nursing home

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home

 [hōm]
a place where someone lives.
home health care services provided by a certified agency using an interdisciplinary team to meet the needs of patients being cared for in out-of-hospital settings such as private homes, boarding homes, hospices, shelters, and so on. Caregivers include professional and practical nurses, nursing assistants, physical therapists, occupational therapists, speech therapists, and other professionals. The rising costs of hospitalization and the impact of diagnosis-related group (DRG) reimbursement for Medicare patients have contributed to the phenomenal increase in home health care agencies in the United States. Additionally, technological advances now make it possible for patients to receive many treatments at home that formerly were administered only in a hospital. Examples include oxygen therapy, intravenous drug perfusion (including administration of antineoplastics and antibiotics), and peritoneal dialysis. See also home health agency.

A variety of agencies and services are available in many communities. Some are privately owned and operated for profit (proprietary), others are affiliated with hospitals, and some are private nonprofit agencies. As more third-party payers such as federal and state governments and large insurance companies certify these agencies for reimbursement, growth in the number and type can be expected to continue, and more complicated types of care may be provided in the homes of patients.
home maintenance, impaired a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as inability to independently maintain a safe and growth-promoting immediate environment. Related factors are any illness, injury, or knowledge deficit that can contribute to a person's inability to attend to cleaning, repairing, and maintaining the home and providing basic needs and comforts for the self and family members. Age-related factors might include special needs of an infant or of an elderly person with functional disabilities or sensory loss. In some cases impaired management of home maintenance could be related to insufficient family organization or planning, inadequate financial resources, or impaired cognitive or emotional functioning.

Nursing interventions are focused on determining the nature of the problem, assessing the family's ability to deal with it, and identifying available resources for assistance. Plans for utilizing available resources are developed with family members. These might include procuring a part-time homemaker, obtaining supportive assistance such as legal aid or nutritional care, or providing therapeutic care by nurses, speech therapists, physical therapists or other professionals who are involved in home health care.
nursing home see nursing home.
residential care home (rest home) a residence where room, board, and personal care are provided for individuals who need assistance and supervision. The focus is generally on dependent elderly persons who cannot live independently but do not require regular nursing care, and on younger individuals who have mental illness or mental retardation.

nurs·ing home

(nŭrs'ing hōm),
A convalescent home or private facility for the care of patients who do not require hospitalization and who cannot be cared for at home.

nursing home

n.
A private establishment that provides living quarters and care for chronically ill, usually elderly patients.

nursing home

Geriatrics-US
A residence for individuals of advancing years which provides a room and meals and is staffed with personnel who help with activities of daily living and recreation.  

Managed care
A licensed facility which provides general long-term nursing care to those who are chronically ill or unable to manage their own daily living needs. Nursing homes are staffed by nurses and have a physician on call.

Medspeak-UK
A care home which provides nursing care (with at least one registered nurse on duty). Under the Care Standards Act 2000, nursing homes were renamed “care homes with nursing”.

nursing home

Managed care A licensed facility which provides general long-term nursing care to those who are chronically ill or unable to handle their own necessary daily living needs; NHs are staffed by nurses, and have a physician on call. See Geriatrics, Home health care. Cf Hospice.

ex·tend·ed-care fa·cil·i·ty

(eks-ten'dĕd-kār fă-sil'i-tē)
Health care supplier of skilled care after hospitalization or severe illness or injury.
Synonym(s): nursing home, residential care.
References in periodicals archive ?
To help doctors, nurses and other leaders in all long-term care facilities prevent CAUTIs, AHRQ has released a Toolkit to Reduce CAUTIs and Other HAIs in Long-Term Care Facilities.
The use of indwelling urinary catheters among older residents in federally certified long-term care facilities in Arkansas in 2008 at admission was 16.8% among all new residents, and was significantly higher among newly admitted obese, older long-term care facility residents (19.4%).
All long-term care facilities should have protocols in place to determine when it is appropriate to transfer long-term care patients to acute care facilities.
Common endemic infections in long-term care facilities (1) Site of infection Frequency/1,000 patient days Urinary tract 0.46 - 4.4 Respiratory tract 0.1 - 2.4 Skin, soft tissue < 0.1 - 2.1 Gastrointestinal tract 0 - 0.9
An RRG in Florida, the first of its kind to be organized with state funding approved by the legislature, was established to offer insurance options to long-term care facilities. In fact, it is in healthcare that the most RRGs have been created, accounting for 47 of the 58 RRGs formed in 2003.
Although the Epidemiologic Catchment Area Survey found that incidence of depression in the older adult general population was actually lower than for other age groups, (1) this may be an underestimate and have little bearing on long-term care facilities. Katz and Parmelee have estimated that the rates of depression within nursing home residents may dramatically exceed those found in the general population, involving some 30 to 50% of the nursing home population.
So here's a call to long-term care facilities in general and assisted living in particular, echoing a plea so eloquently stated in this magazine by Paul Willging in his column "With 'Aging in Place,' Honesty Pays" (May 2004, p.
She previously served as Director of Nursing in a CCRC and as a nurse consultant for two corporations with numerous long-term care facilities in lowa.
As extensive as elder aggression can be in long-term care facilities, so too can be the causes for combative behavior.
Lethal fire ant attacks in long-term care facilities in recent years have made the public and industry insiders all too aware that pests can pose a very real threat to residents.
The question remains, though, whether long-term care facilities will actually purchase and use bar code technology for medication management, although the potential savings from averting medication errors would seem to make the case quite easily.

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