Comparison of Covid-19 antibody status after vaccination between residents in long-term geriatric care and residents assisted-living facilities

Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements.

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Medication Reconciliation in Long-Term Care and Assisted Living Facilities

Clinics in Geriatric Medicine ◽

10.1016/j.cger.2017.01.006 ◽

2017 ◽

Vol 33 (2) ◽

pp. 225-239 ◽

Cited By ~ 3

Author(s):

Linda G. Gooen

Keyword(s):

Assisted Living ◽

Medication Reconciliation ◽

Long Term Care ◽

Assisted Living Facilities ◽

Term Care

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Forensic Issues in Long-Term Care Psychiatry

10.1093/med/9780199374656.003.0018 ◽

2017 ◽

Author(s):

Marshall B. Kapp

Keyword(s):

Assisted Living ◽

Long Term Care ◽

Psychiatric Treatment ◽

Health Assessment ◽

The United States ◽

Assisted Living Facilities ◽

Nursing Facilities ◽

Care Providers ◽

Term Care

This chapter focuses on medical-legal issues that may arise in the context of identifying psychiatric needs and providing psychiatric care for older persons in long-term care institutional settings, specifically residents of nursing facilities and assisted living facilities. Following general observations about the present regulatory climate in the United States governing nursing facilities and assisted living facilities, the chapter explores mental health assessment requirements for residents of those venues. Key legal responsibilities and restrictions regarding the psychiatric treatment of those residents are then discussed, as well as several areas of concern about potential exposure to litigation and liability on the part of long-term care providers. Finally, some of the most salient future legal and policy challenges confronting those who plan, fund, provide, and evaluate long-term care institutional psychiatric services are noted.

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Toileting Disability in Older People Residing in Long-term Care or Assisted Living Facilities

Journal of Wound Ostomy and Continence Nursing ◽

10.1097/won.0000000000000583 ◽

2019 ◽

Vol 46 (5) ◽

pp. E1-E2

Keyword(s):

Older People ◽

Assisted Living ◽

Long Term Care ◽

Assisted Living Facilities ◽

Term Care

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Ethical Considerations in the Conduct of Electronic Surveillance Research

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2006.00075.x ◽

2006 ◽

Vol 34 (3) ◽

pp. 611-619 ◽

Cited By ~ 30

Author(s):

Ashok J. Bharucha ◽

Alex John London ◽

David Barnard ◽

Howard Wactlar ◽

Mary Amanda Dew ◽

...

Keyword(s):

Assisted Living ◽

Long Term Care ◽

The United States ◽

Assisted Living Facilities ◽

Ethical Considerations ◽

Term Care ◽

Baby Boomer Generation ◽

Demographic Shifts

Nearly 2.5 million Americans currently reside in nursing homes and assisted living facilities in the United States, accounting for approximately five percent of persons sixty-five and older. The aging of the “Baby Boomer” generation is expected to lead to an exponential growth in the need for some form of long-term care (LTC) for this segment of the population within the next twenty-five years. In light of these sobering demographic shifts, there is an urgency to address the profound concerns that exist about the quality-of-care (QoC) and quality-of-life (QoL) of this frailest segment of our population.

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Long-Term Care/Residential Care

10.1093/med/9780190466268.003.0028 ◽

2018 ◽

Author(s):

Tahira I. Lodhi ◽

Tania Alchalabi

Keyword(s):

Assisted Living ◽

Independent Living ◽

Long Term Care ◽

Assisted Living Facilities ◽

Geriatric Population ◽

Term Care ◽

Levels Of Care ◽

Care Plans ◽

Care Systems

Given the increase in the geriatric population, the norms of long-term care systems will be forced to change in societies all over the world. This chapter provides an overview of the different levels of care available, from independent living to inpatient, subacute, rehab, assisted living facilities, group homes, and long-term care. A case study is provided of a couple’s declining health trajectory and worsening functional status, identifying resources that pay for various levels of care. Given that care plans must be tailored to the patient’s needs and circumstance, this review provides the foundation to build the structure of a transition or discharge plan. The use of complementary and alternative medicine in long-term care facilities is briefly covered.

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Improving Quality of Life in Long-Term Care

Perspectives on Gerontology ◽

10.1044/gero14.2.37 ◽

2009 ◽

Vol 14 (2) ◽

pp. 37-41 ◽

Cited By ~ 2

Author(s):

Margaret P. Calkins ◽

Jennifer Brush

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Assisted Living ◽

Staff Training ◽

Long Term Care ◽

Assisted Living Facilities ◽

Term Care ◽

Management Structure

Abstract The entire field of long-term care is under tremendous pressure to change. Traditional environmental approaches based on staff-centric or medical models are no longer considered appropriate in long-term care settings. The new emphasis is on person-centered or self-directed care. This is reflected in settings where people can live comfortably and feel at home, as opposed to feeling like they are in a hospital. Increasingly, nursing homes are working to be more like assisted living facilities, which emphasize privacy, dignity, and choice. These changes affect all aspects of care from structure of governance to staff training to management structure and facility design. This article will cover the issues and the possible solutions to ensuring that long-term care living is more like a home than a hospital.

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