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Carr, Deborah – Gerontologist, 2012
Purpose of the Study: I examine whether 5 aspects of a significant other's death quality (pain, decision-making capacity, location, problems with end-of life care, and preparation) affect whether one does advance care planning (ACP). I also identify specific aspects of others' deaths that respondents say triggered their own planning. Design and…
Descriptors: Interpersonal Relationship, Death, Patients, Role Models
Kang, Yu; Meng, Hongdao; Miller, Nancy A. – Gerontologist, 2011
Purpose of the Study: To evaluate the impact of rural geographic location on nursing home quality of care in the United States. Design and Methods: The study used cross-sectional observational design. We obtained resident- and facility-level data from 12,507 residents in 1,174 nursing homes from the 2004 National Nursing Home Survey. We used…
Descriptors: Nursing Homes, Rural Population, Geographic Location, Institutional Characteristics
Abrahamson, Kathleen; Clark, Daniel; Perkins, Anthony; Arling, Greg – Gerontologist, 2012
Purpose: We investigated the relationship between cognitive status and quality of life (QOL) of Minnesota nursing home (NH) residents and the relationship between conventional or Alzheimer's special care unit (SCU) placement and QOL. The study may inform development of dementia-specific quality measures. Design and Methods: Data for analyses came…
Descriptors: Stakeholders, Student Attitudes, Quality of Life, Dementia
Temkin-Greener, Helena; Zheng, Nan Tracy; Mukamel, Dana B. – Gerontologist, 2012
Purpose of the study: This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents. Data and Methods: We constructed 3 risk-adjusted EOL quality measures (QMs) for long-term decedent residents: in-hospital death, hospice referral before death, and presence of severe pain. We used…
Descriptors: Hospices (Terminal Care), Community Characteristics, Municipalities, Hospitals
Solimeo, Samantha L.; Weber, Thomas J.; Gold, Deborah T. – Gerontologist, 2011
Purpose: To explore the nature of men's experiences of osteoporosis by developing an understanding of men's explanatory models. Design and Methods: This descriptive study invited community-residing male osteoporosis patients aged 50+ to participate in interviews about osteoporosis. Participants were recruited from a hospital-affiliated bone…
Descriptors: Models, Diseases, Health Behavior, Social Sciences
Cooke, Valerie; Arling, Greg; Lewis, Teresa; Abrahamson, Kathleen A.; Mueller, Christine; Edstrom, Lisa – Gerontologist, 2010
Purpose: Minnesota's Nursing Facility Performance-Based Incentive Payment Program (PIPP) supports provider-initiated projects aimed at improving care quality and efficiency. PIPP moves beyond conventional pay for performance. It seeks to promote implementation of evidence-based practices, encourage innovation and risk taking, foster collaboration…
Descriptors: Pain, Program Effectiveness, Work Environment, Nursing Homes
Moorman, Sara M.; Carr, Deborah – Gerontologist, 2008
Purpose: We document the extent to which older adults accurately report their spouses' end-of-life treatment preferences, in the hypothetical scenarios of terminal illness with severe physical pain and terminal illness with severe cognitive impairment. We investigate the extent to which accurate reports, inaccurate reports (i.e., errors of…
Descriptors: Spouses, Terminal Illness, Older Adults, Patients
Imhof, Sara; Kaskie, Brian – Gerontologist, 2008
The continued undertreatment of pain at the end of life is a substantive public health problem that has not been resolved through increased public awareness, the issuance of clinical guidance for providers, or expanded organizational commitments. In this forum, we illuminate the role of public policies in promoting pain management. We review…
Descriptors: Pain, Public Health, Death, Public Policy
Quandt, Sara A.; Chen, Haiying; Bell, Ronny A.; Savoca, Margaret R.; Anderson, Andrea M.; Leng, Xiaoyan; Kohrman, Teresa; Gilbert, Gregg H.; Arcury, Thomas A. – Gerontologist, 2010
Purpose: Dietary variation is important for health maintenance and disease prevention among older adults. However, oral health deficits impair ability to bite and chew foods. This study examines the association between oral health and foods avoided or modified in a multiethnic rural population of older adults. It considers implications for…
Descriptors: Medical Services, Rural Population, Prevention, American Indians
Ku, Yan-Chiou; Tsai, Yun-Fang; Lin, Yan-Chiou; Lin, Yea-Pyng – Gerontologist, 2009
Purpose: Institutionalized veterans in Taiwan are a high-risk group for completing suicide due to their institutionalization and social minority status. The purpose of this study was to understand the suicide experiences, especially the triggers of suicide in this group. Design and Methods Data: about suicide experiences were collected from 19…
Descriptors: Prevention, Money Management, Suicide, Foreign Countries
Schulz, Richard; Hebert, Randy S.; Dew, Mary Amanda; Brown, Stephanie L.; Scheier, Michael F.; Beach, Scott R.; Czaja, Sara J.; Martire, Lynn M.; Coon, David; Langa, Kenneth M.; Gitlin, Laura N.; Stevens, Alan B.; Nichols, Linda – Gerontologist, 2007
The purpose of this article is to stimulate discussion and research about patient suffering and caregiver compassion. It is our view that these constructs are central to understanding phenomena such as family caregiving, and that recognizing their unique role in the caregiving experience provides new directions for intervention research, clinical…
Descriptors: Intervention, Caregivers, Altruism, Pain

Snow, A. Lynn; O'Malley, Kimberly J.; Cody, Marisue; Kunik, Mark E.; Ashton, Carol M.; Beck, Cornelia; Bruera, Eduardo; Novy, Diane – Gerontologist, 2004
Purpose: Our objectives are to present a conceptual model of the pain assessment process in persons with dementia and discuss methods for validating our model within this population. Design and Methods: This conceptual work is based on an integrative review and current pain theory, pain assessment research in demented and nondemented populations,…
Descriptors: Dementia, Observation, Pain
Schulz, Richard; Hebert, Randy S.; Dew, Mary Amanda; Brown, Stephanie L.; Scheier, Michael F.; Beach, Scott R.; Czaja, Sara J.; Martire, Lynn M.; Coon, David; Langa, Kenneth M.; Gitlin, Laura N.; Stevens, Alan B.; Nichols, Linda – Gerontologist, 2007
The purpose of this article is to stimulate discussion and research about patient suffering and caregiver compassion. It is our view that these constructs are central to understanding phenomena such as family caregiving, and that recognizing their unique role in the caregiving experience provides new directions for intervention research, clinical…
Descriptors: Intervention, Caregivers, Altruism, Patients
Sloane, Philip D.; Zimmerman, Sheryl; Williams, Christianna S.; Hanson, Laura C. – Gerontologist, 2008
Purpose: To better understand the experiences and potential unmet need of persons who die in long-term care. Design and Methods: We conducted after-death interviews with staff who had cared for 422 decedents with dementia and 159 who were cognitively intact and received terminal care in U.S. nursing homes (NHs) or residential care-assisted living…
Descriptors: Residential Care, Hospices (Terminal Care), Dementia, Family Involvement
Hyde, Joan; Perez, Rosa; Forester, Brent – Gerontologist, 2007
Purpose: This article presents an overview of what is known about dementia services in assisted living settings and suggests areas for future research. Design and Methods: We undertook a search of Medline, the "Journals of Gerontology," and "The Gerontologist." We then organized publications dealing with the target subject into 10 topic areas and…
Descriptors: Dementia, Gerontology, Research Methodology, Residential Care
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