BACKGROUND Mobility decrease is reportedly age-dependent in community dwelling elderly, and a major factor of disability in the geriatric population. The purpose of this study is to examine whether mobility decrease, as assessed using a set of tests, is similarly age-dependent in elderly adults who already have disability. METHODS One hundred thirty-five community-dwelling elderly (54 men, 81...

The development of pressure ulcers remains a significant health problem in long-term care facilities (LTCFs). The national prevalence rate for pressure ulcers in long-term care is approximately 8.9% according to a federal report from the Centers for Medicare & Medicaid Services (CMS).1 Data from the National Pressure Ulcer Advisory Panel have noted the incidence of pressure ulcers in LTCFs to r...

Many households spend their wealth slowly during retirement, holding much of their wealth into old age. Determining why they do so is made difficult by a fundamental identification problem: retirees’ saving decisions reflect the combined strength of precautionary and bequest motives. Given the substantial medical spending and mortality risks that retirees face, savings are spent primarily on pr...

BACKGROUND Legislation demands the establishment of client councils in Dutch nursing homes and residential care facilities. The members of those councils are residents or their representatives. Client councils have the right to participate in the strategic management of long-term care facilities. More specifically, they need to be consulted regarding organisational issues and a right to consent...

BACKGROUND Increasing challenges to recruit hospital sites with full-time on-site pharmacy preceptors for institutional-based Advanced Pharmacy Practice Experiences (APPE) has made it necessary to consider alternate experiential models. Sites with on-site discipline specific preceptors to supervise students have typically been referred to in the literature as "role-established" sites. In Britis...

A survey of all elderly people aged 65 years and over from North and West Belfast receiving long-term care in residential and nursing homes, and in psycho-geriatric and geriatric care was undertaken. A total of 967 subjects was studied and physical dependency and mental impairment documented. The high dependency of residents in geriatric and psycho-geriatric care was highlighted, with greater l...

Previous economic research into long-term care (LTC) has mainly been focussed on one issue: the reasons why the LTC insurance market has not been successful. In this contribution, we analyse the prospects for a new type of insurance policy, which offers a top-up on the resources already available to the individual. We abstract from most problems inherent in LTC insurance markets and derive prem...

This paper studies the optimal choice of home equity release products. The decision problem of a retiring couple is modeled that holds the major fraction of their wealth as home equity and faces longevity, long-term care, house price, and interest rate risk. The couple can choose to buy annuities, long-term care insurance, and to borrow against the home using different equity release products. ...

Introduction Knowledge translation researchers in the last decade have seen a torrent of publications arguing for the central importance of organizational context in influencing implementation success. The Translating Research in Elder Care (TREC) program investigates the role of organizational context on the use of best practices, provider and resident outcomes in residential long-term care fa...

OBJECTIVE To determine the utility of a safe lifting program index and a measure of lift inventory to predict workers' compensation claim frequency and costs in long-term care facilities in 23 states. METHODS Workers' compensation claims and cost data were matched to Center for Medicare and Medicaid Services (CMS)-certified facilities (N = 656). Facility safe lifting program index were derive...