|
|
Be able to clarify and make operative the patient’s, family’s, or guardian’s
wishes for aggressive care. |
|
Be able to coordinate care across settings (acute care hospital, nursing
home, home). |
|
Be able to describe the financing of long-term care. |
|
Be able to manage clinical conditions that are prevalent in nursing home
patients, including infections, dementia and its behavioral disturbances,
depression, urinary incontinence, falls, immobility, movement disorders,
pressure sores and polypharmacy. |
|
Be able to recognize the “ability behind the disability” which exists in
most nursing home patients. Understand the modalities and strategies used to
protect and optimize the remaining functional status. |
|
Be practiced in the telephone management of patient-care problems in the
nursing home. |
|
Know how the goals of medical care may differ in nursing home patients. |
|
Know how to administer hospice care to nursing home residents. |
|
Know how to function as part of an interdisciplinary team. |
|
Know physician obligations in the care of nursing home patients, including
frequency of visits and types of evaluation and documentation required. |
|
Know regulations that apply to nursing home care (for example, use of
physical restraints and psychotropic medications). |
|
Know the levels of care that are considered appropriate for various types of
facilities. |
|
Know the principles of rehabilitation in the nursing home and the concept of
excess disability. |
|
Know the role of protocols in nursing home quality management. |
|
Know the special characteristics of history taking and physical examination
in frail, disabled, elderly people. |
|
Know the standardized instruments for assessing physical function,
cognition, affect, and gait. |
