Because research studies on post-relocation mortality in the elderly have come to inconsistent and contradictory conclusions, clinical teams recommending patients for placement are still relying on educated intuition as a basis for clinical decisions in what may be a life-or-death matter for elderly institutionalized patients. This study was…

Agitation is a significant problem for nursing home residents, their families, and their caretakers. Agitation is defined as inappropriate verbal, vocal, or motor activity which is not explained by needs or confusion per se. It includes behaviors such as aimless wandering, pacing, cursing, screaming, biting, and fighting. The inappropriate nature…

This report from the Select Committee on Aging examines financial, medical, and social issues surrounding terminally ill patients with special emphasis on the elderly terminally ill. The first section discusses topics related to the medical treatment of the terminally ill. Two basic issues are important: the right to have medical treatment and the…

The increasing age of the American population and the current emphasis on cost containment in health care make the 1980s an ideal time for building bridges to span the health care needs of elderly persons in acute care and long-term care. While hospitals often discharge patients to nursing homes as an intermediate step between hospitalization and…

Through asset recovery programs, states can recover from the estates of nursing home residents or their survivors a portion of the expenses the state incurs in providing nursing home care. Estate recovery programs require Medicaid recipients whose primary assets are their homes to contribute toward the cost of their nursing home care in the same…

The purpose of this study was to test the effectiveness of one-on-one therapeutic recreation intervention on independence in leisure behavior of elderly, mentally ill residents residing in a nursing home. The researchers employed an experimental design and used the Comprehensive Leisure Rating Scale (CLEIRS) to measure independence in leisure…

The success of rehabilitative nursing homes has been measured by their ability to return patients to their homes. The rates of reinstitutionalization after discharge are less studied but are basic to the role of alternative levels of care. This research examines the relationship of predischarge factors with long term outcomes of patients…

This Congressional oversight hearing was convened to examine evidence that many of the nation's nursing homes restrict or deny access to the elderly poor and disabled, leaving the 18 million Americans dependent on Medicaid especially vulnerable to neglect and exploitation. Evidence was heard on discriminatory admissions, on the practice of…

This paper explored attitudes toward death and dying revealed through interviews with members of the clergy, the medical profession, funeral directors, nursing home residents, and selected others. The sampling was small and results are not intended to be representative of the groups to which these people belong. Rather, the study may be used as a…

The First National Indian Conference on Aging, sponsored in 1976 by the National Tribal Chairmen's Association, recommended action to correct some of the serious problems detracting from the physical, psychological, and spiritual well-being of the Indian elderly. A principal concern of the Conference was the urgent need for on-reservation nursing…

The predictive utility of a proposed need-press competence (NPC) model of satisfaction was compared with that of the traditional need-press fit model. Structured interviews with 30 residents from two nursing homes provided measures of needs, press, competence, and satisfaction. The NPC model was a better predictor of expressed satisfaction than…

The minutes of the meeting of the Special Committee on Aging of the U.S. Senate on the issue of legal services programs for the elderly, specifically programs in effect in the Boston area include statements made by the following: (1) an elderly diabetic woman testifying about living conditions and lack of services in her housing project; (2) the…

The Nursing Home Research Study is concerned with the quantitative measurement of nursing service in nursing homes. The purpose of the project was to provide data needed to establish a basis for proposing minimal staffing patterns for nursing homes. In an adaptation of the methodology used in a study conducted by the Milwaukee, Wisconsin Health…

A guide to offer the nursing home administrator and his inservice education coordinator a source of information about the process of program planning in inservice education is presented. To plan a program, the following steps are necessary: (1) Know the problem; (2) Gather the facts; (3) Examine the facts; (4) Select the best solution; (5) Gain…

A study of nursing homes in Maine was conducted by student researchers during the summer, 1970, under Maine's Regional Medical Program (MRMP). The survey, focusing on staffing patterns and general needs in nursing homes in Maine, was conducted in order to determine ways in which MRMP might assist the nursing homes and the Maine Department of…