To identify factors that predict institutional placement at discharge from a general hospital, 367 patients were evaluated prospectively upon admission. Prior nursing residence forecasted continued institutionalization; ability to perform instrumental activities of daily life and the presence of strong community support predicted a return home…

Reviews family support to the elderly in America. The seven articles discuss stress factors affecting caregivers, helping behavior of adult children, racial and cohort variables, the family as a support resource in nursing home care, and improving helping skills. (JAC)

This document consists of an instructor's manual and student manual for a nurse assistant curriculum. The instructor's manual provides answers to activity sheets and unit evaluations along with individual unit overviews. Suggested teaching strategies and audiovisual supplements are included for each lesson. The student manual contains eight units:…

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)

Loneliness was the main factor underlying failure to adjust. Furthermore, widowhood and being alone had a considerable influence. The degree of disability and the age of the individual proved to have a smaller impact than was assumed to be the case. (Author)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

Responses to questionnaires were compared between 106 students in nursing homes with those of 171 students in hospitals to evaluate interview and physical examination instruction for medical students. The nursing home was assessed as an appropriate alternative site for teaching the medical interview and physical diagnosis. (GLR)

In response to concerns about continuity of care, nurse practitioners and faculty members from medicine, pharmacy, and nursing developed an interdisciplinary curriculum for clinical experience in a nursing home, an educational and medical experience significantly different from those in hospital or ambulatory settings. (MSE)

Describes consortium formed by 10 long-term care providers and three universities to permit professional and paraprofessional training. Discusses these advantages to sharing educational resources: being able to repeat programs, extending subjects of in-service education, developing network of training consultants, and promoting effective…

Gathered essays from 53 elderly nursing home residents about the strongest meaning in their lives. Most reported family relationships as central, followed by pleasure, and then health. Analysis showed significant differences between residents' and younger adults' types of meaning. Residents did not reveal an absence of meaning in their lives. (RJM)

Interviewed 179 caregivers of hospitalized patients and studied discharge decisions to examine factors associated with willingness to continue in caregiving role after hospitalization of relative with dementia. Caregivers initially undecided about discharge plans were likely to seek placement for patients with more severe cognitive impairment,…

Examined cherished possessions and adaptation to nursing home of 100 nursing home residents. Findings showed those with possessions were better adapted; possessions served functions of historical continuity, comfort, and belongingness; and more women than men had cherished possessions. (Author/PVV)

Discussion of library outreach programs to senior citizens highlights the experiences of Driftwood Library (Lincoln City, Oregon) in using multimedia kits by Bi-Folkal that were designed for use in nursing homes, senior care centers, and retirement homes. Library staffing, funding, and planning needs are addressed. (LRW)

Describes a day care center adjacent to a nursing home where the children can interact with the elderly residents. A group of local businesses agreed to build and support the day care center when it became apparent that many of their employees needed day care services for their children. (KS)

Analysis of the 1977 and 1985 National Nursing Home Surveys with respect to residents with mental retardation found little change in the size of the population; resident characteristics (such as other disabling conditions and functional limitations and primary source of payment); and level of services received. Challenges in implementing Public…