Small house-style nursing homes get h...

Small house-style nursing homes get high marks

There are 2 comments on the Reuters story from Jul 4, 2007, titled Small house-style nursing homes get high marks. In it, Reuters reports that:

NEW YORK - Residents of small nursing homes appear better satisfied and report a better quality of life than do residents of traditional large nursing homes, research suggests.Most noteworthy ...

Join the discussion below, or Read more at Reuters.

Margaret Campbell MD CMD

Waxhaw, NC

#1 Jul 5, 2007
I look forward to a day when standard nursing home design evolves into something much more like a normal home design. Changes are long overdue.
As others decide to embrace this design direction, The people who live in these facilities are people first. But they are special people also. They are the most special because they are also PATIENTS. Patients are people in need of medical care. The term has fallen out of favor as the social model for care has ruled for the last 2 decades. I've seen my patients referred to as residents and consumers even. But they are my patients and they are the nurses patients! My patients need to live in a home-like environment but they need doctors and nurses because they still are patients.

You can focus on the social needs (and you must) but these special people still need care beyond what they can get in real homes. So they need examinations in private settings, labdraws, meds, med changes, conferences with family involvement,
extensive chart review by doctors and/or nurse practitioners or physician assistants, pharmacy consults, dietary consults, podiatry visits, psychiatry evaluations when needed, etc. Doctors do not generally come in and go out in fifteen minutes any longer. Hours and hours are spent examining patients, talking with staff, and pouring over the chart, the medication record, the weight book, the communication book (a book of notes to the doctor), etc. We need a place to conduct this kind of important work!

The best care will be given in environment where there has been an acceptance of the dual needs of long term care residents/patients:they need a place to live that is simultaneously fully medical and fully home-like! Don't ignore the medical.

“Salaam, Shalom, Pax, Peace”

Since: Dec 07


#2 Feb 7, 2008
Agreed. Thank you for your comments.

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