TY - JOUR
T1 - A new model for long-term care
T2 - Balancing palliative and restorative care delivery
AU - Thompson, Sarah
AU - Oliver, Debra Parker
PY - 2008
Y1 - 2008
N2 - Nursing homes have been mandated to maintain or promote the physical and psychological functioning of residents since the enactment of the 1987 Omnibus Reconciliation Act. Although this restorative approach to care has improved outcomes for some residents (Institute of Medicine, 2001), it ignores the reality that all permanently placed residents will die. A new model for long-term care, one that includes a simultaneous restorative and palliative approach to care delivery, is proposed. Palliative care principles provide a guiding framework for changing care delivery. Basic tenets, such as resident and family viewed as a unit of care, interdisciplinary teamwork, and interdisciplinary plans of care, provide a basis for specific operational suggestions. Operational strategies, such as psychosocial and spiritual support for family, resident decision making and participation in goal setting, expertise in aggressive pain and symptom control, and bereavement services following resident death, are described.
AB - Nursing homes have been mandated to maintain or promote the physical and psychological functioning of residents since the enactment of the 1987 Omnibus Reconciliation Act. Although this restorative approach to care has improved outcomes for some residents (Institute of Medicine, 2001), it ignores the reality that all permanently placed residents will die. A new model for long-term care, one that includes a simultaneous restorative and palliative approach to care delivery, is proposed. Palliative care principles provide a guiding framework for changing care delivery. Basic tenets, such as resident and family viewed as a unit of care, interdisciplinary teamwork, and interdisciplinary plans of care, provide a basis for specific operational suggestions. Operational strategies, such as psychosocial and spiritual support for family, resident decision making and participation in goal setting, expertise in aggressive pain and symptom control, and bereavement services following resident death, are described.
KW - End of life in nursing homes
KW - Palliative care
KW - Restorative care
UR - http://www.scopus.com/inward/record.url?scp=60749121126&partnerID=8YFLogxK
U2 - 10.1080/02763890802232014
DO - 10.1080/02763890802232014
M3 - Article
AN - SCOPUS:60749121126
SN - 0276-3893
VL - 22
SP - 169
EP - 194
JO - Journal of Housing for the Elderly
JF - Journal of Housing for the Elderly
IS - 3
ER -