Alzheimer’s Disease And Nursing Homes
Open accessAbstract
Close to two-thirds of all US nursing home residents have some type of cognitive impairment such as Alzheimer's disease, and the quality of care and quality of life of these people has long been called into question. In this overview we first clarify the ongoing importance of nursing home care for people with Alzheimer's, even as policy makers "rebalance" long-term supports and services with home and community-based programs. We next identify the components of optimal care for people with Alzheimer's in nursing homes, and we highlight care innovations already in use. Finally, we summarize policy-relevant challenges to implementing best practices and innovations and explore potential policy solutions. Federal and state policy makers have a critical role to play in ensuring that nursing home residents with Alzheimer's disease have access to the appropriate, high-quality care that they and their families expect.
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Hospital-to-SNF transitions are especially common among patients with dementia, since many already lived in a SNF and dementia raises the likelihood of discharge to a SNF compared with cognitively intact patients.
“For patients with dementia, transitions into a Skilled Nursing Facility (SNF) after hospitalization are particularly common given many are residing in a SNF prior to hospitalization (more than half of SNF patients have dementia) and compared to cognitively unimpaired persons, patients with dementia are more likely to be discharged to a SNF following hospitalization.3, 4”
From Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies during Hospital to Skilled Nursing Facility Transitions (2021) · cites this paper as [4]
The Abstract (page unavailable) reports that 64% of Medicare beneficiaries living in nursing homes have Alzheimer’s disease or a related dementia, supporting the ‘more than half’ point for that population. It does not establish that many hospitalized patients with dementia lived in a SNF before admission or that they are more likely than cognitively unimpaired patients to be discharged to one. (LLM, conf=0.86)
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“For patients with dementia, transitions into a skilled nursing facility (SNF) after hospitalization are particularly common given many are residing in a SNF prior to hospitalization (more than half of SNF patients have dementia) and compared to cognitively unimpaired persons, patients with dementia are more likely to…”
BackgroundInfluential
- Authors
- Gaugler, J. E., Yu, F., Davila, H. W., & Shippee, T.
- Affiliations
- University of Minnesota (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-04
- Volume
- 33
- Issue
- 4
- Pages
- 650-657
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC5767317
- OpenAlex
- W2083266775
- Cited by
- 110
- References
- 38
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 12 · 2023: 17 · 2022: 14 · 2021: 18 · 2020: 16 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 3
- FWCI
- 7.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Research Resources (KL2RR033182)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- Alzheimer's disease, nursing homes, long-term care, cognitive impairment, quality of care, quality of life, home and community-based services, long-term care policy, care innovation, federal and state policy, best practice implementation
- MeSH terms
- Aged, Alzheimer Disease, Health Policy, Humans, Nursing Homes, Quality of Health Care, United States, Organizational Culture, Practice Guidelines as Topic
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