Skip to main content

Residential Care

  • Chapter
  • First Online:
Book cover Geriatric Medicine

Abstract

  • Assisted living facilities (also known as residential or personal care homes) are increasingly available for older persons with disabilities and provide more homelike options for long-term living. Cost may be a barrier.

  • Person-centered care is reflected by care plans that support residents to achieve the desired quality of life and level of physical, mental, and psychosocial health.

  • Interdisciplinary teams create comprehensive assessments that support individualized care in residential settings.

  • Safety is a major concern in residential care settings. Falls and related injuries represent a common concern.

  • Palliative care and hospice are increasingly integrated into residential care settings in recognition that functional decline is often a harbinger of end of life.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Feng Z, Liu C, Guan X, Mor V. China’s rapidly aging population and dramatic demographic shifts have created policy challenges in shaping a viable long-term care system that balances home and community based care with elder care institutions. Health Aff (Millwood). 2012;3(12):2764–3. doi:10.1377/hlthaff.2012.0535.

    Article  Google Scholar 

  2. Joe W, Rudra S, Subramanian SV. Horizontal inequity in elderly health care utilization: evidence from India. J Korean Med Sci. 2015;30(Suppl 2):S155–66. doi:10.3346/jkms.2015.30.S2.S155.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Panruti RV, Liebig PS, Duvvuru J. Gerontology in India. Gerontologist. 2015;55(6):894–900. doi:10.1093/geront/gnv022.

    Article  PubMed  Google Scholar 

  4. Halland M, Koloski NA, Jones M, Byles J, Chairelli P, Forder P, Talley NJ. Prevalence correlates and impact of fecal incontinence among older women. Dis Colon Rectum. 2013;56(9):1080–6. doi:10.1097/DCR.0b013e31829203a9.

    Article  PubMed  Google Scholar 

  5. American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. Patient-centered care for older adults with multiple chronic conditions: a stepwise approach from the American Geriatrics Society. J Am Geriatri Soc. 2012;60:1957–68.

    Article  Google Scholar 

  6. www.edenalt.org. Accessed 23 Jan 2016.

  7. www.thegreenhouseproject.org. Accessed 23 Jan 2016.

  8. Sawamura K, Nakashima T, Nakanishi M. Provision of individualized care and built environment of nursing homes in Japan. Arch Gerontol Geriatr. 2013;56(3):416–24. doi:10.1016/j.archger.2012.11.009.

    Article  PubMed  Google Scholar 

  9. Katz PR, Karuza J, Intrator O, Mor V. Nursing home physician specialists: a response to the workforce crisis in long term care. Ann Intern Med. 2009;150(6):411–3.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bradshaw SA, Playford ED, Riazi A. Living well in care homes: a systematic review of qualitative studies. Age Ageing. 2012;41(4):429–40. doi:10.1093/ageing/afs069.

    Article  PubMed  Google Scholar 

  11. Silva RB, Eslick GD, Duque G. Exercise for falls and fracture prevention in long term care facilities: a systematic review and meta-analysis. J Am Med Dir Assoc. 2013;14(9):685–9.e2. doi:10.1016/j/jamda.2013.05.015.

  12. Valenzuela T. Efficacy of progressive resistance training interventions in older adults in nursing homes: a systematic review. J Am Med Dir Assoc. 2012;13(5):418–28. doi:10.1016/j.jamda.2011.11.001.

    Article  PubMed  Google Scholar 

  13. Migdal A, Yarandi SS, Smiley D, Umpierrez GE. Update on diabetes in the elderly and in nursing home residents. J Am Med Dir Assoc. 2011;12(9):627–632.e2. doi:10.1016/j.jamda.2011.02.010.

  14. Ouslander JG, Bonner A, Herndon L, Shutes J. The INTERACT Quality improvement program: an overview for medical directors and primary care clinicians in long-term care. J Am Med Dir Assoc. 2014;15(3):162–70. doi:10.1016/j.jamda 2013.12.005.

    Article  PubMed  PubMed Central  Google Scholar 

  15. El-Solh AA, Niederman MS, Drinka P. Management of pneumonia in the nursing home. Chest. 2010;138(6):1480–5. doi:10.1378/chest.10-1135.

    Article  PubMed  Google Scholar 

  16. Goode PS, Burgio KL, Richter HE. Incontinence in older women. JAMA. 2010;303(21):2172–81. doi:10.1001/jama.2010.749.

    Article  CAS  PubMed  Google Scholar 

  17. Ostaszkiewicz J, O’Connell B, Dunning T. Residents’ perspectives on urinary incontinence: a review of the literature. Scand J Caring Sci. 2012;26(4):761–72. doi:10.1111/j.1471-6712.2011.00959.

    Article  PubMed  Google Scholar 

  18. Backhaus R, Verbeek H, van Rossum E, Capezuti E, Hamers JP. Nurse staffing impact on quality of care in nursing homes: a systematic review of longitudinal studies. J Am Med Dir Assoc. 2014;15(6):383–93. doi:10.1016/j.jamda.2013.12.080.

    Article  PubMed  Google Scholar 

  19. Selbaek G, Engedal K, Bergh S. The prevalence and course of neuropsychiatric symptoms in nursing home patients with dementia: a systematic review. J Am Med Dir Assoc. 2013;14(3):161–9. doi:10.1016/j.jamda.2012.09.027.

    Article  PubMed  Google Scholar 

  20. Fossey J, Masson S, Stafford J, Lawrence V, Corbett A, Ballard C. The disconnect between evidence and practice: a systematic review of person-centered interventions and training manuals for care home staff working with people with dementia. Int J Geriatr Psychiatry. 2014;29(8):797–807. doi:10.1002/gps.4072.

    Article  PubMed  Google Scholar 

  21. Livingston G, Kelly L, Lewis-Holmes E, Baio G, Morris S, Patel N, Omar RZ, Katona C, Cooper C. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. Health Technol Assess. 2014;18(39):1–226., v–vi. doi:10.3310/hta18390.

    Article  Google Scholar 

  22. Whear R, Coon JT, Bethel A, Abbott R, Stein K, Garside R. What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? A systematic review of quantitative and qualitative evidence. J Am Med Dir Assoc. 2014;15(10):697–705. doi:10.1016/j/jamda.2014.05.013.

    Article  PubMed  Google Scholar 

  23. Ballard C, Hanney M, Theodoulou M, McShane R, Kossakowski K, Fill R, Juszczak E, Yu LM, Jacoby R, DART-AD investigators. The Dementia Antipsychotic Withdrawal Trial (DART-AD): long-term follow-up of a randomized placebo-controlled trial. Lancet Neurol. 2009;8(2):151–7. doi:10.1016/S1474-4422(08)70295-3.

    Article  CAS  PubMed  Google Scholar 

  24. Mitchell SL, Teno JM, Roy J, et al. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. JAMA. 2003;290:73–80. doi:10.1001/jama.290.1.41.

    Article  PubMed  Google Scholar 

  25. Teno JM, Gozalo PL, Mitchell SL, et al. Does feeding tube insertion and its timing improve survival? J Am Geriatr Soc. 2012;60:1918–21. doi:10.1111/j.1532-5415.2012.04148.x.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Tamura BK, Bell CL, Inaba M, Masaki KH. Outcomes of polypharmacy in nursing home residents. Clin Geriatr Med. 2012;28(2):217–36. doi:10.1016/j.cger.2012.01.005.

    Article  PubMed  Google Scholar 

  27. Bancroft JHJ. Sex and aging. N Engl J Med. 2007;357:820–2. doi:10.1056/NEJMe078137.

    Article  CAS  PubMed  Google Scholar 

  28. Teno JM, Clarridge BR, Casey V, Welch MA, Wetle T, Shield R, Mor V. Family perspectives on end-of-life care at the last place of care. JAMA. 2004;291:88–93. doi:10.1001/jama.291.1.88.

    Article  CAS  PubMed  Google Scholar 

  29. Wilson F, Gott M, Ingleton C. Perceived risks around choice and decision making at end-of-life: a literature review. Palliat Med. 2013;27(1):38–53. doi:10.1177/0269216311424632.

    Article  CAS  PubMed  Google Scholar 

  30. Gozalo P, Plotzke M, Mor V, Miller SC, Teno J. Changes in Medicare costs with the growth of hospice care in nursing homes. N Engl J Med. 2015;372:1823. doi:10.1056/NEJMhpr1510026.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Kelly A, Conell-Price J, Covinsky K, Cenzer IS, Chang A, Boscardin WJ, Smith AK. Length of stay for older adults residing in nursing homes at the end of life. J Am Geriatr Soc. 2010;58:1701–6. doi:10.1111/j.153205415.2010.03005.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth L. Cobbs M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 The Editor(s)

About this chapter

Cite this chapter

Dard, S., Lepcha, N., Cobbs, E.L. (2018). Residential Care. In: Nair, B. (eds) Geriatric Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3253-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-3253-0_12

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3252-3

  • Online ISBN: 978-981-10-3253-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics