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Long-Term Care: Focus on Nursing Homes 

Long-Term Care: Focus on Nursing Homes
Chapter:
Long-Term Care: Focus on Nursing Homes
Author(s):

Joan Carpenter

, and Mary Ersek

DOI:
10.1093/med/9780190862374.003.0049
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date: 19 August 2019

This chapter examines palliative care across residential care settings with a focus on nursing homes. It reviews the environment of nursing homes, describes the residents who live there, and provides details about the interdisciplinary team providers who care for the residents. It also discusses the challenges and opportunities for delivering palliative care services to nursing home residents with life-limiting illness. Quality end-of-life care in nursing homes is important because more than 1.4 million Americans live in nursing homes, and more than half of these residents require extensive assistance with bathing, dressing, toileting, and mobility. Of those nursing home residents over 65 years of age, 80% are 75 years or older. Despite the efforts to keep frail elders in the community, the nursing home population is expected to increase as the numbers of older persons in the United States and other developed countries increase. The chapter concludes with a description of models for delivering palliative care in nursing homes.

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