OBJECTIVE The Geriatric Level of Dysfunction Scale (GLDS) was developed to assess the intensity, frequency, and duration of 19 behavioral disturbance categories that can potentially interfere with long-term care. DESIGN Secondary analysis of data collected from residents in long-term care facilities. PARTICIPANTS Participants were 399 adults aged 60 and older residing in one of 16 long-term...

BACKGROUND The organizational context in which healthcare is delivered is thought to play an important role in mediating the use of knowledge in practice. Additionally, a number of potentially modifiable contextual factors have been shown to make an organizational context more amenable to change. However, understanding of how these factors operate to influence organizational context and knowled...

BACKGROUND Interventions to improve quality of care for residents of long-term care facilities, and to examine the sustainability and spread of such initiatives, remain a top research priority. The purpose of this exploratory study was to assess the extent to which activities initiated in a quality improvement (QI) collaborative study using care aide led teams were sustained or spread following...

This study investigated the level of management's perception of the importance of indoor environment indicators at long-term care facilities as well as the differences between the level of perceived importance and the level of implementation. This study also analyzed the indicators for improving indoor environments. This study selected Taiwanese long-term care facility managers as its subjects ...

Infection concerns in long-term care facilities include endemic infections, outbreaks, and colonization and infection with antimicrobial-drug resistant microorganisms. Infection control programs are now used in most long-term care facilities, but their impact on infections has not been rigorously evaluated. Preventive strategies need to address the changing complexity of care in these facilitie...

Haruko Noguchi and Takashi Oshio for their comments. We also thank to Kaigo Roudou Antei Center for providing us valuable data. The views expressed in this paper do not necessarily represent those of the Economic and Social Research Institute or of the Japanese government. Abstract This paper evaluates the quality and efficiency of the at-home long-term care market in Japan, a market in which f...

Introduction / objectives The HALT Project (HAI in European Long-Term Care Facilities) has been funded by the ECDC in 2009, to develop and implement a sustainable methodology to estimate the prevalence of infections and antimicrobial use, and to assess the status of infection control programmes in Europe. A pilot point prevalence survey (PPS) was conducted in November 2009 and an European wide ...

RETIREMENT INCOME ADEQUACY IMPROVED SLIGHTLY IN 2013: Due to the increase in financial market and housing values during 2013, the probability that Baby Boomers and Generation Xers would NOT run short of money in retirement increases between 0.5 and 1.6 percentage points, based on the Employee Benefit Research Institute (EBRI) Retirement Readiness Ratings (RRRs). ELIGIBILITY FOR PARTICIPATION IN...

BACKGROUND Japan is setting the pace among aging societies of the world. In 2005, Japan became the country with the highest proportion of elderly persons in the world. To deal with the accelerated ageing population and with an increased demand for long-term care services, in April 2000 the Japanese government introduced a mandatory social Long-Term Care Insurance System (LTCI), making long-term...

The purpose of this qualitative study was to explore the characteristics of "quality of life" of younger residents in long-term care facilities. This multimethod study employed in-depth interviews with younger residents, focus groups with staff members and interviews with management team members at two care facilities in British Columbia, Canada. Data analysis revealed three themes: (a) a new c...