THE INSTITUTIONAL IMPACT AND APPROPRIATENESS OF AIDS NURSING HOME CARE (IMMUNE DEFICIENCY).
Contributors: University of Pennsylvania.
Published: 1992
Number of pages: 373
Subjects: Health Sciences, Health Care Management.; Urban and Regional Planning.; Health Sciences, Nursing.
Description: Fearful of negative institutional impact and concerned that AIDS care is out of their purview, most American nursing homes deny admission to applicants with AIDS. Little is known about what actually does occur at the few homes that provide AIDS care: do they meet the needs of HIV-infected residents and are they able to maintain and enhance institutional operation? Designed to explore the impact of AIDS on nursing homes, this study presents detailed data from five facilities focusing on the appropriateness of the care setting from the viewpoints of the facility and the AIDS patients and the impact on staff. Data sources are staff and resident interviews, staff surveys, observation and facility and resident records. Trends within and between facilities are described to determine what nursing homes can realistically expect in terms of the range of opportunities and problems associated with AIDS service provision. The industry's most frequently feared outcomes did not occur. On the contrary, AIDS care provision was a generally satisfying venture for the participating homes. Staff found AIDS work emotionally and professionally fulfilling and residents were helped by services provided in diverse settings. Innovative practices which enhanced AIDS long term care provision at the study sites are identified. As more nursing homes share their AIDS service experiences, the long term care industry will be better prepared to add AIDS care to its repertoire of community service.
Notes: Source: Dissertation Abstracts International, Volume: 53-11, Section: B, page: 5628.

Thesis (PH.D.)--UNIVERSITY OF PENNSYLVANIA, 1992.

School code: 0175.