Preventing the possibility of adverse events, like accidental falls, among patients who stay for a short duration of time in a nursing home may be challenging, but is necessary. These patients differ from long-term care residents in that they are in an unfamiliar environment, are not as known by the staff, and their care aims to increase independence. Research has shown that these kinds of patients are at greatest risk for falling and experiencing fractures.

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Finding the right nursing home for your loved one can be an extremely stressful task. Fortunately, Medicare.gov provides a very useful site for comparison: Nursinghomecompare. MSN News recently performed an analysis nursinghomecompare provided for 16,000 nursing facilities (that take Medicare and Medicaid) in the US: U.S. News Best Nursing Homes by Avery Comarow.

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There is something quite unique about Providence Mount St. Vincent in Seattle that sets it apart from other senior living communities. Not only is it home to approximately 400 older adult residents in need of various types of care, it is also home to the Intergenerational Learning Center—a preschool that provides children and seniors the opportunity to connect and learn from one another.

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A recent congressional report stated that in “numerous” nursing homes across the nation, older adult residents experience serious physical, sexual, and verbal abuse. A study was performed by the minority (Democratic and Independent) staff of the Special Investigations Division of the House Government Reform Committee that found that 30% of nursing homes in America—a total of 5,283 facilities—were cited for an estimated 9,000 occurrences of abuse over a recent two-year period, from January 1999 to January 2001.

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For frail older adults, the preservation of physical mobility, function, and ultimately independence is of highest importance. Sarcopenia, the degeneration of muscle mass, strength, and function with old age, is a significant part of physical frailty. Not only is it a critical risk factor for decreased mobility and the occurrence of falls and fractures, it is also directly associated with rates of hospitalization and long-term care admissions, heightened disability, diminished independence, quality of life, and ultimately leading to death. Research on nutrient intakes has grown due to it being a modifiable risk factor of sarcopenia. Specifically, protein, essential amino acids, leucine, and vitamin D intake are known as important factors in managing sarcopenia. Not taking enough protein and vitamin D can result in lower muscle mass, physical function and muscle strength, and a risk for falls and fractures.

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The use of hospice care has been on a continuous rise for the past 10 years, with 1.5 to 1.6 million people using hospice every year. The majority of this use is by older adults. Although most people in hospice are provided care at home (66%), a significant minority (7%) reside in care facilities such as assisted living settings. Furthermore, by 2015, 27 million people will be 65 years of age and older, and many of them will be residents of assisted living facilities.

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Urinary incontinence and behavioral problems that come with dementia are frequently cited among the most common markers necessitating nursing home placement for elderly patients. A study analyzed urinary incontinence prevalence in 321 older adult nursing home residents (average age 81.5 years) in a large city in Brazil. The overall urinary incontinence prevalence was 58.88%. A number of variables were associated with an increased rate of urinary incontinence, including white ethnicity, little to no physical activity, stroke, mobility impairment, and cognitive decline. Although urgency urinary incontinence is usually the most common form in community dwelling older adults, functional incontinence because of mobility or cognitive issues was most common in this group of people.

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Fine print hidden in nursing home admissions contracts has stripped the constitutional rights of nursing home residents and their love ones for far too long. Amidst the extremely stressful process of being admitted into a nursing home, residents and their families are pushed into signing an agreement that waves their right to go to trial—regardless of if an event occurs that causes residents to suffer from severe neglect, serious injuries, death or sexual and physical abuse.

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A petition has recently been drafted by a national, non-profit consumer advocacy organization that bans nursing homes from using arbitration agreements. This petition has been addressed to the Centers for Medicare and Medicaid Services (CMS), urging them to cease the use of pre-dispute, forced arbitration clauses in nursing home contracts. The petition has been swiftly gaining support, and as a public citizen, you can add your voice to the thousands of others who have already stood up for this critical issue.

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