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Keeping the “Home” in Nursing Home

Keeping the “Home” in Nursing Home VIEWPOINT HEALTH CARE REFORM Implications for Infection Prevention S THEY ENTER THEIR turing“home”environmentforlong- of gloves, gowns, and barrier pre- retirement years, 76 stay residents and the need to reduce cautions is the primary approach to million baby boom- healthcare–associatedcomplications preventing transmission of multi- ers with chronic ill- inhigher-acuityshort-stay residents. drug resistant organisms. In con- A nesses will have an Caring for both short-stay and trast with hospitalized patients who unprecedented impact on the health long-stay residents under the same typically do not socialize with one care system in the United States. roof raises the need to re-evaluate another and for whom isolation is Emerging provider-level account- major areas of quality improve- short lived, adoption of this strat- able care organizations are charged ment. Nursing home care within the egy in NHs results in social stigma with care management across the en- new health care framework will re- and isolation and constrains a home- tire health care spectrum. For many quire a balance between the encour- like environment. For these rea- older adults, residence in a nursing agement of highly individualized sons, the use of isolation precau- home (NH) is inevitable, and the “in- care and attention to quality- tions http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Keeping the “Home” in Nursing Home

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.330
pmid
23589042
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT HEALTH CARE REFORM Implications for Infection Prevention S THEY ENTER THEIR turing“home”environmentforlong- of gloves, gowns, and barrier pre- retirement years, 76 stay residents and the need to reduce cautions is the primary approach to million baby boom- healthcare–associatedcomplications preventing transmission of multi- ers with chronic ill- inhigher-acuityshort-stay residents. drug resistant organisms. In con- A nesses will have an Caring for both short-stay and trast with hospitalized patients who unprecedented impact on the health long-stay residents under the same typically do not socialize with one care system in the United States. roof raises the need to re-evaluate another and for whom isolation is Emerging provider-level account- major areas of quality improve- short lived, adoption of this strat- able care organizations are charged ment. Nursing home care within the egy in NHs results in social stigma with care management across the en- new health care framework will re- and isolation and constrains a home- tire health care spectrum. For many quire a balance between the encour- like environment. For these rea- older adults, residence in a nursing agement of highly individualized sons, the use of isolation precau- home (NH) is inevitable, and the “in- care and attention to quality- tions

Journal

JAMA Internal MedicineAmerican Medical Association

Published: May 27, 2013

References