TEACHING NURSING HOME

阿尔伯特·爱因斯坦医学院的教学护理之家 蒙蒂菲奥里医疗中心及其相关设施， 医院、晨兴之家疗养院和希伯来老人之家， 里弗代尔，代表了与研究有关的资源重组， 老年健康问题纳入一个跨机构的结构， 部门和纪律界线。 一些著名的教师， 机构和方案，涉及各种类型的护理， 服务水平，包括。 目标是将研究 和教学特色的大学医院，以长远 护理设施，同时将老年医学纳入主流 医学和专业学校的活动。 TNH将由一个 确定了一组约500名老年受试者， 三个长期护理机构之一，附属机构的患者/客户 急性护理环境中的评估单位，或家庭护理客户， 将被纳入特定的研究方案。 研究方案是 就以下问题提交：痴呆、福尔斯、院内 感染、骨关节炎和尿失禁。 的计划 发展包括建立一个核心结构， TNH研究（和教学）活动。 该核心结构将 包括一个数据管理和统计股，为所有田纳西州卫生局提供服务 研究项目。 这些项目依靠护士研究促进者， 课题研究案例经理和课题研究的“旅行核心” TNH。 建议对所有科目进行标准评估，并基于 正在进行的纵向老化研究的经验。 则尝试 实现主体经济，因为主体可以参与更多 一个以上的协议，并在比较数据的可用性， 正在进行的布朗克斯老龄化研究，没有费用的TNH。 尸检同意书将是 积极寻求，并将获得临床病理学验证 只要有可能 TNH将为一些 调查安老院长者的常见问题， 除此之外，对以下方面具有潜在的重大临床意义： 减少人类的痛苦，最终可能是为了防止或 防止制度化。

The Teaching Nursing Home of the Albert Einstein College of Medicine and Montefiore Medical Center and their associated facilities the Beth Abraham Hospital, Morningside House Nursing Home, and Hebrew Home for the Aged at Riverdale, represents a reorganization of resources relating to research on geriatric health problems into a structure which crosses institutional, departmental and disciplinary lines. A number of well-known faculty, institutions, and programs involving a wide range of types of care and levels of service, are included. The objective is to bring the research and teaching characteristics of the University hospital to the long term care facility, while simultaneously bringing geriatrics into the mainstream of medical and professional school activities. The TNH will consist of an identified group of approximately 500 elderly subjects, either residing in one of three long term care facilities, patients/clients of affiliated Assessment Units in acute care settings, or Home Care clients, each of whom will be enrolled in specific research protocols. Research protocols are submitted regarding the following problems: dementia, falls, nosocomial infections, osteoarthritis, and urinary incontinence. The plan for development includes the establishment of a core structure as a resource for TNH research (and teaching) activities. This core structure will include a Data Management and Statistics Unit which will service all TNH research projects. The projects rely on the Nurse-Research-Facilitator as the research case manager of the subjects and the "traveling core" of the TNH. A Standard Assessment is proposed for all subjects, and is based on experience with an ongoing longitudinal aging study. An attempt is made to achieve an economy of subjects in that subjects may participate in more than one protocol and also in the availability of comparative data from the ongoing Bronx Aging Study at no cost to the TNH. Autopsy consents will be sought actively, and clinicopathological verificiation will be obtained whenever possible. The TNH will provide the impetus for a number of investigations into common problems of the elderly in nursing homes and outside which have potentially significant clinical implications for decreasing human suffering and ultimately perhaps for preventing or forestalling institutionalization.