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MDS Cognitive Performance Scale.
TLDR
A Cognitive Performance Scale (CPS) is designed that uses MDS data to assign residents into easily understood cognitive performance categories, and should prove useful to clinicians and investigators using the MDS to determine a resident's cognitive assets. Expand
Family perspectives on end-of-life care at the last place of care.
TLDR
Many people dying in institutions have unmet needs for symptom amelioration, physician communication, emotional support, and being treated with respect, according to this evaluation of the US dying experience at home and in institutional settings. Expand
Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS).
TLDR
The process of testing the reliability of the MDS items in 13 nursing homes in five states demonstrates that MDS data gathered in a research effort attain reliabilities that make such data useful. Expand
Designing the national resident assessment instrument for nursing homes.
TLDR
The MDS provides a structure and language in which to understand long-term care, design care plans, evaluate quality, and describe the nursing facility population for planning and policy efforts. Expand
Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology.
TLDR
Evaluating the adequacy of pain management in elderly and minority cancer patients admitted to nursing homes found age, gender, race, marital status, physical function, depression, and cognitive status were independently associated with the presence of pain. Expand
Randomised trial of impact of model of integrated care and case management for older people living in the community
TLDR
In a comparison of this option with a traditional and fragmented model of community care the integrated care approach reduced admission to institutions and functional decline in frail elderly people living in the community and also reduced costs. Expand
The Karnofsky performance status scale: An examination of its reliability and validity in a research setting
TLDR
The utility of the Karnofsky Performance Status Scale as a valuable research tool when employed by trained observers is suggested and the relationship of the KPS to longevity in a population of terminal cancer patients documents its predictive validity. Expand
Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care.
TLDR
A proactive policy stance is recommended to mitigate the consequences of quality competition in nursing home care, which may result in driving poor homes out of business and will disproportionately affect nonwhite residents living in poor communities. Expand
China's rapidly aging population creates policy challenges in shaping a viable long-term care system.
TLDR
China's evolving long-term care landscape is analyzed and major government policies and private-sector initiatives shaping it are traced, with recommendations for building a balanced system of services and avoiding an "institutional bias". Expand
Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG).
TLDR
A CGA, with or without screening, and with follow-up, should be used in older cancer patients, in order to detect unaddressed problems, improve their functional status, and possibly their survival. Expand
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