Segregated units for dementia patients, termed Special Care Units (SCU's) are a growing phenomenon in nursing homes. Advocates claim that these units provide more appropriate care, with improved outcomes, but objective data about such units is rare. This paper reports a study of 13 dementia patients in one SCU and 34 patients in two com-/~~p arison settings: other wards of /~the same nursing home and a aura Mathew, RN, MPH, is clinzcal inMichael Kilby, BA, is a medical student comparison nursing home. ructor at the School of Medicine, at the University of North Carolina at Data was collected by observarniversity of North Carolina at Chapel Chapel Hill. tion, chart review, and examiill. |nation. Analysis sought differences between SCU and both comparison settings; a separate analysis controlled differences in level of care.A significantly greater proportion of SCU patients than controls had the following characteristics: private pay status, specific diagnosis of Alzheimer's disease, few addi-~~~~t ional medical diagnoses, infrequent use of physical restraints, and families with high satisfaction. In addition, trends were observed toward SCU paiilip Sloan, MD, is associate professor Roy Flood, BS, is a medical student at tients being racially white,
Adequate Zn nutrition is critical for commercial pecan production. Providing suffi cient Zn through soil application is particularly problematic in high pH desert soils, due to the low solubility of Zn in alkaline conditions, and also the complexation of soil Zn by carbonate minerals (Lindsay, 1979). Foliar Zn applications are more effective than soil applications and can provide adequate Zn for maximum growth and production (Malstrom et al., 1984).
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