Nuring Home Issues

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.longtermcarewiz .com br 3 match (internet from 04 /22 /03 (4-22-03 ) http /www .yamanoi .net /ronbun /5_2 .htm br 3 match (internet http /www .netce .com Nursing Home Issues User [Pick the date] Introduction Healthcare in the West has also been changing over the past few decades . As more people survive serious disease and live longer families are being expected to shoulder more of the burden of care Patients have shorter hospital stays , but they leave quicker and sicker . It is ironic that , as medical technology improves , there are more ill people in the community being care for by their families However , as the proportion of older and ill people in the community continues to increase , there are growing numbers of people living on their own , and less traditional family stability or an extended family structure to support people being cared for at home . Consequently there is greater reliance on nursing homes and other forms of institutional care (Brennan , 2004 . Nursing homes provide care for longer periods under more home-like conditions . In Sweden , three general types of nursing homes gave developed . Central nursing homes are usually to a geriatric department and function essentially as an annex . These seem to be diminishing in importance . Local nursing homes are usually independent of hospitals and come under the organizational auspices of the primary care system with the district physician usually having referral authority . At present the number of beds in such local nursing homes is being increased . Finally , 4 of all beds in long-term care are to be found in private nursing homes (Lesemann Martin , 1993 . Although many people identify long-term care with nursing homes , the predominant provider of long term care in the United States is the family . The elderly express strong preferences for remaining in their own homes as long as possible and for being cared for by relatives . Only about 21 percent of the disabled elderly were in nursing homes in 1985 . The rest were in the community , mostly in their own homes . Those with more severe disabilities were more likely to in institutions , but even among the severely disabled considerably less than half were in nursing homes (Harris , 2002 Rivlin Wiener , 1988 . Issues in the Nursing Home Age . Much of the pain literature has called attention to the problem of inadequate pain assessment and management in the elderly in a palliative care setting . Elderly patients suffer disproportionately from chronic painful conditions and have multiple diagnoses with complex problems and accompanying pain . Elders have physical , social and psychological needs distinct from those of younger and middle-aged adults , and they present particular challenges for the pain assessment and management . Pain...