Control of Influenza in the Long-Term–Care Facility: A Review of Established Approaches and Newer Options

2000 ◽  
Vol 21 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Nancy H. Arden
Keyword(s):  
Influenza Vaccine ◽  
Long Term Care ◽  
Antiviral Agents ◽  
Care Facility ◽  
The United States ◽  
Elderly Persons ◽  
Term Care ◽  
Long Term Care Facility ◽  
Live Attenuated Influenza Vaccine

AbstractInfluenza infections pose a serious threat to residents of nursing homes and other long-term–care facilities. Annual vaccination of residents and staff with the currently licensed inactivated influenza vaccine continues to be the mainstay of prevention. Live attenuated influenza vaccine, which is expected to be licensed in the United States in the near future, may offer added protection for elderly persons when administered in conjunction with inactivated vaccine. Antiviral agents also can be useful as an adjunct to vaccination, especially for control of institutional outbreaks. Two new antiviral agents that appear to be less toxic than amantadine and rimantadine have recently been approved.

scholarly journals FEDERAL POLICY SUPPORTS AND GAPS IN ADDRESSING RACIAL-ETHNIC HEALTH DISPARITIES IN U.S. LONG-TERM CARE FACILITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S161-S161
Author(s):  
Rebecca L Mauldin ◽  
Kathy Lee ◽  
Antwan Williams
Keyword(s):  
Long Term Care ◽  
Federal Policy ◽  
Care Facility ◽  
Well Being ◽  
The United States ◽  
Term Care ◽  
Long Term Care Facility ◽  
Care Facilities

Abstract Older adults from racial and ethnic minority groups face health inequities in long-term care facilities such as nursing homes and assisted living facilities just as they do in the United States as a whole. In spite of federal policy to support minority health and ensure the well-being of long-term care facility residents, disparities persist in residents’ quality of care and quality of life. This poster presents current federal policy in the United States to reduce racial and ethnic health disparities and to support long-term care facility residents’ health and well-being. It includes legislation enacted by the Patient Protection and Affordable Care Act of 2010 (ACA), regulations of the U.S. Department of Health and Human Services (DHHS) for health care facilities receiving Medicare or Medicare funds, and policies of the Long-term Care Ombudsman Program. Recommendations to address threats to or gaps in these policies include monitoring congressional efforts to revise portions of the ACA, revising DHHS requirements for long-term care facilities staff training and oversight, and amending requirements for the Long-term Care Ombudsman Program to mandate collection, analysis, and reporting of resident complaint data by race and ethnicity.

Palliative Management of Parkinson Disease: Focus on Nonmotor, Distressing Symptoms

2008 ◽  
Vol 21 (4) ◽  
pp. 262-272 ◽  
Author(s):  
Jack J. Chen ◽  
Dominick P. Trombetta ◽  
Hubert H. Fernandez
Keyword(s):  
Parkinson Disease ◽  
Long Term Care ◽  
Functional Dependence ◽  
Care Facility ◽  
The United States ◽  
Elderly Persons ◽  
Motor Complications ◽  
Term Care ◽  
Increased Risk

Parkinson disease is a progressive neurodegenerative disease that commonly affects elderly persons. In the absence of neuroprotective or curative therapies, currently available therapies only provide symptomatic benefit. Progression to advanced Parkinson disease is often accompanied by functional dependence with increased risk of admission to a long-term care facility. The prevalence of Parkinson disease in long-term care facilities, within the United States, has been estimated to be between 5.2% and 10%. Patients with advanced Parkinson disease also experience other distressing motor and nonmotor conditions, such as motor complications, dementia, depression, gastrointestinal distress, orthostatic hypotension, pain, and psychosis, which can be a challenge for clinicians to manage. The presence of distressing symptoms along with the fact that Parkinson disease remains incurable necessitate discussion on a palliative care approach to this disorder. This article discusses the symptomatic management of distressing symptoms encountered in the long-term care resident with Parkinson disease, including motor complications and nonmotor features.

Cycling Without Age Program: The Impact for Residents in Long-Term Care

2019 ◽  
Vol 42 (9) ◽  
pp. 728-735 ◽  
Author(s):  
Paula McNiel ◽  
Judith Westphal
Keyword(s):  
Lived Experience ◽  
Long Term Care ◽  
Care Facility ◽  
The United States ◽  
Structured Interviews ◽  
Term Care ◽  
Long Term Care Facility ◽  
Centered Care ◽  
The Impact

Long-term care facilities seek ways to enhance the quality of life for residents. Cycling Without Age (CWA), a new international cycling program, is gaining momentum for older adults. This study explored resident riders’ and trishaw pilots’ lived experience of their participation in the CWA program using a qualitative approach at a long-term care facility in the United States. Researchers conducted 27 face-to-face, semi-structured interviews with riders and pilots. For resident riders, the three themes identified included (a) breath of fresh air; (b) wave, chat, and remember; and (c) sit back and relax. Two themes were identified for the pilots: (a) change in frame of mind, and (b) mental and physical rewards. CWA can be as a new strategy for person-centered care. The CWA program provides nursing an opportunity to advocate, recommend, and obtain an order for residents to participate in the program.

scholarly journals Trial of hearing aids in elderly persons admitted to a long-term care facility: Second report―hearing aids fitting and the results of trial―

2018 ◽  
Vol 61 (3) ◽  
pp. 187-194
Author(s):  
Rie Inoue ◽  
Keiko Suzuki ◽  
Sachie Umehara ◽  
Wakana Hata ◽  
Shuhei Shimizu ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Long Term Care ◽  
Care Facility ◽  
Elderly Persons ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Trial of hearing aids in elderly persons admitted to a long-term care facility: First report ―effects of hearing aids―

2018 ◽  
Vol 61 (1) ◽  
pp. 90-96
Author(s):  
Keiko Suzuki ◽  
Rie Inoue ◽  
Sachie Umehara ◽  
Wakana Hata ◽  
Shuhei Shimizu ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Long Term Care ◽  
Care Facility ◽  
Elderly Persons ◽  
Term Care ◽  
Term Care Facility ◽  
First Report ◽  
Long Term Care Facility

Namaste Care™: A Person-Centered Care Approach for Alzheimer’s and Advanced Dementia

2016 ◽  
Vol 40 (1) ◽  
pp. 37-51 ◽  
Author(s):  
Paula McNiel ◽  
Judith Westphal
Keyword(s):  
Long Term Care ◽  
Hospital Readmissions ◽  
Care Facility ◽  
The United States ◽  
Term Care ◽  
Long Term Care Facility ◽  
Staff Members ◽  
People With Dementia ◽  
The Impact

New methods of care are required to meet the needs of people with dementia and their caregivers. The Namaste Care™ program provides a person-centered approach through meaningful activities and loving touch. The purpose of this qualitative study was to explore the experiences of residents, staff, and family involved in the Namaste Care™ program at a long-term care facility in the United States. A descriptive approach was used to interview 14 staff members. The findings revealed six themes: peaceful sanctuary, relating their way, transforming experiences, connections and community, positive moments, and awakened to the possibilities. Results suggest that Namaste Care™ may be useful for individuals no longer able to participate in traditional long-term care setting activities. Further studies are indicated to confirm the impact on hospital readmissions, therapy enhancement, and medication use in relationship to Namaste Care™ program participation.

Old People Talk about Suicide: A Discussion about Suicide in a Long-Term Care Facility for Frail and Elderly People

1989 ◽  
Vol 19 (3) ◽  
pp. 237-251 ◽  
Author(s):  
Sidney R. Saul ◽  
Shura Saul
Keyword(s):  
United States ◽  
Elderly People ◽  
Long Term Care ◽  
Group Discussion ◽  
Care Facility ◽  
The United States ◽  
Old People ◽  
Term Care ◽  
Long Term Care Facility

In the institution, talk of suicide, like talk of death, is often suppressed. This article presents some sociohistorical concepts about suicide as a framework for considering contemporary attitudes among elderly people in the United States. In this illuminating verbatim report of a group therapy session in a long-term care institution, the residents openly discuss their feelings about the suicide of a fellow resident. Their range of feelings, positive and negative, is revealed. Also illustrated is the importance of providing an emotional outlet such as this group discussion for the intense feelings generated by suicide. Implications for training and practice are suggested, as well as some unresolved human dilemmas.

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