Why adverse outcomes are not "par for the course."

Traditionally, it has been thought that some nursing home resident outcomes such as pressure sores, disruptive behavior or verbal aggression are to be expected. However, there is now evidence that the opposite is true - that through careful attention to good-quality care their incidence can be virtu...

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Bibliographic Details
Published in:Nursing homes (1991) 1994-03, Vol.43 (2), p.37
Main Author: Rudman, Daniel
Format: Article
Language:English
Subjects:
Behavior
Effects
Investigations
Management
Mental disorders
Nursing
Nursing care
Nursing home patients
Nursing homes
Older people
Polls & surveys
Pressure ulcers
Quality control
Quality of service
Social aspects
Surveys
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Summary:Traditionally, it has been thought that some nursing home resident outcomes such as pressure sores, disruptive behavior or verbal aggression are to be expected. However, there is now evidence that the opposite is true - that through careful attention to good-quality care their incidence can be virtually eliminated. The best and worst of 30 nursing homes were ranked for pressure sores. The best had a prevalence of zero in residents, while the worst had a prevalence of 17.2%. The best facility, Facility A, had a prevalence of 2% of aggressive or disruptive behavior. The worst facility, Facility B, had a prevalences of 15.6% and 32% for aggressive and disruptive behavior. It was found that Facility A had a 48% higher ratio of medical personnel to residents than did Facility B, a 49% higher ratio of nursing personnel to residents, 54% lower staff turnover rate and 37% higher expenditures per bed per day. The higher proportion of schizophrenics in Facility B may have had some bearing on its negative outcomes.
ISSN:1061-4753
2573-8909
2573-8917