the allure of Home Care (at last)

99% of low income seniors and disabled in Tennessee reside in nursing homes, the highest in the US. In Oregon ,on the other hand the 22% of its Medicaid clients live in institutions.

Nursing homes vs. home care — it's a national issue

standards in Hamilton

Restraint use was a common issue.
Facilities blame staffing levels.

Not good enough Majority of area long-term care homes failed at least one government standard

the 60s again

nursing homes for the kool-aid acid test generation........


The future of nursing home design — far out

Culture change

or 'deep system change'

refers to the transformation of nursing homes from an "acute care" medical model to a "consumer-directed" model. It commonly refers to techniques associated with consumer-directed care, a more home-like environment, flexibility in sleep and dining schedules; as well as autonomy in personal choices for the residents and a less bureaucratic organizational approach.

in this study , fewer citations, better quality of care and operating margins.........

Preliminary Research Supports Nursing Home Culture Change Movement
New Study Suggests Better Quality of Care and Profitability Outcomes

dementia in Scotland

Mental Welfare commission finds dementia care lacking in Scotland

Concern over 'poor' dementia care

first available bed

$300 a day for refusing to take first available bed in Dundas. The ethics are pretty obvious until you question the process for successful placement in the more desirable centres.

Hospitals threaten to bill seniors who refuse long-term care

LTC in Quebec

The ombudsman's report , 300 pages long, lists a catalogue of issues in regard to the care of seniors especially in LTC. It is estimated that the population of seniors in Quebec will be 27% by 2030.

Seniors deserve better care

NPs

Is this the future?

Canadian context may differ with fewer geriatricians providing primary care and more involvement of family physicians in institutional care. Nevertheless an interesting article in the climate of 'lowering' professional standards in LTC

The Right Cure For Ailing Elder Care?

queue jumping in Nova Scotia

The most astounding statistic in this article is the fact that 28% of the Nova Scotia's population will be 65+ in 20 years.

Health to review nursing-home placement rules

antipsychotics

Another study questioning the safety of antipsychotics in the elderly especially in LTC. A matched cohort study of over 25,000 patients provides some evidence that traditional antipsychotics are worse than atypicals and atypicals are worse than no drug treatment.
Full text is available at the Annals of Internal Medicine website


Antipsychotics increase death risk among seniors