The authors argue that this system is fairer because reimbursement would more accurately reflect actual costs incurred by providers. Quality assurance surveillance would help promote the goals of quality care. Kane , Rosalie, et al. One out of five elderly Americans will spend some time in a nursing facility. The nursing facility resident will experience a life very different from the one they were living before.
Routines are more scheduled.
Flexibility may be limited by regulatory concerns. It is difficult for residents to maintain a sense of personal identity. It is important for staff and health professionals to recognize that a sense of loss of identity and socialization can contribute to mental, psychosocial, and functional decline. The authors of this study are seeking to gain a perspective on daily life in facilities from cognitively intact residents, licensed practical nurses, and nursing assistants. Interviews were conducted with a representative sample of residents and paraprofessional staff in 45 nursing facilities in five communities.