Abstract：
OBJECTIVES:To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings. DESIGN:Secondary analysis of the 1999 National Nursing Home Survey. PARTICIPANTS:NH staff members familiar with the care of residents who were 65 years or older and had resided in the NH for more than 100 days. MEASUREMENTS:We defined "higher-functioning" residents as those who received help from NH staff in 0-2 activities of daily living. We then classified these higher-functioning residents according to their conditions requiring chronic care: impaired mobility, conditions requiring rehabilitation, mental health disorders, incontinence, severe sensory impairment, and medical conditions (congestive heart failure, chronic obstructive pulmonary disease, diabetes mellitus, Parkinson's disease). RESULTS:One-fifth (19.8%) of the NH residents met the criteria for "higher-functioning" (n=1145). Of these, 64.1% had mental disorders, 40.4% had impaired mobility, 20.6% were incontinent, 18% had conditions requiring rehabilitative therapy, 8.7% had severe sensory impairment, and 43.0% had one or more of the four medical diagnoses. CONCLUSION:Many higher-functioning long-stay nursing home residents have chronic care needs that are similar to those of older adults who live in private residences. Many such persons may be able to live in community settings.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
McNabney MK,Wolff JL,Semanick LM,Kasper JD,Boult Cdoi
10.1016/j.jamda.2007.03.001subject
Has Abstractpub_date
2007-07-01 00:00:00pages
409-12issue
6eissn
1525-8610issn
1538-9375pii
S1525-8610(07)00200-9journal_volume
8pub_type
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