Nursing assistants detect behavior changes in nursing home residents that precede acute illness: development and validation of an illness warning instrument

Article Abstract:

An observational cohort study has been carried out in an urban not-for-profit nursing home with the objective of developing a validated, standardized instrument for communication between nursing assistants and medical staff. Nursing assistants often see behavior changes that precede acute illness in residents, but have no methodical, established communication channels. The new instrument had fair sensitivity and high specificity for acute illness.

United States, Health aspects, Aging, Aged, Elderly, Statistical Data Included, Research, Management, Mortality, Practice, Diseases, Observations, Nursing homes, Nursing home management, Nurses' aides, Symptomatology, Signs and symptoms

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Effectiveness of inactivated influenza vaccine among nursing home residents during an influenza type A (H3N2) epidemic

Article Abstract:

Influenza vaccination may reduce the rate of influenza-like symptoms among nursing home patients. During the 1989-1990 influenza outbreak, immunized older nursing home residents in 23 Michigan homes were less likely than non-immunized residents to develop influenza-like illness. Vaccination was more effective in those less than 84 years old than in the very old. The immunologic profile in very old patients may require prophylactic drugs or alternative vaccines.

Evaluation, Influenza vaccines, Influenza

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