Abstract
There are multiple levels and different sites of care for the older adult. Geriatric practitioners and their interdisciplinary team care for the older adult along a continuum of settings. From hospitalization for an acute issue, to rehabilitation in a subacute facility, to care at home, and then finally returning to the patient’s longitudinal outpatient setting, each of these settings of care has its own scope of purpose, its own rationale, its own teams of care professionals, and its own financial considerations and incentives, all of which are actively evolving along with changes in the overall health-care system and larger society. Proper geriatric care requires familiarity with all these sites of care and an understanding of how best to manage patients within them.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Soriano RP, Fernandez HM, Cassel CK, Leipzig RM. Fundamentals of geriatric medicine: a case-based approach. New York: Springer; 2007.
U.S. Census Bureau. An aging nation: the older population in the United States (Report No. P25-1140). 2014. Retrieved from https://www.census.gov/prod/2014pubs/p25-1140.pdf.
Goldman DP, Shang B, Bhattacharya J, et al. Consequences of health trends and medical innovation for the future elderly. Health Aff (Millwood). 2005;24(suppl 2):W5R5–W5R17.
Ornstein K, Smith KL, Boal JB. Understanding and improving the burden of unmet needs of informal caregivers of homebound patients enrolled in a home-based primary care program. J Appl Gerontol. 2009;28(4):482–503.
Smith KL, Soriano TA, Boal JB. Brief communication: national quality-of-care standards in home-based primary care. Ann Intern Med. 2007;146(3):188.
Kahn JM, Benson NM, et al. Long-term acute care hospital utilization after critical illness. JAMA. 2010;303(322):253–2259.
Munoz-Price LS. Long-term acute care hospitals. Clin Infect Dis. 2009;49:438–43.
Center for Medicare & Medicaid Services. Nursing home data compendium 2012 edition. https://www.aanac.org/docs/reference-documents/nursinghomedatacompendium_508.pdf?sfvrsn=2.
Bonar SK, Tinetti ME, Speechley M, Cooney LM. Factors associated with short-versus long-term skilled nursing facility placement among community-living hip fracture patients. J Am Geritar Soc. 1990;38:1139–44.
Goodwin JS, Howrey B, Zhang DD, Kuo YF. Risk of continued institutionalization after hospitalization in older adults. J Gerontol A Biol Sci Med Sci. 2011;66A(12):1321–7.
Zimmerman S, Bowerrs BJ, Cohen LW, et al. New evidence on the Green House model of nursing home care: synthesis of findings and implications for policy, practice, and research. Health Serv Res. 2016;51(1):475–96.
Rowles GD, Teaser PB, editors. Long-term care in an aging society theory and practice. New York: Springer Publishing; 2016.
Han K, Trinkoff AM, et al. Variation across US assisted living facilities: admissions, resident care needs, and staffing. J Nurs Sch. 2017;49(1):24–32.
Paying for Senior Care. https://www.payingforseniorcare.com/financial-assistance/new-york.html. Accessed 12/14/2017.
Center for Advance Palliative Care. Improving palliative care in nursing homes. 2008. [PDF file]. Retrieved from https://media.capc.org/filer_public/95/b8/95b84a49-7151-427d-be72-200b634eed5b/3123_1606_nursinghomereport-rev.pdf.
National Hospice and Palliative Care Organization. Hospice care [Internet]. Alexandria: National Hospice and Palliative Care Organization; 2015 [updated 2017 Apr 3; cited 2018 Jan 4]. Available from: https://www.nhpco.org/about/hospice-care.
Brickner L, Scannell K, Marquet S, Ackerson L. Barriers to hospice care and referrals: survey of physicians’ knowledge, attitudes, and perceptions in a health maintenance organization. J Palliat Med. 2004;7:411–8.
Fox E, Landrum-McNiff K, Zhong Z, Daweson NV, Wu AW, Lynn J. Evaluation of prognostic criteria for determining hospice eligibility in patients with advanced lung, heart, or liver disease. SUPPORT Investigators: Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. JAMA. 1999;282:1638–45.
Simpson DA. Prognostic criteria for hospice eligibility. JAMA. 2000;283:2527.
Kelley AS, Deb P, Du Q, Aldridge Carlson MD, Morrison RS. Hospice enrollment saves money for Medicare and improves care quality across a number of different lengths-of-stay. Health Aff (Project Hope). 2013;32(3):552–61.
Taylor DH Jr, Ostermann J, Van Houtven CH, Tulsky JA, Steinhauser K. What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program? Soc Sci Med. 2007;65(7):1466–78.
Miller SC, Han B. End-of-life care in U.S. nursing homes: nursing homes with special programs and trained staff for hospice or palliative/end-of-life care. J Palliat Med. 2008;11:866–77.
Miller SC, Lima J, Gozalo PL, Mor V. The growth of hospice care in U.S. nursing homes. J Am Geriatr Soc. 2010;58(8):1481–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Suanino, D.E., Brandeis, G.H. (2020). Sites of Care for the Older Adult: Outpatient, Post-Discharge, Hospice. In: Chun, A. (eds) Geriatric Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-19625-7_31
Download citation
DOI: https://doi.org/10.1007/978-3-030-19625-7_31
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-19624-0
Online ISBN: 978-3-030-19625-7
eBook Packages: MedicineMedicine (R0)