Extended Care Services and Facilities for the Aging: Hearing Before the Special Subcommittee on Aging...91-2, on May 18, 1970

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Page 113 - ... including one or more physicians and one or more registered professional nurses, to govern the skilled nursing care and related medical or other services it provides; "(3) has a physician, a registered professional nurse, or a medical staff responsible for the execution of such policies;
Page 113 - ... (D) in the case of post-hospital extended care services, such services are or were required to be given on an inpatient basis because the individual needs or needed skilled nursing care on a continuing basis...
Page 113 - ... (1) is primarily engaged in providing to inpatients (A) skilled nursing care and related services for patients who require medical or nursing care, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons...
Page 47 - ... in bathing, dressing, feeding, preparation of special diets, and supervision over medications which can usually be self-administered and which does not entail or require the continuing attention of trained medical or paramedical personnel. The essential...
Page 97 - ... Social Security Administration and the fiscal intermediary (2) have taken us further into the woods of confusion and chaos regarding medical and nursing management of the chronically ill aged, in a further attempt to define covered care in the extended care facility: "The overall goal of extended care is to provide an alternative to hospital care for patients who still require general medical management and skilled nursing care on a continuing basis, but do not require the constant availability...
Page 47 - ... his activities of daily living — ie , services which constitute personal care such as help in walking and getting in or out of bed, assistance in bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision over...
Page 78 - The type of care designed essentially to assist the individual in meeting his activities of daily living, ie, services which constitute personal care such as help in walking and getting in or out of bed, assistance in bathing, dressing, feeding, preparation of special diets, and supervision over medication which can usually be self-administered and which does not entail or require the continuing attention of trained medical or paramedical personnel.
Page 97 - The importance of a particular service to an individual patient does not necessarily make it a skilled service. For example, a primary need of a nonambulatory patient may be frequent changes of position in order to avoid development of decubiti.
Page 49 - ... DEFINITION Examples of the type of patient care which would be considered as custodial care would be the care given a "stroke" patient who is ambulatory, has no bladder or bowel involvement, has no serious associated or secondary illnesses and does not require skilled medical or paramedical care but rather requires only the assistance of an aide in feeding, dressing, and bathing; the cardiac patient who is stable and compensated and has a reasonable cardiac reserve and no associated illnesses,...
Page 93 - Is based on the technical or professional training required to effectivley perform or supervise the service. For example, a patient, following instructions, can normally take a daily vitamin pill. Consequently, the act of giving the vitamin pill to the patient because he is too senile to take it himself would not be a skilled service. Similarly, State law may require that all institutional patients receive medication only from a licensed nurse. This fact would not make adminIstration of a medication...

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