scholarly journals Medical Cost of Workers’ Compensation Claims Related to Patient Handling and Mobility Tasks Within Skilled Nursing Facilities, Continuing Care Retirement Communities and Assisted Living Facilities

2020 ◽  
Vol 62 (12) ◽  
pp. e738-e747
Author(s):  
Luis F. Pieretti ◽  
Robert A. Sylvester ◽  
Karl V. Siegfried
Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings

Chapter 2, “Settings and Contexts for Geriatric Practice,” provides a critical evaluation of the various environments in which mental health treatment of older adults occurs and of the practice issues inherent in such settings. Consideration of residential context and awareness of related issues is essential for the implementation of appropriate practitioner/clinician roles and for effective geriatric practice and intervention. The diverse range of living environments, including community-based, long-term care and acute care settings, are reviewed, from single-family dwellings, continuing care retirement communities, and assisted living facilities to nursing homes, hospitals, hospices, psychiatric and addiction facilities. Diverse issues encountered by older clients in such settings are discussed, including the need for social integration, adjusting to functional and cognitive decline, accessing services, caregiving, navigating transitions, and managing acute and chronic conditions.


2013 ◽  
Vol 28 (4) ◽  
pp. 342-347 ◽  
Author(s):  
Matthew J. Levy ◽  
Kevin G. Seaman ◽  
Michael G. Millin ◽  
Richard A. Bissell ◽  
J. Lee Jenkins

AbstractIntroductionMuch attention has been given to the strategic placement of automated external defibrillators (AEDs). The purpose of this study was to examine the correlation of strategically placed AEDs and the actual location of cardiac arrests.MethodsA retrospective review of data maintained by the Maryland Institute for Emergency Medical Services Systems (MIEMSS), specifically, the Maryland Cardiac Arrest Database and the Maryland AED Registry, was conducted. Location types for AEDs were compared with the locations of out-of-hospital cardiac arrests in Howard County, Maryland. The respective locations were compared using scatter diagrams and r2 statistics.ResultsThe r2 statistics for AED location compared with witnessed cardiac arrest and total cardiac arrests were 0.054 and 0.051 respectively, indicating a weak relationship between the two variables in each case. No AEDs were registered in the three most frequently occurring locations for cardiac arrests (private homes, skilled nursing facilities, assisted living facilities) and no cardiac arrests occurred at the locations where AEDs were most commonly placed (community pools, nongovernment public buildings, schools/educational facilities).ConclusionA poor association exists between the location of cardiac arrests and the location of AEDs.LevyMJ, SeamanKG, MillinMG, BissellRA, JenkinsJL. A poor association between out-of-hospital cardiac arrest location and public automated external defibrillator placement. Prehosp Disaster Med. 2013;28(4):1-6.


2000 ◽  
Vol 2 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Cynthia M. Mara ◽  
James T. Ziegenfuss

The operating environment in the health care industry is turbulent—organizations are expected to adapt or die. This paper addresses the structure of a strategic planning process for long-term-care organizations. Nursing homes, assisted living (personal care) facilities, continuing care retirement communities, adult day services centers, hospice programs and home-and community-based agencies face both opportunities and threats. The authors recommend an eight-step process for strategy making: plan to plan; external analysis; internal analysis; vision; matching current and future strategies; strategy choice; action and linkage to operations and budget. A case example illustrates the concepts. Long-term-care leaders are encouraged to plan for their future or face a future planned by competitors and regulators.


2021 ◽  
Author(s):  
Liat Ayalon ◽  
Sharon Avidor

Abstract Background and objectives during the coronavirus disease 2019 pandemic in Israel, people residing in continuing care retirement communities (CCRC) found themselves under strict instructions to self-isolate, imposed by the CCRC managements before, during and after the nationwide lockdown. The present study explored the personal experiences of CCRC residents during the lockdown. Research design and methods in-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts. Results three major themes were identified: (i) ‘Us vs. them: Others are worse off’. Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; (ii) ‘Us vs. them: Power imbalance’. This comparison emphasised the unbalanced power-relations between older adults and the staff and management in the setting and (iii) ‘We have become prisoners of our own age’. Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, whilst they were still under lockdown. Discussion and implications the measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. This underscores the hidden emotional costs of the lockdown among those whose autonomy was compromised.


2012 ◽  
Vol 20 (4) ◽  
pp. 456-468 ◽  
Author(s):  
Katherine S. Hall ◽  
Thomas R. Wójcicki ◽  
Siobhan M. Phillips ◽  
Edward McAuley

Objective:The current study examined the psychometric properties and validity of the Multidimensional Outcome Expectations for Exercise Scale (MOEES) in a sample of older adults with physical and functional comorbidities.Methods:Confirmatory factor analysis was used to examine the hypothesized 3-factor model in 108 older adults (M age 85 yr) residing in continuing-care retirement communities.Results:Analyses supported the 3-factor structure of the MOEES reflecting physical, social, and self-evaluative outcome expectations, with a 12-item model providing the best fit. Theorized bivariate associations between outcome expectations and physical activity, self-efficacy, and functional performance were all supported.Conclusions:The 12-item version of the MOEES appears to be a reliable and valid measure of outcome expectations for exercise in this sample of older adults with physical and functional comorbidities. Further examination of the factor structure and the longitudinal properties of this measure in older adults is warranted.


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