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Articles 1 - 13 of 13
Full-Text Articles in Family, Life Course, and Society
Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort
Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort
Walden Dissertations and Doctoral Studies
Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …
Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly
Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly
Walden Dissertations and Doctoral Studies
The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …
The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley
The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley
Walden Dissertations and Doctoral Studies
The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …
A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak
A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak
Electronic Theses and Dissertations
The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …
The Reverberating Risk Of Long-Term Care, Allison K. Hoffman
The Reverberating Risk Of Long-Term Care, Allison K. Hoffman
All Faculty Scholarship
The Fiftieth Anniversary of Medicare and Medicaid offers an opportunity to reflect on how American social policy has conceived of the problem of long-term care. In this essay, based on a longer forthcoming article, I argue that current policies adopt too narrow a conception of long-term care risk, by focusing on the effect of serious illness and disability on people who need care and not on the friends and family who often provide it. I propose a more complete view of long-term care risk that acknowledges how illness and disability reverberates through communities, posing insecurity for people beyond those in …
Volunteer Programming Impact On Long-Term Care Facilities, Paul P. Falkowski
Volunteer Programming Impact On Long-Term Care Facilities, Paul P. Falkowski
College of Education and Human Sciences: Dissertations, Theses, and Student Research
The purpose of this present study was to examine the direct and indirect effects between the organizational structure of a long-term care facility, the amount of volunteers at the facility, the activities in which volunteers engage while at the facility and daily average number of hours care staff spend with nursing home residents. The time care staff spends with residents has been directly linked to the quality of care provided by the facility. This time is measured by calculating nursing hours per patient and it includes only nursing staff hours.The data for this study come from the National Nursing Home …
A Trade-Off Proposal For Funding Long-Term Care, Yung-Ping Chen
A Trade-Off Proposal For Funding Long-Term Care, Yung-Ping Chen
Gerontology Institute Publications
Long-term care can be a depressing subject. Most of us tend not to think about it. However, we cannot long avoid it as the 76 million baby boomers begin reaching older ages in a few short years. According to projections, in 40 years, those aged 65 to 84 (numbering 31.6 million in 2005) will more than double, and those 85 plus (about 5.1 million in 2005), who are more at risk of dependency, will more than triple (U.S. Census Bureau, 2004 and 2006). Heavy reliance on Medicaid, already the second largest budget item in most states, would not appear viable. …
Back To The Future: The Future Of Long-Term Care In Massachusetts, Deborah H. Thomson, John J. Ford
Back To The Future: The Future Of Long-Term Care In Massachusetts, Deborah H. Thomson, John J. Ford
Gerontology Institute Publications
The state of Massachusetts, like the rest of the United States, is facing an approaching crisis in long-term care. Over the next few decades the number of Massachusetts residents age 65 and older will soar. As these numbers increase, so will the need for long-term care.
Massachusetts is ill prepared to provide the services that will be needed. Our current system of health care benefits leaves many elders with gaps in coverage. Those individuals who need long-term services often impoverish themselves and their spouses before the state pays for their care. Others languish on waiting lists to receive services. Our …
Long-Term Care: Informed By Research, Francis G. Caro
Long-Term Care: Informed By Research, Francis G. Caro
Gerontology Institute Publications
Health services research has contributed to health policy and service developments that have led to major improvements in the quality of long-term care in the United States. This policy brief highlights a few areas in which publicly and privately funded research has informed the long-term care field.
Working Paper: Elders In Massachusetts Prefer Paid Caregivers, Francis G. Caro
Working Paper: Elders In Massachusetts Prefer Paid Caregivers, Francis G. Caro
Gerontology Institute Publications
Older Massachusetts residents would rather have paid professionals provide their long-term care than their own children, according to a recent UMass Poll of 461 Massachusetts residents.
Toward Improved Support For Research On Delivery Of Home- And Community-Based Long-Term Care, Francis G. Caro
Toward Improved Support For Research On Delivery Of Home- And Community-Based Long-Term Care, Francis G. Caro
Gerontology Institute Publications
Stronger and more consistent support is needed for research on long-term care. A greater investment in research will strengthen the ability of public and private organizations to provide effective and efficient assistance to people with disabilities and their informal caregivers. This paper provides a rationale for stronger research funding for the field and outlines several options to strengthen research.
Providing Low-Cost Assistive Equipment Through Home Care Services: The Massachusetts Assistive Equipment Demonstration, Alison S. Gottlieb, Francis G. Caro
Providing Low-Cost Assistive Equipment Through Home Care Services: The Massachusetts Assistive Equipment Demonstration, Alison S. Gottlieb, Francis G. Caro
Gerontology Institute Publications
This report describes the Massachusetts Assistive Equipment Demonstration, a collaborative project funded by the Robert Wood Johnson’s Home Care Research Initiative and carried out collaboratively by the Gerontology Institute at the University of Massachusetts Boston and the Executive Office of Elder Affairs (EOEA). The purpose of the demonstration was to systematically encourage the use of low-cost assistive equipment among elderly clients through existing case management resources, thereby extending the effectiveness of the Massachusetts home care program by supplementing formal services with expanded use of assistive equipment.
Nursing Home Ownership And Public Policy: An Historical Analysis, K. R. Kaffenberger
Nursing Home Ownership And Public Policy: An Historical Analysis, K. R. Kaffenberger
Graduate Doctoral Dissertations
In the early days of the United States, care of the disabled elderly outside the home meant the public almshouse. By the 1920s, private, nonprofit homes for the aged were prevalent. More recently, private, for-profit facilities have grown to dominate the field.
For-profit ownership has been controversial. Underlying the controversy is the concern that quality might be lowered in order to enhance profit.
This study asks why most nursing homes are privately owned and why most privately owned nursing homes are operated for profit. It does so with reference to The Nonprofit Economy, in which Burton Weisbrod describes a …