A Survey on the Division of Therapeutic Interventions Between Physical and Occupational Therapists in Skilled Nursing and Long-Term Care Facilities

2019 ◽  
Vol 43 (4) ◽  
pp. 199-207
Author(s):  
Allen Marangoni ◽  
Annemarie Blanks ◽  
Dominique Gillespie ◽  
Kelly Lartz
Keyword(s):  
Long Term Care ◽  
Occupational Therapists ◽  
Therapeutic Interventions ◽  
Term Care ◽  
Skilled Nursing ◽  
Care Facilities

scholarly journals COVID-19 Across the Landscape of Long-Term Care in Alameda County: Heterogeneity and Disparities

2022 ◽  
Vol 8 ◽  
pp. 233372142110734
Author(s):  
Terry E. Hill ◽  
David J. Farrell
Keyword(s):  
Public Health ◽  
Long Term Care ◽  
The Elderly ◽  
Population Based ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing ◽  
Data Infrastructure ◽  
Care Facilities

Throughout the pandemic, public health and long-term care professionals in our urban California county have linked local and state COVID-19 data and performed observational exploratory analyses of the impacts among our diverse long-term care facilities (LTCFs). Case counts from LTCFs through March 2021 included 4309 (65%) in skilled nursing facilities (SNFs), 1667 (25%) in residential care facilities for the elderly (RCFEs), and 273 (4%) in continuing care retirement communities (CCRCs). These cases led to 582 COVID-19 resident deaths and 12 staff deaths based on death certificates. Data on decedents’ age, race, education, and country of birth reflected a hierarchy of wealth and socioeconomic status from CCRCs to RCFEs to SNFs. Mortality rates within SNFs were higher for non-Whites than Whites. Staff accounted for 42% of LTCF-associated COVID-19 cases, and over 75% of these staff were unlicensed. For all COVID-19 deaths in our jurisdiction, both LTCF and community, 82% of decedents were age 65 or over. Taking a comprehensive, population-based approach across our heterogenous LTCF landscape, we found socioeconomic disparities within COVID-19 cases and deaths of residents and staff. An improved data infrastructure linking public health and delivery systems would advance our understanding and potentiate life-saving interventions within this vulnerable ecosystem.

A Comparison of Emergency Preparedness Policies by Long-Term Care Setting Type in Ohio: Assisted Living Settings Lag Behind Nursing Homes in Key Areas

2020 ◽  
pp. 073346482090201
Author(s):  
Katherine A. Kennedy ◽  
Cassandra L. Hua ◽  
Ian Nelson
Keyword(s):  
Assisted Living ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Long Term Care ◽  
Nursing Facilities ◽  
Community Based ◽  
Term Care ◽  
Skilled Nursing ◽  
Care Facilities

Skilled nursing facilities (SNFs) have received regulatory attention in relation to their emergency preparedness. Yet, assisted living settings (ALs) have not experienced such interest due to their classification as a state-regulated, home- and community-based service. However, the growth in the number of ALs and increased resident acuity levels suggest that existing disaster preparedness policies, and therefore, plans, lag behind those of SNFs. We examined differences in emergency preparedness policies between Ohio’s SNFs and ALs. Data were drawn from the 2015 wave of the Ohio Biennial Survey of Long-Term Care Facilities. Across setting types, most aspects of preparedness were similar, such as written plans, specifications for evacuation, emergency drills, communication procedures, and preparations for expected hazards. Despite these similarities, we found SNFs were more prepared than large ALs in some key areas, most notably being more likely to have a backup generator and 7 days of pharmacy stocks and generator fuel.

The recreation therapist versus the certified activity director: Which professional receives fewer deficiencies in long-term care facilities?

2010 ◽  
Vol 9 (1) ◽  
pp. 9-14
Author(s):  
Timothy J. Legg, PhD, CNHA, GNP-BC, FACHCA ◽  
Sharon A. Nazarchuk, PhD, MHA, RN ◽  
Deborah Adelman, PhD, RN, CNS
Keyword(s):  
Long Term Care ◽  
Skilled Nursing Facility ◽  
Therapeutic Recreation ◽  
Professional Group ◽  
Recreation Therapy ◽  
Nursing Facility ◽  
Term Care ◽  
Skilled Nursing ◽  
Care Facilities

The literature reports no studies that sought to determine which professional group (certified therapeutic recreation therapist versus certified activity director) achieves fewer survey deficiencies in the skilled nursing facility. This article will examine the scant and dated literature that is available to demonstrate which of these activity professionals has superior outcomes specific to the OBRA ’87 requirements. The article concludes with an articulation of the need for the discipline of recreation therapy to involve itself in outcomes research specific to which of the two disciplines better achieves the objectives of OBRA ’87.

scholarly journals Adapting Mindfulness-Based Interventions for Residents of Long-Term Care Facilities

2021 ◽  
Vol 7 ◽  
pp. 233372142110577
Author(s):  
Christian Terry ◽  
Michael Penland ◽  
Devon Garland ◽  
Wendy Wang ◽  
Taylor Burton ◽  
...  
Keyword(s):  
Long Term Care ◽  
Nursing Facilities ◽  
Traditional Group ◽  
Term Care ◽  
Skilled Nursing ◽  
Healthy Older Adults ◽  
Care Facilities ◽  
States Data ◽  
Full Day

Mindfulness-based interventions (MBIs) have received increased clinical attention in recent years. While some MBI research has focused on healthy older adults, research with more emotionally and physically vulnerable populations, such as residents of long-term care facilities (LTCFs), is lacking. The current paper presents quantitative and qualitative results from a pilot study of an individual MBI designed for residents of LTCFs. Participants included 8 residents from two skilled nursing facilities in the southeastern United States. Data were collected between October 2016 through June 2017. A modified MBI is proposed with specific adaptations for LTCF residents. Recommended adaptations for LTCFs include a shift from a group to an individual format, individual weekly instructor–participant meetings, removal of the yoga and full-day silent retreat and shortening the duration of the formal practices. The current study found that these adaptations result in an individual MBI that is accessible to most LTCF residents while still providing the associated benefits of traditional group MBIs.

AIDS and Long-Term Care Facilities

1990 ◽  
Vol 11 (4) ◽  
pp. 202-206 ◽  
Author(s):  
David W. Bentley ◽  
Lois Cheney
Keyword(s):  
Long Term Care ◽  
Chronically Ill ◽  
Care Needs ◽  
Aids Patients ◽  
Term Care ◽  
Skilled Nursing ◽  
Large Numbers ◽  
Care Facilities ◽  
Immunodeficiency Syndrome

Why discuss acquired immunodeficiency syndrome (AIDS) in “Topics in Long-Term Care”? It is not because there are large numbers of frail elderly patients afflicted with AIDS, although some have estimated that by 1990 there may be as many as 27,000 AIDS cases in persons over 50, and 1,100 cases in persons over 70 years of age. Nor is it the fact that large numbers of patients in long-term care facilities (LTCFs) may be infected with the human immunodeficiency virus HIV). Rather, it is the growing awareness that hospitals provide only a limited portion of the continuum of care for AIDS patients. In addition, the chronically ill and often severely disabled AIDS patient frequently requires more care than the limited community-based resources can provide. Nursing homes, with their tradition of skilled nursing care targeted toward the chronically ill and older patient, could provide an important missing component to the chronic care needs of younger AIDS patients.

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