One of the most serious problems for these individuals is infections which increase both morbidity and mortality. Antibiotics account for 40 percent of systemic prescriptions used in long term care facilities. Unfortunately, due to inappropriate use of antibiotics, many frail elderly individuals are at risk for antibiotic-resistant infections. Risk factors for infections include malnutrition, polypharmacy, reduced cognitive function, and the use of invasive devices such as indwelling bladder catheters and intravenous lines. In addition, immunity decreases as part of the aging process.
Infections arise when an infected individual is transferred from the hospital.
The overuse of antibiotics can encourage the rise of antibiotic-resistant bacteria by mutations. The communal living arrangements facilitate transfer of these strains. Prevention should include aggressive screening, education, antibiotic-control practices, and immunization. Nursing Implications with Nursing Home Residents. Spirituality includes the principles that an individual develops throughout their lifetime that guide their view of the world and influence their interpretation of hope, morals, faith, love, and trust.