{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T00:08:01Z","timestamp":1700179681490},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T00:00:00Z","timestamp":1115596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Research in Nursing &amp; Health"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rising nursing home (NH) costs and the poor quality of NH care make it important to recognize elders for whom NH care may be inappropriate. As a first step in developing a method to identify these elders, we examined the characteristics of NH residents requiring light\u2010care and changes in their care level from NH admission to 12\u2010months. Using data from the Missouri Minimal Data Set electronic database, we developed three care\u2010level categories based on Resource Use Groups, Version III (RUG\u2010III) and defined light\u2010care NH residents as those requiring minimal assistance with late\u2010loss ADLs (bed mobility, transfer, toilet use, or eating) and having no complex clinical problems. Approximately 16% of Missouri NH residents met the criteria for light\u2010care. They had few functional problems with mobility, personal care, communication, or incontinence; approximately 33% had difficulty maintaining balance without assistance; and 50% of those admitted as light\u2010care were still light\u2010care at 12\u2010months. Findings suggest that many NH residents classified as light\u2010care by these criteria could be cared for in community settings offering fewer services than NHs. \u00a9 2005 Wiley Periodicals, Inc. Res Nurs Health 28: 210\u2013219, 2005<\/jats:p>","DOI":"10.1002\/nur.20079","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T20:47:16Z","timestamp":1115671636000},"page":"210-219","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence and characteristics of nursing homes residents requiring light\u2010care"],"prefix":"10.1002","volume":"28","author":[{"given":"Victoria T.","family":"Grando","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn J.","family":"Rantz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory F.","family":"Petroski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meridean","family":"Maas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Popejoy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Conn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deidre","family":"Wipke\u2010Tevis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,5,9]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"A profile of older Americans: 2001: Services","author":"Administration on Aging","year":"2001"},{"key":"e_1_2_1_3_1","volume-title":"Facts and trends: The nursing facility sourcebook","author":"American Health Care Association","year":"2001"},{"key":"e_1_2_1_4_1","volume-title":"Long term care facility Resident Assessment Instrument (RAI) user's manual","author":"Brown D.L.","year":"1995"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.5.M292"},{"key":"e_1_2_1_6_1","unstructured":"Centers for Medicare & Medicaid Services. (2004).Nursing home care expenditures aggregate and per capita amounts percent distribution and average annual percent change by source of funds: Selected calendar years 1990\u20132013. Retrieved November 12 2004 fromhttp:\/\/www.cms.hhs.gov\/statistics\/nhe\/projections\u20102003\/t13.asp."},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/089826439300500101"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1997.tb02972.x"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199407000-00002"},{"key":"e_1_2_1_10_1","unstructured":"Grando V.T.(2000 February).Assistive self\u2010care systems for the frail elderly with light\u2010care needs. Paper presented at the Sixth International Self\u2010Care Deficit Nursing Theory Conference Bangkok Thailand."},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.3928\/0098-9134-20020701-09"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006216-200004000-00008"},{"key":"e_1_2_1_13_1","unstructured":"Grando V.T. Rantz M.J. &Petroski G.F.(2000).[MDS Missouri statewide resident assessment data]Unpublished raw data."},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/35.2.172"},{"key":"e_1_2_1_15_1","unstructured":"Health Care Financing Association. (1999).Fact sheet February 1999: Assuring the quality of nursing home care. Retrieved February 21 2005 fromhttp:\/\/www. cms.hhs.gov\/media\/press\/release.asp?Counter=368."},{"key":"e_1_2_1_16_1","unstructured":"Health Care Financing Association. (2001).Report to Congress: Appropriateness of minimum nurse staffing ratios in nursing homes phase II final report. Retrieved March 12 2002 fromhttp:\/\/www.cms. hhs.gov\/medicaid\/reports\/rp1201home.asp."},{"key":"e_1_2_1_17_1","volume-title":"Improving the quality of long\u2010term care","author":"Institute of Medicine","year":"2001"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-4572(05)80023-0"},{"key":"e_1_2_1_19_1","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195122381.001.0001","volume-title":"The heart of long\u2010term care","author":"Kane R.A.","year":"1998"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198311173092005"},{"key":"e_1_2_1_21_1","volume-title":"Characteristics of nursing home residents\u20101996","author":"Krauss N.A.","year":"1998"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb03809.x"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/153331759400900604"},{"key":"e_1_2_1_24_1","first-page":"330","volume-title":"Key aspects of preventing and managing chronic illness","author":"Maas M.","year":"2001"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006216-200004000-00003"},{"key":"e_1_2_1_26_1","unstructured":"National Academy for State Health Policy. (2002).State assisted living policy: 2002. Retrieved February 21 2005 fromhttp:\/\/www.nashp.org\/_docdisp_page. cfm?LID=24F0A0A1\u20102066\u20104E84\u2010B113F4B919FC006C."},{"key":"e_1_2_1_27_1","volume-title":"Facts and trends: The assisted living sourcebook 1998","author":"National Center for Assisted Living","year":"1998"},{"key":"e_1_2_1_28_1","volume-title":"Facts and trends: The assisted living sourcebook","author":"National Center for Assisted Living","year":"2001"},{"key":"e_1_2_1_29_1","unstructured":"Oregon Secretary of State. (2002).Division 36 Independent Choices Program. 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