scholarly journals Does Medicaid Hcbs Generosity Influence Nursing Home Placement for Dually Eligible Adrd Patients?

2020 ◽  
Vol 55 (S1) ◽  
pp. 23-24
Author(s):  
S. Wang ◽  
D. Yan ◽  
H. Temkin‐Greener ◽  
S. Cai
1986 ◽  
Vol 76 (4) ◽  
pp. 457-459 ◽  
Author(s):  
M Weinberger ◽  
J C Darnell ◽  
W M Tierney ◽  
B L Martz ◽  
S L Hiner ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 867-867

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.


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

2010 ◽  
Vol 49 (8) ◽  
pp. 734-752 ◽  
Author(s):  
Katherina A. Nikzad-Terhune ◽  
Keith A. Anderson ◽  
Robert Newcomer ◽  
Joseph E. Gaugler

1995 ◽  
Vol 34 (3) ◽  
pp. 128-130
Author(s):  
Celia L Hartley ◽  
Patricia M Bentz ◽  
Janice R Ellis

2014 ◽  
Vol 28 (2) ◽  
pp. 162-192 ◽  
Author(s):  
Janice L. Palmer ◽  
Joanne C. Langan ◽  
Jean Krampe ◽  
Mary Krieger ◽  
Rebecca A. Lorenz ◽  
...  

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.


Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 126 ◽  
Author(s):  
Diana Woods ◽  
Kathleen Buckwalter

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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