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A doctor, the primary care physician is required to make sure a patient is suitable to live in an assisted living facilitybecause a resident may have special needs or disabilities that may not be appropriate for an Assisted Living Facility.
For example if there is a diabetic would wants to join an assisted living facility, it may be dangerous for that patient because the facility may serve meals with carbohydrate content not suitable for diabetes.
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According to the American Medical Directors Association at http://www.amda.com/governance/whitepapers/al_physicians_role.cfm
For the PCP (Primary Care Physicians)
(1.) A PCP who follows patients in an ALF(Assisted Living Facility) should attempt to understand the facility's medication policies and clinical capabilities and limitations. This could be accomplished by meeting or otherwise communicating with the administrator, operator, and clinical staff.
(2.) A PCP should try to support his/her AL patients by helping and encouraging the facility to accommodate their wishes and preferences, to the extent possible.
(3.) A PCP with patients at an ALF should find out who to contact to provide medical orders and other clinical instructions, e.g., monitoring BP, weight, labs, etc. The PCP should also identify who at the facility will notify them about problems with their patients.
(4.) A PCP should discuss/describe for resident/family and key staff at ALF (without violating physician-patient confidences) the likely trajectory of the resident's illness/condition(s).
(5.) A PCP should be aware of the facility policy regarding the resident who is contemplating a negotiated risk agreement (NRA). PCP must know when this is occurring so s/he can make a determination if the medical plan of care might be in jeopardy (e.g. diabetic consuming Mars bars…) — and PCP is at risk of malpractice.
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