Skilled Nursing Facilities and Post-hospitalization Options for Older Adults

2016 ◽  
pp. 127-145
Author(s):  
Jill Huded ◽  
Fernanda Heitor
Keyword(s):  
Older Adults ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Transitional care of older adults in skilled nursing facilities: A systematic review

2016 ◽  
Vol 37 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Mark Toles ◽  
Cathleen Colón-Emeric ◽  
Josephine Asafu-Adjei ◽  
Elizabeth Moreton ◽  
Laura C. Hanson
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Transitional Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

Nurses' Role in Managing “The Fit” of Older Adults in Skilled Nursing Facilities

2017 ◽  
Vol 43 (12) ◽  
pp. 11-20 ◽  
Author(s):  
Jacqueline Jones ◽  
Emily Lawrence ◽  
Amy Ladebue ◽  
Chelsea Leonard ◽  
Roman Ayele ◽  
...  
Keyword(s):  
Older Adults ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Nurses Role

scholarly journals The Triple Challenge of Recruiting Older Adults With Dementia and High Medical Acuity in Skilled Nursing Facilities

2013 ◽  
Vol 45 (4) ◽  
pp. 397-404 ◽  
Author(s):  
Ann Kolanowski ◽  
Paula Mulhall ◽  
Andrea Yevchak ◽  
Nikki Hill ◽  
Donna Fick
Keyword(s):  
Older Adults ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Decisions to Enter and Leave Skilled Nursing Facilities for Post-Acute Rehabilitation: A Qualitative Study

2020 ◽  
Vol 3 ◽  
Author(s):  
Daniel Chimitt ◽  
Jennifer Carnahan
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Comparative Method ◽  
Skilled Nursing Facilities ◽  
Phone Call ◽  
Healthcare Team ◽  
Discharge Process ◽  
Nursing Facilities ◽  
Skilled Nursing

Background and Hypothesis:   Approximately 40% of patients aged 80+ enter a Skilled Nursing Facility (SNF) following a hospitalization. SNFs can be used as “safety nets” to expedite the discharge process of older adults and it can be difficult to pinpoint how and who made the decision for a hospitalized older adult to discharge to a SNF.   This project examines the factors that drive older adults to enter and leave a SNF for their rehabilitation care.    Project Methods:   Interview transcripts from a qualitative study with patients and their caregivers were used to examine factors influencing admission to and discharge from SNFs. Baseline interviews were conducted within two to seven days after returning home from a SNF stay followed by a follow up phone call one to two weeks after the initial interview. Transcripts and audio files were coded (using NVivo version 12+) for major themes. Interviews were analyzed using a constant comparative method to elicit themes of interest to interviewees.    Results:   There were 24 baseline interviews and X follow up interviews performed with a total of 24 patients and 15 caregivers. The primary theme identified was that patients perceived a loss of autonomy when considering the decision-making process. 75% (18/24) patients or their caregivers felt the healthcare team told them they must go to a SNF for their rehabilitation. 38% (9/24) patients or caregivers felt they had no choice but to leave due to insurance coverage and 50% (12/24) stated that they needed more time.    Potential Impact:   To achieve better patient outcomes, one must understand both the purpose of skilled nursing facilities and also how patients and their families are feeling as they transition through this uncertain period of their lives. Restoring a patient’s sense of autonomy will foster better patient-healthcare relationships and improve trust in the system. 

Determinants of Quality of Life in Older Adults After Lower Limb Amputation and Rehabilitation in Skilled Nursing Facilities

2012 ◽  
Vol 60 (4) ◽  
pp. 796-798 ◽  
Author(s):  
Bianca I. Buijck ◽  
Sytse U. Zuidema ◽  
Monica S. van Eijk ◽  
Debby L. Gerritsen ◽  
Raymond TCM Koopmans ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Skilled Nursing Facilities ◽  
Limb Amputation ◽  
Nursing Facilities ◽  
Skilled Nursing

Care Management and the Transition of Older Adults From a Skilled Nursing Facility Back Into the Community

2011 ◽  
Vol 12 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Adam G. Golden ◽  
Shanique Martin ◽  
Melanie da Silva ◽  
Bernard A. Roos
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Nursing Care ◽  
Care Management ◽  
Skilled Nursing Facility ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Management Interventions

After hospitalization, many older adults require skilled nursing care. Although some patients receive services at home, others are admitted to a skilled nursing facility. In the current fragmented health care system, hospitals are financially incentivized to discharge frail older adults to a facility for postacute care as soon as possible. Similarly, many skilled nursing facilities are incentivized to extend the posthospitalization period of care and to transition the patient to custodial nursing home care. The resulting overuse of institution-based skilled nursing care may be associated with various adverse medical, social, and financial consequences. Care management interventions for more efficient and effective skilled nursing facility use must consider the determinants involved in the decisions to admit and maintain patients in skilled nursing facilities. As we await health care reform efforts that will address these barriers, opportunities already exist for care managers to improve the current postacute transition processes.

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