To assist American families who will one day need to find a nursing home for a loved one, NLM is developing a Web 2.0 interface to important evaluative information about nursing homes in the US. Currently in prototype form, our Nursing Home Screener locates homes on a Google Map. It allows nursing home quality, indicated by map icons, to be surveyed in any of four major categories: staffing, fi...

Nursing home culture change is becoming more prevalent, and research has demonstrated its benefits for nursing home residents and staff-but little is known about the role of nursing home administrators in culture change implementation. The purpose of this study was to determine what barriers nursing home administrators face in implementing culture change practices, and to identify the strategie...

BACKGROUND Nursing home patients generally take many medications and are at risk for drug side effects and interactions. These patients are often frail, have multiple medical problems, and many have severe cognitive deficits. METHODS Recommendations for reducing polypharmacy in nursing home patients were formulated based upon a review of the medical literature. In many cases, studies of nursi...

OBJECTIVES Internal medicine residents often provide hospital care for patients who are admitted from and discharged to nursing homes. This pilot study surveyed internal medicine residents for their assumptions and perceptions about demographics and regulations in the nursing home setting. DESIGN/SETTING/PARTICIPANTS Internal medicine residents at Winthrop University Hospital in Long Island, ...

Taiwan has been recognized by World Health Organization (WHO) as an “elderly” country in 1993 since its elderly (65 or older) population ratio was over 7%. Due to the physiological and psychological degeneration, the elderly always has a higher possibility of suffering from chronic diseases. Chronic patients, including the elderly suffering from chronic diseases, have burdened their families wi...

PURPOSE This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE). DESIGN AND METHODS DataPACE records for 4,646 participants aged 55 years or older who were enrolled in 12 Medicare- and Medicaid-capitated PACE programs during the period from June 1, 1990, to June 30, 1998, were obtained. Participants ...