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open access

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

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 Ass… more
Date: December 2012
Creator: Bernier, Shelia Alathia

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

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 p… more
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Date: May 2000
Creator: Syverson, Thomas

The Meaning of Elder Abuse

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 appr… more
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Date: May 2000
Creator: Achilli, Raye
open access

Medicare Plan D: Impact on Medication Compliance in the Elderly

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 … more
Date: May 2007
Creator: Huff, Billie Kathryn
open access

Pets and the level of loneliness in community dwelling older adults.

Description: Loneliness is a significant problem for older adults and can lead to negative health and social outcomes. Having a companion pet is beginning to be recognized as a way loneliness can be reduced for older persons. The purpose of this descriptive study was to determine the effect of pets on the level of loneliness in persons 60 years old or older who live alone and independently in a large metropolitan community in the North Central Texas area. Using a non-random snowball sample of older individu… more
Date: December 2006
Creator: Nunnelee, Jane Baker

Resident Care Policies in an Administrative Policy Manual for Texas Long-Term Care Facilities

Description: Federal and state regulations require that licensed long-term care facilities have policies for every resident-related topic. Long-term care administrators must plan, implement, and evaluate resident care policies that can be easily personalized to the needs of the specific facility's population. Part 1 of this paper is an overview of resident policies, covering admission, physician services, transfers and discharges, nursing services, restraints, abuse and neglect, pharmaceutical services, die… more
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Date: May 2001
Creator: Arnwine, Hilary Campbell

Resident Profile and Considerations for the Development of a Strategic Plan

Description: The graying of America will have implications for all areas of society, especially the delivery of long-term care services. Many older individuals are aging in place, a phenomenon that is apparent at Dickinson Place, a church-sponsored low-income housing property for the elderly in Dallas, Texas, where the average age of residents has risen from 65 in the early 1970s to 78 in 1999. This change has prompted the board of directors to review the facility's mission, its physical plant, and the serv… more
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Date: May 2000
Creator: Burgos, Dalila
open access

Sex and Older Americans: Exploring the Relationship Between Frequency of Sexual Activity and Happiness

Description: The purpose of this study is two-fold: (1) to examine the correlation between frequency of sexual activity and general happiness among older Americans and (2) to examine the correlation between frequency of sexual activity and marital happiness among older married Americans. This study employed quantitative data drawn from the 2004-2008 General Social Surveys. Two samples were used. The first sample included all respondents 65 years of age and older with valid responses for the dependent, indep… more
Date: August 2010
Creator: Jackson, Adrienne
open access

Social Participation and Depression Among Elderly People in Greece

Description: The researcher had two objectives: first, explore how social involvement changes by age among Greek elderly, and second, examine the relationship between social involvement and depression by age among study participants, controlled for education, marital status, and gender. The researcher used data from the 2004 Survey of Health, Aging, and Retirement in Europe (SHARE) database subjecting a sample of 2,898 elderly aged 50 or older to analysis in terms of the study questions. Approximately 43% o… more
Date: December 2015
Creator: Simmons, Daniela

Teamwork in the Nursing Home: The Art of Caring for Long-Term Care Residents

Description: The effects of teamwork in a long-term care setting were explored, and four key elements of teamwork in the long-term care facility were discovered. These elements--clarity of purpose, clear communication, well-defined decision-making procedures, and participative leadership--are presented in detail. The literature reviewed as well as observations from personal participation in a case study show that employing the teamwork concept in a nursing home environment significantly enhances the quality… more
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Date: May 2000
Creator: Saxon, Juliane M.

Tuberculosis in the Nursing Home: A Policy and Procedure Manual

Description: Tuberculosis in the nursing home is an ever-growing problem for the health care community. The incidence of tuberculosis in the United States has risen alarmingly since 1982, and high-population environments such as nursing homes are among the places where it is most prevalent. The first part of this document is an introduction to the current concerns faced by nursing home infection control personnel. It includes information about the history, symptoms, and epidemiology of the disease, as well … more
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Date: May 2000
Creator: Mounts, Camilla M.
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