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  Partner: UNT Libraries
 Department: Department of Applied Gerontology
 Resource Type: Thesis or Dissertation
Advance Directives in Texas: Advance Directives Act of 1999

Advance Directives in Texas: Advance Directives Act of 1999

Date: December 2000
Creator: Watson, Robert J.
Description: Growth in the number of people living to very old age and progress in health care technology are creating important new challenges for our society. Among them is modern medicine's ability to extend some people's lives beyond the point where they are capable of making decisions or expressing their needs and desires, resulting in the very complex problem of knowing when to allow a person to die. In part, advance directives were created to solve this problem. Texas has been busy developing changes to existing state laws in an effort to create more "user-friendly" directives. This paper explores the history of advance directives, and discusses the details and nuances of the Texas Advance Directives Act of 1999.
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Are the Needs of North Dakota's Aging Population with Developmental Disabilities Being Overlooked?

Are the Needs of North Dakota's Aging Population with Developmental Disabilities Being Overlooked?

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Date: May 2002
Creator: Clark, Amy Klein
Description: North Dakota is faced with the challenge of meeting the needs of its growing population of elderly persons aging with a developmental disability. The challenge of creating new service models presents itself to professionals in the fields of Aging and Developmental Disabilities. Traditionally, the aging person with a developmental disability has been sent to nursing homes or grouped into community programs with younger persons with developmental disability. North Dakota is looking toward the future of caring for this special population through integration with elderly without disabilities.
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Assisted Living: The Need for Creation of Affordable Options

Assisted Living: The Need for Creation of Affordable Options

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Date: August 2000
Creator: Kretzinger, Robert W.
Description: Assisted living, the fastest growing segment of the senior housing industry, allows individuals to remain as independent as they prefer and still receive necessary services. However, assisted living residences exist primarily to serve those seniors who can pay for the services from their own savings/income. We are facing a critical need for housing options for both the current senior generation and the soon-to-be-retired baby boomers. How will access to assisted living be opened to all types of payors? How will states fund the growth of assisted living? The purpose of this paper is to discuss opportunities for expansion that will make assisted living an affordable option for the low- and moderate-income elderly.
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Empowerment: The Paradigm for Success for the Nursing Homes of the 21st Century

Empowerment: The Paradigm for Success for the Nursing Homes of the 21st Century

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Date: December 1999
Creator: Connorton, Margaret L.
Description: For a workplace to be successful, it needs to have a higher morale, thus leading to higher quality of care for residents. For a workplace to be successful in empowerment, it must have developed strong teams, and everyone must work as a team and respect one another. The research for this paper focused on many issues. The most important part of my research came from a study of the nursing assistants at Jennings Hall (JH) in Garfield, Ohio. From the data received, I concluded that the two biggest problems in many nursing homes are lack of respect and lack of team-centered attitude.
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Humor and Nursing Home Residents

Humor and Nursing Home Residents

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Date: May 2000
Creator: Cecil, David P.
Description: Although humor is a generally accepted part of everyday life for humans, its existence, importance, and positive influence on older persons are often underestimated. The purposes of this study are to determine whether humor is a normal experience for nursing home residents, enhancing their activities of daily living, and whether it plays a role in contributing to their psychological well-being. The study includes a discussion of research on humor, particularly as it relates to the elderly and the aging process; analysis and comparisons based on interviews with residents on the subject of humor and review of their psychological state as evaluated by the MDS 2.0 nursing facility assessment; individual case studies, and anecdotes illustrating the beneficial contributions humor brings to the lives of nursing home residents.
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The Impact of the Balanced Budget Act of 1997 on the Home Health Benefit

The Impact of the Balanced Budget Act of 1997 on the Home Health Benefit

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Date: May 2000
Creator: Coker, Joseph E.
Description: Widespread concern about the rapid growth of Medicare spending in recent years initiated a legislative response that resulted in the Balanced Budget Act of 1997. The effects of the BBA were far reaching and created shock waves throughout the health care industry. This study presents background information on the history of the Medicare home health benefit, enumerates specific provisions and goals of the BBA of 1997, examines how the BBA has changed the delivery of Medicare home health services, and proposes survival strategies for home health care providers.
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Investigating the Effects of Polypharmacy Among Elderly Patients with Diabetes on Glycemic Control and Clinical Outcomes in Home Health Care

Investigating the Effects of Polypharmacy Among Elderly Patients with Diabetes on Glycemic Control and Clinical Outcomes in Home Health Care

Date: December 2012
Creator: Bernier, Shelia Alathia
Description: The focus of this research study is glycemic control in the presence of multiple morbidities and polypharmacy in homebound individuals with Type 2 diabetes aged 65 years and older. The research method is a quantitative retrospective cohort study of discharged patients of a nonprofit community-based home health agency from January 1, 2010, to December 31, 2011, using OASIS data. Glycemic control is assessed using the hA1C laboratory test following the recommendation of the American Diabetes Association. The study documents a moderate significant association between glycemic control, polypharmacy and comorbid conditions, indicating that homebound individuals with Type 2 diabetes aged 65 years and older are less likely to have optimal glycemic control in the presence of multiple morbidities and polypharmacy. There continues to be a need for scientific research in this population cohort; and the dose-response association between antidiabetic therapy interventions designed to lower blood glucose levels in the presence of chronic disease and polypharmacy.
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Long-Term Care Administrator Licensure and Certification: An Emerging Health Profession

Long-Term Care Administrator Licensure and Certification: An Emerging Health Profession

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Date: May 2000
Creator: Syverson, Thomas
Description: The long-term care administrator profession is one that is both new and evolving. The unique historical perspective of this health profession is brief in the number of years it encompasses and crucial in understanding the current issues facing the profession. Administrator experiences provide a point of reference regarding the profession's structural problems. Ethical considerations play a dynamic role in administrators' daily jobs as well as their continued licensure. The significance of the profession's ongoing problems at the state and national level causes the need for alternatives to the current system. A combination of these alternatives must be embraced to assist in the recruitment and retention of long-term care administrators.
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The Meaning of Elder Abuse

The Meaning of Elder Abuse

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Date: May 2000
Creator: Achilli, Raye
Description: Elder abuse first received national attention in 1980, as the subject of a congressional investigation. Now, 20 years later, establishing successful strategies of identification, subsequent intervention, and prevention of abuse is of paramount importance; but progress toward this goal is hindered by lack of consensus as to the definition of elder abuse, and the use of vague, confusing, and sometimes contradictory terms in its discussion. In this paper, both social research and professional approaches and legal approaches to the definition of elder abuse are surveyed, as are definitions formulated for the National Elder Abuse Incidence Study conducted by the National Center on Elder Abuse. The continuing need for a universal or standard definition is emphasized.
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Medicare Plan D: Impact on Medication Compliance in the Elderly

Medicare Plan D: Impact on Medication Compliance in the Elderly

Date: May 2007
Creator: Huff, Billie Kathryn
Description: This dissertation examined the impact of Medicare Plan D on medication compliance in Medicare beneficiaries at University of Texas Health Center at Tyler, TX. Data were collected before and after the implementation of Plan D. The impacts of various types of benefits, such as private insurance, employer insurance and pharmacy assistance programs were evaluated in terms of impact on drug compliance. Medication compliance was found to increase in those respondents without Plan D. Plan D was found to be a predictor of those who spent less on basics in order to buy medications. Although compliance increased in general, these increases could not be attributed to the acquisition of a Plan D policy.
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