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2012

Visram, A., Wilson, D.M.

Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many...

2013

Stewart, N., Morgan, D. G., Estabrooks, C. A., Norton, P., Squires, J. E., Poss, J. W., Doupe, M., Teare, G. F., Cummings, G. G.

Nursing homes have become complex care environments where residents have significant needs and most have age-related dementia. Building on research by Hirdes et al. (2011), we describe a resident profile in a representative sample of 30 urban nursing homes in the prairie provinces using Resident...

2014

Keating, N., Wilson, D.M., Williams, B.E.C.

This report documents the findings of a mixed-methods study focused on the advanced directives of 182 residents of three LTC facilities in southern Ontario, Canada. Although almost all had a completed advance directive within 3 months of death, most did not have a palliative designation or...

2015

Wagg, Adrian S., Drummond, Lindsay S., Jones, C. Allyson, Slaughter, Susan E.

Background: We examined the agreement over time of the physical functioning domains of the Resident Assessment Instrument: Minimum Data Set Version 2.0 (RAI-MDS) and the Functional Independence Measure (FIM) in nursing home residents with dementia. Methods: We completed a secondary analysis of...

2014

Andersen, E., Spiers, J.

The Eden AlternativeÒ is a philosophy of care and transformational model aimed at increasing quality of life for nursing home residents by enhancing institutional environments and restructuring delivery of care. Three fundamental components of restructured care are resident care provided...

2013

Brown, T., Vandenberghe, C., Dong, K., Cummings, G. G., Salvalaggio, G., Taylor, M., Mramor, K., Kirkland, S., McKim, R., Wild, T. C.

Background Screening, Brief Intervention, and Referral for Treatment (SBIRT) is an effective approach for managing alcohol and other drug misuse in primary care; however, uptake into routine care has been limited. Uptake of SBIRT by healthcare providers may be particularly problematic for...

2014

Teare, G. F., Poss, J., Murray, M., Norton, P., Estabrooks, C. A., Cummings, G. G., Doupe, M., Squires, J.

Objectives To demonstrate the benefit of defining operational management units in nursing homes and computing quality indicators on these units as well as on the whole facility. Design Calculation of adjusted Resident Assessment Instrument – Minimum Data Set 2.0 (RAI–MDS 2.0) quality indicators...

2015

Hewko, Sarah J., Cooper, Sarah L., Reid, Shawna, Huynh, Hanhmi, Spiwek, Trish L., Carleton, Heather L., Cummings, Greta G.

Background: Healthcare aides (HCAs) are the primary caregivers for vulnerable older persons. They have many titles and are largely unregulated, which contributes to their relative invisibility. The objective of this scoping review was to evaluate the breadth and depth of the HCA workforce...

2012

Estabrooks, C. A., Cummings, G. G., Wagg, A., Bottorff, J. L., Lynch, S. L., Abel, S. L., Bissell, L., Norton, P. G., Robinson, C. A., Lee, J. S., Masaoud, E., Cummings, G. E., Rowe, B. H., Reid, R. C.

Background Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is...

2013

Knopp-Sihota, J., Estabrooks, C.A., Norton, P.

Background In recent years, improving the quality of care for nursing home residents has generated a considerable amount of attention. In response, quality indicators (QIs), based on available evidence and expert consensus, have been identified within the Resident Assessment Instrument – Minimum...