4.7 Article

Prevention of Functional Decline by Reframing the Role of Nursing Homes?

Journal

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jamda.2016.11.019

Keywords

Nursing home; prevention; functional decline; frailty

Funding

  1. Office for Science and Technology of the Consulate General of France in Los Angeles, USA

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Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of these challenges: how to prevent or slow functional decline and disabilities for NH residents and how NHs may promote the prevention of functional decline in community-dwelling frail elderly. The present article reports the main results of the Task Force discussions to generate a new paradigm. (C) 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

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