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• W2223702975 abstract "Skilled nursing facility (SNF) care for older adults accounted for $26.8 billion of health care spending in 2012. 1 The Henry J. Kaiser Family Foundation. The facts on Medicare spending and financing. Available at: http://kff.org/medicare/fact-sheet/medicare-spending-and-financing-fact-sheet/. Accessed February 1, 2015. Google Scholar Although the SNF setting is intended to be a stabilizing transition period, between one-fourth and one-half of Medicare beneficiaries are readmitted from SNF rehabilitation back to the hospital within 30 days, costing $4.34 billion in 2006. 2 Mor V. Intrator O. Feng Z. Grabowski D.C. The revolving door of rehospitalization from skilled nursing facilities. Health Aff (Millwood). 2010; 29: 57-64 Crossref PubMed Scopus (406) Google Scholar These patients often have less than optimal health and well-being outcomes 3 Kapo J. Morrison L.J. Liao S. Palliative care for the older adult. J Palliat Med. 2007; 10: 185-209 Crossref PubMed Scopus (70) Google Scholar ; in fact, 1 in 11 elders die while enrolled in the SNF benefit. 4 Aragon K. Covinsky K. Miao Y. et al. Use of the Medicare posthospitalization skilled nursing benefit in the last 6 months of life. Arch Intern Med. 2012; 172: 1573-1579 Crossref PubMed Scopus (49) Google Scholar Despite a high need, palliative care is underused in SNFs. 5 Evans B.D. Improving palliative care in the nursing home: From a dementia perspective. J Hosp Palliat Nurs. 2002; 4: 91-99 Crossref Google Scholar , 6 Zerzan J. Stearns S. Hanson L. Access to palliative care and hospice in nursing homes. JAMA. 2000; 284: 2489-2494 Crossref PubMed Scopus (166) Google Scholar , 7 Boorsma M. Frijters D.H.M. Knol D.L. et al. Effects of multidisciplinary integrated care on quality of care in residential care facilities for elderly people: A cluster randomized trial. CMAJ. 2011; 183: E724-E732 Crossref PubMed Scopus (72) Google Scholar Federal regulations require SNFs to provide “medically related social services to attain or maintain the highest practicable resident physical, mental and psychosocial well-being.” Social workers are well-suited to provide palliative-focused services based on their core competencies in biopsychosocial care. 8 Bosma H. Johnston M. Cadell S. et al. Creating social work competencies for practice in hospice palliative care. Palliat Med. 2010; 24: 79-87 Crossref PubMed Scopus (61) Google Scholar , 9 Gwyther L.P. Altilio T. Blacker S. et al. Social work competencies in palliative and end-of-life care. J Soc Work End Life Palliat Care. 2005; 1: 87-120 Crossref PubMed Scopus (104) Google Scholar , 10 Hepworth D.H. Rooney R.H. Rooney G.D. et al. Direct Social Work Practice: Theory and Skills. 9th ed. Brooks/Cole, Belmont, CA2013 Google Scholar Limited research examining the social worker role in SNFs indicates that having qualified and trained social workers improves resident quality of life. 11 Simons K. Shepherd N. Munn J. Advancing the evidence base for social work in long-term care: The disconnect between practice and research. Soc Work Health Care. 2008; 47: 392-415 Crossref PubMed Scopus (12) Google Scholar , 12 Morrison R.S. Chichin E. Carter J. et al. The effect of a social work intervention to enhance advance care planning documentation in the nursing home. J Am Geriatr Soc. 2005; 53: 290-294 Crossref PubMed Scopus (151) Google Scholar However, one study found that social service roles are often not filled by someone with even a bachelor's degree in social work. 13 Simons K.V. Jankowski T.B. Factors influencing nursing home social workers' intentions to quit employment. Adm Soc Work. 2007; 32: 5-21 Google Scholar" @default.
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• W2223702975 date "2015-08-01" @default.
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• W2223702975 title "A Need for More Palliative Focused Care: A Survey of Colorado Skilled Care Facilities" @default.
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