StaphylococcusaureusNasal Colonization in a Nursing Home: Eradication With Mupirocin

1990 ◽  
Vol 11 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Jean E. Cederna ◽  
Margaret S. Terpenning ◽  
Mark Ensberg ◽  
Suzanne F. Bradley ◽  
Carol A. Kauffman
Keyword(s):  
Nursing Home ◽  
Local Treatment ◽  
Veterans Administration ◽  
Nasal Colonization ◽  
Home Setting ◽  
Nursing Home Setting ◽  
Mupirocin Ointment ◽  
Poor Functional Status ◽  
Mrsa Colonization

AbstractRecent reports have emphasized an increase in both infection and colonization with methicillin-resistantStaphylococcus aureus(MRSA) in institutionalized older patients. We studied whether or not local treatment with mupirocinointment could eliminate nasal colonization with S aureus. A total of 102 patients in a Veterans Administration nursing home were screened for Saureusnasal colonization. Thirty-nine patients (38.2%) were colonized, 18 with methicillin-sensitive Saureus (MSSA) and 21 with MRSA. Almost half of all colonized patients were in the most dependent functional category and there was a significant association of MRSA colonization, but not MSSA colonization, with poor functional status. Colonized patients were treated with mupirocin ointment applied to the anterior nares twice daily for seven days. After treatment, MSSA persisted in only two patients and MRSA in only one patient; thus, nasal colonization was eliminated in 91.4% of colonized patients. At one month and two months follow-up, 11 patients became transiently recolonized and three became persistently recolonized with Saureus. Mupirocin was well tolerated with no side effects noted. Mupirocin ointment may be useful in controlling nasal colonization with S aureus in the nursing home setting.

A Two Year Follow up of Nutrition Status Among Veterans in a Nursing Home Setting: The Impact on Mortality

2012 ◽  
Vol 13 (3) ◽  
pp. B20
Author(s):  
Douglas Faulder ◽  
Anne-Marie Boström ◽  
Deanna Van Soest ◽  
Betty Kolewaski ◽  
Douglas Faulder ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nutrition Status ◽  
Home Setting ◽  
Nursing Home Setting ◽  
The Impact

scholarly journals Between Social Inclusion and Exclusion: Integration of Daycare Guests in the Nursing Home Setting

2020 ◽  
Author(s):  
Kerstin Hämel ◽  
Gundula Röhnsch
Keyword(s):  
Nursing Home ◽  
Social Inclusion ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Cognitive Capacity ◽  
Home Setting ◽  
Residential Care Facilities ◽  
Care Approach ◽  
Nursing Home Setting ◽  
Close Relatives

Abstract Background and Objectives In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion. Research Design and Methods A purposive sample of residents differing in cognitive capacity and level of (non)conflictual interaction with daycare guests was selected. Episodic interviews with residents (N = 10) and close relatives (N = 2) were conducted in 3 pilot facilities in Germany and analyzed using thematic coding. Results The analysis revealed different orientation patterns towards the presence of daycare guests: respondents (a) demonstrated indifference to the daycare guests, (b) saw bonding with guests as a means to connect to the outside world, and (c) perceived incompatibility between in-group and out-group. Criticisms included disruption of daily routines and loss of privacy. Most interviewees came to terms with the care situation using rational and moral arguments. Discussion and Implications The study reveals the importance of residents’ participation when integrating daycare guests. Institutional procedures are required to prevent exclusion of daycare guests and avoid overtaxing residents.

scholarly journals To what extent is clinical and laboratory information used to perform medication reviews in the nursing home setting? the CLEAR study

2015 ◽  
pp. 767 ◽  
Author(s):  
Carlota Gonzalvo ◽  
Kim Hurkens ◽  
Hugo de Wit ◽  
Brigit van Oijen ◽  
Rob Janknegt ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Setting ◽  
Nursing Home Setting ◽  
Medication Reviews

scholarly journals The Burden of a Remote Trial in a Nursing Home Setting: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Susie Donnelly ◽  
Brenda Reginatto ◽  
Oisin Kearns ◽  
Marie Mc Carthy ◽  
Bill Byrom ◽  
...  
Keyword(s):  
Nursing Home ◽  
Data Collection ◽  
Lived Experience ◽  
Personal Space ◽  
Future Research ◽  
Home Setting ◽  
Research Engagement ◽  
Research Activities ◽  
Key Characteristics ◽  
Nursing Home Setting

BACKGROUND Despite an aging population, older adults are typically underrecruited in clinical trials, often because of the perceived burden associated with participation, particularly travel associated with clinic visits. Conducting a clinical trial remotely presents an opportunity to leverage mobile and wearable technologies to bring the research to the patient. However, the burden associated with shifting clinical research to a remote site requires exploration. While a remote trial may reduce patient burden, the extent to which this shifts burden on the other stakeholders needs to be investigated. OBJECTIVE The aim of this study was to explore the burden associated with a remote trial in a nursing home setting on both staff and residents. METHODS Using results from a grounded analysis of qualitative data, this study explored and characterized the burden associated with a remote trial conducted in a nursing home in Dublin, Ireland. A total of 11 residents were recruited to participate in this trial (mean age: 80 years; age range: 67-93 years). To support research activities, we also recruited 10 nursing home staff members, including health care assistants, an activities co-ordinator, and senior nurses. This study captured the lived experience of this remote trial among staff and residents and explored the burden associated with participation. At the end of the trial, a total of 6 residents and 8 members of staff participated in semistructured interviews (n=14). They reviewed clinical data generated by mobile and wearable devices and reflected upon their trial-related experiences. RESULTS Staff reported extensive burden in fulfilling their roles and responsibilities to support activities of the trial. Among staff, we found eight key characteristics of burden: (1) comprehension, (2) time, (3) communication, (4) emotional load, (5) cognitive load, (6) research engagement, (7) logistical burden, and (8) product accountability. Residents reported comparatively less burden. Among residents, we found only four key characteristics of burden: (1) comprehension, (2) adherence, (3) emotional load, and (4) personal space. CONCLUSIONS A remote trial in a nursing home setting can minimize the burden on residents and enable inclusive participation. However, it arguably creates additional burden on staff, particularly where they have a role to play in locally supporting and maintaining technology as part of data collection. Future research should examine how to measure and minimize the burden associated with data collection in remote trials.

Families, Alzheimer's Disease, and Nursing Homes

1988 ◽  
Vol 7 (3) ◽  
pp. 331-349 ◽  
Author(s):  
Nathan L. Linsk ◽  
Baila Miller ◽  
Roberta Pflaum ◽  
Anna Ortigara-Vicik
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Nursing Homes ◽  
Care Center ◽  
Family Members ◽  
Nursing Home Care ◽  
Demonstration Program ◽  
Home Setting

The Alzheimer's Disease Family Care Center program was established within an intermediate care teaching nursing home as a demonstration program to investigate ways to involve families in care of their relatives. In total, 45 family members participated in a program including an orientation session; a preliminary family involvement interview; contracts with family members, in which they chose specific tasks to engage in during visits; a five-session course on Alzheimer's disease and how families may be partners in care within the facility; and an ongoing family support group. Evaluation data sources include a baseline and 9-month follow-up questionnaire completed by families, preliminary and follow-up family interviews conducted by project codirectors, records of family visits, and family choices on contracts. Findings from the 23 family members who contracted for tasks during their visits and from the follow-up questionnaire completed by 25 family members showed that most sought social and emotional interactions with relatives, some maintained direct personal care activities, and only a few identified interest in extensive involvement with staff and facility. At follow-up, family members involved in the program reported they continued to feel close to their relatives. Many felt that their relatives were generally stable or improved with regard to cognitive function, but over a third noted difficulties in communicating. Participating family members reported that the program of staff supports helped them to feel more integral to the unit. They expressed a need for more education and support for their involvement in the nursing home setting. Project findings confirm previous studies recommending that programming at nursing homes needs to include specific institutional and staff supports to maintain and enhance family contributions to the long-term nursing home care of their relatives.

Recognition and assessment of resident’ deterioration in the nursing home setting: A critical ethnography

2018 ◽  
Vol 27 (7-8) ◽  
pp. 1452-1463 ◽  
Author(s):  
Bridget Laging ◽  
Amanda Kenny ◽  
Michael Bauer ◽  
Rhonda Nay
Keyword(s):  
Nursing Home ◽  
Critical Ethnography ◽  
Home Setting ◽  
Nursing Home Setting

Choice

2021 ◽  
pp. 47-60
Author(s):  
Joe Ungemah
Keyword(s):  
Nursing Home ◽  
Conventional Wisdom ◽  
Farmers Market ◽  
Home Setting ◽  
Cause And Effect ◽  
Cognitive Overload ◽  
Nursing Home Setting ◽  
Worker Autonomy ◽  
Successes And Failures

This chapter dives into why people sometime feel paralyzed by decisions. Challenging conventional wisdom that more choice is better, the chapter explains how choice can lead to cognitive overload, as demonstrated first by the story of a failed electronics retailer and then by a study involving a fruit jam display at a California farmers market. Yet choice is critical to a happy and prolonged life, as shown with some novel research involving houseplants in a nursing home setting. The chapter concludes on the compounding nature of decisions, where cause and effect is never as simple as it seems, as demonstrated by the Hindenburg disaster. Implications for the workplace include providing employee choice where it matters most, promoting worker autonomy, and recognizing human biases toward oversimplifying successes and failures.

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