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 ?
More nursing homes are also installing dementia gardens, a feature traditionally found on assisted living sites.
According to MyZiva's September 2003 study, "Government Dilemma," nursing homes in states with the lowest Medicaid reimbursement rates "tended to have staffing levels that were substantially lower" than the national average of 3.84 hours of nursing coverage per patient per day.
Nursing homes and long-term care providers face an enormous disadvantage in this policy environment.
According to the privately owned nursing home rating company based in Wellesley Hills, Mass., a total of 16,400 government Certified nursing home facilities were Reviewed.
"This is the first major reform in nursing home financing in California in about 25 years," Frommer told the News-Press.
Donna Ginther, an AARP lobbyist in Springfield, Ill., said the issue stems from a 2001 incident in an Illinois nursing home in which a parolee raped an Alzheimer's patient.
But the nursing home staff, including the physician, should be aware of the medications that residents are taking, and particularly their disposition toward affecting a resident's mood.
She cited a recent study done by Harry Waxman, a congressman from Beverly Hills, Calif., in which 382 of 419 nursing homes in southern California each had several violations.
Clary said nursing homes typically can tolerate low operating margins because many are guaranteed patients due to various state regulations that limit the supply of nursing home beds.
Lebowitz points out that several NIMH-funded researchers already are known for focusing their attention on nursing home care.
To help relieve some of the unintended consequences of the Balanced Budget Act of 1997, I have strongly supported legislation to provide financial relief to beneficiaries, hospitals, nursing homes, home health agencies, and other providers who have been affected adversely.
Not only is this impractical in most nursing homes, it may also be undesirable.

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