Download e-book for iPad: Conducting Research in Long-Term Care Settings by Brenda Lewis Cleary PhD RN FAAN

By Brenda Lewis Cleary PhD RN FAAN

Winner of an AJN publication of the 12 months Award! Nursing houses are wealthy repositories of information, but are underutilized for managed examine reports. This ebook is a hands-on advisor to accomplishing long term care examine in either nursing houses and residential care settings. It bargains an outline of attainable examine within the box besides functional details on the right way to achieve entry to and paintings with complicated associations that will not welcome switch. the writer additionally indicates the best study technique for long term care settings, and the way to enforce and disseminate winning examine.

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S. doubled from two million in 1990 to four million in 1997. Since the passage of the Balanced Budget Act in 1997, the numbers have begun to decline (Giacalone, 2001). NURSE STAFFING Registered nurses in home care prepare and coordinate a multidisciplinary plan of care. , assistance with Long-Term Care in the United States 21 bathing and grooming, meal preparation, some basic housekeeping and other tasks as delegated by the home health nurse. 2 percent were physical therapists or social workers (Wunderlich & Kohler, 2001).

The result was a significant improvement in self-esteem and depression. Signs and symptoms of depression include a flat affect, loss of energy, a pervasive sense of hopelessness, and appetite and sleep disturbances. Depression is often evaluated with the Geriatric Depression Scale (Yesa- 36 Conducting Research in Long-Term Care Settings vage & Brink, 1983). In the short form, the instrument contains 15 yes/ no items. The Philadelphia Geriatric Center Morale Scale (Lawton, 1975) contains 23 yes/no items.

A 1995, large-scale secondary analysis of MDS data from 6,832 nursing home residents in 202 nursing homes in seven states revealed that poor oral intake, chewing problems, dependency in eating, and pressure ulcers were related to weight loss and low body mass index. Low body mass index was associated with female gender, advancing age (85 or older), hip The State of the Science of Long-Term Care Research 37 fracture, and bedridden status, whereas depression and two or more chronic diseases increased the odds of weight loss.

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