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Artículos de revistas sobre el tema "Long-term community living"

Autor: Grafiati

Publicado: 28 de noviembre de 2024

Última modificación: 31 de julio de 2025

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1

Koltz, Daniel, and Rebecca Koltz. "SUCCESSFUL TRANSITIONS TO LONG-TERM CARE COMMUNITIES." Innovation in Aging 6, Supplement_1 (2022): 701. http://dx.doi.org/10.1093/geroni/igac059.2566.

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Abstract Older adults who transition to independent and assisted-living communities perceive their transition experience differently. This research focused on understanding what factors were predominant for a successful transition from a long-time home to a dependent living community. A constructivist grounded theory method was used to explore the experiences of 18 older adults who had relocated within the past year. The participants of this study were aged 65-95 years and are equally represented by gender. Equal numbers of respondents transitioned into independent and assisted-living accommod

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Bentley, David W. "Tuberculosis in Long-Term Care Facilities." Infection Control & Hospital Epidemiology 11, no. 1 (1990): 42–46. http://dx.doi.org/10.1086/646077.

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Persons age 65 and over constitute the largest reservoir of Mycobacterium tuberculosis infection in the United States today. During 1987, 6,150 tuberculosis cases were reported among this high-risk group. These cases represent 27% of the total US tuberculosis morbidity, although this age group constitutes only 12% of the US population. Tuberculosis case rates in the United States are higher among the elderly (20.6 per 100,000) than among all other age groups (average 9.3 per 100,000).More Americans live in nursing homes than in any other type of residential institution; on any given day approx

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3

Hobbs, Coletta, Lesley Newton, Christopher Tennant, Alan Rosen, and Kate Tribe. "Deinstitutionalization for Long-Term Mental Illness: A 6-Year Evaluation." Australian & New Zealand Journal of Psychiatry 36, no. 1 (2002): 60–66. http://dx.doi.org/10.1046/j.1440-1614.2002.00984.x.

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Objective: Forty-seven patients with long-term mental illness were transferred to the community following the closure of a psychiatric hospital in Sydney. This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition. Method: Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Assessments were completed prior to discharge and at two- and 6-year intervals following communit

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Kinney, Eleanor D., Jay A. Freedman, and Cynthia A. Loveland Cook. "Quality Improvement in Community-Based, Long-Term Care: Theory and Reality." American Journal of Law & Medicine 20, no. 1-2 (1994): 59–77. http://dx.doi.org/10.1017/s0098858800006432.

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Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the popula

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Jorm, Anthony F., David Grayson, Helen Creasey, Louise Waite, and G. A. Broe. "Long-term benzodiazepine use by elderly people living in the community." Australian and New Zealand Journal of Public Health 24, no. 1 (2000): 7–10. http://dx.doi.org/10.1111/j.1467-842x.2000.tb00715.x.

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Panes, Vanessa Clivelaro Bertassi, Magali de Lourdes Caldana, Maria José Sanches Marin, Patricia Ribeiro Mattar Damiance, and Patrick Alexander Wachholz. "Perceived quality of life and frailty among older people living in different settings." Geriatrics, Gerontology and Aging 14, no. 4 (2020): 244–51. http://dx.doi.org/10.5327/z2447-212320202000070.

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OBJECTIVE: To analyze the perceived quality of life of older people living in the community and long-term care facilities, and correlate it with the presence of frailty. METHODS: This is a quantitative, analytical, cross-sectional study in which 136 older people were interviewed, half were living in the community and the other half were living in long-term care facilities. The Edmonton Frail Scale was used to identify frailty, and the World Health Organization Quality of Life – Bref (WHOQOL-BREF) and World Health Organization Quality of Life Assessment for Older Persons (WHOQOL-OLD) questionna

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O’Donohue, Diane, Georgie Winsor, Robyn Gallagher, Judy Maughan, Katherine Dooley, and Joan Walsh. "Issues for people living with long-term urinary catheters in the community." British Journal of Community Nursing 15, no. 2 (2010): 65–70. http://dx.doi.org/10.12968/bjcn.2010.15.2.46392.

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8

Thomas, Kali S., Danielle Cote, Rajesh Makineni, et al. "Change in VA Community Living Centers 2004–2011: Shifting Long-Term Care to the Community." Journal of Aging & Social Policy 30, no. 2 (2018): 93–108. http://dx.doi.org/10.1080/08959420.2017.1414538.

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Spirgienė, Lina, Pirkko Routasalo, and Jūratė Macijauskienė. "Resources of Residents for Potential Transition from Long-Term Care to Community." Medicina 49, no. 12 (2014): 82. http://dx.doi.org/10.3390/medicina49120082.

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Background and Objective. Transition from long-term care to the community can have positive effects on residents’ health and quality of life and promote the feelings of happiness, safety, and independence. The aim of this study was to examine residents’ resources for potential transition to the community after residing in long-term care facilities. Material and Methods. The study was conducted in 8 long-term care institutions for older persons of Kaunas county. The study population comprised 252 residents. The items contained in the interRAI Long-Term Care Facility assessment instrument were u

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Robinson, Patricia. "Long-term conditions and severe acute respiratory syndrome SARS-CoV-2 (COVID-19)." British Journal of Community Nursing 25, no. 5 (2020): 247–51. http://dx.doi.org/10.12968/bjcn.2020.25.5.247.

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Observation of infection trends through the course of the ongoing COVID-19 pandemic has indicated that those with certain pre-existing chronic conditions, such as hypertension, chronic obstructive pulmonary disease and obesity, are particularly likely to develop severe infection and experience disastrous sequelae, including near-fatal pneumonia. This article aims to outline how SARS-CoV-2 affects people and to consider why individuals living with long-term conditions are at increased risk from infection caused by this virus. A summary of available clinical guidelines with recommendations is pr

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11

Marrie, Thomas J. "Pneumonia in the Long-Term-Care Facility." Infection Control & Hospital Epidemiology 23, no. 3 (2002): 159–64. http://dx.doi.org/10.1086/502030.

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AbstractPneumonia is a common infection among residents of long-term-care facilities (LTCFs), with an incidence of 1.2 episodes per 1,000 patient-days. This rate is believed to be six- to tenfold higher than the rate of pneumonia among elderly individuals living in the community. The risk factors for pneumonia among residents of LTCFs are profound disability, bedridden state, urinary incontinence, difficulty swallowing, malnutrition, tube feedings, contractures, and use of benzodiazepines and anticholinergic medications. An elevated respiratory rate is often an early clue to pneumonia in this

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12

Quarry, Andrew, and Rosemary Rayner. "Assessing Needs in the Community." Bulletin of the Royal College of Psychiatrists 12, no. 1 (1988): 19–21. http://dx.doi.org/10.1192/s0140078900018988.

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We were asked to do some research into the needs of people with long-term mental health problems who were living in the community. The main questions which sprang to mind were WHO, WHAT, and HOW to approach this.

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Stratton, Lauren, Sheryl Zimmerman, Lea Efird-Green, and Sam Fazio. "PERSPECTIVES OF PERSON-CENTEREDNESS ACROSS LONG-TERM CARE AND COMMUNITY-BASED SETTINGS." Innovation in Aging 8, Supplement_1 (2024): 210. https://doi.org/10.1093/geroni/igae098.0678.

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Abstract Within long-term care, person-centeredness is key to providing quality care to people living with dementia. However, there are discrepancies on how long-term and community-based organizations provide care that is person-centered and how it is integrated within their organizations and among staff. To better understand the concept of person-centeredness within long-term and community-based services, we conducted three focus groups with members of the Alzheimer’s Association Dementia Care Provider Roundtable, which consists of leadership of long-term and community-based care organization

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14

Wilson, K. C. M., P. G. Mottram, L. Ashworth, and M. T. Abou-Saleh. "Older community residents with depression: long-term treatment with sertraline." British Journal of Psychiatry 182, no. 6 (2003): 492–97. http://dx.doi.org/10.1192/bjp.182.6.492.

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BackgroundDespite a growing use of selective serotonin reuptake inhibitors in older people, only one trial has examined their prophylactic efficacy in people aged 65 years and over.AimsTo examine the efficacy of sertraline in preventing the recurrence of depression in older people living in the community.MethodParticipants were openly treated with sertraline and then randomised into a double-blind, placebo-controlled continuation/maintenance study of about 2 years duration. Drug dosage was maintained at levels that achieved remission.ResultsNo significant difference between the sertraline and

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15

Yao, Ching-Teng, Chien-Hsing Tseng, and Yu-Ming Chen. "From Needs and Dilemmas Facing View of Elderly People Living with HIV/AIDS Long-Term Care Measures in Taiwan." Asian Social Science 13, no. 10 (2017): 18. http://dx.doi.org/10.5539/ass.v13n10p18.

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The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrim

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16

Wallis, Stephen J., and Gordon A. Campbell. "Preventing falls and fractures in long-term care." Reviews in Clinical Gerontology 21, no. 4 (2011): 346–60. http://dx.doi.org/10.1017/s0959259811000104.

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SummaryThe prevalence of falls and associated injuries increases with age and dependency. The highest occurs among individuals living in long-term care institutions. Preventing falls results in reduced physical and psychological morbidity as well as having cost-saving implications. This review explores both uni- and multifactorial approaches to reducing fall rates and risk in individuals in long-term care, as well as highlighting the differences in this group from community-dwelling individuals.

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17

Hobbs, Coletta, Christopher Tennant, Alan Rosen, et al. "Deinstitutionalisation for Long-Term Mental Illness: A 2-Year Clinical Evaluation." Australian & New Zealand Journal of Psychiatry 34, no. 3 (2000): 476–83. http://dx.doi.org/10.1080/j.1440-1614.2000.00734.x.

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Objective: The closure of a long-stay psychiatric hospital in Sydney caused the transfer of an initial 40 very long-term patients to four community residences, each with 10 beds, for a continuing process of deinstitutionalisation. Community psychiatric service support and 24-h supervision were provided. This paper describes the residents' clinical progress which was assessed over a 2-year period. Method: This study employed a quasi-experimental longitudinal design. Evaluation commenced prior to discharge and continued for 2 years following community relocation using the Brief Psychiatric Ratin

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18

Hahn, Ellen J., Kathy Rademacher, Amanda Bucher, Karlee Sine, Amanda T. Wiggins, and Mary Kay Rayens. "Smoke-Free Policy Disparities in Long-Term Care Facilities." American Journal of Health Promotion 36, no. 3 (2022): 403–9. http://dx.doi.org/10.1177/08901171211051333.

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Older adults in long-term care (LTC) facilities suffer disproportionately from health conditions caused or worsened by secondhand smoke. Long-term care facilities in many states and municipalities permit smoking. Americans for Nonsmokers’ Rights compiles data on smoke-free policies only in institutional facilities (e.g., nursing homes), but not in transitional (e.g., independent living) or community-based settings (e.g., adult day). A cross-sectional, observational study was conducted of smoke-free policies using cluster random sampling in Kentucky to compare differences in policy location of

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19

Pan, F., X. Han, N. B. McLaughlin, et al. "Effect of long-term fertilization on free-living nematode community structure in Mollisols." Journal of soil science and plant nutrition, ahead (2015): 0. http://dx.doi.org/10.4067/s0718-95162015005000011.

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Sharp, Nancy. "NP Ownership of Home Care, Long-term Care, Assisted Living, and Community Care." Nurse Practitioner 24, no. 12 (1999): 51???59. http://dx.doi.org/10.1097/00006205-199912000-00005.

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Morin, Diane, Louise Saint-Laurent, Clémence Dallaire, Gisèle Boucher-Dancause, Sylvie Lalancette, and Nancy Leblanc. "Living in the Community While Waiting for an Admission in Long-term Care." Journal of Nursing Care Quality 22, no. 1 (2007): 66–72. http://dx.doi.org/10.1097/00001786-200701000-00013.

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Nadash, Pamela, Pamela Doty, Kevin J. Mahoney, and Matthias Von Schwanenflugel. "European Long-Term Care Programs: Lessons for Community Living Assistance Services and Supports?" Health Services Research 47, no. 1pt1 (2011): 309–28. http://dx.doi.org/10.1111/j.1475-6773.2011.01334.x.

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23

Friedmann, Erika, Sue A. Thomas, and Heesook Son. "Pets, Depression and Long-term Survival in Community Living Patients Following Myocardial Infarction." Anthrozoös 24, no. 3 (2011): 273–85. http://dx.doi.org/10.2752/175303711x13045914865268.

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24

Boamah, Sheila A., Rachel Weldrick, Tin-Suet Joan Lee, and Nicole Taylor. "Social Isolation Among Older Adults in Long-Term Care: A Scoping Review." Journal of Aging and Health 33, no. 7-8 (2021): 618–32. http://dx.doi.org/10.1177/08982643211004174.

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Objectives: A wealth of literature has established risk factors for social isolation among older people; however, much of this research has focused on community-dwelling populations. Relatively little is known about how risk of social isolation is experienced among those living in long-term care (LTC) homes. We conducted a scoping review to identify possible risk factors for social isolation among older adults living in LTC homes. Methods: A systematic search of five online databases retrieved 1535 unique articles. Eight studies met the inclusion criteria. Results: Thematic analyses revealed t

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Fabius, Chanee, and Philippa Clarke. "Social and Physical Contexts of Long-Term Services and Supports." Innovation in Aging 4, Supplement_1 (2020): 711. http://dx.doi.org/10.1093/geroni/igaa057.2501.

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Abstract In the coming years, inevitably growing numbers of older populations will yield more older Americans with extensive medical and long-term care needs. This will lead to an increasing need for long-term services and supports (LTSS) to assist older adults with routine daily activities (e.g., bathing, dressing, medication management). There is a growing interest in understanding how social and physical environments contribute to health outcomes and the provision of services and resources for older persons with disabilities requiring assistance from LTSS. Decisions about care and subsequen

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Abrahamson, David. "Shared housing and long-term mental illness." Housing, Care and Support 17, no. 1 (2014): 41–47. http://dx.doi.org/10.1108/hcs-12-2013-0026.

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Purpose – The purpose of this paper is to give an account by a rehabilitation psychiatrist of many years of involvement in shared housing for former long-stay hospital residents and other long-term mental health service users. Design/methodology/approach – The paper offers a personal view based on developments in one locality of East London, blending case study narrative with cited earlier published papers that confirm and/or give greater detail on specific aspects of the experience gained. Findings – Long-term mental health service users, given the opportunity via shared housing to develop mo

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Trieman, Noam, and Julian Leff. "Long-term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community." British Journal of Psychiatry 181, no. 5 (2002): 428–32. http://dx.doi.org/10.1192/bjp.181.5.428.

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BackgroundWhereas the majority of long-stay in-patients have been successfully resettled in the community there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes.AimsTo study the long-term outcome of a group of 72 long-stay psychiatric inpatients, regarded as unsuitable for community placement.MethodA prospective cohort study with follow-ups at 1 year and 5 years.ResultsThe patients' mental state remained unchanged after 1 year and 5 years. The level of functioning and social behaviour showed minimal change after 1 year, but then improved

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Murray, Laura A., and Melinda Heinz. "QUALITY OF CARE IN A LONG-TERM CARE COMMUNITY." Innovation in Aging 3, Supplement_1 (2019): S506. http://dx.doi.org/10.1093/geroni/igz038.1871.

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Abstract Older adults may need to reside in long-term care facilities for additional assistance. However, research indicates differences in the quality of care. The purpose of this study was to conduct a naturalistic observation, recording factors affecting the quality of care residents received in a long-term care community. Over a three-week period, observations took place in the nursing home, assisted living, and memory care portions of the community. We predicted that there would be more issues negatively impacting quality of care in the nursing home area due to its medical model philosoph

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Pavani, Kottapalli. "Impact of Social Isolation and Loneliness on Mental Health in Long-term Care Setting." International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences 10, no. 6 (2022): 1–3. https://doi.org/10.5281/zenodo.13959565.

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Social isolation and loneliness and associated risksamong older adults in the community setting are extensively covered in existing literature. Studies highlight the prevalence of social isolation and factors such as physical limitation, loss of social network, and changes in the living arrangements in the older population, leaving them more vulnerableto social isolation in community settings in the United States. However, there is limited research on older adults residing in the Long-Term Care (LTC). It is evident in recent years how the COVID-19pandemic impacted the people living in long-ter

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Mowbray, Carol T., and Philip Chamberlain. "Sex Differences Among the Long-Term Mentally Disabled." Psychology of Women Quarterly 10, no. 4 (1986): 383–92. http://dx.doi.org/10.1111/j.1471-6402.1986.tb00763.x.

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Although the “chronically mentally ill” have become a subject of national concern and although differences among the young, old, and minorities have been recognized, sex differences have been largely ignored. The authors describe the experientially determined problems of long-term mentally disabled women. Research is presented from a review of 320 hospital records of patients served in seven community and state hospitals throughout Michigan, encompassing client variables and service information. Significant sex differences were found for client age, marital status, living arrangement, diagnosi

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SANYAL, USHA, and SUMBUL FARAH. "Discipline and Nurture: Living in a girls’ madrasa, living in community." Modern Asian Studies 53, no. 2 (2018): 411–50. http://dx.doi.org/10.1017/s0026749x17000166.

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AbstractThis article presents an ethnography of a contemporary residential madrasa for teenage Muslim girls in a North Indian town undertaken by a team of two researchers. We focused on different aspects of the overall study, with Sanyal conducting participant observation within the madrasa and Farah interviewing a select number of graduates and former students in their home environments. The result is a comprehensive picture of the madrasa's transformative role in the socio-religious lives of its students, which highlights the importance of the connections between the madrasa and the home.Of

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Carey, Elise C., Kenneth E. Covinsky, Li-Yung Lui, Catherine Eng, Laura P. Sands, and Louise C. Walter. "Prediction of Mortality in Community-Living Frail Elderly People with Long-Term Care Needs." Journal of the American Geriatrics Society 56, no. 1 (2008): 68–75. http://dx.doi.org/10.1111/j.1532-5415.2007.01496.x.

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Cai, Li Jia, Yong Gang Xu, and Wan Tai Yu. "Effects of Long-Term Fertilization Regimes on N₂-Fixing Bacteria in a Luvisol Soil of Northeast China." Advanced Materials Research 599 (November 2012): 23–26. http://dx.doi.org/10.4028/www.scientific.net/amr.599.23.

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Long-term fertilization significantly inhibited the free-living N2-fixation rate (FNR) mainly because of the increased NO3–-N. DGGE profiles and redundancy analysis (RDA) plots clearly revealed that long-term fertilizations changed the community structures of N2-fixing bacteria (NFB) due to differences in N availability and pH. In addition, the differences in community composition were correlated with the changes in process rates for NFB (P < 0.05).

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Bonifas, Robin P., Kelsey Simons, Barbara Biel, and Christie Kramer. "Aging and Place in Long-Term Care Settings." Journal of Aging and Health 26, no. 8 (2014): 1320–39. http://dx.doi.org/10.1177/0898264314535632.

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Objective: This article presents results of a qualitative research study that examined how living in a long-term care (LTC) home influences the quality of residents’ relationships with peers, family members, and outside friends. Method: Semistructured interviews using a phenomenological approach were conducted with 23 residents of a LTC home. Thematic analysis was employed to illuminate residents’ perspectives on the nature of social relationships in this setting. Results: Four key themes were identified that highlight the role of place in social relationships. Residing in a LTC home influence

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Rich, Margaret, Mary Ness, and Tom Smyth. "Co-ordinating care for people disabled by long-term mental illness living in the community." Psychiatric Bulletin 13, no. 6 (1989): 290–91. http://dx.doi.org/10.1192/pb.13.6.290.

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The Community Psychiatry Research Unit at Hackney Hospital have established a support team for the care of people disabled by long-term mental illness living in the community. The work of the support team in coordinating and managing the care of their clients in supportive accommodation using a review system and an information package is described.

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Loh, F. Ellen, Bruce Stuart, Deborah Sturpe, Amy Davidoff, Eberechukwu Onukwugha, and Marc Hochberg. "Osteoporosis Medication Use: A Comparison of Elderly Females Living in Long-term Care Facilities Versus Community Dwellers." Senior Care Pharmacist 34, no. 2 (2019): 109–26. http://dx.doi.org/10.4140/tcp.n.2019.109.

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OBJECTIVE: This study compares patterns of evidence-based osteoporosis medication use among females in community and long-term care settings enrolled in Medicare Part D.<br/> DESIGN: Pooled cross-sectional study.<br/> SETTING: Medicare beneficiaries enrolled in Medicare Parts A and B, and Part D stand-alone prescription drug plans from January 1, 2006, through December 31, 2008, or death.<br/> PARTICIPANTS: Female Medicare Part D enrollees 70 years of age and older with osteoporosis or prior hip fracture.<br/> INTERVENTIONS: NA.<br/> MAIN OUTCOME MEASUREMENTS: Use

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Mitchell, Rebecca, Brian Draper, Lara Harvey, Henry Brodaty, and Jacqueline Close. "56 Examining Fall-Related HIP Fractures in Long-Term Residential Aged Care and the Community: Trends, Health Outcomes and Treatment Costs." Age and Ageing 48, Supplement_4 (2019): iv13—iv17. http://dx.doi.org/10.1093/ageing/afz164.56.

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Abstract Background Hip fracture risk is higher for older adults living in residential aged care facilities (RACF) and their health outcomes worse compared to older adults living in the community. Pre-hip fracture residential status is not well recorded within hospital records, necessitating linkage of hospital and residential aged care data to better ascertain residential location pre-fracture. Aim To examine temporal trends, characteristics and health outcomes following a fall-related hip fracture hospitalisation of people living in RACFs to those living in the community. Method A retrospect

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BURCHARDT, TANIA, EMILY JONES, and POLINA OBOLENSKAYA. "Formal and Informal Long-Term Care in the Community: Interlocking or Incoherent Systems?" Journal of Social Policy 47, no. 3 (2018): 479–503. http://dx.doi.org/10.1017/s0047279417000903.

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AbstractHelp with activities of daily living for people in the community is provided through formal services (public and private) and informal (often unpaid) care. This paper investigates how these systems interlock and who is at risk of unmet need. It begins by mapping differences between OECD countries in the balance between formal and informal care, before giving a detailed breakdown for the UK. New analysis of UK Family Resources Survey data for 2012/13 and 2013/14 suggests high levels of unmet need. We investigate who receives formal and informal care, and who receives neither, among the

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French, Jill. "Training in Life Skills for Community-Based People with a Mental Handicap." British Journal of Occupational Therapy 51, no. 7 (1988): 236–38. http://dx.doi.org/10.1177/030802268805100706.

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This article is an account of a unit which provides facilities for assessment and training in skills of independent living for mentally handicapped people who are already living in the community. Many of these people have never been long-term hospital residents but have lived in the community with little or no training facility available to meet their specific needs.

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Farrell, Charles F. "Tai Chi Adapted: Assisted Living, Long-Term Care, and Nursing Homes." Home Health Care Management & Practice 16, no. 6 (2004): 487–93. http://dx.doi.org/10.1177/1084822304265848.

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Koltz, Daniel. "A Model of Successful Transition from Home to a Long-Term Care Community: A Grounded Theory Study." Gerontology and Geriatric Medicine 9, no. 1 (2023): 1–9. http://dx.doi.org/10.24966/ggm-8662/100163.

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The transition process and experience for older adults who move to independent and assisted-living communities is unique to each person but a universal issue. This research focused on understanding what the predominant factors are for a successful transition to a Dependent Living Environment (DLE).

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Degenholtz, Howard. "MANDATORY MEDICAID MANAGED LONG-TERM SERVICES AND SUPPORTS IN PENNSYLVANIA: EVALUATING POLICY CHANGE." Innovation in Aging 3, Supplement_1 (2019): S230. http://dx.doi.org/10.1093/geroni/igz038.849.

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Abstract The Commonwealth of Pennsylvania is implementing a mandatory Medicaid managed Long-Term Services and Supports (LTSS) program that covers people age 21 and older who are fully eligibly for both Medicare and Medicaid, living in a nursing facility paid for by Medicaid, or in an aged or physical disability home and community based services (HCBS) waiver. The overall program goals are to: Enhance Opportunities for Community Living; Improve Service Coordination; Enhance Quality and Accountability; Advance Program and Innovation; and Increase Efficiency. The program will be administered by 3

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Kastner, Keri. "THE EFFECT OF COMMUNITY HEALTHCHOICES ON USE OF HOME AND COMMUNITY-BASED SERVICES." Innovation in Aging 6, Supplement_1 (2022): 142. http://dx.doi.org/10.1093/geroni/igac059.563.

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Abstract Medicaid claims data for the years 2013 to 2020 were analyzed to examine use of common categories of home and community-based services (HCBS) as well as the proportion of people living in nursing homes as opposed to receiving long-term services and supports in the community. There was a long-term trend prior to Community HealthChoices of a shift the locus of LTSS away from nursing homes. The implementation of managed care to deliver LTSS continued, but did not appear to accelerate this trend. However, MLTSS did appear to control to growth in hours of personal care per person both in t

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Kallert, Thomas W., Matthias Leisse, and Peter Winiecki. "Suicidality of Chronic Schizophrenic Patients in Long-Term Community Care." Crisis 25, no. 2 (2004): 54–64. http://dx.doi.org/10.1027/0227-5910.25.2.54.

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Summary: In the provision of mental health care for chronic schizophrenic patients, the specific problems and requirements of long-term community care of suicidal behavior is an area of research not yet fully explored. This study focuses on a 4 ½-year prospective assessment of normative and subjective needs for care related to this specific area for a cohort living in the Dresden region (Germany). One significant result of this study shows the constant high level of needs for care in the area of suicidal behavior imposed on community services by 30-40% of this diagnostic group. Furthermore, th

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45

Langi, F. L. Fredrik G., and Fabricio Balcazar. "Long-Term Outcomes of a Home- and Community-Based Services Program: Competing Risk Models." Rehabilitation Research, Policy, and Education 37, no. 4 (2023): 266–82. http://dx.doi.org/10.1891/re-22-23.

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Purpose:The purpose of this study is to investigate the incidence of all-cause mortality, institutionalization, and condition improvement among participants of a state home- and community-based services program (HCBS).Methods:We evaluated the follow-up data of 11,444 individuals with disabilities aged 45–59 years at application who received services from the HCBS program from the state of Illinois. Statistical analysis was conducted using the cause-specific hazard and the subdistribution hazard regression models.Results:In all, 4,900 (42.8%) individuals died, 1,005 (8.8%) were institutionalize

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Han, Eun-Jeong, JungSuk Lee, Eunhee Cho, and Hyejin Kim. "Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 2 (2021): 376. http://dx.doi.org/10.3390/ijerph18020376.

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This study examined the socioeconomic costs of dementia based on the utilization of healthcare and long-term care services in South Korea. Using 2016 data from two national insurance databases and a survey study, persons with dementia were categorized into six groups based on healthcare and long-term care services used: long-term care insurance users with home- and community-based services (n = 93,346), nursing home services (n = 69,895), and combined services (n = 16,068); and long-term care insurance non-users cared for by family at home (n = 192,713), living alone (n = 19,526), and admitted

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Howarth, Michelle, and Liz Burns. "Social prescribing in practice: community-centred approaches." Practice Nursing 30, no. 7 (2019): 338–41. http://dx.doi.org/10.12968/pnur.2019.30.7.338.

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More people are living longer with multimorbidities, many of which are handled in general practice. Michelle Howarth and Liz Burns highlight the contribution that general practice nurses can make to providing person-centred approaches to improving health and wellbeing The NHS Long Term Plan recognised the need to understand that ’what matters to someone’ is not the same as ‘what's the matter with someone’. Conversations that focus on what is the matter with someone typically draw out the patient's needs, with assessment and care planning based on classic principles of pathogenesis and accompan

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NYMAN, SAMUEL R., and CHRISTINA R. VICTOR. "Use of personal call alarms among community-dwelling older people." Ageing and Society 34, no. 1 (2012): 67–89. http://dx.doi.org/10.1017/s0144686x12000803.

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ABSTRACTHaving a fall and then lying on the floor for an hour or more is known as a ‘long lie’, which is associated with serious injury and an elevated risk of admission to hospital, long-term care and death. Personal call alarms are designed to prevent long lies, although little is known about their use. Using cross-sectional data from the English Longitudinal Study on Ageing, this study investigated the proportion of self-reported users of personal call alarms among 3,091 community-dwelling adults aged 65+ who reported difficulties of mobility or activities of daily living. The characteristi

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Jensen, Mark P., Hillary C. Devlin, Kevin E. Vowles, and Ivan R. Molton. "Assessing Perceived Success in Valued Living in Individuals With Long-Term Physical Health Conditions." Journal of Aging and Health 31, no. 10_suppl (2019): 195S—213S. http://dx.doi.org/10.1177/0898264319861006.

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Objective: To evaluate the reliability and validity of a brief measure of successful aging in a sample of adults with long-term health conditions. Method: The brief (eight-item) version of the valued living scale (VLS) and measures of pain intensity, pain interference, and depression were administered to 1,457 adults aging with one of four long-term health conditions. Results: Analyses indicated that the VLS items assessed two types of valued living domains: (a) a social and relational domain and (b) a health and productivity domain. The findings also supported the construct validity for the V

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Morales, Meghan Jenkins, and Stephanie Robert. "Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum." Innovation in Aging 4, Supplement_1 (2020): 90. http://dx.doi.org/10.1093/geroni/igaa057.296.

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Abstract At some point in our lives, approximately 70% of us will need support to help with daily care. Without adequate assistance we may experience unmet care need consequences (UCNC) – such as skipping meals, going without clean clothes, or taking the wrong medication. This study examines the likelihood of experiencing UCNC related to gaps in assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) across long-term care arrangements: informal community care, paid community care, residential care, and nursing homes. We examine a sample of older adul

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