In part 1 of this paper we presented the theory of an integrative geragogy. Integrative geragogy is a basic part of educational gerontology, dealing especially with the oldest of the old, mentally handicapped elderly people, and their potentials. In part 2 the context between theory and practice of an integrative geragogy shall be explained. We…

Nursing home quality indicators have been developed over the past 10 years to quantify nursing home quality and to draw systematic comparisons between facilities. Although these indicators have been applied widely for nursing home regulation, quality improvement, and public reporting, researchers and stakeholders have raised concerns about their…

Cognitive care training, also known as dementia training, has changed significantly, and negatively, since 1993 in New York State nursing homes. The research reported in this paper examines the employment requirements for cognitive care training and the actual post-employment cognitive care training. The research involved a replication of the…

A major demonstration and evaluation project was undertaken to study the consequences of using incentive payments to change admission, discharge, and outcome patterns for Medicaid patients in nursing homes. Thirty-six proprietary, Medicaid-certified, skilled nursing homes in San Diego County with a combined Medicaid inpatient census of…

Describes an experiment in the use of art classes as a stimulus to participation and enjoyment in a home for the elderly. (JOW)

Consultation-liaison psychiatry program in teaching nursing home helped implement six guiding principles, including make patient human to the staff; assume no behavior is random; look for depression or psychosis as source of problems; reduce medications and medication doses; create more homelike environment; and use conditions in which learning…

Geragogy as a part of gerontology seems to be established in aging societies. Also, geragogy as a form of education for elderly people, learning in the third age, is nowadays an integrated part of agogy. On the other hand, the increase in the number of people of the fourth age, the oldest of the old, handicapped elderly people in nursing homes, is…

Describes the Merit Gram, an alternative to tipping, which was devised to give nursing home residents and their families the opportunity to acknowledge staff and to give staff, in turn, the recognition they needed. Discusses the effectiveness of the Merit Gram in reinforcing the no tipping policy while providing an alternative means of…

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.…

Interviewed nursing assistants (n=40) and nursing facility residents (n=37) regarding ways they experienced respect, disrespect, attachment, and distancing in their relationships with each other. As a result of finding evidence of disrespect, an inservice session on gaining respect as a nursing assistant was presented. (ABL)

Describes the Nursing Home Community Council Project which was developed to improve the quality of resident life through organized community involvement. Reports issues in organizing nursing homes, the group-to-group approach, and providing advocacy in the context of service. (Author/ABB)

Describes program in which nursing home staff (N=20) who were not involved in one-to-one caregiving each befriended one nursing home resident. Found satisfactions included feeling appreciated by resident, seeing their positive impact, having a new social tie, and learning about aging. Found residents benefited from expanded social network,…

Presents goals, types of groups, and unique issues and considerations related to group counseling with nursing home residents. (Author)

Describes the volunteer advocacy program developed by the East Tennessee Advocacy Assistance Program to assist the ombudsman/director in resolving problems of residents in long-term care facilities. Effective volunteer participation requires intensive training, well-defined policies and procedures, coordination with aging network and long-term…

The article describes the Project on Aging, which was undertaken by the Virginia Commission for the Visually Handicapped to avoid the institutionalization of elderly blind persons. (Author/DLS)