A comparison of value preferences of various respondent groups involved in long term nursing home care revealed that although societal values varied by resident status, there were large areas of agreement. Family members of nursing home members, however, most often differed from other groups. (Author/ABB)

Assesses the empirical relationship of the psychosocial variables of empathy, attitudes, and ideological orientation toward treatment (custodial versus therapeutic). Data analysis indicates that a low level of empathy, negative attitudes toward the elderly, and a custodial orientation toward treatment were significantly positively correlated.…

Indirect self-destructive behavior (ISDB) is associated with direct suicide potential, dissatisfaction with the treatment program and with life in general, confused reasoning and judgment, poor prognosis for discharge, the absence of religious commitment, and significant losses in the patient's life. ISDB is an alternative form of suicide. (Author)

Kahneman and Tversky's (1979) Prospect theory was tested as a model of preferences for prolonging life under various hypothetical health statuses. A sample of 384 elderly people living in congregate housing (263 healthy, 131 frail) indicated how long (if at all) they would want to live under each of nine hypothetical health conditions (e.g.,…

Background: There have been major changes in the provision and organization of services for people with intellectual disabilities in England over the last 30 years, particularly deinstitutionalization and the development of the mixed economy of care. The experiences of the people who participated in the Care in the Community Demonstration…

Describes a transition in a mature Special Care Unit for Alzheimer's patients, where patient mix had become too diverse for intended programming. Since the patients were unable to become involved in premove planning and preparation activities, preparation of staff substituted for the involvement of residents. Improved discharge policies maintain…

Two studies were carried out in 1991-92 in Brisbane, Australia on the effects on frail elderly people of cognitive challenge by teleconference. In the first study, 20 residents of aged care centers watched specified programs on television. Later, they discussed the content over the telephone using conference link equipment. The study found that…

This annual report of the Long-Term Care Ombudsmen Program of the Oklahoma Department of Human Services begins by stating the purpose of the program: to improve the quality of life and the quality of care of older residents of long-term care facilities in Oklahoma. It is noted that the Long-Term Care Ombudsman advocates for the rights of long-term…

Nursing home patients suffering from dementia had a desire for placement in a setting where their special needs could be addressed. This resulted in the creation of special nursing home units designed to meet patient needs. Recent reports have provided evidence that nursing home residents suffering from dementia who receive care on these special…

Nursing home medical-record documentation of daily-care occurrence may be inaccurate, and information is not documented about important quality-of-life domains. The inadequacy of medical record data creates a barrier to improving care quality, because it supports an illusion of care consistent with regulations, which reduces the motivation and…

The purpose of this research was to design, develop, deliver, and evaluate an online dementia care program aimed at enabling healthcare teams deliver better service to residents with dementia in continuing (CC) and long-term care (LTC) facilities. A Community-Based Participatory Research (CBPR) orientation (Minkler & Wallerstein, 2003) was adopted…

Measured residents' perceptions of quality care and satisfaction with how well their needs are being met. Found that residents' perceptions of quality care (attitude of staff, food, and social activities) and satisfaction with roommates are significant predictors of perceived needs being met. Stressed that self-selected roommates are more…

Administered life satisfaction questionnaire to 199 French-speaking older adults in Montreal, living in nursing homes and in the community. Found that elderly persons living in regular community housing, in low-cost community housing, and in high self-determination nursing homes had similar levels of life satisfaction, and more satisfaction than…

Presents an intervention, used in the Netherlands, that empowers clients in residential care homes. The intervention comprises a standardized survey-feedback procedure in which residents' opinions on life and care in their particular home are gauged, discussed, and reported. Explores instrument validity, reliability, and its use in the home. (RJM)

Describes a workshop in which family members and friends of persons with dementing disorders who live in nursing homes develop stories of these residents' lives. The workshop is product-oriented, is not meant as a support group, and works best in organizations emphasizing individualized care. Stories should help staff members better understand…