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Tag: Nursing Homes / Elder Care

For female nursing home residents who undergo breast cancer surgery

Breast Cancer Surgery Outcomes Poor for Nursing Home Residents

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High rates of one-year mortality and functional decline seen with different types of surgery
Antipsychotic therapy prescribed to nursing home residents is mostly initiated in nursing homes rather than hospitals or outpatient settings

Most Antipsychotics Prescribed in Nursing Homes Initiated There

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64 percent initiated in nursing homes, 18.6 percent in hospitals, and 17.5 percent in outpatient settings
Advance care planning in frail older adults does not increase patient activation or quality of life

Advance Care Planning Doesn’t Aid Quality of Life

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But, participation does increase advance directives, surrogate decision-makers
Star ratings for staffing levels at nearly 1

Updated Staffing Data Lowers Ratings for Many Nursing Homes

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Medicare downgraded rating of some homes for failing to be staffed every day with a registered nurse
More than three-quarters of those living in residential care facilities have an advance directive

Majority of Those in Residential Care Have Advance Directives

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Geographical differences seen, with percentage of residents with directives ranging from 65% to 88%
Diabetes-attributable nursing home costs are substantial

U.S. Nursing Home Costs Due to Diabetes Vary Greatly by State

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Per-person diabetes-attributable costs ranged from $374 in New Mexico to $1,610 in Washington, D.C.
A substantial proportion of acute transfers from nursing facilities to hospitals are potentially avoidable

Determining ‘Avoidability’ of Nursing Home Transfers Complex

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Patients' symptoms, risk conditions found to be only weakly predictive of hospital diagnoses
A multifaceted hand hygiene program may have a short-term impact on mortality in nursing homes

Hand Hygiene Program Tied to Lower Nursing Home Mortality

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Multifaceted program associated with lower mortality, antibiotic prescriptions over one year
Family members of those who have received hospice care in a nursing home report lower perceived quality of care

Quality of Perceived Hospice Care Varies by Setting

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Family members perceive hospice care received at nursing homes to be of lower quality
Urinary tract infections (UTIs) are common in nursing home residents

Confusion Common in Seniors Prescribed Antibiotics for UTI

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Confusion independently associated with receipt of antibiotics for UTI in nursing home residents