to decrease over time. However, when controlling for age, gender, and baseline measures of resident functioning, engagement in technologically-mediated recreational programming was positively associated with several indicators of quality of life. The current findings thus indicate that engagement in technology-mediated recreational programming is associated with increased quality of life of residents in long-term care facilities.

The burden of gastroenteritis outbreaks in long-term care settings in Philadelphia, 2009–2018

2020 ◽  
Vol 41 (11) ◽  
pp. 1310-1314
Author(s):  
Hansol Kang ◽  
Yvette Khachadourian ◽  
Dana Perella ◽  
Tiina M. Peritz ◽  
Kristen A. Feemster ◽  
...  
Keyword(s):  
Long Term Care ◽  
Gastrointestinal Symptoms ◽  
Care Facility ◽  
The United States ◽  
Cross Sectional Study ◽  
Quality Data ◽  
Cross Sectional ◽  
Term Care ◽  
Outbreak Management

AbstractObjective:Gastroenteritis causes significant morbidity and mortality in long-term care facility (LTCF) residents, a growing population within the United States. We set out to better understand gastroenteritis outbreaks in LTCF by identifying outbreak and facility characteristics associated with outbreak incidence as well as outbreak duration and size.Design:We conducted a retrospective cross-sectional study on LTCFs in Philadelphia County from 2009 to 2018. Outbreak characteristics and interventions were extracted from Philadelphia Department of Public Health (PDPH) database and quality data on all LTCFs was extracted from Centers for Medicare and Medicaid Services Nursing Home Compare database.Results:We identified 121 gastroenteritis outbreaks in 49 facilities. Numbers of affected patients ranged from 2 to 211 patients (median patient illness rate, 17%). Staff were reported ill in 94 outbreaks (median staff illness rate, 5%). Outbreak facilities were associated with higher occupancy rates (91% vs 88%; P = .033) and total bed numbers (176 vs 122; P = .071) compared to nonoutbreak facilities. Higher rates of staff illness were associated with prolonged outbreaks (13% vs 4%; P < .001) and higher patient illness rates (9% vs 4%; P = .012). Prolonged outbreaks were associated with lower frequency of cohorting for outbreak management (13% vs 41%; P = .046).Conclusion:This study is the largest published analysis of gastroenteritis outbreaks in LTCFs. Facility characteristics and staff disease activity were associated with more severe outbreaks. Heightened surveillance for gastrointestinal symptoms among staff and increased use of cohorting might reduce the risk of prolonged gastroenteritis outbreaks in LTCF.

scholarly journals 5PSQ-110 Nutritional assessment in a long term care facility

2020 ◽  
Author(s):  
T Rico-Gtierrez ◽  
M Vidal Iglesias ◽  
RA Herrero Juarez ◽  
J Lázaro Cebas ◽  
C Cáceres Velasco ◽  
...  
Keyword(s):  
Long Term Care ◽  
Nutritional Assessment ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals The Implementation of Birdsong: A Non-Pharmacological Intervention for Persons With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 692-693
Author(s):  
Catherine Tompkins ◽  
Joan Thomas ◽  
Christina Cole ◽  
Mei Qiu
Keyword(s):  
Positive Emotions ◽  
Care Facility ◽  
Pharmacological Intervention ◽  
Term Care ◽  
Data Set ◽  
Negative Behaviors ◽  
Long Term Care Facility ◽  
People With Dementia ◽  
Nonpharmacological Intervention

Abstract Birdsong is a person-centered, nonpharmacological intervention for people with dementia. Using a touch-screen tablet, residents with dementia are stimulated with content customized based on individual interests such as sports, videos, music or brain games. The increased stimulation is expected to redirect negative behaviors, decrease the use of anti-psychotic medications and increase positive emotions. Birdsong is being implemented in a 100% Medicaid funded, long-term care facility. Two 10-week experimental design studies were implemented with 39 residents. Preliminary findings suggest a lack of independence with the tablets among the residents, but positive stimulation of emotions and redirection of negative behaviors with assistance of staff or volunteers. A team of practitioners, faculty and student researchers continue to examine the intervention, its implementation and effects on this population by examining the Minimum Data Set (MDS data) and observations of the residents as they utilize Birdsong.

scholarly journals Cultivating a Patient-Centered Environment (CAPE): Renovations in Long-Term Chronic Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 882-882
Author(s):  
Elizabeth Howard ◽  
Tammy Retalic
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Functional Independence ◽  
Term Care ◽  
Data Set ◽  
Long Term Care Facility ◽  
Person Centered Care ◽  
Centered Care

Abstract Achieving institutional goal of full, person-centered care was encumbered by an outdated structural “hospital model” at one long-term care facility that undertook building renovations, transforming long hallways into “neighborhood” of compact households. Quality of Life Survey and Long-term Care Minimum Data Set generated data at baseline and 1-year follow-up, comparing renovated(RU) and non-renovated unit(NRU) residents (n=36) to evaluate achievement of person-centered care. RU residents indicating they could “eat when I want” increased 75% to 81% at follow-up and decreased 17% for NRU residents. Sixty-seven percent of RU residents reported bathing “when they want” in contrast to 40% of NRU residents. Most RU residents agreed, “staff act on my suggestions.”More RU residents (68% vs 53%) agreed: “I spend time with other like-minded residents” and more RU residents (86% vs 43%) reported opportunity to explore new skills, interests. RU residents more often reported (50% vs 37%) “people ask for my help or advice.” Similar differences were observed with “it is easy to make friends here,” 67% RU residents responding affirmatively. RU residents reporting “feeling down” improved, moving from 46% to 50% disagreeing with this item with while increased number of NRU residents (18% to 22%) reported “feeling down” at follow-up.Improvement with independent performance of bed mobility, transfer, walking, and dressing among RU residents was observed while NRU residents had decreased percentages of independence. Evaluation of resident outcomes demonstrated improvement with personal choice, activities, personal relationships, functional independence and mood. Physical unit renovations appear to enhance implementation of person-centered care model.

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