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Chapter 48 - Post-acute care and institutional long-term care for the elderly

from Section IV - Principles of care for the elderly

Published online by Cambridge University Press:  05 June 2016

By
Rebecca D. Elon ,
Marshall B. Kapp  and
Fatima Sheikh
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Skilled nursing facilities are continuing to evolve in the services offered and in their role within the health care system. Nursing facilities are increasingly offering care for post-acute, short-stay patients such as those needing rehabilitation after a stroke, medical illness, or surgery. Short-term care may also include respite care and hospice-type care. Typically, over half of the long-term residents in a nursing facility suffer from dementia. The trend toward a variety of assisted living arrangements has left skilled nursing facilities with more medically complex, functionally and behaviorally impaired residents. Issues of informed consent, use of restraints, and medication prescribing and management must all be addressed at both the clinical and administrative levels. Quality improvement efforts must include regulatory and legal requirements in addition to the benchmarks set by the nursing facilities themselves.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 659 - 670
Publisher: Cambridge University Press
Print publication year: 2016

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