Prevention of Functional Decline by Reframing the Role of Nursing Homes?

Mario Barbagallo, Cari Levy, Bruno Vellas, Philipe De Souto Barreto, Leocadio Rodriguez Manas, Alain Franco, Clarisse Laffon De Mazières, Alan Sinclair, Fabien Agenes, Jaime Fitten, Fabien Agenes, Lorenzo Maria Donini, Debra Saliba, Kaisu Pitkälä, Joseph Ouslander, Matteo Cesari, Graziano Onder, Yves Rolland, Mikel Izquierdo, Rosalie A. KaneJohn E. Morley, Finbarr C. Martin

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of these challenges: how to prevent or slow functional decline and disabilities for NH residents and how NHs may promote the prevention of functional decline in community-dwelling frail elderly. The present article reports the main results of the Task Force discussions to generate a new paradigm.
Original languageEnglish
Pages (from-to)105-110
Number of pages6
JournalJournal of the American Medical Directors Association
Volume18
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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    Barbagallo, M., Levy, C., Vellas, B., De Souto Barreto, P., Manas, L. R., Franco, A., Laffon De Mazières, C., Sinclair, A., Agenes, F., Fitten, J., Agenes, F., Donini, L. M., Saliba, D., Pitkälä, K., Ouslander, J., Cesari, M., Onder, G., Rolland, Y., Izquierdo, M., ... Martin, F. C. (2017). Prevention of Functional Decline by Reframing the Role of Nursing Homes? Journal of the American Medical Directors Association, 18, 105-110.