Providing structured opportunities for nursing home residents to choose community care

  • Kane R
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Discusses the need to provide structured opportunities for nursing home (NH) residents to choose community care. This editorial comments on the implications for assessment of NH residents about living in the community as discussed in the article by Nishita and colleagues in this issue (AgeLine accession number 121516). Over the last 5 years, advocates for community care have become aware of Section Q, a previously little-analyzed component of the Minimum Data Set (MDS). Work is being done to test revisions of Section Q to gain a more-accurate reflection of resident preference. The 1999 Supreme Court Olmstead decision and the presidential New Freedom Initiative of 2001 have encouraged states to develop plans to enable long term care consumers to live in the most integrated setting possible. Perhaps not coincidentally, the same post-Olmstead period that has opened up hope for older adults who want to leave NHs has also been a period of unusual activity to improve life in NHs in terms of physical amenities and privacy, individualized care, and an emphasis on quality of life. If collaboration occurs among NH staff, external transition counselors, and community caregivers, transition programs could occur more readily and with more assurance of continuity of needed health care. (SW) (AgeLine Database, copyright 2008 EBSCO Publishing, Inc., all rights reserved)

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  • Rosalie A. Kane

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