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NH (nursing home)

Pamela Nadash, Jennifer Gaudet Hefele, Edward Alan Miller, Adrita Barooah, Xiao Joyce Wang
Little research has explored the relationship between consumer satisfaction and quality in nursing homes (NHs) beyond the few states mandating satisfaction surveys. We examine this relationship through data from 1,765 NHs in the 50 states and District of Columbia using My InnerView resident or family satisfaction instruments in 2013 and 2014, merged with Certification and Survey Provider Enhanced Reporting, LTCfocus, and NH Compare (NHC) data. Family and resident satisfaction correlated modestly; both correlated weakly and negatively with any quality-of-care (QoC) and any quality-of-life deficiencies and positively with NHC five-star ratings; this latter positive association persisted after covariate adjustment; the negative relationship between QoC deficiencies and family satisfaction also remained...
October 16, 2018: Research on Aging
Francesca Morganti, Alex Soli, Paola Savoldelli, Gloria Belotti
Background: In health-care settings, the use of the Neuropsychiatric Inventory-Nursing Home (NPI-NH) may not always be consistent with the authors' guidelines, which affects its reliability. To avoid this bias, a diary version of the NPI (NPI-Diary) was developed. Aims: This study aimed to evaluate the psychometric properties (internal consistency and reliability) of the NPI-Diary, and examined its convergence with the NPI-NH. Methods: Two raters administered the NPI-NH and NPI-Diary to 40 participants with Alzheimer's disease, selected randomly from a hospital's weekly turnover...
September 2018: Dementia and Geriatric Cognitive Disorders Extra
Paola Di Giulio, Silvia Finetti, Fabrizio Giunco, Ines Basso, Debora Rosa, Francesca Pettenati, Alessandro Bussotti, Daniele Villani, Simona Gentile, Lorenzo Boncinelli, Massimo Monti, Sandro Spinsanti, Massimo Piazza, Lorena Charrier, Franco Toscani
CONTEXT: End-of-life care in nursing homes (NH) needs improvement. We carried out a study in 29 NHs in the Lombardy Region (Italy). OBJECTIVES: To compare End-of-Life care in NH residents with advanced dementia before and after an educational intervention aimed to improving palliative care. METHODS: The intervention consisted of a 7-hour lecture, followed by two 3-hour meetings consisting of case discussions. The intervention was held in each NH and well attended by NH staff...
October 10, 2018: Journal of Pain and Symptom Management
Ines Basso, Marco Bonaudo, Valerio Dimonte, Sara Campagna
. The missed care in Nursing Homes: a pilot study. INTRODUCTION: To date missed care have been described mostly in hospitals and data on nursing homes (NH) are missing. AIM: To describe missed care in NH residents identifying their perceived impact and seriousness. METHODS: A pilot study was conducted in 10 Piedmont NHs. For each omitted or delayed care on 20 residents observed for 3 consecutive days, the nurses provided information on the type of care, and information on the residents and on the organization were collected...
July 2018: Assistenza Infermieristica e Ricerca: AIR
Justine S Sefcik, Mary Ersek, Sasha C Hartnett, Pamela Z Cacchione
ABSTRACTBackground:Nursing home (NH) residents with dementia commonly exhibit persistent vocalizations (PVs), otherwise known in the literature as disruptive or problematic vocalizations. Having a better understanding of PVs and the research completed to date on this phenomenon is important to guide further research and clinical practice in NHs. This integrative review examines the current literature on the phenomenon of PVs among NH residents with dementia. METHODS: We conducted a search in the PubMed, Scopus, Ovid Medline, and CINAHL databases for articles published in English...
October 10, 2018: International Psychogeriatrics
Cherinne Arundel, Helen M Sheriff, Phillip H Lam, Selma F Mohammed, Linda G Jones, Corrine Y Jurgens, Charity J Morgan, Charles Faselis, Richard M Allman, Gregg C Fonarow, Ali Ahmed
BACKGROUND: Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs-ARBs) improve outcomes in heart failure (HF). Less is known about this association in nursing home (NH) residents. METHODS: Of the 8024 hospitalized HF patients, 542 were NH residents, of whom 252 received ACEIs-ARBs. We assembled a propensity score-matched cohort of 157 pairs of NH residents receiving and not receiving ACEIs-ARBs balanced on 29 baseline characteristics (mean age, 3 years, 74% women, 17% African American), in which we estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for outcomes associated with ACEI-ARB use...
September 25, 2018: American Journal of Therapeutics
Kamal El Haddad, Philipe de Souto Barreto, Stephane Gerard, Aurelie Prouff, Bruno Vellas, Yves Rolland
OBJECTIVES: To determine the evolution of behavioral and psychiatric symptoms of dementia (BPSD) in nursing home (NH) residents after an environmental change through a relocation to a more architecturally suitable facility, while conserving the same medical staff. DESIGN: Prospective, single arm study. SETTING: Long-term care unit. PARTICIPANTS: NH residents (N=116; median age 82.3, range 75.5-89.2; median Neuropsychiatric Inventory for the Nursing Home (NPI/NH) score 22, range 11-34...
October 8, 2018: Journal of the American Geriatrics Society
Katherine M Abbott, Allison R Heid, Morton Kleban, Michael J Rovine, Kimberly Van Haitsma
OBJECTIVES: Nursing home (NH) residents' preferences for everyday living are the foundation for delivering individualized person-centered care. Yet, work has not examined what the most and least important preferences of nursing home residents are and if those preferences change over time. DESIGN: This study examined the change in nursing home residents' (n = 255) preferences for everyday living over a 3-month period. Participants were recruited from 28 NHs in the suburbs of a major metropolitan East Coast area of the United States...
October 1, 2018: Journal of the American Medical Directors Association
Mathieu Maltais, Yves Rolland, Bruno Vellas, Paul-Emile Haÿ, Didier Armaingaud, Philippe Cestac, Laure Rouch, Matteo Cesari, Philipe de Souto Barreto
OBJECTIVES: Examine the effects of a 6-month exercise intervention on neuropsychiatric symptoms, pain, and medication consumption in older people with dementia (PWD) living in nursing homes (NH). METHODS: Ninety-one older PWD living in NH performed a 6-month structured exercise intervention (n = 44) or a social activity intervention (n = 47). Neuropsychiatric symptoms were measured by the neuropsychiatric inventory (NPI), pain was assessed using the Algoplus scale, and dementia-related drug prescriptions were obtained for all participants...
October 3, 2018: American Journal of Alzheimer's Disease and Other Dementias
S Sourdet, C Rochette, P de Souto Barreto, F Nourhashemi, A Piau, B Vellas, Y Rolland
OBJECTIVE: To assess the drug prescriptions of nursing home (NH) residents during the 6 months prior to their death, and the impact of the recognition of « life expectancy lower than 6 months » by the NH staff on the prescriptions. DESIGN: Prospective study. SETTING: 175 nursing homes in France. PARTICIPANTS: 6275 residents were included from May to June 2011. MEASUREMENTS: The initial drug prescriptions of the residents who deceased within 6 months were compared with those who did not decease...
2018: Journal of Nutrition, Health & Aging
Allison Moser Mays, Debra Saliba, Sid Feldman, Martin Smalbrugge, Cees M P M Hertogh, Tina L Booker, Kisa A Fulbright, Simone A Hendriks, Paul R Katz
The initiative described here aims to identify quality indicators (QIs) germane to the international practice of primary care providers (PCP) in post-acute and long-term care in order to demonstrate the added value of medical providers in nursing homes (NHs). A 7-member international team identified and adapted existing QIs to the AMDA competencies for medical providers. QI sources included the ACOVE 3 Quality Indicators (2007), NH Quality Indicators (2004), NH Residential Care Quality Indicators (2002), and AGS Choosing Wisely (2014)...
October 2018: Journal of the American Medical Directors Association
Laura C Maclagan, Susan E Bronskill, Jun Guan, Michael A Campitelli, Nathan Herrmann, Kate L Lapane, David B Hogan, Joseph E Amuah, Dallas P Seitz, Sudeep S Gill, Colleen J Maxwell
OBJECTIVES: For persons with dementia, the appropriate duration of cholinesterase inhibitor (ChEI) use remains unclear. We examined patterns of ChEI use during nursing home (NH) transition and the factors associated with discontinuation following admission. DESIGN: Population-based retrospective cohort study using linked health administrative and Resident Assessment Instrument Minimum Dataset, version 2.0 databases. SETTING AND PARTICIPANTS: A total of 47,851 older adults (mean age = 84...
September 24, 2018: Journal of the American Medical Directors Association
Ming Yang, Yan Zhuo, Xiaoyi Hu, Lingling Xie
BACKGROUND: Little is known about frailty in Chinese nursing home residents. AIMS: (1) To evaluate the prevalence of frailty in nursing home residents according to the FI-Lab or FRAIL-NH; and (2) to compare the predictive validity of these two tools for mortality. METHODS: We conducted a prospective study in four nursing homes in China. Frailty was assessed using the fatigue, resistance, ambulation, illness, loss of weight, nutrition, and help with dressing questionnaire (FRAIL-NH) and frailty index based on common laboratory tests (FI-Lab), respectively...
September 26, 2018: Aging Clinical and Experimental Research
Susan E Bronskill, Michael A Campitelli, Andrea Iaboni, Nathan Herrmann, Jun Guan, Laura C Maclagan, Jennifer Watt, Paula A Rochon, Andrew M Morris, Lianne Jeffs, Chaim M Bell, Colleen J Maxwell
OBJECTIVES: To evaluate whether risk of fall-related injuries differs between nursing home (NH) residents newly dispensed low-dose trazodone and those newly dispensed benzodiazepines. DESIGN: Retrospective, matched cohort study in linked, population-based administrative data. Matching was based on propensity score ( ± 0.2 standard deviations of the score as a caliper), age ( ± 1 year), sex, frailty status, and history of dementia. The derived propensity score included demographic characteristics, clinical comorbidities, cognitive and functional status, and risk factors for falls...
October 2018: Journal of the American Geriatrics Society
Susan C Miller, Margot L Schwartz, Julie C Lima, Renée R Shield, Denise A Tyler, Clara W Berridge, Pedro L Gozalo, Michael J Lepore, Melissa A Clark
BACKGROUND AND OBJECTIVES: Given the dynamic nursing home (NH) industry and evolving regulatory environment, depiction of contemporary NH culture-change (person/resident-centered) care practice is of interest. Thus, we aimed to portray the 2016/2017 prevalence of NH culture change-related processes and structures and to identify factors associated with greater practice prevalence. RESEARCH DESIGN AND METHODS: We administered a nationwide survey to 2142 NH Administrators at NHs previously responding to a 2009/2010 survey...
September 18, 2018: Medical Care
Giancarlo Marinangeli, Loris Neri, Giusto Viglino, Anna Rachele Rocca, Alessandro Laudon, Antonio Ragusa, Gianfranca Cabiddu
OBJECTIVES: To know PD modalities and results in Italy. METHODS: The Census was carried out by means of an on-line questionnaire in ALL the 225 non-pediatric public centers which PERFORMED PD in 2014. The results were compared with those of previous Censuses (2005:Cs-05; 2008:Cs-08; 2010:Cs-10; 2012:Cs-12). RESULTS: Incidence. In 2014 PD was begun (first treatment for ESRD) by 1,652 pts (CAPD: 57.2%) and HD by 4,442 pts (%PD-incidence= Cs-14: 27,1%; Cs-12: 23...
September 2018: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Andrew W Dick, Jeneita M Bell, Nimalie D Stone, Ashley M Chastain, Mark Sorbero, Patricia W Stone
BACKGROUND: Health care-associated infections pose a significant problem in nursing homes (NHs). The Long-term Care Facility Component of the National Healthcare Safety Network (NHSN) was launched in 2012, and since then, enrollment of NHs into NHSN has been deemed a national priority. Our goal was to understand the characteristics of NHs reporting to the NHSN compared to other NHs across the country. METHODS: To meet this goal, we quantified the characteristics of NHs by NHSN enrollment status and reporting consistency using the Certification and Survey Provider Enhanced Reporting (CASPER) data linked to NHSN enrollment and reporting data...
September 15, 2018: American Journal of Infection Control
Corinna Vossius, Geir Selbæk, Jurate Šaltytė Benth, Sverre Bergh
OBJECTIVE: Nursing home (NH) stay is the highest level of formal care. With the expected demographic changes ahead, the need for NH placement will put an increasing socioeconomic strain on the society. Survival in NHs and factors predicting survival are important knowledge in order to evaluate NH admission policies and plan future NH capacity. METHODS: We followed 690 NH residents included at admission to NH over a period of three years. Participants were examined at baseline (BL) and every six months...
2018: PloS One
Colleen J Maxwell, Michael A Campitelli, Christina Diong, Luke Mondor, David B Hogan, Joseph E Amuah, Sarah Leslie, Dallas Seitz, Sudeep Gill, Kednapa Thavorn, Walter P Wodchis, Andrea Gruneir, Gary Teare, Susan E Bronskill
BACKGROUND: The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home health care and policy planning. Our objective was to examine variation in the associations between frailty and select 1-year health outcomes by caregiver distress and client sex among community-residing older care recipients. METHODS: We conducted a retrospective cohort study using linked population-based clinical and health administrative databases for all long-stay home care clients (n = 234,552) aged 66+ years assessed during April 2010-2013 in Ontario, Canada...
September 12, 2018: BMC Geriatrics
Machelle Wilchesky, Gerhard Mueller, Michèle Morin, Martine Marcotte, Philippe Voyer, Michèle Aubin, Pierre-Hugues Carmichael, Nathalie Champoux, Johanne Monette, Anik Giguère, Pierre Durand, René Verreault, Marcel Arcand, Edeltraut Kröger
BACKGROUND: Medication regimens in nursing home (NH) residents with severe dementia should be frequently reviewed to avoid inappropriate medication, overtreatment and adverse drug events, within a comfort care approach. This study aimed at testing the feasibility of an interdisciplinary knowledge exchange (KE) intervention using a medication review guidance tool categorizing medications as either "generally", "sometimes" or "exceptionally" appropriate for NH residents with severe dementia...
September 4, 2018: BMC Geriatrics
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