Geriatric Residential Care
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The greater the number of predisposing factors, the greater the risk. Most research has focused on predisposing factors—diseases, previous falls, disorders of gait and balance, impaired neuromuscular function, and poor vision are rather well-known risk factors.
In geriatric medicine textbooks, falls have commonly been regarded as a symptom of disease, 13 but the evidence for this is supported by few studies. Few studies have focused on precipitating factors for falls. This prospective cohort study aimed at identifying precipitating factors for falls among older people living in residential care facilities by analyzing the circumstances—related to the individual and to the environment—prevailing at the time of the fall.
Why the elderly fall in residential care facilities, and suggested remedies
The design of this study was a prospective cohort study with baseline assessments, a prospective follow-up for falls, post-fall assessments, and post-fall conferences. Residential care facilities in Sweden accommodate older people who are disabled because of cognitive or physical impairment and thus require supervision, functional support, or nursing care. Skip to main content. Original Research. Why the elderly fall in residential care facilities, and suggested remedies.
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Design: Prospective cohort study. Setting: Five residential care facilities. Next Article: What is the best hypnotic for use in the elderly? Menu Menu Presented by Register or Login. Children may be removed from abusive or unfit homes by government action, or they may be placed in various types of out-of-home care by parents who are unable to care for them or their special needs.
In most jurisdictions the child is removed from the home only as a last resort, for their own safety and well-being or the safety or others, since out-of-home care is regarded as very disruptive to the child. They are moved to a place called a foster home. A residential school is a school in which children generally stay 24 hours per day, 7 days per week often called a boarding school.
There is divided opinion about whether this type of schooling is beneficial for children. A case for residential special schooling has been advanced in the article: Residential special schooling: the inclusive option! This type of out-of-home care is for orphans , or for children whose parents cannot or will not look after them. Orphaned, abandoned or high risk young people may live in small self-contained units established as home environments, for example within residential child care communities.
Young people in this care are, if removed from home involuntarily, subject to government departmental evaluations that include progressions within health, education, social presentations, family networks and others. Recent trends have favored placement of children in foster care rather than residential settings, partially for financial reasons, but a survey found that a majority of out-of-home children surveyed preferred residential or group homes over foster care.
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Children may be placed or taken into care because they have a mental, developmental, or physical disability, often referred to as " special needs. Conditions and disabilities such as Autism , Down syndrome , epilepsy and cerebral palsy to name a few may require that children receive residential professional care. Specialized residential can be provided for children with conditions such as anorexia , bulimia , schizophrenia , addiction , or children who are practicing self-harm.
Children, including children with special needs, may be cared for in a licensed foster care home. Special training or special facilities may be required to foster a child who is medically fragile - for example, a child who has a serious medical condition or is dependent on medical technology such as oxygen support. Adults may be placed in Adult Residential Facilities because of a disability, often a mental disability such as Down syndrome or Autism , which makes them unable to care for their daily needs.
Long-Term Care | International Psychogeriatric Association
Various forms of long-term residential care are available for elderly people. A person or couple who are able to take care of their daily needs may choose to live in a retirement apartment complex " independent living " where they function autonomously. They may choose to fix their own meals or have meals provided, or some combination of both.
Many residential facilities are designed for elderly people who do not need hour nursing care but are unable to live independently. Such facilities may be described as assisted living facilities, board and care homes, or rest homes. They typically provide a furnished or unfurnished room, together with all meals and housekeeping and laundry service. Depending on the needs of the resident they also provide assistance with daily activities such as personal hygiene, dressing, eating, and walking. They are not considered to be medical facilities, but they do have to meet state standards for care and safety.
Nursing homes , also known as rest homes or skilled nursing facilities, are intended for people who need ongoing medical care as well as help with daily activities.
Nursing home populations have been decreasing in the United States, despite the increase in the elderly population, because of the increasing availability of other options such as assisted living. Continuing care retirement communities provide several types of care - typically independent living, assisted living, and skilled nursing - in one location, with the resident being able to move from one level of to another as their needs dictate.
Hospices provide a form of medical care for people with a terminal illness or condition, for example, cancer. It is generally used when a person is very close to death.