A person-centered care (PCC) training program was developed and disseminated to 84 institutes for retired religious persons across the United States. The program was delivered via a train-the-trainer model wherein institute trainers attended a 2-day training conference, then taught the material to direct care workers (DCWs) at their respective…

The purpose of the ELDER (Expanded Learning and Dedication to Elders in the Region) Project was to address the needs of underserved older adults by providing worksite education to individuals who provide nursing care to older adults in community health centers, home health agencies, and long-term care facilities. Four agencies located in a Health…

Adults with intellectual and other developmental disabilities (IDD) are now living to late life. Whether geriatricians are being trained to provide care for this clinically complex subpopulation of elders has not been examined. Two thirds of all geriatric fellowship directors in the United States responded to a Web-based survey of curriculum and…

Purpose: Almost half of people age 85 and older who die annually in the United States die as nursing home residents, yet because it is not always clear who is close to death, not all residents who might benefit from end-of-life care receive it. The purpose of this study is to develop a framework for organizing social interactions related to…

Purpose: The purpose of this study was to describe good quality care at the end of life (EOL) for hospice-enrolled residents in assisted living facilities (ALFs). Design and Methods: A qualitative descriptive design was used to obtain detailed descriptions of EOL care provided by ALF medication aides, caregivers, nurses, and hospice nurses in…

The current study evaluated barriers to detection of depression among older people. Focus groups were conducted with 21 professional carers, 4 nurses, 10 general practitioners, and 7 aged care managers. The results demonstrated that care for older people is primarily focused on physical care. Further, staff resources, a lack of continuity of care,…

Purpose: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into…

Multiple pathology, a common phenomenon among elderly, fosters the practice of multiple drug therapy, which is particularly hazardous for this age grouping. The total drug exposure of two typical elderly persons, one institutionalized and one living at home, were analyzed. Potentially harmful drug interactions were discerned in both cases. (Author)

The Sheltered Care Environment Scale (SCES) measures the social environment of sheltered care settings, as perceived by residents and staff. This instrument was developed and tested in a sample of 40 facilities representing the breadth and variety of currently existing congregate housing for the elderly. (Author)

Relocation of older patients had a positive effect on hypochondria, stamina, hygiene, and daily functioning but no effect on health status. Self-health assessments, stamina, hypochondria, and hygiene had no effect on the mortality rate of relocated patients, but daily functioning did effect the mortality rate. (Author)

The Institutional Review Committee is an important social innovation promising the effective protection of the rights of elderly potential research subjects. However, unnecessary elaboration of informed consent procedures may risk excluding older persons from both primary and secondary benefits of the research process. (Author)

Recounts the aftermath of Hurricane Gloria and necessity of frail individuals to be hospitalized for respite care due to loss of home services. Advances a new category of respite care which includes care for losses related to natural disasters. Describes characteristics of individuals requiring such care and specific reasons for their care.…