Field-tested public/private collaborative model geropsychiatric nursing home. Found planning and implementation to be difficult due to interdepartmental strain within public sector and changes in ownership and administrative policy within private sector. Considers ways to reduce barriers. (Author/NB)

This study derives the economic costs of misclassification in nursing home patient classification systems. These costs are then used as weights to estimate the reliability of a functional assessment instrument. Results suggest that reliability must be redefined and remeasured with each substantively new application of an assessment instrument.…

Examined the use of public services by 1,080 Norwegian older adults. Results showed more than one-third use public services for the aged (i.e., are institutionalized or receive home help or home nursing). The use of services is affected by both need and demand factors. The family's role is discussed. (JAC)

Examined aspects of a nursing home staff's work in the application of reality orientation (RO) to confused patients. Argues that, in the application of RO and similar behavioral therapies, a clear analytic separation between patients' problems and the work of caregivers cannot be justified. Caregivers may help constitute problems. (Author/JAC)

Harbor Area Adult Day Care Center has operated for two years with a primary purpose of providing respite care to families caring for a relative with Alzheimer's disease or related disorders. The rationale, history, program, staffing, funding, and experience for the first two years of the project are provided. (Author/RC)

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…

Although their structures and objectives vary considerably Geriatric Assessment Units (GAUs) are generally designed to assess elderly patients' medical and psychosocial problems, to determine optimal placement, and often to provide therapy and rehabilitation. Offers a framework for examining structural and outcome variables for GAUs. (Author)

Presents an overview of topics and concepts appropriate for a secondary course on death and dying including stress, environments within which death occurs, those models explaining the emotional impact of death, treatment of dying patients, and concepts for students. (DC)

Studied effects on nursing home residents playing a discussion-stimulating board game called "Angels and Devils." Results indicate a high incidence of sensory deprivation and social isolation effects. These do not correlate with length of institutionalization, amount of social contact, or degree of medical restriction. (Author)

Describes a program in which elementary school pupils regularly visit elderly residents of a nursing home to read aloud to them. (GT)

Patterns of friendship among intellectually intact nursing home patients were studied about relationships with other nursing home residents, staff, volunteers, and friends outside the institution. Findings demonstrated two-thirds of the patient-respondents named residents as friends, two-thirds named staff, and one-half named volunteers. Presented…

Analyzed relationship between cognitive impairment and use and cost of health care, examining data from 1981-1982 Long-Term Care National Channeling Demonstration Project. Results indicated a substantial cost difference between money spent on home, institutional or nursing home care for cognitively intact and cognitively impaired persons.…

Compared psychological well-being of elderly nursing home residents who participated in reminiscence and current topics group discussions with control group of residents. Rated participants' happiness/depression, activity, mood, and functional levels before and after intervention. Intervention had significant effect only on happiness/depression…

Found that experience-based educational intervention in which medical students interview volunteer nursing home residents significantly changed medical students' responses to two geriatric patient vignettes. Concluded that use of elderly volunteers in practice interviews helped to sensitize students to problems of aging and taught them empathic…

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…