Nursing Homes

Forced to Choose: Exploring Other Options

Ruby Washington/The New York Times I wrote last week about the poor choices facing patients, most very old and within six months of death, who need nursing home care after a hospitalization. Medicare will pay for hospice, the acknowledged gold standard for those at the end of life and their families, and it will also(…)

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Forced to Choose: Nursing Home vs. Hospice

An older person, someone who will die within six months, leaves a hospital. Where does she go? Almost a third of the time, according to a recent study from the University of California, San Francisco, records show she takes advantage of Medicare’s skilled-nursing facility benefit and enters a nursing home. But is that the best(…)

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How to Bypass the Revolving Door

Last week, I wrote about older people in nursing homes who are transferred to hospitals when their health takes a turn for the worse, even if they don’t want aggressive medical interventions. And you responded with dozens of stories about relatives who had had these experiences. In fact, researchers who have studied the revolving door(…)

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A Revolving Door to Avoid

Two weeks ago, Dr. Arif Nazir got a call from a colleague about a 79-year-old woman at an Indianapolis hospital. The cardiologist on the phone explained there was nothing more that could be done for this patient, who had advanced heart failure, chronic lung disease and diabetes. After a brief conversation, Dr. Nazir agreed to(…)

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Shopping for a Nursing Home? There’s a Tool for That

In July, the Centers for Medicare and Medicaid Services, which surveys and certifies the nation’s roughly 15,000 nursing homes, finally took a step that reformers had been urging for years: It put online the full text of the reports that nursing home inspectors file for each facility. Until now, consumers could obtain a raft of(…)

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The Dirty Little Secret of Nursing Homes

This sounds like common sense: If you work in a nursing home, you wash your hands when you start your shift and again before you leave. You wash your hands (or, in some cases, use an alcohol-based antimicrobial) before and after any direct contact with residents. Before you help someone with tooth-brushing, bathing, eating or(…)

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For Veterans, an Alternative to the Nursing Home

Alyson MartinWesley Ottis Furr, 95, left, and Booker Lovett, 79, share a room in a medical foster home in Pennsylvania. Paulia and Bienne Bastia set two dinner tables in their house in Mount Airy, Pa., each night, one for their three children, and another for themselves and the two older men the children call “Grampa.”(…)

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