BACKGROUND A nursing shortage in the United States has resulted in increased workloads, potentially affecting the quality of care. This situation is particularly concerning in long-term care (LTC) facilities, where residents are older, frailer, and may be receiving multiple medications for comorbidities, thus requiring a greater commitment of nurse time. We conducted a survey of LTC nurses to d...

We have recently shown that more than 90% of long-term culture initiating cells (LTC-IC) mobilized in the peripheral blood (PB) of normal individuals express HLA-DR and CD38 antigens and can sustain hematopoiesis for only 5 weeks. However, 10% of LTC-IC in mobilized PB are CD34+ HLA-DR- and CD34+ CD38- and can sustain hematopoiesis for at least 8 weeks. We now examine the ex vivo expansion pote...

PURPOSE To determine whether a palliative care (PC) consult service in a long-term care (LTC) facility would result in a more favorable course of treatment and clinical outcomes for participating residents. DESIGN AND METHODS We used a historical control design within a single LTC facility. Outcome data and potential confounding variables were obtained using the Minimum Data Set. (Health Care...

Recently, primitive human bone marrow (BM) progenitors supporting hematopoiesis in extended (G60 days) long-term BM cultures were identified. Such extended long-term culture-initiating cells (ELTC-IC) are of the CD341CD382 phenotype, are quiescent, and are difficult to recruit into proliferation, implicating ELTC-IC as the most primitive human progenitor cells detectable in vitro. However, it r...

OBJECTIVES Computerised clinical decision support systems (CCDSS) are used to improve the quality of care in various healthcare settings. This systematic review evaluated the impact of CCDSS on improving medication safety in long-term care homes (LTC). Medication safety in older populations is an important health concern as inappropriate medication use can elevate the risk of potentially severe...

Abstract The tendency of insurance providers to refrain from offering long-term guarantees on investment or mortality risk has shifted attention mutual pooling schemes like (modern) tontines, pooled annuities group self annuitization schemes. While the literature focused schemes, this paper builds advantage and morbidity risks, their inherent natural hedge. We introduce a modern “life-care tont...

Ontario has an immediate need for 70,000 long-term-care (LTC) beds—38,000 to address current waitlists and a further 32,000 in of replacement, which together will cost more than $20 billion. This study examines funding sources requirements ownership structures the LTC homes sector Ontario. Semi-structured interviews were used understand ability, challenges, willingness home owners undertake nee...

Analysis of linked Medicare/Medicaid data files from four New England States (Connecticut, Maine, Massachusetts, and New Hampshire) confirm that dually eligible beneficiaries used a disproportionate amount of both Medicare and Medicaid resources in 1995, driven largely by the significant subset of the population that used institutional long-term care (LTC). If States and the Federal Government ...

In recent decades, there has been an increase in life expectancy and a rapid of the very senior dependency ratio developed countries. this context, we examine optimal levels public pensions long-term care (LTC) insurance. According to most reasonable estimates correlations among individual incomes, risks mortality dependency, show that it is always desirable for utilitarian social planner have ...