However, this process of institutionalization needs to continue and be consolidated, particularly at the state level.
These risk profiles constitute a challenge for policy makers, primary care providers and hospitals to delay or prevent institutionalization. Need factors have the greatest impact on NH admission but the underlying diseases causing these disabilities are not well studied.
Chow and Priebe's [ 16] examination of psychiatric care and institutionalization highlight the need for more research on how patients' adapt their behavior to care.
Despite low literacy levels in most parts of the country [ 43], home care delivery models that enhance understanding for all recipients on how best to self-manage their care and to avoid hospitalization and institutionalization wherever possible need to be developed.
In one completed study, vitamin E supplements delayed the need for institutionalization among moderately to severely demented people, Dr. Cotman found.
Patients usually need prolonged institutionalization, rehabilitation, and follow-up, with a high rate of dependency and cost.
Behavioral and psychologic symptoms of dementia (BPSD) are major sources of a caregiver's burden and also the most important factor when considering the need for institutionalization of dementia patients.
Furthermore, the study demonstrated improved diagnostic accuracy, reduced use of medications, reduced need for institutionalization and improved functional status.
Failure to consider these factors can result in poor outcomes, longer lengths of hospital stay and the greater need for institutionalization after surgery.
Second, representing a higher degree of institutionalization, select Avahan practices need to be reflected in government norms, standard operating procedures, guidelines, and policies.
Hence, the immediate need for institutionalization at inpatient discharge was reduced, and the decision could be made at the time of the end of the rehabilitation program.
