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V F Rempusheski

Publications and source records attributed to V F Rempusheski.

At least 19 recordsLinked to original sources

Working group recommendations: targeting criteria for geriatric evaluation and management research.

To maximize the cost effectiveness of geriatric evaluation and management (GEM) programs, criteria need to be established for selecting patients most likely to benefit. A working group was convened to define appropriate patient selection (targeting) criteria for each type of GEM program and to consider research questions for future targeting studies. The group outlined targeting criteria for the spectrum of GEM program types and locations. GEM program types included: inpatient GEM units; hospital geriatric consultation service; GEM programs in nursing homes; outpatient GEM programs for functionally impaired persons; and geriatric community outreach/screening programs for functionally independent elders. For each program type, the group outlined targeting criteria based on current literature and experience. Because research has not yet established the effectiveness of many of these patient targeting strategies, the group drafted a set of research questions, pertinent to targeting, that require attention: (1) For each identifiable population of elderly people, who are most likely to benefit from GEM? (2) How should these people best be identified/targeted? (3) What criteria should be used for targeting? (4) How and how often should population screening be performed to identify persons in need of GEM?

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Analysis of Variance

Developing and testing the beliefs about caregiving scale.

Four studies were conducted to refine and test a newly developed instrument designed to identify caregivers who are at high risk for providing poor-quality care to a dependent elder in the home: the Beliefs About Caregiving Scale (BACS). The BACS was tested for internal consistency, stability, and construct validity. Results suggest strong evidence for internal consistency and for construct validity using the multitrait method as well as moderate evidence for construct validity using predictive modeling. Although further refinements are required, initial tests suggest that the BACS is potentially useful for both research and clinical applications.

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The role of ethnicity in elder care.

This article has attempted to illustrate (1) how the concept of ethnicity is related to elder care, whether that care is given at home, in a hospital, or in a nursing home; (2) some of the issues inherent in the assessment of ethnicity; and (3) some of the ways to incorporate the symbols of ethnic identity into an elder's plan of care. Essential to the assessment process are examination of perceived biases and expectations of care from both an elder's and a nurse's perspective. Incorporation of assessed ethnicity involves interpretation of an elder's behavior, rituals, and symbols--for example, preferred foods and language--and mutual planning of care that meets the priorities of the elder's ethnic beliefs.

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