SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: Care of residents

167

Many older people living in care homes (long term residential care or nursing homes) are depressed. Exercise is a promising non-drug intervention for preventing and treating depression in this population.

Concepts: Nursing specialties, Housing, Nursing, Randomized controlled trial, Nursing home, Geriatrics, Care of residents

156

Alzheimer’s disease (Alzheimer’s), an ultimately fatal form of dementia, is the sixth leading cause of death in the United States, accounting for 3.6% of all deaths in 2014 (1,2). Alzheimer’s deaths can be an indicator of paid and unpaid caregiver burden because nearly everyone in the final stages of Alzheimer’s needs constant care, regardless of the setting, as the result of functional and cognitive declines (2). To examine deaths with Alzheimer’s as the underlying cause, state-level and county-level death certificate data from the National Vital Statistics System for the period 1999-2014 were analyzed. A total of 93,541 Alzheimer’s deaths occurred in the United States in 2014 at an age-adjusted (to the 2000 standard population) rate of 25.4 deaths per 100,000 population, a 54.5% increase compared with the 1999 rate of 16.5 deaths per 100,000. Most deaths occurred in a nursing home or long-term care facility. The percentage of Alzheimer’s decedents who died in a medical facility (e.g., hospital) declined from 14.7% in 1999 to 6.6% in 2014, whereas the percentage who died at home increased from 13.9% in 1999 to 24.9% in 2014. Significant increases in Alzheimer’s deaths coupled with an increase in the number of persons with Alzheimer’s dying at home have likely added to the burden on family members or other unpaid caregivers. Caregivers might benefit from interventions such as education, respite care, and case management that can lessen the potential burden of caregiving and can improve the care received by persons with Alzheimer’s.

Concepts: Care of residents, Caregiving and dementia, Demography, Dementia, Death, Caregiver, Alzheimer's disease

109

Mechanical ventilation may be lifesaving, but in certain persons, such as those with advanced dementia, it may prolong patient suffering without a clear survival benefit.

Concepts: Care of residents, Intensive care medicine, Nursing home

93

To assess associations between the launch of the National Dementia Strategy (NDS) and antipsychotic prescribing in long-term residential care (LTC) in England.

Concepts: Care of residents

42

Many U.S. nursing homes have serious quality problems, in part, because of inadequate levels of nurse staffing. This commentary focuses on two issues. First, there is a need for higher minimum nurse staffing standards for U.S. nursing homes based on multiple research studies showing a positive relationship between nursing home quality and staffing and the benefits of implementing higher minimum staffing standards. Studies have identified the minimum staffing levels necessary to provide care consistent with the federal regulations, but many U.S. facilities have dangerously low staffing. Second, the barriers to staffing reform are discussed. These include economic concerns about costs and a focus on financial incentives. The enforcement of existing staffing standards has been weak, and strong nursing home industry political opposition has limited efforts to establish higher standards. Researchers should study the ways to improve staffing standards and new payment, regulatory, and political strategies to improve nursing home staffing and quality.

Concepts: Incentive, Opposition, Home, Nurse, Regulation, Care of residents, Nursing home, Nursing

30

There are widespread concerns about abuse of care home residents. We report, in the largest care home survey, prevalence of staff anonymously-reported, perpetrated/witnessed abusive behaviours towards care home residents over 3 months. We also report positive care behaviours.

Concepts: Child abuse, Care of residents, Life, Home, Cross-sectional study, Abuse

27

To explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care.

Concepts: Care of residents, Nursing in the United Kingdom, Geriatrics, Nurse uniform, Nurses, Florence Nightingale, Nurse, Nursing

25

Family members are involved in the care of palliative patients at home and therefore, should be viewed as important sources of information to help clinicians better understand the quality palliative care service patients receive. The objective of the study was to analyse what is valued most by family carers undergoing bereavement of a palliative care home service in order to identify factors of quality of care.

Concepts: Care of residents, Nursing specialties, Palliative care, Household, Taxonomic rank, Order, Family

25

This substudy of the Swiss Nursing Homes Human Resources Project (SHURP) explored the relationships between affective organizational commitment (AOC) levels and organizational, situational, and care personnel characteristics, and between AOC and care personnel outcomes.

Concepts: Organizational commitment, Care of residents, Cross-sectional study, Human resources

25

There are no empiric results concerning the quality of care for dying persons at nursing homes up to now. 30-40% of all Germans pass away at nursing homes. This study was carried out in 2014 and is presented now. It’s aim is to describe the nursing, medical and psychosocial situation and - if necessary - to word suggestions for improvement.

Concepts: Afterlife, Life, Geriatrics, Nursing home, Disease, Care of residents, Death