Talk:Tag:social facility=nursing home

Deprecation of amenity=nursing_home?

The box at the bottom of this page mentions amenity=nursing_home as deprecated, but I don't see any mention of this at the proposal for social_facility: https://wiki.openstreetmap.org/wiki/Proposed_features/social_facility. Was this every discussed? --Jeisenbe (talk) 07:45, 19 October 2019 (UTC)

Not formally, as there is rarely a formal depreciation nowadays. Story described better now. --Polarbear w (talk) 12:32, 19 October 2019 (UTC)

Nursing homes (Skilled Nursing Facilities) are long-term healthcare facilities, not social facilities

In the USA, a "nursing home" which is not an "assisted living" is going to be official called a "skilled nursing facility". There has to be RNs (registered nurses) on staff who make sure patients get their medications at the right times and the patients have to be seen by a doctor every month. They are licensed and treated as medical facilities which provide long-term rehabilitation and care. I suspect this is the case in other developed countries as well, otherwise a tag like "assisted_living" or "group_home" would be more appropriate.

So these residential facilities have as much in common with other healthcare features, like hospitals, as they do with shelters and group homes, and they have very little in common with soup kitchens. So why is this under amenity=social_facility at all? Shouldn't we use amenity=nursing_home, as is still most commonly done? --Jeisenbe (talk) 13:15, 20 April 2020 (UTC)

It is under social_facility because a social service is provided, and not medical treatment. You said above that the doctor comes only once a month, thus he is not being employed by the facility. A person needs nursing care, when they cannot perform the Activities of Daily Living (ADL) by themselves anymore. These are specifically cleaning themselves, preparing and taking meals, going to the the toilet, and taking their prescribed medication. Thus they get help, either ambulatory with a nurse visiting every day, or in a nursing home. There are different levels on how much help a person needs, in Germany they are evaluated, and paid according to these levels. In Germany, there are two separate mandatory insurances, firstly health insurance, which pays part of the hospital and ambulatory doctor's treatment and the medication, secondly care insurance, which pays for the nursing help such as feeding, washing, bedding, changing diapers. Those providers need to be registered, yes, but they are not healthcare providers. --Polarbear w (talk) 14:17, 22 April 2020 (UTC)

Nursing care is a type of healthcare. Feeding, washing, bedding, changing diapers, and making sure the patient takes medication, and occasional checked by a doctor are the same services provided by nurses in a hospital on the medical wards. In the USA as well, only some types of health insurance cover "long-term care", often you have to pay for this separately, but that doesn't make it "social work" a " discipline and profession that concerns itself with individuals, families, groups, and communities in an effort to enhance social functioning and overall well-being" (https://en.wikipedia.org/wiki/Social_work), and it's part of "social services" only in the sense that all healthcare is: "a range of public services provided by the government, private, profit and non-profit organizations. These public services aim to create more effective organizations, build stronger communities, and promote equality and opportunity. Social services include the benefits and facilities like education, food subsidies, health care, police, fire service, job training and subsidized housing, adoption, community management, policy research, and lobbying." https://en.wikipedia.org/wiki/Social_services --Jeisenbe (talk) 10:21, 23 April 2020 (UTC)