Discusses the past, present, and future of the use of nursing homes as teaching sites. Suggests that teaching nursing homes must provide state-of-the-art care while avoiding the pitfalls that threaten academic hospitals; balance must be maintained between the benefits of teaching and the burdens placed on patients and staff. (JOW)

Considers informed consent standard inadequate for insuring autonomy in long term care. Argues for complex standard of "negotiated consent." Illuminates philosophical argument by qualitative data from interviews with physicians, nurses, and social workers in nursing homes, which demonstrated continuum of interventions ranging from…

Describes the Teaching Nursing Home Program that links nursing schools with nursing homes, pooling personnel and resources for the benefit of the institutions and society. The program seeks to extend to nursing homes the benefits that have been enjoyed by hospitals because of educational and service linkages with schools of medicine and nursing.…

People in the counseling profession make some profound assumptions about the freedom that all people have (or seem to have). From the moment that each counselor began counselor training, the notion that people are able to generally choose and make decisions for themselves has been associated with the dominant process models of the profession. As a…

Discusses problems and needs of the Black elderly in terms of social security, medicare and social services, and nursing homes. Also discusses the need for qualified Black personnel in programs designed for the Black elderly, and offers suggestions for legislation and funding. (CMG)

To improve well-being of nursing home residents and ensure compliance with the Omnibus Budget Reconciliation Act, programs aimed at improving quality of life must strive to satisfy higher level needs of the elderly as identified in Maslow's hierarchy. (SK)

Responsibilities of residents of long term care facilities are central to their autonomy and also set limits on their autonomy. It is important to assist residents to assume responsibilities and to express autonomy. Nursing home rules affecting residents need revision to accurately reflect resident responsibilities. Recognition of responsibilities…

Describes how one hospice organization is trying, through education, to change the practices, attitudes, and opinions of people such as hospital administrators, nursing home administrators, nurses, social workers, and other professionals who attend to the sick and dying. (CT)

Describes a research model designed to investigate the shift in the care delivery site from the acute care institution to the home and community. Transitional care may soon become familiar jargon in community health care. (JOW)

Develops a perspective for studying institutional procedures for assigning incoming patients to available wards and for transferring patients between and among wards. Presents ethnographic data collected in one extended-care facility. Discusses staff-patient and patient-patient interactions surrounding ward assignments and transfers. (Author/ABB)

A Teaching Home Care Program, featuring collaboration between schools of nursing and home care agencies, could improve the quality of home care and increase the amount of data available on home care for the elderly and infirm. (Author/JOW)

The article relates the nursing home component of a nationwide study of public mental retardation/developmental disabilities spending to requirements of Public Law 100-203. Approximately 51,000 individuals with developmental disabilities resided in nursing homes in 1989 of which 40 percent may need to be relocated under P.L. 100-203. (Author/DB)

Contends that attitudes of nursing home personnel have been measured inappropriately with scales based on negative stereotypes and inaccurate knowledge about the aged in the general population. Reconceptualizes attitudes from attitudes towards older people to attitudes towards behavior essential to the care of nursing home patients. (Author/ABL)

The increasing age of the American population and the current emphasis on cost containment in health care make the 1980s an ideal time for building bridges to span the health care needs of elderly persons in acute care and long-term care. While hospitals often discharge patients to nursing homes as an intermediate step between hospitalization and…

This Congressional oversight hearing was convened to examine evidence that many of the nation's nursing homes restrict or deny access to the elderly poor and disabled, leaving the 18 million Americans dependent on Medicaid especially vulnerable to neglect and exploitation. Evidence was heard on discriminatory admissions, on the practice of…