scholarly journals COVID-19: How It Shaped Nursing Home Care and Elder Justice

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 388-388
Author(s):  
Brian Lindberg
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Elder Abuse ◽  
Nursing Home Care ◽  
Term Care ◽  
Care Facilities ◽  
Elder Justice

Abstract This session will provide updates on how the pandemic led to horrific situations in long-term care facilities and how the pandemic influenced major federal efforts to address elder abuse, neglect, and exploitation.

scholarly journals The Pandemic and Nursing Home Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 388-388
Author(s):  
Lori Smetanka
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Elder Abuse ◽  
Nursing Home Care ◽  
Term Care ◽  
Care Facilities

Abstract This session will provide updates on how the pandemic led to horrific situations in long-term care facilities and how the pandemic influenced major federal efforts to address elder abuse, neglect, and exploitation.

The vulnerability of nursing home residents to the Covid-19 pandemic

2020 ◽  
Vol 23 (2-3) ◽  
pp. 57-60 ◽  
Author(s):  
Edward H Wagner
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Nursing Assistants ◽  
Nursing Home Care ◽  
Term Care ◽  
Staff Members ◽  
Care Facilities

Residents in nursing homes and other long-term care facilities comprise a large percentage of the deaths from Covid 19. Is this inevitable or are there problems with NHs and their care that increase the susceptibility of their residents. The first U.S. cluster of cases involved the residents, staff, and visitors of a Seattle-area nursing home. Study of this cluster suggested that infected staff members were transmitting the disease to residents. The quality of nursing home care has long been a concern and attributed to chronic underfunding and resulting understaffing. Most NH care is delivered by minimally trained nursing assistants whose low pay and limited benefits compel them to work in multiple long-term care settings, increasing their risk of infection, and work while ill. More comparative studies of highly infected long-term care facilities with those organizations that were able to better protect their residents are urgently needed. Early evidence suggests that understaffing of registered nurses may increase the risk of larger outbreaks.

scholarly journals Municipalities’ Decision to Care: At Home or in a Nursing Home

2020 ◽  
Vol 26 (4) ◽  
pp. 327-342
Author(s):  
Theis Theisen
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Empirical Literature ◽  
Term Care ◽  
Scant Attention ◽  
Insurance Mechanism ◽  
Using Data

AbstractAn almost ideal demand system for long-term care is estimated using data from Norway, where the split of long-term care between home care and care in nursing homes is determined by municipalities. Previous literature has barely addressed what determines municipalities’ or other organizations’ allocations of resources to the sub-sectors of long-term care. The results show that home care is a luxury, while nursing home care is a necessity with respect to total expenditures on long-term care. Municipalities respond to high unit costs for home care by reducing that type of care. Municipalities are highly responsive to variations in the need for the two types of care and seem to provide a well-functioning insurance mechanism for long-term care. In the previous empirical literature, municipalities’ role as providers of insurance against the consequences of disabilities and frailty has received scant attention.

scholarly journals The Elder Justice Act and the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 388-388
Author(s):  
Robert Blancato
Keyword(s):  
Long Term Care ◽  
Elder Abuse ◽  
Term Care ◽  
Care Facilities ◽  
Elder Justice

Abstract This session will provide updates on how the pandemic led to horrific situations in long-term care facilities and how the pandemic influenced major federal efforts to address elder abuse, neglect, and exploitation.

A Comparative Study of Elder Mistreatment Between Community-dwelling Elders and Those Residing in Long-term Care Facilities

2017 ◽  
Vol 41 (S1) ◽  
pp. S664-S664
Author(s):  
B. Saguem ◽  
B. Saoussen ◽  
B.H.A. Béchir
Keyword(s):  
Nursing Home ◽  
Comparative Study ◽  
Long Term Care ◽  
Elder Abuse ◽  
Cognitive Status ◽  
Community Dwelling ◽  
Term Care ◽  
Care Facilities ◽  
Abuse And Neglect

IntroductionElderly who live in settings other than their own homes or those of relatives have received little attention from researchers in Tunisia.AimsTo compare sociodemographic and clinical factors associated with elder abuse between community-dwelling elders and those residing in nursing home.MethodsA comparative study was conducted, including 50 subjects aged 65 years and older living in the community and 20 age- and sex-matched subjects living in a nursing home. Cognitive status, depressive symptoms and autonomy were assessed using mini-mental state examination (MMSE), geriatric depression scale (GDS) and activities of daily living scale (ADL). Elder abuse was evaluated with Indicators of Abuse Screen (IOA).ResultsElder abuse was more prevalent in elderly residing in nursing home (P = 0.009) with a prevalence of 35% and 8% and a mean IOA score of 12.75 and 7.74. Psychological, physical, financial abuse and neglect were reported by elderly residing in nursing home. Those living in community reported exclusively psychological abuse. The victim's reactions were passive in all cases.Elders living in nursing home were more single or divorced (0.000) and financially independent (0.003). They had lower scores of MMSE (0.002) and ADL (0.014), and higher scores of GDS (0.022). A binary logistic regression confirmed that elder abuse was significantly more prevalent in nursing home after eliminating these confounding variables: age, gender, MMSE, GDS and ADL scores (P = 0.018).ConclusionOur results confirm that elderly who live in long-term care facilities are at particular risk for abuse and neglect.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Physical Health and Cognitive Ability Among Married Long-Term-Care Patients and Among Their Spouses—A Comparison Between Home Care and Nursing Home Care

1993 ◽  
Vol 5 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Ann-Christine Löfgren ◽  
Gösta Bucht ◽  
Sture Eriksson ◽  
Tage Lundström
Keyword(s):  
Nursing Home ◽  
Cognitive Function ◽  
Nursing Homes ◽  
Home Care ◽  
Physical Health ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Nursing Home Patients

The purpose of this study was to establish whether physical health and cognitive function in married long-term patients or in their spouses determines why some patients are cared for in home care while others reside in nursing homes. Out of 38 married couples with a sick spouse cared for in a nursing home, 23 couples were studied; out of 34 couples with a sick spouse cared for in home care, 22 patients and 25 spouses were studied. The results showed no significant differences in physical health score either between the two groups of patients, or between the two groups of spouses. Both home-care patients and nursing home patients had low cognitive function scores, but nursing home patients had significantly lower scores. A multivariate analysis showed that physical health and cognitive function explained only 20% of patients' residence. Between the two groups of spouses there was no difference in cognitive function score. The conclusion is that physical health status and cognitive function explain only to a small extent why married long-term care patients are cared for in nursing homes or in home care.

scholarly journals Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

2016 ◽  
Vol 8 (3) ◽  
pp. 329-343
Author(s):  
Jingping Xing ◽  
Dana B. Mukamel ◽  
Laurent G. Glance ◽  
Ning Zhang ◽  
Helena Temkin-Greener
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Medicaid Reimbursement ◽  
Quality Of Nursing

Effizienzreserven in der stationären Pflege in Deutschland: Versuch einer Quantifizierung und Implikationen für die Reform der Gesetzlichen Pflegeversicherung

2008 ◽  
Vol 57 (1) ◽  
Author(s):  
Jasmin Häcker ◽  
Birgit König ◽  
Bernd Raffelhüschen ◽  
Matthias Wernicke ◽  
Jürgen Wettke
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Consumer Sovereignty ◽  
Incentive Problem ◽  
Relationship Of

AbstractThe design of the German statutory long-term care insurance (LTCI) is deficient in many respects. One of the major flaws in nursing home care is the inherent incentive problem concerning the relationship of the insured, the insurers and the nursing homes: For one, there is no competition amongst the insurers which influences the negotiation behaviour towards the nursing homes concerning the fixing of the daily payment rates. The nursing homes in turn are more or less unrestricted at setting the daily payment rate as the insured are mostly not in a position to fully practice their consumer sovereignty in case of the need of long-term care treatment. In the framework of this paper we try to quantify the efficiency reserve behind these disincentives in nursing home care and try to assess to what extent the contribution rate to LTCI could be reduced, if the efficieny reserves were exhausted.

scholarly journals Policy Series: The Elder Justice Act, Nursing Home Reform, and Funding Legislation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-721
Author(s):  
Brian Lindberg
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Elder Abuse ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Congressional Staff ◽  
Elder Justice

Abstract This session will provide updates on major federal efforts to address elder abuse, neglect, and exploitation, including strategies for prevention, intervention, services, and prosecution. Congress has been working on both reauthorizing the Elder Justice Act and policies to address poor long-term care facility quality issues, and this panel will provide an update on those efforts and what lies ahead in2021. The panel will include elder justice and nursing home advocates and congressional staff.

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