Kevan H. Namazi, & Paul K. Chafetz (Eds.). Assisted living: Current issues in facility management and resident care. Westport, CT: Auburn House, 2001.

Author(s):  
Miriam Rose

RÉSUMÉBien que l'objectif avoué de ce livre consiste à aborder les questions administratives et cliniques reliées à l'exploitation de résidences-services pour aînés, plusieurs parties pourraient également s'appliquer à des centres de soins. Le livre aborde en profondeur les caractéristiques des résidants, l'exploitation des installations et les stratégies de gestion reliées au logement avec assistance. Il traite aussi des questions reliées aux tendances de l'industrie et notamment à la promotion de l'assistance en remplacement des centres de soins, au vieillissement chez soi, à la possibilité d'une réglementation gouvernementale plus serrée dans les cas où les résidants deviennent moins alertes et sur la comparaison entre les soins fournis dans les résidences-services et dans les centres de soins. Le livre s'attarde peu cependant à des questions propres au logement avec assistance et aurait gagné à présenter une synthèse globale des divers points de vue philosophiques sous-jacents aux approches proposées par les auteurs, surtout en ce qui a trait aux occasions de favoriser le vieillissement chez soi.

2016 ◽  
Vol 49 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Kihye Han ◽  
Alison M. Trinkoff ◽  
Carla L. Storr ◽  
Nancy Lerner ◽  
Bo Kyum Yang

2020 ◽  
Author(s):  
S. Sawarkar ◽  
A. Victor ◽  
M. Viotti ◽  
S. Haran ◽  
S. Verma ◽  
...  

ProblemHow do we manage treatment and stabilization in clinical settings and static population communities like assisted living facility settings of their patient or resident populations during and post the SARS-CoV-2 pandemic?ScopeThis proposal explores the possible and predicted changes to standard operating procedures to the facility management and associated landscape and focuses on series of deployments, during and post peak SARS-CoV-2 activity, and will outline possible models for the current medical facility model that we operate with. This article primarily focuses on non-emergency facility management.Assumptions and understanding of the fieldWith a reduction in the numbers nationally, patients are highly motivated and likely to seek non-emergency and planned medical procedural treatment as early as possible as social distancing measures are eased and restrictions on non-urgent procedures are lifted.Conclusions and next stepsAn initial pan-national shutdown and suspension of services was necessary in an effort to ensure that essential medical services and resources were not strained. The authors feel that a strategic resumption of regular non-emergency treatments around the United States and continued provision of services at care facilities is possible with innovative testing strategies like pooled screening of large populations at a manageable price point. Moreover, pooling as a strategy when used widely, would be extremely effective at predicting outbreaks of the virus and as an effect help in mitigating the spread of the virus in its “second-wave”. We have developed one such innovative pooling strategy that can be easily deployed across laboratories and reduce the cost of population wide COVID-19 testing significantly


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 86-86
Author(s):  
Hari Sharma

Abstract Despite numerous anecdotal reports of poor quality and residential safety concerns in Assisted Living Facilities (ALFs), there is limited federal oversight of ALFs. Usually, state surveyors conduct inspections of ALFs for compliance with regulations and issue deficiency citations and/or fine non-compliant facilities. Florida is one of the few states that publicly releases inspections data. The aim of this study is to fill the gap in our understanding of ALF quality by examining the trends in deficiency citations in Florida. We obtain data on 1,047 ALFs with 25 or more beds operating in Florida between 2012-2018. We use descriptive methods to examine the trends in citations over time and further stratify by profit status. We also evaluate whether facilities get cited for the same deficiencies repeatedly. Every year, approximately, one third of the facilities were free of any deficiency citations. From 2012 to 2018, fewer facilities were cited for resident care and medication but more facilities were cited for training and staffing. Approximately 45.8% of not-for-profit and 35.1% of for-profit facilities were free of deficiency citations in 2018. A majority of facilities cited for a given deficiency were cited at least once again for that deficiency within the study period. Florida ALFs appear to be improving only in some deficiencies but getting worse in some other deficiencies. Furthermore, repeat citations are common suggesting that facilities fail to improve their care/service patterns to avoid repeat citations. More stringent regulations and stricter enforcements may deter facilities from repeat citations.


2011 ◽  
Vol 16 (1) ◽  
pp. 22-29
Author(s):  
Lisa Y. Milliken ◽  
Dawn Ralph ◽  
Sally Jones-McNamara

Clinicians work with older residents who have not only multiple physical limitations, but cognitive loss, communication deficits, dysphagia, and multiple medical diagnoses. They must work within procedural, regulatory, and reimbursement systems that challenge them to provide optimal resident care. In this article, the authors will discuss some specific challenges brought forth by clinicians in response to a clinical scenario and will provide information and feedback from several health-care consultants.


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