The nursing homes face advancing age disability.

OPINION/FEEDBACK: Disabled people see, as the general population, increased life expectancy. The advanced age of the disabled person is reflected by two characteristics: the occurrence of new disabilities related to age per se but also a possible increase of previous impairments. This summation of the effects must be known, recognized and anticipated. Following the work coordinated by Patrick Gohet, we investigated the responses to date on the following topics included in the national report: anticipation of the phenomenon, prevention of consequences, marking the onset of the effects of advanced age, accompanying the installation of the effects of this advanced age. Are questioned, in addition to people living at home, the nursing homes of Calvados, Manche and Orne: 16 foster homes (FAM), 25 specialized care homes (MAS) 43 establishments and services through work (ESAT) and lodging homes, but also the accommodation establishments for dependent elderly (nursing homes: about 220 structures) unused to accommodate guests with disabilities. The purpose of this work is to create new cooperation by removing obstacles of each home, adapting procedures, assessments, allowing the coordination between actors in the medical, nursing home, the training of professionals, the interaction between the different administrations beyond their specific missions.