nursing homes and assisted living

Topics: Geriatrics, Nursing home, Activities of daily living Pages: 6 (1833 words) Published: May 31, 2014
Nursing homes and assisted living
Introduction
Nursing homes, skilled nursing facilities, care homes, convalescent or rest homes deliver residential care in a place of residence for persons who need constant nursing care because of difficulties to carry out normal daily activities. Such residents consist of the elderly and young adults with mental and physical disabilities, occupational, rehabilitative and other physical therapies after an illness or accidents (Simon and Genner, 45). Other nursing homes help in assisting people with chronic medical illnesses such as Alzheimer patients.it was first put to practice before the industrial revolution where elderly care was handled by families who could no longer manage it (Simon and Genner, 46). Parish poor relief and charitable institutions took over. On the other hand, assisted living facilities are housing residences for persons with incapacities. These facilities offer assistance and supervision with daily living activities, coordination of services and monitoring of resident activities to guarantee safety, wellbeing and health. Assisted living came into existence in early 90’s as eldercare substitute for the people. It is living a philosophy of care to both the elderly and those incapacitated.

The first government to offer basic care for the infirm and the elderly took place with the start of industrial era with the introduction of the new poor law of 1834 (Simon and Genner, 46). Introduction of new technology replaced agricultural workers and led to rise of factories in towns. This meant that the existing system of poor relief was proving to be unmaintainable and this led to formation of workhouses for those who were not employed. Even though conditions of the workhouses were harsh is areas such as provision of education for children and Medicare, inmates were advantaged over other citizens not registered to the programme. (Simon and Genner, 48). By late 1840’s almost all workhouses I the larger provincial towns outside London only housed the sick and the elderly who were incapable of taking care of themselves and carrying out their daily activities. This emphasis soon changed the role of workhouses from receptacle of helpless poor to taking care of the sick and elderly (Simon and Genner, 48). Introduction of pensions in 1908 for those age over 70 years did not reduce number of elderly housed in workhouses but helped in reducing the number of outdoor relief by 25 per cent. Following the amendment of the local government act of 1929, royal commission of 1905 recommended that specialized bodies for every category of poor person should be established form where they could be attended to appropriately by properly trained staff. The local government act of 1929 also gave local authorities the power to take over workhouses as elderly care homes and hospitals. It was not until the national assistance act of 1948 took over the workhouses that quality of nursing care improved steadily with introduction of single room, en-suite lavatories and central heating (national assistance act, 234). Significant shift from public sector provision of elderly care to private sector homes occurred in early 1980s with the number of private facilities increasing to 85% by the end of the century from 18% (national assistance act, 234). Meanwhile I the united states, national social insurance programme Medicare was being established in 1965 by the federal government, its establishment helped in ensuring access to healthcare insurance for 65 and older citizens. The programme ensured continual establishment of new nursing homes in the following years after. Nursing homes are required to have adequate staff for efficient service provision for inmates, having at least one licensed practical nurse on duty24 hours per day and at least one registered nurse for at least 8 hours a day for 7 days a week (robin and smith, 198).

Nursing homes and assisted living facilities range in size from residential...
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