Professionals and paraprofessionals working in long term care facilities for institutionalized older people come from various educational backgrounds. To investigate the learning needs of long term care employees in gerontology, and to determine the validity of the Foundations for Gerontological Education Project as it relates to long term care…

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)

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)