Decision letter for "Experiences of geriatric nurses in nursing home settings across four countries in the face of the COVID‐19 pandemic"

Racial/ethnic disparities in healthcare have been highlighted by the recent COVID-19 pandemic. Using the Centers for Medicare and Medicaid Services' Nursing Home COVID-19 Public File, this study examined the relationship between nursing home racial/ethnic mix and COVID-19 resident mortality. As of October 25, 2020, high minority nursing homes reported 6.5 COVID-19 deaths as compared to 2.6 deaths for nursing homes that had no racial/ethnic minorities. After controlling for interstate differences, facility-level resident characteristics, resource availability, and organizational characteristics, high-minority nursing homes had 61% more COVID-19 deaths [Incidence Rate Ratio (IRR) = 1.61; p < 0.001] as compared to nursing facilities with no minorities. From a policy perspective, nursing homes, that serve primarily minority populations, may need additional resources, such as, funding for staffing and personal protective equipment in the face of the pandemic. The COVID-19 pandemic has sharpened the focus on healthcare disparities and societal inequalities in the delivery of long-term care.

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Care for the spiritual dimension provided by caregivers in a nursing home

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0402 ◽

2022 ◽

Vol 75 (1) ◽

Author(s):

Lucivalda Barbosa Santos ◽

Tânia Maria de Oliva Menezes ◽

Raniele Araújo de Freitas ◽

Marta Gabriele Santos Sales ◽

Ana Luíza Barreto de Oliveira ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Structured Interview ◽

Routine Care ◽

Religious Practices ◽

Formal Caregivers ◽

Spiritual Dimension ◽

Work Routine ◽

The Face ◽

Geriatric Center

ABSTRACT Objectives: to understand care for the spiritual dimension provided by caregivers in a Nursing Home. Methods: this is a qualitative research, carried out in a geriatric center of a philanthropic hospital in the city of Salvador, Bahia. Eighteen formal caregivers participated, through a semi-structured interview, between January and February 2019. The data were analyzed in the light of Jean Watson’s Theory of Transpersonal Caring. Results: formal caregivers discuss the spiritual dimension based on older adults’ religious beliefs, encourage religious practices and exercise spiritual care according to older adults’ physical, emotional and spiritual demands. Final Considerations: formal caregivers understand that older adults’ religious or spiritual experiences should be included in their work routine. Care for the spiritual dimension occurs by stimulating faith in God, encouraging religious practices and embracing their beliefs in the face of physical, emotional and spiritual demands.

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Covid-19 and nursing home residents: The potential role of geriatric nurses in a special crisis

Nursing Practice Today ◽

10.18502/npt.v7i3.3343 ◽

2020 ◽

Author(s):

Salman Barasteh ◽

Amir Vahedian Azimi ◽

Fatemeh Khademi ◽

Salime Goharinezhad ◽

Maryam Rassouli

Keyword(s):

Nursing Home ◽

Potential Role ◽

Nursing Home Residents ◽

Geriatric Nurses

The article's abstract is no available.

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Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome

Italian Journal of Medicine ◽

10.4081/itjm.2010.185 ◽

2013 ◽

pp. 185-188

Author(s):

Norma Marigliano ◽

Manuela Colosimo ◽

Marcella Flocco ◽

Francesca Mazzei ◽

Maria V. Sirianni ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Nursing Home ◽

Cell Carcinoma ◽

Squamous Cell ◽

Normal Skin ◽

Neck Region ◽

Dementia Syndrome ◽

Diagnosis Of Dementia ◽

The Face ◽

Well Differentiated

Introduction: Squamous-cell carcinoma is the second most common form of skin cancer. It can develop on normal skin, actinic keratoses, leukoplakia, and burn scars. The tumor is characterized by remarkable variability at the macroscopic and histopathologic levels. Case report: A 93-year-old woman was admitted to nursing home with a diagnosis of dementia syndrome and squamous cell nodular carcinoma on cheeks and neck region. The physical examination revealed firm, black excrescences with irregular surfaces over both cheekbones, which were roughly the size of hazelnuts. Similar nodules were present with ulcers on other areas of the face. The patient was admitted to the day hospital twice for wide excision of the tumors in the zygomatic region. Later, the neck tumors were removed, and the wound was repaired with a rotation flap after careful control of bleeding. For the latter surgery, the patient was hospitalized for a few days in a geriatric ward to ensure optimal medical care and psychological support. The histological examination revealed ulcerated, well-differentiated squamous-cell carcinoma that extended down to the subcutaneous layer. Shortly after surgery, she returned to the nursing home to resume rehabilitation and group therapy.

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The Presentation of Paradise: Impression Management and the Contemporary Nursing Home

The Qualitative Report ◽

10.46743/2160-3715/2002.1968 ◽

2015 ◽

Author(s):

Jason Ulsperger ◽

John Paul

Keyword(s):

Nursing Home ◽

Impression Management ◽

Participant Observation ◽

Future Research ◽

Term Care ◽

For Profit ◽

The Face ◽

History Of ◽

Negative Publicity ◽

Impression Management Tactics

This report discusses dramaturgical perspectives, organizational impression management, and the history of the nursing home industry. Through participant observation, it uses a critical dramaturgical analysis to examine social interaction in three for-profit nursing homes. It explores how employees in these facilities create impressions of affective care in the face of negative publicity and long-term care competition. Specifically, the article examines four impression management tactics related to nursing home environments, concluding with suggestions for future research relating to organizational deviance.

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Nursing Home Reform and the Politics of Long-Term Care

Political Science and Politics ◽

10.1017/s1049096500026056 ◽

1987 ◽

Vol 20 (02) ◽

pp. 232-241

Author(s):

Catherine Hawes

Keyword(s):

Nursing Home ◽

Quality Of Care ◽

Long Term Care ◽

Nursing Home Care ◽

American Health Care System ◽

Term Care ◽

State Budgets ◽

The Face

Nursing home care has been described as the most troubled and troublesome segment of the American health care system. Despite the annual expenditure of billions of dollars, extensive regulation, and the emergence of an increasingly sophisticated and concentrated industry, significant problems persist. Inadequate quality of care continues to be a serious and pervasive problem. Discrimination against patients whose care is paid for by Medicaid and Medicare, as well as against those with “heavy care” or extensive needs, is rampant. Costs have escalated at a phenomenal rate and continue to represent a substantial fiscal burden, causing one state Medicaid director to refer to nursing home payments as “the black hole of state budgets.”These circumstances are neither new nor surprising. They are, in fact, the result of rather startling failures in the public sector that are rooted in the special nature of the politics of long-term care. This article discusses the history of public policy toward nursing homes and the politics of long-term care, emphasizing problems in assuring acceptable quality of care. It also addresses the possibilities for reform during the next two years, particularly in light of new patient advocate and nursing home reform coalitions that promise to change the face of long-term care politics.

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