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TOOLKIT OF INSTRUMENTS TO MEASURE END OF LIFE CARE AFTERMATH BEREAVED FAMILY MEMBER INTERVIEW Nursing Home Version August 2000 Permission to use copy modify and distribute this survey tool and its
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Who needs nursing home version?

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Individuals who require full-time care and assistance due to medical conditions or age-related limitations.
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People with disabilities or chronic illnesses who need specialized and continuous care.
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Elderly individuals who can no longer manage daily activities independently.
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Patients recovering from surgeries or medical treatments that require ongoing monitoring and support.
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Individuals with cognitive impairments or memory-related diseases who need a secure and structured environment.
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Those without a support system or caregivers available to provide adequate care at home.
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People with limited mobility or physical disabilities that affect their ability to live independently.
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Patients who require regular medical supervision and assistance with medication management.
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Individuals facing end-of-life needs or in need of palliative care for comfort and support.
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Nursing home version is a form that provides information about the health and care services provided to residents in nursing homes.
Nursing home administrators or authorized personnel are required to file the nursing home version.
The nursing home version can be filled out electronically or on paper, and it requires details such as resident demographics, care services provided, and facility information.
The purpose of the nursing home version is to track and monitor the quality of care provided to residents in nursing homes.
Information such as resident demographics, care services provided, staffing levels, and facility information must be reported on the nursing home version.
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