Additional Cost Because of Pneumonia in Nursing Home Residents: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study

2017 ◽  
Vol 18 (5) ◽  
pp. 453.e7-453.e12 ◽  
Author(s):  
Nadège Costa ◽  
Emiel O. Hoogendijk ◽  
Michael Mounié ◽  
Robert Bourrel ◽  
Yves Rolland ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
Additional Cost

Alzheimer's Disease and Other Dementia in Nursing Homes: Levels of Management and Cost

2001 ◽  
Vol 13 (3) ◽  
pp. 347-358 ◽  
Author(s):  
Judith A. O'Brien ◽  
J. Jaime Caro
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Annual Cost ◽  
Nursing Home Residents ◽  
Care Needs ◽  
Diagnosis Of Dementia ◽  
Care Costs

Objective: To estimate comparative mangement levels and the annual cost of caring for a nursing home resident with and without dementia. Method: Data from the 1995 Massachusetts Medicaid nursing home database were used to examine residents with Alzheimer's disease, other types of dementia, and no dementia to determine care and dependency levels. Massachusetts Medicaid 1997 per-diem rates for each of 10 designated management levels were applied accordingly to residents in each level to estimate annual care costs. Costs from this analysis are reported in 1997 U.S. dollars. Results: Of the 49,724 nursing home residents identified, 26.4% had a documented diagnosis of dementia. On average, a resident with dementia requires 229 more hours of care annually than one without dementia, resulting in a mean additional cost of $3,865 per patient with dementia per year. Conclusions: Dementia increases the care needs and cost of caring for a nursing home resident.

Nursing Home Resident Barriers to Effective Pain Management: Why Nursing Home Residents May Not Seek Pain Medication

2006 ◽  
Vol 7 (3) ◽  
pp. S21-S28 ◽  
Author(s):  
Katherine R. Jones ◽  
Regina M. Fink ◽  
Lauren Clark ◽  
Evelyn Hutt ◽  
Carol P. Vojir ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
Pain Medication

scholarly journals Being a Nursing Home Resident: A Challenge to One's Identity

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Maria Riedl ◽  
Franco Mantovan ◽  
Christa Them
Keyword(s):  
Social Networks ◽  
Content Analysis ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Life Experience ◽  
Nursing Home Residents ◽  
Self Determination ◽  
First Year ◽  
Study Participants

Going into a nursing home can turn out to be a critical life experience if elderly people are afraid of losing their independence and identity after having moved into a nursing home. In order to find out what nursing home residents need in their first year after having moved into a nursing home to maintain their identity and self-determination, 20 problem-orientated interviews with residents of three nursing homes in the Austrian province of Salzburg were conducted and analysed based on content analysis according to Mayring. The participants of this study resist against having decisions taken away from them and fight for their independence and identity. In order to be able to cope with these strains, they need the help of family members, professionals, and identity-forming conversations in new social networks in the nursing home. The study participants draw enough strength from their faith in order to fight for their independence. They develop a new identity close to their previous identity by maintaining autonomy and mobility with a clear focus on the future.

Variability of total phenytoin serum concentrations within elderly nursing home residents

Neurology ◽  
2003 ◽  
Vol 60 (4) ◽  
pp. 555-559 ◽  
Author(s):  
A. Birnbaum ◽  
N. A. Hardie ◽  
I. E. Leppik ◽  
J. M. Conway ◽  
S. E. Bowers ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
The Elderly ◽  
The United States ◽  
Serum Concentrations ◽  
Minimum Concentration ◽  
Elderly Nursing Home Resident ◽  
The Mean

Background: Approximately 6% of all elderly nursing home residents receive phenytoin. Phenytoin concentrations are often measured to guide therapy.Objective: To evaluate the intraresident variability among multiple measurements of total phenytoin serum concentrations in nursing home residents.Methods: This was an observational study of 56 elderly (≥65 years) nursing home residents from 32 nursing homes who had at least 3 phenytoin concentrations measured while on the same dose of phenytoin for at least 4 weeks and who were not taking any interfering concomitant medications. These were a subset of 387 elderly nursing home residents from 112 nursing homes across the United States who had total phenytoin concentration measurements between June 1998 and December 2000.Results: The mean age was 80.1 years (range, 65 to 100 years) and 58.9% were women. The mean daily dose of phenytoin per resident was 4.9 ± 1.5 mg/kg. Total phenytoin concentrations within an elderly nursing home resident varied as much as two- to threefold, even though there was no change in dose. The person with the smallest variability had a minimum concentration of 10.0 μg/mL and a maximum of 10.4 μg/mL. The person with the largest variability had a minimum concentration of 9.7 μg/mL and a maximum of 28.8 μg/mL.Conclusions: There is considerable variability in the total phenytoin concentrations in the elderly nursing home resident and measurement of a single total phenytoin concentration should not be used to guide treatment.

Nursing home resident barriers to effective pain management: Why nursing home residents may not seek pain medication

2005 ◽  
Vol 6 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Katherine R. Jones ◽  
Regina M. Fink ◽  
Lauren Clark ◽  
Evelyn Hutt ◽  
Carol P. Vojir ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
Pain Medication

Variations in death notification of nursing home residents to Australian Coroners

2018 ◽  
Vol 25 (5) ◽  
pp. 357-363
Author(s):  
Joseph Elias Ibrahim ◽  
Chebiwot Kipsaina ◽  
Cathy Martin ◽  
David Leo Ranson ◽  
Lyndal Bugeja
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Negative Binomial ◽  
Nursing Home Residents ◽  
Comprehensive Model ◽  
Manner Of Death ◽  
Home Setting ◽  
The Impact ◽  
Age Of Death

ObjectivesTo examine the impact of changes to the reporting requirements in coronial legislation on the nature and frequency of nursing home resident deaths reported to Coroners.DesignNational retrospective study of a population cohort of nursing home resident deaths.SettingAccredited Australian nursing homes between July 2000 and June 2013.ParticipantsResidents who died in nursing homes accredited by the Aged Care Standards and Accreditation Agency reported to Coroners.Main outcome measuresWe explored three death-reporting models in the nursing home setting: comprehensive model, selective ‘mechanism of death’ model and selective ‘age of death’ model. These models were examined by manner of death subgroups: natural, falls-related and other external causes using the outcome measure of deaths notified to the Coroner per 1000 residents. We used an interrupted time series analysis using generalised linear regression with a negative binomial probability distribution and a log link function.ResultsThe comprehensive model showed the proportion of reportable deaths due to natural causes far exceeded those from falls and other external cause. In contrast, the selective notification models reduced the total number of reportable deaths. Similarly, the selective ‘age of death’ model showed a decline in the reportable external cause deaths.ConclusionsVariation in the causes, locations and ages of persons whose deaths are legally required to be notified to Coroners impacts the frequency and nature of deaths of nursing home residents investigated by Coroners. This demonstrates that legislation needs to be carefully framed and applied to ensure that the prevention mandate of Coroners in Australia is to be achieved.

scholarly journals Do Family Proxies Get It Right? Concordance in Reports of Nursing Home Residents’ Everyday Preferences

2015 ◽  
Vol 36 (6) ◽  
pp. 667-691 ◽  
Author(s):  
Allison R. Heid ◽  
Lauren R. Bangerter ◽  
Katherine M. Abbott ◽  
Kimberly Van Haitsma
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Hearing Impairment ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
Descriptive Statistics ◽  
Perfect Agreement ◽  
Importance Ratings ◽  
Multi Level ◽  
Mean Differences

Limited work has examined how well family proxies understand nursing home residents’ preferences. With 85 dyads of a nursing home resident and relative, we utilize descriptive statistics and multi-level modeling to examine the concordance in reports of importance ratings of 72 everyday preferences for residents. Results reveal significant mean differences at the p < .001 level between proxies and residents on 12 of 72 preferences; yet, perfect agreement in responses is poor and only increases when dichotomizing responses into an important versus not important outcome. Multi-level modeling further indicates that dyads are discrepant on reports of the importance of growth activities for residents, with residents reporting higher levels of importance than proxies. This discrepancy is associated with residents’ hearing impairment and proxies’ perception of resident openness. The findings highlight not only how proxies may be able to inform care for residents in nursing homes but also where further discussions are warranted.

Erratum: Hearing Levels among Elderly Nursing Home Residents

1980 ◽  
Vol 45 (2) ◽  
Author(s):  
Ronald L. Schow ◽  
Michael A. Nerbonne
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

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