Medical Director’s Perceptions and Activities: A Nursing Home Survey of Medical Directors in the State of Rhode Island

2008 ◽  
Vol 9 (3) ◽  
pp. B17
Author(s):  
Michael P. Gerardo ◽  
Tom Wachtel
1995 ◽  
Vol 15 (2) ◽  
pp. 67-80 ◽  
Author(s):  
Rosemary A. Orgren ◽  
Margo Miller ◽  
John C. Beck

2019 ◽  
Vol 10 ◽  
pp. 215013271984011
Author(s):  
Ryan M. Carnahan ◽  
Jeanette M. Daly ◽  
Sarah Minion ◽  
Brian Gryzlak ◽  
Michelle T. Weckmann ◽  
...  

Objectives: Objectives of this study were to (1) assess the needs and preferred resources of Iowa physicians to inform the development of educational resources for best practice dementia care and (2) compare the responses of nursing home medical directors with nonmedical directors. Methods: Of 498 physicians, 101 (20%) completed and returned the survey. Family physicians were obtained from a list of family physicians from the Iowa Board of Medical Examiners. Respondent answers were summarized and presented as total numbers and percentages in tables. Significant differences between medical directors and nonmedical directors were evaluated using chi-square tests, Fisher exact tests, and Wilcoxon rank-sum tests. Results: Medical directors and nonmedical directors had similar preferences for resources used and information needs. Online resources, pocket guides, a handbook, consulting pharmacists, and facility in-services were the most commonly preferred sources of new information. Medical directors were significantly more aware of the Food and Drug Administration warning on antipsychotic use in dementia and treated more nursing home patients. No differences were observed between groups related to confidence in and use of nondrug strategies instead of antipsychotics to manage behavioral symptoms of dementia. Conclusion: The results of this survey illustrate physician preferences for information and resources on the management of behavioral and psychological symptoms in dementia. Information was used to inform the development of resources to aid physicians and other health care providers in making decisions about managing these symptoms.


2020 ◽  
Vol 8 (2) ◽  
pp. 129 ◽  
Author(s):  
Malcolm L. Spaulding ◽  
Annette Grilli ◽  
Chris Damon ◽  
Brian McKenna ◽  
Michael Christensen ◽  
...  

STORMTOOLS Coastal Environmental Risk Index (CERI) predicts the coastal flooding damage to individual structures using coastal flooding levels, including the effects of sea level rise (SLR), provided in terms of the base flood elevation (BFE), specifications of the structure of interest (type and first floor elevation) and the associated damage functions from the U.S. Army Corp of Engineers (USACE), North Atlantic Coast Comprehensive Study (NACCS). CERI has been applied to selected coastal communities in Rhode Island, including those in Narragansett Bay and along the southern Rhode Island shoreline. Users can access the results of CERI via ArcGIS online at the CERI website. The objective of this effort was to develop, test, distribute, and evaluate a mobile phone application (App) that allows the user to assess the risk from coastal flooding and the associated damage at the individual structure level using the CERI methodology. The App is publicly available and has been developed for both iOS and Android operating systems. Environmental data to support the App, in terms of 100 y flood BFE maps, including the effects of SLR and the selected site grade elevation, are provided in the application by the URI Environmental Data Center (EDC). The user enters the location and type of the structure of interest (residential number of stories, with or without basement, pile supported or commercial building and the first-floor elevation (FFE)) and the desired SLR. The App then calculates the percent structural damage based on the specified environmental conditions and structure specifications. The App can be applied to any structure at any coastal location within the state. The CERI App development project has been guided by an Advisory Board made up of key constituents involved in coastal management and development in the state. The effort included extensive testing of the App by various user groups. The App structure makes it simple and straightforward to transfer to coastal and inland flooded areas in other locations, requiring only the specification of BFEs and grade elevations.


1998 ◽  
Vol 20 (2) ◽  
pp. 11-13 ◽  
Author(s):  
Renee Shield

Anthropologists have a unique opportunity to address real-world issues of aging in our own country. In graduate school I decided to redirect an ethnomusicological interest in ritual performance into an anthropological perspective on the subject of age. For one thing, as a new parent, I realized I was aging. Performance based questions in ethnomusicological suggested a lens through which to view aging. I did my dissertation on an American nursing home, applying concepts of rites of passage, performance and reciprocity to understand the behavior and the perspectives of nursing home participants. In subsequent years I have had two more opportunities to use the anthropologic lens to focus on aging in Rhode Island, first, as an educator in a nursing home and, second, as a participant in a health care reform project for the elderly of Rhode Island.


1979 ◽  
Vol 9 (3) ◽  
pp. 274-283
Author(s):  
Arvin S Glicksman ◽  
Daniel McShan

2018 ◽  
Vol 43 (3) ◽  
pp. 165-180 ◽  
Author(s):  
Karrie A. Shogren ◽  
Kathryn M. Burke ◽  
Mark H. Anderson ◽  
Anthony A. Antosh ◽  
Michael L. Wehmeyer ◽  
...  

This study examined the differential impact of implementing the Self-Determined Learning Model of Instruction (SDLMI) alone with implementing the SDLMI combined with Whose Future Is It? with transition aged students with intellectual disability in a cluster randomized trial in the state of Rhode Island. The state of Rhode Island is implementing systemic change in transition services and supports under the auspices of a Consent Decree entered into by the state with the U.S. Department of Justice. One area of focus is promoting self-determination during transition planning in the school context as a means to affect employment trajectories. This study focused on the impact of self-determination instruction on self-determination outcomes while youth were still in school, given research establishing a relationship between self-determination and employment outcomes. Latent mediation models suggested that students in the SDLMI-only group reported significant increases in their self-determination scores from baseline to the end of the year, and teachers of students in the SDLMI-only group saw students’ goal attainment as predicting change in self-determination over the course of the year. Teachers reported significant changes in student self-determination in the SDLMI + Whose Future Is It? group. Implications for individualizing interventions to teach skills associated with self-determination in the context of planning and setting goals for the transition to integrated employment are discussed.


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