Inappropriate Medication Prescribing in Residential Care/Assisted Living Facilities

2002 ◽  
Vol 50 (6) ◽  
pp. 1001-1011 ◽  
Author(s):  
Philip D. Sloane ◽  
Sheryl Zimmerman ◽  
Lori C. Brown ◽  
Timothy J. Ives ◽  
Joan F. Walsh
Keyword(s):  
Residential Care ◽  
Assisted Living ◽  
Inappropriate Medication ◽  
Assisted Living Facilities ◽  
Medication Prescribing

scholarly journals Personal and Environmental Contributors to Sedentary Behavior of Older Adults in Independent and Assisted Living Facilities

2020 ◽  
Vol 17 (17) ◽  
pp. 6415
Author(s):  
Mary P. Kotlarczyk ◽  
Andrea L. Hergenroeder ◽  
Bethany Barone Gibbs ◽  
Flor de Abril Cameron ◽  
Megan E. Hamm ◽  
...  
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Residential Care ◽  
Assisted Living ◽  
Living Environment ◽  
Sitting Time ◽  
Health Determinants ◽  
Valuable Insight ◽  
Assisted Living Facilities ◽  
Targeted Interventions

Sedentary behavior is associated with negative health outcomes and unhealthy aging. Older adults are the most sedentary age group, and decreasing sitting time represents an intervention target for improving health. Determinants of sedentary behavior have been examined in older adults living in their own homes, yet less is known about sedentary behavior of older adults in residential care facilities. The purpose of this study was to explore factors contributing to sedentary behavior among residents of independent and assisted living facilities. We conducted eight focus groups with residents (n = 44) and semi-structured interviews with staff (n = 6) across four living facilities. Audio recordings were transcribed and analyzed using an iterative, inductive approach. Three salient themes were identified. Residents and staff both viewed sedentary behavior negatively unless it was in the context of social engagement. Additionally, fear of falling was discussed as a significant contributor to sedentary behavior. Finally, residents felt the community living environment contributed to their sedentary behavior while staff did not. Our findings provide valuable insight for designing targeted interventions for older adults in residential facilities and suggest thinking beyond the individual and considering environmental influences on sedentary behavior in the residential care setting.

Exploring the Experiences of Mr. J. W. Green

2018 ◽  
Author(s):  
David Wendell Moller
Keyword(s):  
Decision Making ◽  
Social Services ◽  
Assisted Living ◽  
Medical Decision Making ◽  
Life Experience ◽  
Medical Decision ◽  
Physician Communication ◽  
Assisted Living Facilities ◽  
Optimal Care ◽  
Low Health Literacy

Inattentive care and lack of compassion exacerbated the Whites’ suffering, leading to unconscionable indignity for both in the nursing home. Ken and Virble White were a part of the ongoing fabric of our society, that portion which includes the working poor. We know that individuals like them are subject to worse health outcomes. They possess inadequate resources to make the health system work in their favor or even on balance with the rest of the population. Their medical decision-making takes place in a context of inadequate patient–physician communication, low health literacy, lack of access to social services, and other factors that undermine optimal care. These factors are present in different ways throughout the life experience of disempowered patients every day in clinics, hospitals, and assisted-living facilities throughout the nation.

scholarly journals Challenges, Barriers, Strategies Implementing an Oral Hygiene Program in Assisted Living Facilities Post COVID-19

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 935-935
Author(s):  
Kim Attanasi ◽  
Victoria Raveis
Keyword(s):  
Oral Health ◽  
Assisted Living ◽  
Oral Hygiene ◽  
Health Program ◽  
Dental Hygiene ◽  
Oral Disease ◽  
Final Decision ◽  
Assisted Living Facilities ◽  
New York University ◽  
Term Care

Abstract [Objective] Almost 8% of the U.S. population, 65 and older, reside in long term care facilities with limited delivery of essential dental care to prevent and manage oral health disease. By 2050, this population is expected to increase by 1.6 billion. Multiple bi-directional connections exist between oral disease and overall health. [Methods] Faculty from the Dental Hygiene Department, New York University College of Dentistry conducted an extensive outreach effort and randomly selected assisted living facilities. Facilities were offered the opportunity to receive at no-cost, a dental hygiene-led, educational, preventive oral health program delivered virtually to their residents as a community service. Incentives discussed. [Results] Twenty-one facilities were contacted, 17 (94.4%) had no oral healthcare program; one had an oral health component. In 13 (72%), the concierge functioned as gatekeeper, unwilling to transfer calls or deliver messages. In five (28%), calls were directed to the activity coordinator. Feasibility concerns and uncertainty about oral health service necessity and resident safety were voiced. Two facilities mentioned familiarity with dental hygiene professionals. Strategic changes in outreach resulted in successfully engaging with facility administrators. Strategies included identifying directors with familiarity or experience with dental hygiene profession, establishing a portfolio and utilizing technology that facilitate incorporating COVID-19 protocols. [Conclusions] Efforts to initiate a dental hygiene-led virtual oral health program encountered gatekeeper challenges. Although facility activity coordinators acknowledged benefits for their population, they were not final decision-makers. It was necessary to implement strategies that facilitated discussing the virtual oral hygiene program directly with the facility’s executive leadership.

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