Abstract
An interdisciplinary team-based approach in nursing homes has been suggested in the literature as a strategy for delaying functional decline in residents. Function-focused care is a philosophy-based approach in which interdisciplinary practitioners assess functional capacity and help older adults to optimize and maintain their remaining abilities. This study explored and described the shared subjective frames of interdisciplinary practitioners as regards function-focused care for nursing home residents. Q-methodology was used to analyze the subjectivity of each factor of function-focused care for nursing home residents. Data were collected from August to September 2016. Thirty-four Q-statements were selected and scored by the 30 interdisciplinary practitioners on a 9-point scale with a normal distribution. Data were analyzed using the PQ Method 2.33 program. The results revealed four factors of function-focused care, including (a) using a wait-and-see approach to encourage self-care, (b) maintaining interactive communications to identify and respond to changes, (c) reinforcing residents' inner and outer strengths for homeostasis, and (d) using a tailored approach based on comparisons between the past and the present. Shared subjectivity may provide an important collaborative framework to identify and solve complex problems related to the functional needs of nursing home residents. The results of this study elucidate the subjectivities of interdisciplinary practitioners and better enable their provision of effective care in support of the remaining functional abilities of older adults living in nursing homes. The findings may be used as a reference to establish communication methods and shared documentation for interdisciplinary practitioners in nursing homes and construct interdisciplinary function-focused care practice guidelines.
Highlights
Expenditures for Long-Term Services and Supports for Elderly People, 2011 Functional and Cognitive Limitations Among Elderly People Living in the Community
To explore the potential implications of the growing elderly population, Congressional Budget Office (CBO) developed three alternative scenarios regarding the future prevalence of functional limitations among the elderly, holding constant other factors affecting those expenditures, such as growth in prices for long-term services and supports (LTSS), changes in family structure that could affect the provision of informal care, and changes in how services and supports are delivered
In addition to drawing on informal care donated by family and friends, elderly people with functional limitations rely heavily on Medicare and Medicaid to help finance their use of long-term services and supports
Summary
Financing Long-Term Services and Supports for an Aging Population in the United States. 3. Estimated Economic Value of Formal and Informal Long-Term Services and Supports for Elderly People in the United States, 2011. Functional and Cognitive Limitations Among Elderly People Living in the Community. 5. Functional Limitations Among Elderly People Living in the Community, 2000 to 2010. 6. Functional Limitations Among Elderly People Living in the Community, by Educational Attainment, 2000 to 2010. 7. Functional Limitations Among Elderly People Living in the Community, by Race and Ethnicity, 2000 to 2010. 8. Functional and Cognitive Limitations Among Elderly People Living in the Community, by Age, 2000 to 2010. 9. Probability of Receiving Assistance, by Functional and Cognitive Limitations, Among Elderly People. Average Caregiver Hours per Day for Elderly People Living in the Community Who Are Receiving Any Care, by
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