An educational CD-ROM/video program was developed to educate nursing home staff about two research-based techniques for reducing agitation and aggression during bathing of persons with Alzheimer's disease, including person-centered showering and the towel bath. This educational program was distributed free of charge to all 15,453 US nursing homes…

The Client Observation Checklist (COC) was developed to evaluate Project ADAPT's intervention in three behavioral areas: bathing; dressing; and socialization. Project ADAPT is designed to provide services to meet the needs of chronically mentally ill residents of nursing homes. Specifically, the project provides staff trained to work with the…

This document is a report evaluating the Community Options Program (COP) operated in Wisconsin in 1982 and 1983. The report states that the program is designed to reduce the institutionalization of disabled persons by supporting these persons in the community, thereby decreasing expenditures for long term support and slowing the demand for nursing…

This article discusses the following questions: What opportunities and challenges for nursing leadership present themselves in institutions that provide care for our expanding aged population? Should nursing administrators take up these challenges? If so, what skills, resources, and attitudes will they need? (Author/CT)

Social interaction and physical activity are important aspects of health maintenance for the aged. A holistic approach to the care of the elderly in nursing homes would involve a team of professionals who encourage residents to pursue such tasks as adaptation to loss, and maintenance of physical activity to retain function. (JN)

Methods of using simplified time series analysis (STSA) in evaluating clinical programs are discussed. STSA assists in addressing problems of attrition/augmentation of subjects in programs with changing populations. Combining individually calculated "C" statistics in a simple aggregate analysis of restraint usage by nursing home staff…

Purpose: Turnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controlling for facility context. Design and Methods: Perceptions of administrative climate and communication…

Purpose: Decisions concerning end-of-life care depend on information contained in advance directives that are documented in residents' charts in the nursing home. The availability of that information depends on the quality of the chart and on the location of the information in the chart. No research was found that compared directives by the manner…

The methodology of data envelopment analysis, (DEA) a linear programming-based method, is described. Other procedures often used for measuring relative productive efficiency are discussed in relation to DEA, including ratio analysis and multiple regression analysis. The DEA technique is graphically illustrated for only two inputs and one output.…

To examine alternatives to nursing home care, states have been testing home and community-based services under the Medicaid program. Information on the operations of the state projects will be vital to designing cost-effective alternative services in the future. The General Accounting Office (GAO) reviewed state reports to see if accurate,…

This manual, developed for the nursing home employee, examines the concept of quality assurance in nursing homes, describes the benefits of an effective quality assurance program, and provides guidelines to aid nursing homes in developing an appropriate quality assurance program. After a brief introduction, a working definition of quality…

Reviews methodological weaknesses of studies that evaluate alternative settings and programs for long-term care of the elderly. Argues that research should provide better information and present options to clients, service providers, and policymakers, rather than studying whether one alternative is more effective than another. (Author/MJL)

A model of professional nursing governance in an 800-bed long-term care facility is described, and the model's implications for nursing education are discussed. The governance model includes a registered nurse organization determining all standards for practice, policies governing practice, and nursing clinical programing. (Author/MSE)

This paper describes a Nursing Home Ombudsman Program, developed to provide employment for the "unemployable" older adult, that hired 19 older adults to work 20 hours per week for a year, providng friendly visits to senior residents living in nursing homes and minimum outreach services to community seniors. A two-week, eight-session orientation…

This U.S. General Accounting Office report discusses the Medicaid management controls needed to assure that mentally retarded residents of nursing homes receive the services they need to help them function independently. Medicaid's involvement with the retarded in institutions and nursing homes includes financing active treatment services, such as…