OBJECTIVES There is evidence of notable improvement in active life expectancy among older Americans. Little is known, however, about the effect of better health on lifetime nursing home use. The purpose of this study was to address this gap in our knowledge. METHODS Discrete-time hazard models of nursing home admission and discharge were developed using data from the 1982, 1984, and 1989 Nati...

The normal aging process brings about inevitable and irreversible changes in physical, psychosocial, and spiritual health. These normal changes are partially responsible for the increased risk of developing health-related problems in the hospitalized elder population. The Acute Care for Elders (ACE) model provides an effective, proactive, inexpensive framework for addressing the complex health ...

OBJECTIVES To identify perceived barriers to communication between hospital and nursing home at the time of patient transfer and examine associations between perceived barriers and hospital and nursing home characteristics. DESIGN Mailed survey. SETTING Medicare- or Medicaid-certified nursing homes in New York State. PARTICIPANTS Nursing home administrators, with input from other nursing ...

this study was initiated to assess the effectiveness of designating smoking rooms to control environmental tobacco smoke in nursing homes. of the 39 nursing homes located in toledo (a city in ohio, usa) included in the preliminary survey, 33 facilities (85%) allowed smoking, 14 facilities (36%) allowed indoor smoking, and 13 facilities (33%) provided a designated smoking area. three of these 13...

conclusions the results showed that the elderlies living in daycare centers had better qualities of lives physically and mentally. therefore, to improve their qualities of lives in two general physical and mental domains, items such as providing family communications inside or outside the nursing homes as well as planning to fulfill mental and psychological needs besides physical issues like mo...