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Physicians and the Care of Nursing Home Residents

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Geriatric Medicine

Abstract

Among long-term care institutions in the United States, nursing homes for elderly persons are predominant; they are most frequently referred to in discussions of institutional care in professional and lay literature, and are most feared by the elderly population. About 1,300,000 persons reside in 18,000 nursing homes.1 It is estimated that about 20% of all elderly persons will spend some time in a nursing home before dying.2–5

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References

  1. United States Department of Health and Human Services, Public Health Services: Vital and Health Statistics. Characteristics of Nursing Home Residents, Health Status and Care Received: National Nursing Home Survey United States, May-December 1977. United States Public Health Services, publication No (PHS) 81-1712. Washington, DC, 1981.

    Google Scholar 

  2. Kastenbaum R, Cancy SE: The 4% fallacy: A methodological and empirical critique of extended care facility population statistics. Int J Aging Hum Dev4: 15 – 21, 1973.

    Article  PubMed  CAS  Google Scholar 

  3. Wershow HJ: The four percent fallacy: Some further evidence and policy implications. Gerontologist16: 52 – 55, 1976.

    Article  PubMed  CAS  Google Scholar 

  4. Palmore E: Total chance of institutionalization among the aged. Gerontologist16: 504 – 507, 1976.

    Article  PubMed  CAS  Google Scholar 

  5. Lesnoff-Caravaglia G: The five percent fallacy. Int J Aging Hum Dev 9:187–192, 1978–1979.

    Article  Google Scholar 

  6. de Schweinitz K: England’s Road to Social Security: From the Statute of Laborers in 1349 to the Beveridge Report of 1942. New York, Barnes, 1943.

    Google Scholar 

  7. Freymann JG: The American Health Care System: Its Genesis and Trajectory. New York, Medcom, 1974.

    Google Scholar 

  8. Rothman DJ: The Discovery of the Asylum: Social Order and Disorder in the New Republic. Boston, Little Brown & Co, 1971.

    Google Scholar 

  9. Dunlop BD: The Growth of Nursing Home Care. Lexington, Mass, Lexington Books, 1979.

    Google Scholar 

  10. Achenbaum WA: Old Age in a New Land. Baltimore, Johns Hopkins University Press, 1978.

    Google Scholar 

  11. Kane RL, Kane RA: Care of the aged: Old problems in need of new solutions. Science200: 913 – 919, 1978.

    Article  PubMed  CAS  Google Scholar 

  12. United States House Select Committee on Aging: Oversight Hearing on Enforcement of the Keys Amendment. Washington, DC, United States Government Printing Office, No 97-296, July 1981.

    Google Scholar 

  13. Estes CL, Harrington C: Fiscal crisis, deinstitutionalization, and the elderly. Am Behav Sci24: 811 – 826, 1981.

    Article  Google Scholar 

  14. United States Department of Health and Human Services: Long Term Care: Background and Future Directions. HCFA 81-20047, Washington, DC, Health Care Financing Administration, Jan 1981.

    Google Scholar 

  15. United States Department of Health, Education, and Welfare: The Future of Long-Term Care in the United States. HRP-00 16874, Washington, DC, United States Department of Health, Education, and Welfare, Public Health Service, Feb 1977.

    Google Scholar 

  16. Vladeck BC: Unloving Care: The Nursing Home Tragedy. New York, Basic Books, 1980.

    Google Scholar 

  17. Gibson RM, Waldo DR: National health expenditures, 1980. Health Care Fin Rev3: 1 – 54, 1981.

    CAS  Google Scholar 

  18. United States Department of Health, Education, and Welfare: National Center for health statistics: Home care for persons 55 years and over, United States, July 1966–June 1968. Vital and Health Statistics. Series 10-No. 73. Department of Health, Education, and Welfare pub No (HSM) 72-1062, Washington, DC, United States Government Printing Office, July 1972.

    Google Scholar 

  19. Moss FE, Halamandaris VJ: Too Old, Too Sick, Too Bad: Nursing Homes in America. Germantown, Penn, Aspen Systems, 1977.

    Google Scholar 

  20. Barton R: Institutional Neurosis. Bristol, England, John Wright & Sons, 1966.

    Google Scholar 

  21. Kayser-Jones JS: Old, Alone, and Neglected: Care of the Aged in Scotland and the United States. Berkeley, University of California Press, 1981.

    Google Scholar 

  22. Estes CL: The Aging Enterprise. San Francisco, Jossey Bass Publishers, 1979.

    Google Scholar 

  23. United States Congress, Congressional Budget Office: Long-Term Care for the Elderly and Disabled. Washington, DC, United States Government Printing Office, 1977.

    Google Scholar 

  24. United States Department of Health, Education, and Welfare: Your Medicare Handbook. Department of Health, Education, and Welfare pub No (SSA) 79-10050. Washington, DC, United States Government Printing Office, 1979.

    Google Scholar 

  25. Loeser WD, Dickstein ES, Schiavone LD: Medicare coverage in nursing homes—a broken promise. N Engl J Med304: 353 – 355, 1981.

    Article  PubMed  CAS  Google Scholar 

  26. Butler RN: Why Survive? Being Old in America. New York, Harper & Row Publishers, Inc, 1975.

    Google Scholar 

  27. Miller DB: Physicians’ attitudes toward the aged ill and nursing homes. J Am Geriatr Soc24: 498 – 505, 1976.

    PubMed  CAS  Google Scholar 

  28. McTavish DG: Perceptions of old people: A review of research methodologies and findings. Gerontologist11: 90 – 101, 1971.

    Article  PubMed  Google Scholar 

  29. Brubaker TH, Powers EA: The stereotype of being old: A review and alternative approach. J Gerontol31: 441 – 447, 1976.

    PubMed  CAS  Google Scholar 

  30. Cassel CK, Jameton AL: Dementia in the elderly: An analysis of medical responsibility. Ann Int Med94: 802 – 807, 1981.

    PubMed  CAS  Google Scholar 

  31. Williams FL: Geriatrics: The fruition of the clinician. Harvard Med Alum Bull54: 25 – 27, 1980.

    Google Scholar 

  32. Engel GL: The biopsychosocial model and the education of health professionals. Ann NY Acad Sci310: 169 – 181, 1978.

    Article  PubMed  CAS  Google Scholar 

  33. Kahn RL, Goldfarb Al, Pollack M: Brief objective measures for the determination of mental status in the aged. Am J Psychiatry117: 326 – 328, 1960.

    PubMed  CAS  Google Scholar 

  34. Henry J: Culture Against Man. New York, Random House, 1963.

    Google Scholar 

  35. Clark M: Cultural values and dependency in later life, in Cowgill DO, Holmes LD (eds): Aging and Modernization. New York, Appleton-Century-Crofts, 1972.

    Google Scholar 

  36. Palmore E: The social factor in aging, in Busse EW, Blazer DG (eds): Handbook of Geriatric Psychiatry. New York, Van Nostrand Reinhold, 1980.

    Google Scholar 

  37. Butler RN: Aging and Mental Health: Positive Psychosocial and Biological Approaches, ed 3. St. Louis, The CV Mosby Co, 1982.

    Google Scholar 

  38. Winn S, McCaffree KM: Characteristics of nursing homes perceived to be effective and efficient. Gerontologist16: 415 – 419, 1976.

    Article  PubMed  CAS  Google Scholar 

  39. Brody EM: A million procrustean beds. Gerontologist13: 430 – 435, 1973.

    Article  PubMed  CAS  Google Scholar 

  40. Aldrich CK, Mendokoff E: Relocation of the aged and disabled: A mortality study. J Am Geriatr Soc11: 185 – 194, 1963.

    PubMed  CAS  Google Scholar 

  41. Killian EC: Effect of geriatric transfers on mortality rates. Social Work15: 19 – 26, 1970.

    Google Scholar 

  42. Tobin SS, Lieberman MA: Last Home For The Aged. San Francisco, Jossey Bass Publishers, 1976.

    Google Scholar 

  43. Gottesman LE: Nursing home performance as related to resident traits, ownership, size, and source of payment. Am J Pub Health64: 259 – 276, 1974.

    Article  Google Scholar 

  44. McClannak LE: Therapeutic and prosthetic living environments for nursing home residents. Gerontologist13: 424 – 429, 1973.

    Article  Google Scholar 

  45. Louis M: Personal space boundary needs of elderly persons: An empirical study. J Gerontol Nurs7: 395 – 400, 1981.

    PubMed  CAS  Google Scholar 

  46. Faulwell M, Pomerantz RS: Physician influence in the selection of institutionalization of the elderly, in Fry CL (ed): Dimensions: Aging, Culture, and Health. New York, Praeger, 1981.

    Google Scholar 

  47. Mitchell JB: Physician visits to nursing homes. Gerontologist22: 45 – 48, 1982.

    Article  PubMed  CAS  Google Scholar 

  48. Kahana E, Kahana B: Health care facilities, in Steinberg FU (ed): Cowdry’s The Care of the Geriatric Patient. St. Louis, The CV Mosby Co, 1976.

    Google Scholar 

  49. Haug M, Sussman M: Professional autonomy and the revolt of the client. Soc Prob17: 153 – 161, 1969.

    Article  Google Scholar 

  50. Haug M: Doctor patient relationships and the older patient. J Gerontol34: 852 – 860, 1979.

    PubMed  CAS  Google Scholar 

  51. Freidson E: Professional Dominance: The Social Structure of Medical Care. New York, Atherton Press, 1970.

    Google Scholar 

  52. Rossman I: Why we shy away from geriatrics. Geriatrics31: 36 – 37, 1976.

    PubMed  CAS  Google Scholar 

  53. Pegels CC: Health Care and the Elderly. Rockville, Md, Aspen Systems, 1980.

    Google Scholar 

  54. Chaffin P: Nurse practitioners: Nursing’s contribution to quality care in nursing homes. Nurs Pract1: 24 – 26, 1976.

    CAS  Google Scholar 

  55. Kane RL, Jorgenson LA, Teteberg B, et al: Is good nursing home care feasible? JAMA235: 516 – 519, 1976.

    Article  PubMed  CAS  Google Scholar 

  56. Cordiner CM, Wilson LA: Group psychotherapy for hospital patients with chronic physical illness. Health Bull(Edinburgh) 40: 16 – 19, 1981.

    Google Scholar 

  57. Kennedy RD: Teamwork in geriatric medicine. Physiotherapy62: 158 – 159, 1976.

    PubMed  CAS  Google Scholar 

  58. Brocklehurst JC: Geriatric services and the day hospital, in Brocklehurst JC (ed): Textbook of Geriatric Medicine and Gerontology. New York, Churchill Livingstone, 1976.

    Google Scholar 

  59. Kane RL, Solomon DH, Beck JC, et al: Geriatrics in the United States: Manpower Projections and Training Considerations. Lexington, Mass, Lexington Books, 1981.

    Google Scholar 

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Kayser-Jones, J.S. (1984). Physicians and the Care of Nursing Home Residents. In: Cassel, C.K., Walsh, J.R. (eds) Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5232-0_28

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  • DOI: https://doi.org/10.1007/978-1-4612-5232-0_28

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-9749-9

  • Online ISBN: 978-1-4612-5232-0

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