Mobility Decline Prevention
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Modules - Mobility Decline Prevention
AT THE VERY LEAST, PREVENT DECLINE
These days no one is expecting miracles from your facility. Those of us who work in long-term care have come to realize that the functional abilities of long-stay nursing home residents have worsened in recent years as housing options for more independent seniors have expanded. With today's very frail nursing home population, the first goal is not so much to improve ADL function (though that would be great) as it is to prevent its decline.
Even the folks at CMS seem to recognize this new reality. Its quality measure doesn't bother to look at long-stay residents who have improved their ADL function, just those who have gone downhill. In a statement to consumers, CMS notes: "Regardless of how much effort a nursing home program puts into improving function in their population of frail elderly residents, some residents will inevitably experience a loss in function over time. This is especially true of very sick or very frail residents…" And, we might add, that's most of them.
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