Virginia Commonwealth University developed an enhanced medical student geriattic curriculum that includes required home visits and nursing home visits for second year students (180 per year), an annual Forum on Aging for all first and second year students, and small group exercises. We added 30 hours of basic science material to pre-clinical…

To meet the special needs of and provide quality health care to nursing home residents, the health care workforce must be knowledgeable about the aging process. Health professionals are minimally prepared in their academic programs to care for older adults, and few programs have required rotations in geriatrics. Teaching nursing homes (TNHs) have…

Describes the accomplishments of elderly Jews residing at the Toronto Baycrest Centre, a multilevel geriatric facility, who formed a memoir activity group which eventually led to publication of their memoirs. The value of the activity for the group and for other groups of older persons in general is discussed. (JAC)

Presents Project Adapt, a psychogeriatric rehabilitation service developed to integrate assessment, behavior and medication management, and outcome evaluation to meet needs of mentally ill in nursing homes. Notes that mental health staff perceived significantly more improvement among participating nursing home residents than among those not…

This paper describes a new model for teaching nursing homes, which places a strong emphasis on teamwork by combining the resources of a comprehensive retirement community and three universities to train faculty, students, and staff, and to generate research basic to geriatric care. The four organizations involved in the project (Southwestern Ohio…

Describes the National Institute on Aging Teaching Nursing Home (TNH) Program, devised to bring to long-term care research and training activities similar to those in teaching hospitals and thus develop an interface between research and practice. Conflicting goals, orientations, organizations, value systems, and practices are discussed. (JAC)

High quality care and teaching in a nursing home require organization of an active medical staff that enhances and does not distract from a physician's commitment to his practice in the office and hospital. The medical residency program at the Jewish Home for the Elderly of Fairfield, Connecticut, is described. (MLW)

Addressed a need for enlargement of music when retirement home residents were deprived of a self-fulfillment opportunity from choir activities due to failing eyesight. A photographic process yielded the needed feasible large reproductions. Innovative application of this technique affords wide-ranging potential for positive benefit beyond music…

Describes the first 16 months of operation of a nursing home based community-oriented rehabilitation unit that utilized an interdisciplinary team approach in its admission evaluation and in its patient management decision making. Of the 27 patients discharged to homes, 23 were still in their homes after an average post-discharge period of eight…

Describes two approaches used to define and develop faculty practice in a teaching nursing home. Problems include role conflicts, communication gaps, and differences between faculty and nursing staff goals. Benefits include availability of new nursing care services and increased opportunities for conducting clinical research. (Author/ABB)

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

In response to concerns about continuity of care, nurse practitioners and faculty members from medicine, pharmacy, and nursing developed an interdisciplinary curriculum for clinical experience in a nursing home, an educational and medical experience significantly different from those in hospital or ambulatory settings. (MSE)

Describes the experiences of an educational program in long-term care administration that has used nursing homes as an integral part of the training of new administrators for 18 years. Discusses choosing field work facilities, supervising students in the field, and assessing expectations for student performance in the field setting. (Author/ABB)

Describes the process used by the Milwaukee Area Technical College to arrive at a new curriculum design: a geriatrically oriented curriculum that prepares graduates to work in nursing homes. The new curriculum focuses heavily on care of the elderly; students study geriatric nursing and work with older adults. (CT)