Abstract
DESCRIPTION OF PROBLEM SITUATION: Although the elderly have many physical, mental, and psychosocial needs, nursing homes are still a new emergent concept in Jordan. Moreover, the elderly who have access to nursing homes, are often not admitted, based on specific criteria, nor have access to governmental funds. The elderly that are admitted to nursing homes are admitted for a myriad of reasons, such as families’ desires, referrals from the ministry of social welfare due to socioeconomic issues, health issues (i.e. disability), and absence of caregivers (Al-Qudah, 2011). What is lacking in Jordan, is a well-defined admission and screening tool that clearly defines eligibility for nursing home admission
 
 POLICY ALTERNATIVE: The policy alternative is leaving Jordanian elderly with special needs in their homes without receiving appropriate care predisposing the elderly to a higher risk of health complications. North Carolina has been chosen as an example of a state that implements a screening tool for admission. 
 
 RECOMMENDATIONS: The Ministry of Social Development might tailor the NC Medicaid forms (Level I and Katz and MoCA, and Level II of the NC Medicaid screening tool) as an admission screening policy that could be successful in identifying the eligible older adults to admit to nursing homes and receive designated aids from the Jordanian governmental organizations.
Highlights
Background and Description of the ProblemMerriam-Webster dictionary (2015) defines a nursing home as “a place where people who are old or who are unable to take care of themselves can live and be taken care of” (Para 1)
The elderly that are admitted to nursing homes are admitted for a myriad of reasons, such as families’ desires, referrals from the ministry of social welfare due to socioeconomic issues, health issues, and absence of caregivers (Al-Qudah, 2011)
A report issued by the Investigation and Evaluation Committee of the Social Welfare Sector (IECSWS) in 2012 found that the number of nursing home residents in 10 nursing homes visited by the committee was 343, including 44 female residents
Summary
Merriam-Webster dictionary (2015) defines a nursing home as “a place where people who are old or who are unable to take care of themselves can live and be taken care of” (Para 1). A doctoral dissertation entitled A Jordanian nursing home: An ethnographic study (Hweidi, 1999) found that admission to a nursing home was based on the decision of an admittance committee This goes alongside with what the MOSD decides if an elderly is eligible for admission. Eligible elderly people are those who have physiological or cognitive impairments and do not have any infectious or mental diseases (Al-Qudah, 2011) Those eligible nursing home residents should be admitted through a well-defined admission policy implemented by the MOSD and the MOH in Jordan, which does not exist. This policy contributes inevitably to steer the allocated health resources from the MOSD to the eligible nursing home residents and save the nursing homes’ expenses through by admitting ineligible residents
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