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Chapter 51 - Institutional Post-Acute and Long-Term Care Medicine

from Section IV - Principles of Care for the Elderly

Published online by Cambridge University Press:  30 June 2022

By
Rebecca Elon  and
Fatima Sheikh
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

This chapter takes an historical perspective in describing and analyzing the first 6 months of the COVID-19 pandemic in nursing facilities in the United States. Optimal institutional infection control practices in nursing facilities in the pre-COVID-19 era are described, as are many of the challenges faced by nursing facilities in response to the COVID-19 pandemic. The role of the nursing facility medical director is described within the historical context. The structure and content of medical care within the post-acute and long-term care institutional setting are presented. Resources are presented to assist clinicians practicing in nursing facilities.

Keywords

nursing homesinfection controlCOVID-19post-acute carelong-term caremedical care in nursing homesmedical directorshistory of medical care in nursing homes
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 631 - 640
Publisher: Cambridge University Press
Print publication year: 2022

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