NURSING HOME CARE. Swedish Family Medicine October 10, 2000 Pat Borman, MD. GOALS. Review the historical perspectives of nursing home care in the USA Understand the roles of physicians in providing nursing home care
Swedish Family Medicine
October 10, 2000
Pat Borman, MD
Residents Bill of Rights
Guidelines to restrict the use of:
Requires periodic assessment of resident functional capacity
?WHY HAS OBRA BEEN SO EFFECTIVE?
PRIMARY GOALS OF CARE
Limited lab and consultative services
ACUTE PROBLEM VISITS
ANNUAL REVIEW VISITS
Fever and Infections
DementiaCOMMON PROBLEMS IN NURSING HOME PATIENTS
To comply with OBRA many facilities have
protocols for common problems.
NURSING HOME CARE is a natural extension of the Family Practice mission to care for individuals and their families throughout their life span.
Nursing Home Care requires compassion and a comforting and caring approach.
This work confirms that we can each help improve the end of life for someone we know.