The older adult population in America will significantly increase in the future. Older adults have important needs for recreation and leisure services (Beland, 2002). The author taught a class titled "Leisure Services for Older Adults" for over 24 years at the University of Florida. He has taught gerontology and recreation by teaching…

This study assessed the relationships of assertiveness, depression, and social support among nursing home residents. The sample included 50 older nursing home residents (mean age=75 years; 75% female; 92% Caucasian). There was a significant correlation between assertiveness and depression (r=-.33), but the correlations between social support and…

Older persons (N = 159) were surveyed for their impressions of and experiences with elderspeak from friends, same-age family members, younger family members, familiar service workers, and unfamiliar service workers. Two dimensions, "warmth" and "superiority," emerged in the judgments of elderspeak from all five speaker types. Respondents perceived…

Purpose: We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. Design and Methods: We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost…

The purpose of this study was to examine the relationships of diagnosis and treatment of depression with anhedonic and dysphoric symptom presentation, using the Minimum Data Set 2.0. Participants were from two sectors of longterm care: 70 nursing home residents and 92 residents in a Veterans' Care Service. The samples differed in their sex…

A research and intervention project to enhance cultural competence (CC) within nursing home staff is described, with particular emphasis on the qualitative findings generated during baseline assessments of 10 participating facilities. These findings, developed from an analysis of transcripts of 56 focus groups, suggest the importance of five CC…

Purpose: The U.S. Department of Veterans Affairs has adopted two functional assessment systems that guide care planning: one for nursing home residents (the Resident Assessment Instrument [RAI]) and a compatible one for home care clients (RAI-HC). The purpose of this article is to describe the RAI-HC (often referred to as the Minimum Data Set-Home…

Purpose: In an attempt to more thoroughly describe aggressive behavior in nursing home residents with dementia, we examined background and proximal factors as guided by the Need-Driven Dementia-Compromised Behavior model. Design and Methods: We used a multivariate cross-sectional survey with repeated measures; participants resided in nine randomly…

Two challenges facing nursing-home care today are understanding the concept of "quality of life" as it relates to cognitively impaired residents and finding effective ways to ensure that it is achieved. Canadian director Allan King's documentary, "Memory for Max, Claire, Ida and Company," filmed at Baycrest, captures a method…

This study was conducted to identify efforts by hospital discharge planners to refer clients with human immunodeficiency virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS) to nursing homes; to determine the responses of the facilities contacted; and to identify gaps in services, discharge planner practices, and relationships between…

Text of a Congressional hearing examining the 10-year-old Long-Term-Care Ombudsman Program funded under the Older Americans Act is presented in this document. Opening remarks are given by Representatives Wyden, Snowe, Biaggi, and Robinson. Witnesses testifying include: (1) Michio Suzuki, Associate Commissioner, Office of State and Tribal Programs,…

This study investigated factors associated with absenteeism among nursing staff (N=219) at a long-term care facility. Four absenteeism measures were calculated from personnel records for each month of the year: no pay (the sum of unscheduled, unpaid sick, and leave without pay), part day (the sum of arrived late and left early), paid sick, and…

At the request of Senator John Heinz, the General Accounting Office (GAO) conducted a study on the quality of care provided to nursing home residents to determine the extent of repeated noncompliance with federal requirements that could affect resident health and safety and to evaluate the adequacy of federal and state enforcement actions to…

A study of library services to hospitalized patients since 1971 in the greater Providence, Rhode Island, area. (LS)

Intended as a practical guide for the administrator in homes for the aging, this booklet provides direction on how to set up a volunteer program. Five steps in organizing a volunteer program are: (1) Launching a Volunteer Program, (2) Recruitment and Selection of Volunteers, (3) Orientation and Training Program (The Role and Function of a…