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Tag: Nursing Homes / Elder Care

Many older care home residents are not being diagnosed with dehydration based on commonly-used signs and symptoms

Common Signs, Symptoms Do Not ID Dehydration in Seniors

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None of the 49 commonly-used clinical signs, symptoms usefully discriminated those with dehydration
Better use of risk assessment tools

Assessment Tools Aid Risk Planning at Nursing Homes

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Residents with heart failure have higher rates of hospitalization, death, health instability
Residents of for-profit nursing homes are more likely to suffer neglect compared with elderly residents living in the community or in not-for-profit facilities

Neglect Higher in For-Profit Nursing Homes

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Findings among patients admitted to area hospitals for issues related to elder neglect or mistreatment
For female nursing home residents who undergo breast cancer surgery

Breast Cancer Surgery Outcomes Poor for Nursing Home Residents

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High rates of one-year mortality and functional decline seen with different types of surgery
Antipsychotic therapy prescribed to nursing home residents is mostly initiated in nursing homes rather than hospitals or outpatient settings

Most Antipsychotics Prescribed in Nursing Homes Initiated There

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64 percent initiated in nursing homes, 18.6 percent in hospitals, and 17.5 percent in outpatient settings
Advance care planning in frail older adults does not increase patient activation or quality of life

Advance Care Planning Doesn’t Aid Quality of Life

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But, participation does increase advance directives, surrogate decision-makers
Star ratings for staffing levels at nearly 1

Updated Staffing Data Lowers Ratings for Many Nursing Homes

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Medicare downgraded rating of some homes for failing to be staffed every day with a registered nurse
More than three-quarters of those living in residential care facilities have an advance directive

Majority of Those in Residential Care Have Advance Directives

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Geographical differences seen, with percentage of residents with directives ranging from 65% to 88%
Diabetes-attributable nursing home costs are substantial

U.S. Nursing Home Costs Due to Diabetes Vary Greatly by State

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Per-person diabetes-attributable costs ranged from $374 in New Mexico to $1,610 in Washington, D.C.
A substantial proportion of acute transfers from nursing facilities to hospitals are potentially avoidable

Determining ‘Avoidability’ of Nursing Home Transfers Complex

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Patients' symptoms, risk conditions found to be only weakly predictive of hospital diagnoses