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“They enrolled patients with long-term incurable diseases such as Alzheimers and dementia as well as patients with limited mental capacity who lived at group homes, nursinghomes and in housing projects.” All told, Merida personnel submitted 47,000 claims for more than 9,000 patients, totalling $152 million.
The positive outcomes of palliative care are well-documented, but it is true that person-centered, high-quality palliative care is a resource-intensive service. This is particularly true in community settings (patient homes, nursinghomes, clinics) and in telehealth palliative care models, where we see an enormous amount of innovation.
The example I give is, if you’ve ever walked into a nursinghome, or where there’s an activity happening for a group of people with dementia, that is a little depressing to me. A lot of times family members or staff in nursinghomes say that, “I’m burnt out, so I don’t have the energy.”
Many long-term care residents live in Missouri nursinghomes for years. In certain cases, nursinghomes may discharge or transfer a resident even if the resident does not consent to the discharge or transfer – this is known as an “involuntary discharge” or an “involuntary transfer.” 19 CSR 30-82.050(2)(A)-(F).
This includes sterilizing equipment, understanding and assisting with surgical procedures, managing fellow nurses/staff, and conducting post-operative administrative duties. Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursinghome.
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