TY - JOUR
T1 - The physician's role in patients' nursing home care
T2 - "She's a very courageous and lovely woman. I enjoy caring for her"
AU - Zweig, Steven C.
AU - Popejoy, Lori L.
AU - Parker-Oliver, Debra
AU - Meadows, Susan E.
PY - 2011/10/5
Y1 - 2011/10/5
N2 - More than 1.5 million adults live in US nursing homes, and approximately30%of individuals in the United States will die with a nursing home as their last place of residence. Physicians play a pivotal role in the rehabilitation, complex medical care, and end-of-life care of this frail and vulnerable population. The reasons for admission are multifactorial and a comprehensive care plan based on the Minimum Data Set guides the multidisciplinary nursing home team in the care of the patient and provides assessments of the quality of care provided. Using the cases of 2 patients with different experiences, we describe the physician's role in planning for admission, participating as a team member in the ongoing assessment and care in the nursing home, and guiding care at the end of life. The increasing population of older adults has also promoted community-based and residential alternatives to traditional nursing homes. The future of longterm care will include additional challenges and rich innovations in services and options for older adults.
AB - More than 1.5 million adults live in US nursing homes, and approximately30%of individuals in the United States will die with a nursing home as their last place of residence. Physicians play a pivotal role in the rehabilitation, complex medical care, and end-of-life care of this frail and vulnerable population. The reasons for admission are multifactorial and a comprehensive care plan based on the Minimum Data Set guides the multidisciplinary nursing home team in the care of the patient and provides assessments of the quality of care provided. Using the cases of 2 patients with different experiences, we describe the physician's role in planning for admission, participating as a team member in the ongoing assessment and care in the nursing home, and guiding care at the end of life. The increasing population of older adults has also promoted community-based and residential alternatives to traditional nursing homes. The future of longterm care will include additional challenges and rich innovations in services and options for older adults.
UR - http://www.scopus.com/inward/record.url?scp=80053556134&partnerID=8YFLogxK
U2 - 10.1001/jama.2011.1420
DO - 10.1001/jama.2011.1420
M3 - Review article
C2 - 21972309
AN - SCOPUS:80053556134
SN - 0098-7484
VL - 306
SP - 1468
EP - 1478
JO - JAMA
JF - JAMA
IS - 13
ER -