Purpose: This study explored aspects of stigmatization for older adults who live in residential care or assisted living (RC–AL) communities and what these settings have done to address stigma. Design Methods: We used ethnography other qualitative data-gathering analytic techniques gather data from 309 participants (residents, family staff) six RC–AL Maryland. entered the transcript into Atlas.ti 5.0. analyzed by using grounded theory emergent themes. Results: Four themes emerged that relate...

Objective. To develop an observational instrument that describes the ability of physical environments institutional settings to address therapeutic goals for persons with dementia.

To examine family caregiver involvement for long-term care (LTC) residents during the last month of life. Researchers examined direct (personal and meals) indirect (management monitoring) types relationship between type predisposing, enabling, need characteristics. also whether frequency changed end-of-life (EOL) period. used an expanded version Andersen's Behavioral Model to conceptualize predictors 438 in 125 residential care/assisted living nursing home settings. Bivariate multivariate...

Sleep disorders are problematic for persons with dementia and their family caregivers. This randomized controlled trial crossover evaluated the effects of an innovative blue-white light therapy on 17 pairs home-dwelling Subjects received control (‘red-yellow’ light) six weeks separated by a four-week washout. Neither actigraphic nor most self-reported sleep measures significantly differed subjects dementia. For caregivers, both role strain improved. No evidence retinal toxicity was observed....

Purpose: Researchers know little about the physical performance ability of residential care/assisted living (RC/AL) residents and its relationship to adverse outcomes such as fracture, nursing home placement, functional decline, death. The purposes this article are (a) describe characteristics RC/AL residents, (b) examine relationships between resident- facility-level performance, (c) determine predictive value for outcomes. Design Methods: Data came from 1,791 in 189 facilities...

Abstract Parkinson’s disease (PD) is the fastest-growing neurological worldwide, with increases outpacing aging and occurring most rapidly in recently industrialized areas, suggesting a role of environmental factors. Epidemiological, post-mortem, mechanistic studies suggest that persistent organic pollutants, including organochlorine pesticide dieldrin, increase PD risk. In mice, developmental dieldrin exposure causes male-specific exacerbation neuronal susceptibility to...

Purpose: Residential care/assisted living facilities have become an alternative to nursing homes for many individuals, yet little information exists about staffing in these settings and the effect of staffing. This study analyzed intensity skill mix staff using data from a four-state study, their relationship outcomes. Design Methods: We obtained longitudinal 1,894 residents 170 residential participating Collaborative Studies Long-Term Care. Descriptive statistics assessed levels direct care...

We wanted to determine how much it costs primary care practices participate in programs that require them gather and report data on quality indicators.Using mixed quantitative-qualitative methods, we gathered from 8 North Carolina were selected purposively be diverse by size, ownership, type, location, medical records. Formal practice visits occurred between January 2008 May 2008. Four quality-reporting studied: Medicare's Physician Quality Reporting Initiative (PQRI), Community Care of...

Purpose: The purpose of this study was to explore the experiences older women post hip fracture who were exposed a motivational intervention, Exercise Plus Program, intended increase adherence exercise. Design and Methods: This used naturalistic inquiry. We interviewed total 70 women, 12 months fracture, using an interview guide asking about issues related willingness All interviews tape recorded transcribed verbatim. Results: Analysis semi-structured revealed 44 codes that categorized...

Purpose: Residential care/assisted living describes diverse facilities providing non–nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies assisted based on theoretically and practically grounded evidence.Design Methods: We obtained data from the Collaborative Studies Long-Term Care, which examined 193 in four states: Florida, Maryland, New Jersey, North Carolina. By using mixture modeling, we derived five different ways, on: structure;...

This article advances the discussion of treatment fidelity in social and behavioral intervention research by analyzing an study conducted within participating long-term care settings Collaborative Studies Long-Term Care. The authors used Behavior Change Consortium's (BCC) best practices for enhancing recommendations areas design, provider training, delivery, receipt, enactment to evaluate fidelity-related decisions. Modifications original strategies were necessary all areas. revised their...

Purpose: Making choices about everyday activities is a normal event for many adults. However, when an adult moves into assisted living (AL) community, making becomes complicated by perceived needs and community practices. This study examines the relationship between choice need in context of practices, using medication administration practices as case point. Design Methods: A 5-year ethnographic collected information from 6 AL settings Maryland. Ethnographic interviews (n = 323) field notes...

It has been known for 70 years that the human pupil dilates when a person responds to cognitive task. Further, it is parasympathetic pupillary innervation decreases with raised attention state while sympathetic increases. But information transmits during elevated states about such neurological dynamics and quantitative measure of this have defied statistical modelling. Now we describe experiments using short-term memory task called an acoustic impulse test in which response random impulses...

Assisted living residences (ALRs) have become a notable site of care for persons with dementia in the U.S., as similar settings across globe. Concern has been raised, however, that ALR staff are not trained to address behavioral symptoms dementia, and antipsychotic medications being used inappropriately manage symptoms. This session will present data on non-pharmacologic pharmacologic practices drawing national estimates, from 280 ALRs seven states, 90 one state. Illustrative statistics...

Research Objective Nursing homes (NHs) are critical end‐of‐life (EOL) care settings for 70% of Americans dying with Alzheimer’s disease/related dementia (ADRD). Associations between facility‐level organization care, including presence special units (ASCUs), and EOL quality in NHs unclear. Our objective was to examine variations care/outcomes (in‐hospital/NH death, death pressure ulcers, potentially avoidable hospitalizations (PAHs), hospice use the last 90 days life) among residents who died...

Antibiotic prescribing rates vary considerably across nursing homes, reflecting the range of factors that impact treatment decisions -including nurse and medical provider attitudes, resident family expectations, organizational structure culture, clinical picture itself.A successful antibiotic stewardship program will address this complexity to ensure it is relevant context care acceptable those expected implement it.This presentation discuss nurses' (N=171) providers' (N=44) perspectives on...

Antibiotic prescribing rates vary considerably across nursing homes, reflecting the range of factors that impact treatment decisions -including nurse and medical provider attitudes, resident family expectations, organizational structure culture, clinical picture itself.A successful antibiotic stewardship program will address this complexity to ensure it is relevant context care acceptable those expected implement it.This presentation discuss nurses' (N=171) providers' (N=44) perspectives on...

Abstract Parkinson’s disease (PD) is the most common movement disorder and one of fastest-growing neurological diseases worldwide. This increase outpaces rate aging rapid in recently industrialized areas, suggesting role environmental factors. Consistent with this, epidemiological studies show an association between exposure to persistent organic pollutants increased risk PD. When combined post-mortem analysis mechanistic studies, a for specific compounds, including organochlorine pesticide...