The Future of Nursing Home Care Marcia Carr Clinical Nurse Specialist
Visioning Making a reality of a home where aging in place actually happens
Vision: Aging in Place <ul><li>Marketing the positive and the promotion and enablement of a community to age in place </li></ul><ul><li>Planning and timely relocation rather than crisis-driven moves </li></ul><ul><li>Affordable housing </li></ul><ul><li>Protected by law from private care agreements </li></ul>
Vision: Elder Friendly Environment (EFE) <ul><li>Currently residents are housed according to specified care criteria (e.g. independent housing, assisted living, complex care, extended care, dementia) </li></ul><ul><li>Community of care would have identical apartments which adhere to EFE (e.g. responsive flooring, moveable walls) with the ability to adapt to the resident’s needs rather than having to move to another area; except for safety issues </li></ul><ul><li>However, since the apartments would be the same as what they came from the “auto-pilot” would be better enabled for the dementia resident </li></ul>
Vision: Care Provision <ul><li>Currently the resident is brought or sent to where the care they need is provided – location and/or care provider (e.g. GP, hospital) </li></ul><ul><li>Vision: The elder friendly environment would enable all needed adaptations to assure the care can be brought to the residents – prevention (e.g. immunization), CDM (e.g. primary care team in-house), acute care (e.g. specialized acute care teams), end of life </li></ul>
Vision: Care Providers <ul><li>All PCPs will be geriatric specialty certified </li></ul><ul><li>All RNs will be GNC(C) </li></ul><ul><li>All allied health will have completed an accredited specialized certificate in geriatric care </li></ul><ul><li>All LPNs, resident care aides and other staff must complete an accredited gerontological care program </li></ul><ul><li>Any HCP working in dementia units must complete a specialized dementia care program. </li></ul>
What is being done now? <ul><li>New buildings are utilizing EFE research and architects with specialty in EFE </li></ul><ul><li>Recognition that every time we move an older person, they decline functionally, mentally and socially </li></ul><ul><li>Pilot at Deltaview with responsive flooring </li></ul><ul><li>IV therapy started and maintained in residential care </li></ul><ul><li>Standardization of care requirements </li></ul>
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