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RESEARCH PRODUCT
Prevention of Functional Decline by Reframing the Role of Nursing Homes?
Joseph G. OuslanderMikel IzquierdoPhilipe De Souto BarretoPhilipe De Souto BarretoBruno VellasBruno VellasClarisse Laffon De MazièresClarisse Laffon De MazièresMario BarbagalloFinbarr C. MartinJohn E. MorleyLeocadio Rodríguez MañasGraziano OnderDebra SalibaLorenzo M. DoniniYves RollandYves RollandA. FrancoRosalie A. KaneCari LevyKaisu H. PitkäläMatteo CesariMatteo CesariAlan J. SinclairFabien AgenesJaime Fittensubject
United StateGerontologymedicine.medical_specialtyActivities of daily livingInstitutionalisationFrail ElderlyCalidad de vidaGerontologíafrailty03 medical and health sciencesMedicina preventiva0302 clinical medicineQuality of life (healthcare)preventionNursingIntervention (counseling)Activities of Daily LivingHumansMedicineCognitive Dysfunction030212 general & internal medicineNursing (all)2901 Nursing (miscellaneous)General NursingHealth policyAgedGeriatricsNursing homebusiness.industryMedicine (all)Health PolicyCognitionGeneral MedicineCognitive reframingUnited StatesNursing Homes3. Good healthGeriatríafunctional declinefrailty; functional decline; Nursing home; prevention; Nursing (all)2901 Nursing (miscellaneous); Medicine (all); Health PolicyGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryHumandescription
Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of these challenges: how to prevent or slow functional decline and disabilities for NH residents and how NHs may promote the prevention of functional decline in community-dwelling frail elderly. The present article reports the main results of the Task Force discussions to generate a new paradigm. Sin financiación 5.325 JCR (2017) Q1, 4/53 Geriatrics & Gerontology UEM
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-01-01 | Journal of the American Medical Directors Association |