scholarly journals Building the Evidence for Hospital Mobility

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 867-867
Keyword(s):  
Nursing Home ◽  
Health System ◽  
Functional Decline ◽  
Bed Rest ◽  
Illness Severity ◽  
Adverse Outcomes ◽  
Nursing Home Placement ◽  
System Level ◽  
Home Placement

Abstract Low mobility in the hospital, defined as mobility limited to bed rest or bed to chair transfers, is associated with high rates of functional decline, nursing home placement, and death even after adjusting for illness severity and comorbidity. This lecture will describe the gradual of building of evidence for both the adverse outcomes and potential solutions at both an individual and a health system level to address the challenge of low mobility.

scholarly journals Hurricane Irma’s Impact on Assisted Living Residents’ Rates of Hospitalization, Nursing Home Placement, and Mortality

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 734-734
Author(s):  
Cassandra Hua ◽  
Kathryn Hyer ◽  
Wenhan Zhang ◽  
Jessica Ogarek ◽  
David Dosa
Keyword(s):  
Nursing Home ◽  
Assisted Living ◽  
Adverse Outcomes ◽  
Nursing Home Placement ◽  
Medicare Beneficiaries ◽  
Data Set ◽  
Hospitalization Rates ◽  
Home Placement ◽  
The Impact ◽  
Hurricane Irma

Abstract Little is known about the impact of hurricanes on the large and increasingly vulnerable population residing in assisted living communities (ALs). The objective of this paper was to leverage a novel methodology to identify Medicare beneficiaries residing in Florida ALs and determine their outcomes associated with Hurricane Irma in 2017. With Medicare enrollment records, claims, and the nursing home Minimum Data Set, we identified a cohort of AL residents in 2015 (n=45,505) and 2017 (n=42,306) and compared their rates of 30-day hospitalization, nursing home placement, and mortality in the two years. AL residents in 2017 had a 10% increase in their 30-day hospitalization rates (3.96 in 2015, 4.34 in 2017), 16% increase in their 30-day nursing home placement rates (1.61 in 2015, 1.87 in 2017), and 22% increase in their 30-day mortality (0.54 in 2015, 0.66 in 2017). Findings suggest Florida AL residents experienced adverse outcomes following Hurricane Irma.

scholarly journals Self-rated health as a predictor of hospital admission and nursing home placement in elderly public housing tenants.

1986 ◽  
Vol 76 (4) ◽  
pp. 457-459 ◽  
Author(s):  
M Weinberger ◽  
J C Darnell ◽  
W M Tierney ◽  
B L Martz ◽  
S L Hiner ◽  
...  
Keyword(s):  
Nursing Home ◽  
Hospital Admission ◽  
Public Housing ◽  
Nursing Home Placement ◽  
Self Rated Health ◽  
Home Placement

The Risk of Nursing Home Placement and Subsequent Death Among Older Adults

1992 ◽  
Vol 47 (4) ◽  
pp. S173-S182 ◽  
Author(s):  
F. D. Wolinsky ◽  
C. M. Callahan ◽  
J. F. Fitzgerald ◽  
R. J. Johnson
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Home Placement ◽  
Home Placement

scholarly journals Do Trajectories of At-Home Dementia Caregiving Account for Burden After Nursing Home Placement? A Growth Curve Analysis

2010 ◽  
Vol 49 (8) ◽  
pp. 734-752 ◽  
Author(s):  
Katherina A. Nikzad-Terhune ◽  
Keith A. Anderson ◽  
Robert Newcomer ◽  
Joseph E. Gaugler
Keyword(s):  
Nursing Home ◽  
Growth Curve ◽  
Curve Analysis ◽  
Nursing Home Placement ◽  
Growth Curve Analysis ◽  
Dementia Caregiving ◽  
Home Placement ◽  
At Home

The Effect of Early Nursing Home Placement on Student Attitudes Toward the Elderly

1995 ◽  
Vol 34 (3) ◽  
pp. 128-130
Author(s):  
Celia L Hartley ◽  
Patricia M Bentz ◽  
Janice R Ellis
Keyword(s):  
Nursing Home ◽  
Student Attitudes ◽  
The Elderly ◽  
Nursing Home Placement ◽  
Home Placement

A Model of Risk Reduction for Older Adults Vulnerable to Nursing Home Placement

2014 ◽  
Vol 28 (2) ◽  
pp. 162-192 ◽  
Author(s):  
Janice L. Palmer ◽  
Joanne C. Langan ◽  
Jean Krampe ◽  
Mary Krieger ◽  
Rebecca A. Lorenz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Nursing Home ◽  
Health Care Providers ◽  
Functional Disability ◽  
Nursing Home Placement ◽  
Nursing Home Care ◽  
Multiple Chronic Conditions ◽  
Care Providers ◽  
Home Placement

Because of the cost of nursing home care and desire of older adults to stay in their homes, it is important for health care providers to understand the factors that place older adults at risk for nursing home placement. This integrative review of 12 years of research, as published in 148 articles, explores the risk factors for nursing home placement of older adults. Using the framework of the vulnerable populations conceptual model developed by Flaskerud and Winslow (1998), we explored factors related to resource availability, relative risks, and health status. Important factors include socioeconomic status, having a caregiver, the availability and use of home- and community-based support services, race, acute illness particularly if hospitalization is required, medications, dementia, multiple chronic conditions, functional disability, and falls. Few intervention studies were identified. Development of evidence-based interventions and creation of policies to address modifiable risk factors are important next steps.

scholarly journals Taking Another Look: Thoughts on Behavioral Symptoms in Dementia and Their Measurement

Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 126 ◽  
Author(s):  
Diana Woods ◽  
Kathleen Buckwalter
Keyword(s):  
Nursing Home ◽  
Theoretical Perspective ◽  
Models Of Care ◽  
Nursing Home Placement ◽  
Behavioral Symptoms ◽  
Pharmacological Treatments ◽  
Research And Practice ◽  
Research Questions ◽  
Home Placement ◽  
Care Costs

This article proposes taking another look at behavioral symptoms of dementia (BSDs) both from a theoretical perspective that informs research and practice and from a measurement perspective. We discuss why this rethinking of behaviors impacts current models of care and our ability to better detect outcomes from interventions. We propose that BSDs be viewed from a pattern perspective and provide some suggestions for how to identify and measure these patterns that can influence the timing and type of intervention. Evidence suggests that BSDs are complex, sequential, patterned clusters of behavior recurring repeatedly in the same individual and escalate significantly without timely intervention. However, BSDs are frequently viewed as separate behaviors rather than patterns or clusters of behaviors, a view that affects current research questions as well as the choice, timing, and outcomes of interventions. These symptoms cause immense distress to persons with the disease and their caregivers, trigger hospitalizations and nursing home placement, and are associated with increased care costs. Despite their universality and that symptoms manifest across disease etiologies and stages, behaviors tend to be underrecognized, undertreated, and overmanaged by pharmacological treatments that may pose more harm than benefit.

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