Nursing home care Flashcards
what % of nursing home residents have impairment in decision making?
81%
what % of nursing home residents need assistance with 3+ ADLs?
80%
what % of nursing home residents need assistance with 1-2 ADLs?
22%
what % of nursing home residents have dementia?
50-70%
what % of nursing home residents have orientation and/or memory problems?
66%
what % of nursing home residents have communication problems?
60%
what % of nursing home residents have bowel or bladder problems?
40-60%
what % of nursing home residents have visual impairment?
39%
what % of nursing home residents have hearing impairment?
36%
what % of nursing home residents have behavioral problems?
33%
what % of nursing home residents have depression?
20-25%
what is the breakdown of men / women in nursing home care?
72% women, 28% men
what % of nursing home residents are over age 65?
91%
what % of nursing homes are part of a chain?
56%
what % of nursing home stays are less than 90 days? over 90 days? over 3 years?
- less than 90 days - 20%
- over 90 days - 80%
- over 3 years - 26%
how are most nursing home residents admitted?
from an acute care hospital
when is the most dangerous time for patients when going between the hospital and nursing home?
during ‘handoffs’
what is the purpose of the omnibus budget reconciliation act?
- set training guidelines and minimum staffing requirements for nursing homes
- initiated the minimum data set
- requires documentation of the need for all medications, especially psychoactive
what are the bolstered patient rights under the OBRA?
- limited use of restraints
2. limited use of psychoactive medications
how many nursing homes are there in the US? how many residents? how many discharges per year?
- 15,700 homes
- 1.4 million residents
- 2.5 million discharges per year
