Manual of Nursing Home Practice for Psychiatrists 1st Edition by James Greene 0890422834 9780890422830

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Product details:

ISBN 10: 0890422834

ISBN 13: 0890422834

Author: James A. Greene

 

The shifting demographic toward a “graying” population — coupled with today’s reality of managed care — makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years.

The product of the American Psychiatric Association’s (APA’s) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the “how” — not the “why” — of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities.

Divided into six sections, this “how to” volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: • Clinical — History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting• Regulatory — Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP)• Financial — Documentation, reimbursement, and coding; what to look for when contracting with nursing homes• Legal and ethical — The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer’s disease; and the role of caregivers• Summary and Future Perspectives — A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients• Appendixes and bibliography — Staffing recommendations and assessment instruments

Manual of Nursing Home Practice for Psychiatrists 1st Table of contents:

Section 1: Clinical Considerations

CH 1: Nursing Homes, Mental Illness, and the Role of the Psychiatrist

CH 2: Evaluation and Management of Psychiatric Problems in Long-Term Care Patients

CH 3: Sexuality in the Nursing Home

Section 2: Regulatory Aspects: OBRA, the Minimum Data Set, and Other Regulations That Affect Nursing

CH 4: The Minimum Data Set as a Tool for the Psychiatrist

CH 5: Introduction to OBRA-87 and Its Implications for Psychiatric Care

Section 3: Financial Aspects

CH 6: Documentation, Reimbursement, and Coding

CH 7: Contracting With Nursing Homes

Section 4: Legal and Ethical Issues

CH 8: Legal and Ethical Issues

Section 5: Perspectives for the Future

CH 9: Perspectives for the Future

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