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Tag: Nursing Homes / Elder Care

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
A multifaceted hand hygiene program may have a short-term impact on mortality in nursing homes

Hand Hygiene Program Tied to Lower Nursing Home Mortality

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Multifaceted program associated with lower mortality, antibiotic prescriptions over one year
Family members of those who have received hospice care in a nursing home report lower perceived quality of care

Quality of Perceived Hospice Care Varies by Setting

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Family members perceive hospice care received at nursing homes to be of lower quality
Urinary tract infections (UTIs) are common in nursing home residents

Confusion Common in Seniors Prescribed Antibiotics for UTI

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Confusion independently associated with receipt of antibiotics for UTI in nursing home residents
From 2012 to 2015 there was a relative increase in the number of nursing home specialists

Doctors Increasingly Becoming ‘Nursing Home Specialists’

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Number of generalist physicians billing for nursing home care up 15.6 percent from 2012 to 2015
Thirty-seven percent of older nursing home residents do not initiate secondary prevention medications after acute myocardial infarction

Secondary Prevention Meds Often Not Started Post-AMI in Seniors

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More than a third of older nursing home residents did not start medication after myocardial infarction
The Multidisciplinary Multistep Medication Review is effective for discontinuation of inappropriate medication among elderly nursing home residents without a decline in their well-being

3MR Intervention Effective for Discontinuing Inappropriate Meds

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Multidisciplinary Multistep Medication Review is effective for use in frail nursing home residents
An intervention targeting gaps in staff communication and coordination (complexity science-based staff training intervention) does not improve the impact of an evidence-based falls quality improvement program

Staff Training Intervention Doesn’t Impact Fall Prevention

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Complexity science-based staff training has no impact on falls program in nursing homes