There is a trend toward viewing activities as an integral part of basic care in the nursing home, although the setting is extremely challenging to the recreation service provider. This article discusses nursing home personnel, assessment of residents' needs, activities, programs, and future directions of nursing home recreation. (MT)

Describes development, implementation, and evaluation of a model abuse prevention curriculum designed for nursing assistants. Findings from the evaluation are presented that showed high satisfaction with the program and improvement on a number of indicators, including reduced conflict with and abuse of residents. (Author)

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)

Notes that United States currently has about 15 research institutes or departments affiliated with nursing homes, and several others are under consideration. Summarizes results of short survey of these institutes. Advantages for both nursing home and research of having research institute in nursing home are discussed along with problems that…

Considers impoverishment as a consequence of continuous institutionalization in a nursing home to be a public policy problem and the plight for any older Americans. Discusses one form of long-term care (LTC) insurance, the continuing care retirement community or life care community, and contrasts this small LTC self-insurance group with two other…

Discusses the trend toward affiliation of nursing homes with educational programs as clinical teaching institutions for medical, nursing, and allied health students. Reviews potential ethical and legal issues for the nursing home administrator, professional staff member, educator, and student, including informed consent, supervisory…

Training for caregivers of elderly nursing home residents focused on the use of reminiscence for psychological and emotional health. One technique taught was the memory box, an old suitcase filled with objects sorted into themes to stimulate memories. (SK)

Presents some sociohistorical concepts about suicide as framework for considering contemporary attitudes among elderly. Includes verbatim report of group therapy session in long-term care facility in which residents openly discuss their feelings about suicide of fellow resident a day earlier. Illustrates importance of emotional outlet, such as…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Conceptualizes separation-individuation conflicts in caregivers as behavior under dual control of nonverbal and verbal antecedents and consequences of others and dysfunctional self-rules of caregiver. Describes two types of treatment in context of case study: changing caregiver's problem behaviors by training nursing home staff and teaching…

Used ethnographic data to examine personal and work worlds of nurse's aides. Concludes that, because nursing home's institutional culture often adds to adversity of their personal life, nurse's aides move between the two milieus in self-perpetuating negative cycle, carrying to bedside of elderly residents the affective and psychological burden…

Used medico-social analytic model to compare five long-term care programs: Skilled Nursing Facility-Intermediate Care Facility (SNF-ICF) homes, ICF homes, foster homes, day hospitals, and home care. Identified similarities and differences among programs. Preliminary findings suggest that model is useful in the evaluation and design of long-term…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

At the request of Congressman William Green, the General Accounting Office (GAO) evaluated the validity of allegations about deficiencies in the New York State Department of Health's nursing home and hospital inspection processes for certification for participation in the Medicare and Medicaid programs. Health Care Financing Administration and…

Discusses gerontological research, including research based on present trends in Swedish society. Data on the Swedish population and legislation are also presented. (Author)