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Gámez Daniel M.D. Oliva Isabel Dip Ger . González Blanca M.N. Salinas Ricardo M.D.

Universidad Autónoma de Nuevo León Hospital Universitario Dr. José E. González” Servicio de Geriatría. Residence homes “The big challenge in Monterrey Mexico”. Gámez Daniel M.D. Oliva Isabel Dip Ger . González Blanca M.N. Salinas Ricardo M.D.

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Gámez Daniel M.D. Oliva Isabel Dip Ger . González Blanca M.N. Salinas Ricardo M.D.

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  1. Universidad Autónoma de Nuevo León Hospital Universitario Dr. José E. González” Servicio de Geriatría Residence homes “The big challenge in Monterrey Mexico” Gámez Daniel M.D. Oliva Isabel DipGer. González Blanca M.N. Salinas Ricardo M.D. Presented : on July 8th 2009 IAGG Congress Paris 2009 Introduction: The operation of residential homes has been a subject of multiple discussions, but at the same time, has been kept in political obscurity in public health. Salinas et al in 1991 published the problematic of residential homes in Monterrey. In this study, we evaluated 10 residential homes to determine the current situation. Material and Methods: This is a qualitative, descriptive and transversal study during a 6 month period. The sample was selected randomly from 36 residential homes. The survey was carried using variables such as medical services, nursing, psychology, regulations, facilities and occupational activities. Results: 10 residential homes with 397 residents were evaluated. During the analysis, we found that 30% showed deficiencies such as stairways between floors, 20% bad hygiene in bathrooms, 30% neglect in maintenance of the facilities, 50% had no safety equipment, 50% had no permanent medical personnel, and 20% had no private medical institution that regularly cared for the patients. 100% have at least one nurse on day and afternoon shifts and 30% do not have a nurse on the night shift. All have personnel trained in first aid, but 30% could not demonstrate CPR certificates neither training to evaluate the mental status. As to psychology and therapy, only 60% have stimulation and/or occupational therapy. In regulations area, 80% do not have operations manuals and are not registered with the Ministry of Health. Conclusion: The deficiencies found confirm the data gathered in the study performed in 1991 which means that we have not made any progress in bettering the quality of the service given. We suggest that quality standards and laws to regulate the development of new and existing institutions be created so that these areas of opportunity in business can turn into areas of quality in gerontological care. 1. Ricardo Salinas, Banda J.P. Asilos de ancianos en el Estado de Nuevo León. Salud Pública de México 1991.

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