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- 4Transitions
- 2Aging
- 2Emergency medical services
- 2Performance measurement
- 2Quality of care
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A descriptive-comparative study of medications used by older people prior to and following admission to a continuing care facility
Download2012
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...
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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...
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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...
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Affirming the value of the resident assessment instrument: Minimum data set version 2.0 for nursing home decision-making and quality improvement
Download2015
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...
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Alone in Eden: Care aides' perceptions of consistent assignments.
2014
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...
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2012
Thomas, R., Robertson, S., Osei-Waree, J., Kovacs Burns, K., Wilson, D.M., Hewitt, J.A.
Few studies have focused on the care setting transitions that occur in the last year of life. A three part mixed-methods study was conducted to gain an understanding of the number and implications or impact of care setting transitions in the last year of life for rural Canadians. Provincial...
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Disaster Medicine Education in Canadian Medical Schools before and after September 11, 2001.
Download2005
Della Corte, F., Cummings, G. E., Cummings, G. G.
OBJECTIVE: To describe disaster medicine (DM) education in 16 Canadian medical schools before and after September 11, 2001 (9/11). METHODS: Email invitations and reminders to complete an Internet-based survey were sent to 48 undergraduate and fellowship representatives. RESULTS: A total of 24...
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Facility versus unit level reporting of quality indicators in nursing homes when performance monitoring is the goal.
Download2014
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...
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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...
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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...