Custodial nursing home care. Setting realistic goals

Despite concerted effort to rehabilitate and return patients to their homes, the majority of nursing home patients are destined to spend the remainder of their days in institutional settings. These custodial care patients are elderly, have many functional disabilities, and are often demented. The tr...

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Bibliographic Details
Published inJournal of the American Geriatrics Society (JAGS) Vol. 33; no. 12; p. 864
Main Authors Sloane, P D, Pickard, C G
Format Journal Article
LanguageEnglish
Published United States 01.12.1985
Subjects
Aged
Attitude of Health Personnel
Critical Care - standards
Custodial Care - organization & administration
Custodial Care - standards
Delivery of Health Care - standards
Female
Geriatrics
Goals
Humans
Leadership
Long-Term Care - organization & administration
Long-Term Care - standards
Male
Nursing Homes - organization & administration
Nursing Homes - standards
Terminal Care
United States
United States
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Summary:Despite concerted effort to rehabilitate and return patients to their homes, the majority of nursing home patients are destined to spend the remainder of their days in institutional settings. These custodial care patients are elderly, have many functional disabilities, and are often demented. The traditional medical approach to care, which emphasizes diagnosis and treatment of specific diseases, is often not appropriate for these patients. Instead, physicians should focus their attention on functional assessment and treatment, nontechnologic management of acute problems, humane terminal care, and the development of an efficient caregiving system within the nursing home.
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.1985.tb05442.x