The Physician and the Care of the Nursing Home Resident
The care of nursing home residents is one of the most challenging and rapidly changing areas in medicine today. Insights from the growing body of knowledge that makes up geriatric medicine have begun to alter radically nursing homes. The nursing home was once seen as a warehouse for the hopeless and helpless aged. Now it is becoming the site of active investigation and treatment of illnesses and iatrogenic conditions, as well as the scene of vigorous efforts to maintain function and dignity. This vitalization of nursing home medicine comes at a most opportune time. The enormous growth of the elderly population who may need hospital and nursing home care is occurring at the same time that reimbursement incentives and regulations are limiting hospital stays. The result is an expanding nursing home population that is more acutely ill than in previous eras. Today’s nursing home residents present fascinating and difficult problems in the prevention, diagnosis, and treatment of medical conditions that can be properly addressed only by motivated physicians who accept the challenges of medicine in the nursing home.
KeywordsNursing Home Nursing Home Resident Pressure Sore Nursing Home Patient Prospective Payment System
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