This planning study was designed and conducted in a predominantly rural Canadian province to examine the strengths and learning needs of four categories of nursing staff practising in New Brunswick nursing homes. Participants included directors of care, registered nurses, licensed practical nurses, and resident attendants. The nursing homes ranged…

Purpose: Making good consumer decisions requires having good information. This study compared long-term-care recommendations among various types of health professionals. Design and Methods: We gave randomly varied scenarios to a convenience national sample of 211 professionals from varying disciplines and work locations. For each scenario, we…

Case studies demonstrate that when chronic sexual conflict constitutes a factor in family homeostasis, nursing home placement of the aged ill is a likely event when either there is a shift in family dynamics due to death or illness of a key member or the aged becomes overtly psychiatrically disabled. (Author)

Describes the first 16 months of operation of a nursing home based community-oriented rehabilitation unit that utilized an interdisciplinary team approach in its admission evaluation and in its patient management decision making. Of the 27 patients discharged to homes, 23 were still in their homes after an average post-discharge period of eight…

Field-tested public/private collaborative model geropsychiatric nursing home. Found planning and implementation to be difficult due to interdepartmental strain within public sector and changes in ownership and administrative policy within private sector. Considers ways to reduce barriers. (Author/NB)

Examined the use of public services by 1,080 Norwegian older adults. Results showed more than one-third use public services for the aged (i.e., are institutionalized or receive home help or home nursing). The use of services is affected by both need and demand factors. The family's role is discussed. (JAC)

Examines some of the difficulties encountered when elderly married couples apply for admission to an institution. (HMV)

This paper describes the observations and experiences of a graduate student employed as a nurse's aide in a home for the aged. The difficulties encountered in attempting to apply traditional psychological methodology are discussed, and detailed anecdotal reports on individual cases are presented. (GO)

Describes two approaches used to define and develop faculty practice in a teaching nursing home. Problems include role conflicts, communication gaps, and differences between faculty and nursing staff goals. Benefits include availability of new nursing care services and increased opportunities for conducting clinical research. (Author/ABB)

Reviews family support to the elderly in America. The seven articles discuss stress factors affecting caregivers, helping behavior of adult children, racial and cohort variables, the family as a support resource in nursing home care, and improving helping skills. (JAC)

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

In response to concerns about continuity of care, nurse practitioners and faculty members from medicine, pharmacy, and nursing developed an interdisciplinary curriculum for clinical experience in a nursing home, an educational and medical experience significantly different from those in hospital or ambulatory settings. (MSE)

The effectiveness of various procedures in maintaining attendance at activities of residents at a geriatric facility was examined. A special, intermittently programmed or delayed consequence for attendance was added to regularly scheduled activities. Attendance at activities with and without the consequence was compared. Later, antecedent events…

This study reports an experimentally designed evaluation of Reality Orientation. Twelve elderly residents were chosen for the experimental group and 13 residents were chosen for the no-treatment control group. Both classroom Reality Orientation and 24-hour Reality Orientation were introduced on the experimental floor. A pretest-posttest control…