2000
DOI: 10.1177/0164027500221004 View full text |Buy / Rent full text
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Abstract: This study examines the effect of family caregiving on the probability that nursing home residents would be discharged to the community. The effect of the number of hours of informal care on the probability of nursing home discharge was estimated using a logistic regression of a 6-week postadmission location (home or institution) on the number of hours of informal care in the first 2 weeks in the nursing home, of caregiver visits, and other patient factors. The odds of being discharged to their home were highe… Show more

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“…Relative to other research on family involvement, few studies exist that directly test this assertion. Prior work suggests that family involvement and increased social engagement leads to positive psychosocial outcomes (Greene & Monahan, 1982;Noelker & Harel, 1978), discharge to the community (Lewis et al, 1985;Penrod et al, 2000), and decreased mortality, infection, and hospitalization on the part of residents (Kiely et al, 2000;Zimmerman et al, 2002). Most of these studies solely examine family visits or ADL/IADL care provided and do not ascertain how other dimensions of family involvement (e.g., socioemotional support, advocacy) may affect residents.…”
Section: Discussionmentioning
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“…Relative to other research on family involvement, few studies exist that directly test this assertion. Prior work suggests that family involvement and increased social engagement leads to positive psychosocial outcomes (Greene & Monahan, 1982;Noelker & Harel, 1978), discharge to the community (Lewis et al, 1985;Penrod et al, 2000), and decreased mortality, infection, and hospitalization on the part of residents (Kiely et al, 2000;Zimmerman et al, 2002). Most of these studies solely examine family visits or ADL/IADL care provided and do not ascertain how other dimensions of family involvement (e.g., socioemotional support, advocacy) may affect residents.…”
Section: Discussionmentioning
“…Institutionalization interviews conducted over 2 years found that initially following placement caregivers visited their relatives about 5 hours per week; at 36 months, relatives visited 4.2 hours per week. Penrod et al (2000) examined 282 primary caregivers and their institutionalized care recipients who were followed over a 6 week period in 3 metropolitan areas. During the first two weeks after NH admission, 53% of caregivers visited the care recipient daily.…”
Section: Describing Family Involvementmentioning
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“…Resident care may be optimized when communication between families and staff is consistently effective and working relationships are strong. Meaningful participation in the care of a relative living in a nursing home has been shown to improve family members' satisfaction, well-being, and experience of care (Gaugler, Andersen, Zarit, & Pearlin, 2004;Greene & Monahan, 1982;Maas et al, 2004;Penrod, Kane, & Kane, 2000;Tornatore & Grant, 2004). Nursing homes with policies that reflect a strong family orientation have been linked to positive outcomes such as family involvement and cooperative staff relationships (Friedemann, Montgomery, Maiberger, & Smith, 1997).…”
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“…Most of the literature that exists on the use of informal services near the end of life (either for older adults or for those with specific lifeending illnesses) focuses on issues that describe the impact of caregiving on the caregiver (Call et al 1999;Kane et al 1999) or the quality, effectiveness, and efficiency of the care received by those in need (Kane 1999;Penrod et al 1998;Penrod, Kane, and Kane 2000). In contrast, relatively little literature exists that models informal care use from the perspective of the older adult, including the care recipients' proximity to the end of life.…”
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