Long-term care cost-containment policies have focused on reducing the numbers of persons entering nursing homes. To provide insight and background for such efforts, the authors studied the experience of Medicaid nursing home entry cohorts in three individual States. They found substantial interstate variation in rates of nursing home entry and subsequent patterns of discharge, suggesting the op...

INTRODUCTION In-Home nursing care of the preterm newborn helps to bring the family situation to normal, promotes breastfeeding and development of the newborn, and enables the reorganization of health care resources. The purpose of this paper is to demonstrate that in-home nursing care of the preterm newborn leads to an increase in weight and a similar morbidity. PATIENTS AND METHODOLOGY A tot...

When I mention to people that I work full time in a nursing home, I often see reflected on their faces a measure of thedistaste that society has for nursing homes. I suspect tax collectors experience a similar phenomenon. As a geriatrician, I recognize that nursing homes are a necessity for some, but that nursing home placement implies a series of trade-offs of cost and institutional environmen...

PURPOSE To inform states with nursing home transition programs, we determine what risk factors are associated with participants' long-term readmission to nursing homes within 1 year after discharge. DESIGN AND METHODS We obtained administrative data for all 1,354 nursing home residents who were discharged, and we interviewed 628 transitioning through New Jersey's nursing home transition progr...

OBJECTIVES To investigate the construct validity of a bathroom scale measuring balance in elderly people. DESIGN Cross-sectional study. SETTING Participants were recruited via nursing homes and an organization that provides exercise classes for community-dwelling elderly people. PARTICIPANTS Nursing home patients were compared with active community-dwelling elderly people. Eligibility cri...

INTRODUCTION To ensure continuity of care, it is important to effectively communicate the health status of older patients who are transferred between health care organizations. The objectives of this study were to: (1) evaluate the prevalence of nursing transfer documents, and (2) identify patient and transfer characteristics associated with the presence of nursing transfer documents for older ...

The care in nursing homes was examined based on scientific studies. The analysis focuses on dementia and type II diabetes. There is evidence for deficits in the supply of medical specialist attendance to nursing home residents with these diseases in Germany. Compared with corresponding guidelines the medical care for nursing home residents may be too low or inadequate.