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

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 ?
From the data available, one thing seems clear: Current litigation is unlikely to end the policy debate over nursing home placement for mentally ill persons--but it may go a long way toward clarifying the legal responsibilities of state health officials to provide appropriately targeted care for the mentally ill and to generate needed tax-supported resources.
Rubin says the bank put a primary focus on middle market commercial and real estate lending when it was founded in 1999 and quickly identified nursing homes as an important niche market.
Leaders of the Quality First initiative and the government-led effort to improve the level of care in nursing homes announced improvements at the nation's 6,400 nursing homes, which care for approximately 1.
After drastically raising rates and retentions three years ago, AIG has written a small amount of nursing home business in the past six to nine months, Bucilla said.
User's fee legislation, if enacted, may increase expenses minimally to the nursing home industry.
Moreover, many states attempt to limit Medicaid costs by regulating the supply of nursing home beds through certificate-of-need regulation or building moratoria.
Thus, people with disabilities in Wisconsin have become the most reluctant of shoppers, making their phone calls to nursing homes, and praying for rejection.
The timing of the incurrence of medical and nursing home expenses and their payment determines the year of deductibility.
But everyone agrees, the trend toward EHRs is clear, and nursing home executives should begin learning now how to participate in their regions' RHIOs to make sure the trends work to the benefit of their residents and of their organizations as the future unfolds.

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