Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: We agree with Dr Mylotte that the decision to hospitalize nursing home residents with suspected pneumonia may be influenced by various factors, including family and resident preferences. A qualitative study we conducted that included interviewing 14 residents and their family members showed that both groups generally prefer that pneumonia be treated in the nursing home when possible.1 Interviews performed with nurses, medical directors, and administrators revealed broad support for the pathway but also emphasized the need for adequate resources for implementation.2,3
Loeb M, Carusone SC, Marrie T. Reducing Hospitalizations in Nursing Home Patients With Pneumonia—Reply. JAMA. 2006;296(18):2206-2207. doi:10.1001/jama.296.18.2207