Reanalyzed data from a study on respite care's effects by focusing on the linear relationship between amount of respite use and probability of nursing home placement at the end of the treatment period. Results indicate a significant negative relationship between the amount of respite use and nursing home placement. (RJM)

Purpose: Decisions concerning end-of-life care depend on information contained in advance directives that are documented in residents' charts in the nursing home. The availability of that information depends on the quality of the chart and on the location of the information in the chart. No research was found that compared directives by the manner…

Expressive therapists (in art, music, and dance) possess the techniques necessary for working with older adults who need assistance in making productive use of their leisure time. Therapeutic expressive activities for long-term care residents promote creativity, self-expression, communication, and understanding of oneself. The purpose of the…

This report is a part of the program of the National Center for Health Statistics to provide current statistics as baseline data for the evaluation, planning, and administration of health programs. Part I presents data concerning the occupational fields: (1) administration, (2) anthropology and sociology, (3) data processing, (4) basic sciences,…

The position of the "home for the aged" in the total social support network of West Germany is controversial. Senior citizen housing provides a more favorable atmosphere for older adults. Old age homes will have to offer better conditions and more independence. (JAC)

Severe problems in turnover and absenteeism among workers in geriatric and long-term care organizations have sparked great interest in the impact of job satisfaction on the quality of care provided to the elderly. The Job Description Index (JDI) is a job satisfaction index which measures satisfaction with several dimensions of the job: co-workers,…

A format was devised for nursing home rounds that provides for discussion among staff members and specialists and is aimed at teaching and the resolution of specific patient-care and administrative issues. Many complex medical problems were handled without transferring the patients to an acute-care facility. (Author/MLW)

Reviews methodological weaknesses of studies that evaluate alternative settings and programs for long-term care of the elderly. Argues that research should provide better information and present options to clients, service providers, and policymakers, rather than studying whether one alternative is more effective than another. (Author/MJL)

Describes the demographic trends and health risk factors of the growing elderly population, especially poor minorities. Suggests rethinking traditional hospital and nursing home roles in health care delivery to the elderly, expanding research concerns, reworking access to Medicaid, and ensuring health care to minorities. (CJS)

This guide represents part of AARP's comprehensive consumer education effort in the area of long-term care. The purpose of the guide is to provide information for consumers as they look for a nursing home, arrange for admission, and adjust to life in the home after admission. Section 1 introduces the guide. Section 2 describes how to assess needs,…

With increasing emphasis on treating the whole person, on the maintenance of an individual's former life style, and on patients' rights, long-term care personnel need to become aware that many nursing home residents experience needs related to their sexuality. A model two-day workshop is presented wlth a focus on the following topics: (1) a broad…

This study evaluated two methods of presenting a videotaped lesson on the care of residents with low vision to 87 staff at long-term care facilities. Both versions of the videotape, one which presented information in a narrative format and one which used text overlay to highlight ideas, were equally effective. (Author/JDD)

Study utilizing self-determination theory (which poses four types of motivation: intrinsic, self-determined extrinsic, nonself-determined extrinsic, and amotivation) postulates varying consequences for adaptation and well-being. Finds the four types of motivation could be reliably measured and that intercorrelations between them were consistent…

This coursebook is intended for use by the instructors presenting a workshop on preventing injuries in the elderly that was developed as a field test of a larger 10-module training program for staff of long-term health care facilities, senior center and adult day care staff, and home health aides. The curriculum guide served as a blueprint for the…

Regulations instituted by the Department of Health, Education, and Welfare effective in 1976 require skilled nursing facilities (SNF) to provide either a physician serving as medical director, or to have an organized medical staff. This report describes how SNFs responded, and what the effects were on their operations. Descriptive data were…