Purpose: When cognitively impaired nursing home residents exhibit agitated and aggressive behaviors during bathing, nursing home caregivers are in a unique position to improve residents' experience. This report addresses whether certified nursing assistants (CNAs) who received training in a person-centered approach with showering and with the…

Although elder abuse has received much attention in recent years, little is known about long-term care staff perceptions of active and passive abuse. Health care professionals (N=72) responsible for direct care of patients within a 275-bed skilled nursing facility completed questionnaires on elder abuse. Responses were from physicians (N=6),…

Experience gathered to date confirms that capitation of Medicare does not necessarily decrease quality of health care and may in fact encourage an improvement in health care quality. Incentives inherent in capitated reimbursement are threefold. First, practitioners, by not receiving more payment for more service, are discouraged from providing…

This instructional guide is intended for use within inservice or continuing education programs for people who work in long-term care facilities. This module includes an overview of the normal functions of the small and large intestines and discusses the structures of the intestines, absorption in the intestines, and commonly occurring conditions…

The development of the model program was accomplished by: (1) establishing linkages with other agencies and educational institutions in the community; (2) reviewing the pertinent research literature; (3) carrying out a needs assessment in order to determine the educational needs and interests of elderly residents as well as the problems facing…

Examples are given of the ways that the states have used funds from Title I of the Library Services and Construction Act to assist libraries in implementing outreach projects for the benefit of those who cannot easily avail themselves of ordinary service. Library outreach programs for inner-city residents; for non-English speaking persons in New…

The aims and principles of normalization and integration of the mentally retarded in Sweden are discussed in terms of implications for services and programs. The historical background of the present care for the mentally handicapped notes legislative actions, responsibilities of the Board of Provisions and County Councils, the development of the…

A project to demonstrate how a team of instructor/consultants could function on a regional basis to help upgrade inservice education programs in nursing homes was conducted. The design of this Nursing Home Training Program was structured to allow for changes in demonstrated services in accordance with reactions of participants. An advisory and an…

A guide is presented for the purpose of providing a simple, basic outline for program development of inservice education for nursing personnel who care for the chronically ill and aged in extended care facilities. The following topics are included: (1) inservice education defined, (2) responsibility for inservice education, (3) educational…

This study sought to determine the extent of existing in-service education programs in health care available in northeast central Nebraska and to determine if there was a need for a Community Health Education Consortium (CHEC). Two questionnaires were developed for the study and were mailed to hospitals and nursing homes in a 22 county area; 86%…

Examines some of the difficulties encountered when elderly married couples apply for admission to an institution. (HMV)

Single-subject reversal designs were used in teaching elderly nursing-home residents to change dependency behavior and to reacquire and maintain self-feeding skills. Fast control of self-feeding was obtained. Results are discussed. (Author)

This paper describes the observations and experiences of a graduate student employed as a nurse's aide in a home for the aged. The difficulties encountered in attempting to apply traditional psychological methodology are discussed, and detailed anecdotal reports on individual cases are presented. (GO)

Describes a public library outreach program for institutionalized senior citizens, including the rationale, local environment, management of the program, and individual literacy discussion sessions. The many positive results both to the participants and to the library are described. An annotated list of materials tested in several group situations…

Describes two approaches used to define and develop faculty practice in a teaching nursing home. Problems include role conflicts, communication gaps, and differences between faculty and nursing staff goals. Benefits include availability of new nursing care services and increased opportunities for conducting clinical research. (Author/ABB)