...the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the Fort Washington area in terms of older adults and the long term care market. The challenges with this provider are marketing and staffing for which I suggest low cost advertisement and comprehensive staffing patterns. Lastly, a conclusion and summary are provided for the current state and future of assisted living facilities. Overview of Assisted Living While the definition of assisted living facilities vary from state to state, this type of facility is generally defined as “a housing option that involves the delivery of professionally managed, supportive services and depending on state regulations, nursing services in a group setting that is residential in character and appearance” (Evashwick, 2005, p 152). Assisted living facilities serve as a way to provide care to people who...
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...Unit 2: Equality, Diversity and Rights in Health and Social Care Assessment Criteria: Explain the Concept of Equality, Diversity and Rights in Relation to Health and Social Care. Describe Discriminatory Practise in Health and Social Care. Describe the Potential Effects of Discriminatory Practice on Those Who Use Health or Social Care Services. Assess the Effects on Those Using the Service of Three Discriminatory Practices in Health and Social Care Settings. Equality: - The term equality according to Dictionary.com (2015) “Is the state or quality of being equal; correspondence in quantity, degree, value, rank and or ability” however I believe that this definition can establish misconception on the view of an individual, and so the more realistic concept behind ‘Equality’ in regards to the health and social industry; is for all individuals to be provided with equal opportunities to access of the concerning services, and for these users to be treated fairly (not equally) accordingly to the approaches used to meet their individual needs. Diversity: - Is a termed used to describe the promotion and celebrating of differences which an individual may have on the aspects of your own identity as well as others. Rights: - "They are the legal entitlements which we are all privileged to own, with the aim of allowing equal opportunities for all citizens in certain aspects of an individuals' life. There are a number of rights entitled under the enforcement of The Human Rights Act. 2000...
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...Community Health Nursing: Quality of Life and Functioning A. Personal Perceptions After reviewing the case of Mrs. Thomas and her situation, there are many feelings I have about the final outcome. As nurses, we always have to take our feelings into account and rationalize what we feel about the health and well being of our patients. After a BRAC analysis was performed, significant results were indicated. I feel empathy for Mrs. Thomas because this technology showed what her odds were for future recurrence of breast cancer. I’m disappointed that a radical mastectomy was not suggested to be performed with Mrs. Thomas’ first surgery to help avoid a further decline. It appears almost obvious that this should have been encouraged by her medical team. I do, however, understand that it is easier to look back on this than to look forward with what options remain. What is most important is Mrs. Thomas’ quality of life for the duration of what time she has left. I define quality of life as the ability to be as emotionally, physically and mentally fulfilled as possible. Quality of life is finding all the moments that matter and cherishing them on a daily basis. There will be better days than others, but what is key is to understand the big picture. The major challenge is promoting the best quality of life when the big picture ultimately has a poor outcome. Health promotion is crucial to increase Mrs. Thomas’ quality of life. Interventions will be initiated in all areas...
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...Health Care Spending Paper Mary Guzewicz HSC/440 May 14, 2010 Bruce Nave Health Care Spending Paper With in the United States the health care cost for individuals has increased and will continue to increase. This is in a major way due to the fact that equipment, research and technology are always increasing. This paper will discuss what healthcare spending has increased and in which state has a high amount of healthcare spending. The paper will also discuss possible changes that may help lower the cost of three part of our major health care spending. There is wide variation in health care spending across the United States. Health care spending has been on the rise for years. According to (Cuckler, 2011) “In 2009, the 10 states that had the highest levels of total personal health care spending per capita were Massachusetts, Mas Alaska, Connecticut, Maine, Delaware, New York, Rhode Island, New Hampshire, North Dakota, and Pennsylvania. The per capita spending for these 10 states ranged from 13 to 36 percent higher than the average U.S. per capita spending level and ranged from $7,730 for Pennsylvania to $9,278 for Massachusetts.” These ten states have the highest health care spending and they share a number of demographic and economical characteristics. Table 1. Real per capita spending and spending growth for select provider types, 1970–2008 Average annual growth rate (%) Total Public Private Total 8.5 9.1 7.9 Hospital...
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...necessity for long-term care is increasing which will require additional training and education for health care personnel, family members, and patients. Family members can have peace of mind knowing their family member will gain confidence in learning how to become accustomed to his or her new life while maintaining a quality continuum of care during and after treatment for physical, mental, or age associated illnesses. Long-term care is also known as personal assistant services and is defined as an individual who requires health care assistance for more than 90 days. Personal assistants provided to a patient help them with the activities of daily living (ADL) as well as instrumental activities of daily living (IADL). These activities may include personal care services like bathing, doing household chores, and other activities to help the patient remain independent while still residing in or near his or her home while maintaining the quality of care the person is accustomed to if there are no medical hindrances preventing it. Long-term care also includes community services, such as meals, adult day service programs, and transportation services (Austin & Wetle, "The long term care continuum, Who needs long-term care?," 2012). Residential facilities, such as skilled nursing facilities and assisted living facilities, also provide long-term care services along with housing ("National Clearinghouse For Long Term Care Information,” n.d.). Continuum of care services are utilized...
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...affluent. But, even with this affluence, and the services available because of it, there were populations that were shown to be vulnerable. These vulnerabilities are in part due to lifestyle choices of some residents as well as the access to health care due to job opportunities. The purpose of this paper is to address some of the community concerns raised as well as narrowing down to one priority issue. Interventions, expected outcomes and supporting documentation will be presented. Three priority community health and safety concerns Three priority community health and safety concerns are: risk for increased substance abuse among young adults related to municipal legalization of marijuana, increased access to drugs and drug paraphernalia, and wide acceptance of drug usage; risk for severe injury/trauma of young adults related to age and young male demographic, participation in extreme sports (skiing, snowboarding), accepted culture of risky behaviors involving gravity and hard, fixed objects. And, after completing the assessment of the Summit Community Care Clinic, risk for ineffective management of therapeutic regimen among uninsured and under-insured residents related to the inability to afford healthcare and preventative care due to lack of insurance offered along with employment in many service/hospitality positions. Since the municipal legalization of marijuana possession in ??? by referendum vote, Breckenridge has become a destination for drug usage by...
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...1 Running Head: THE FUTURE OF HOME HEALTH The Future of Home Health Mary C. Reed The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5311 Nursing Management in Health Care Stephanee Thurman, MSN, RN August 1, 2012 2 THE FUTURE OF HOME HEALTH The Future of Home Health Home health has been the topic of several news discussions lately. Doctors and nurses are afraid that since Medicare fraud has taken place in so many home health agencies, that Medicare is going to start shutting down a lot of home health agencies so that they have less fraud to watch out for. The studies I have chosen discuss positive outcomes that are related to providing care in the patient’s home. I have worked in home health for four years. In those four years, home health services have been through many changes. After obtaining my Masters of Science in Nursing I plan on continuing to work in home health. I would like to move up to a management position after graduation. Home health is interesting to me and I enjoy working with patients in their home environment. Patients seem to be more motivated in their home setting instead of being in a rehabilitation center or hospital. “In home nursing care, patient care activities focus on enabling patients to assume responsibility for self-monitoring and self-management through teaching, supporting, goal setting, and modeling decision-making” (Or, Valdez, Casper...
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...Abstract As life expectancy increases the number of older adults requiring long-term care of some kind increases. These adults have varying needs, but most adults have problems with skin integrity, muscle weakness, and emotional issues in long-term care facilities. Interventions to meet these needs focus on preventing skin break down, improving muscle strength to prevent falls, and settings that promote usefulness and a feeling of not being alone. Current options available to older adults may not meet all of their needs, and creativity is needed in devising interventions to meet these needs. Structuring long-term care settings to encourage activity in older adults and connecting with other generations can help prevent feelings of loneliness and uselessness, and help older adults live meaningful and productive lives in long-term care settings. Long-Term Healthcare Needs of the Elderly As adults age many will require long-term health care. The evolving needs of the older adult population will require creative and new ways to meet their health care needs. This paper will look at the needs older adults have, and options that are currently available to meet these long-term care needs. This paper will also present new options that have been proposed for long-term health care settings, how these options compare with current interventions, and what outcomes can be expected if these new options are implemented. The Problem As life expectancies increase the older adult population...
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...has added comments in brackets[] Good Hands Healthcare (GHH), a nursing home provider and a major player in the American healthcare industry, is at a crossroads: the company has been facing financial trouble in recent years and the board must decide whether the current founder and CEO, George Jackson, is fit to revive the company and what can be done to turn the precarious situation around. External Analysis Environmental and industry opportunities for GHH include: • The increasing need for eldercare services due to increasing life expectancies and aging baby boomers • Rapid expansion and increasing consumer preference for assisted living and home health care Environmental and industry threats to GHH include: • Highly regulated and fragmented industry (difficulty in gaining significant market share) • Reduced nursing home use (due to growing availability of alternatives such as home‐delivered eldercare) • Pressure from the government and general public to increase quality of care while reducing expenses • Reduced federal funding and healthcare reform measures (changing regulations and reimbursement cuts) • Increased number of lawsuits and patient care liability costs (leading to reduced liability insurance) ...
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...HOW TO CLOSE A SALE POLICY: After conducting a tour with a new prospect, how to close the sale is the most critical aspect of moving a new resident into our communities. If you believe in your community, demonstrate the value of your services, and appeal to the emotion (heart) of the prospect, rather than the facts…you will sell your community. PROCEDURE: 1. The Administrator, Executive Director or Manager on Duty needs to be able to close a sale during the prospective tour. Each staff member who is responsible for conducting tours must know the following: • What makes the community different or better than your competitors? • Resident profile: age, care or dementia needs, • Why would seniors enjoy living in our community? • Why would families feel good about their relatives living in our community? 2. At the conclusion of the tour the Administrator or Staff member conducting the tour needs to take the lead; the prospect is counting on it. Remember the worst possible scenario is for them to leave our community and go onto tour the next community, down the road, only to find out they have moved in the other facility because they asked for the processing fee. 3. During the closing possess it is important to ask the following questions: “Can you see yourself/mother/father living here with use? Which apartment did you like best today on our tour? Do you have any questions that have not been answered? What do you like...
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...EMPLOYEE HANDBOOK STERLING HOME This handbook has beenamended in line with government rules and regulations and contains new policy information which all staff are required to read as part of their contractual agreement. 2011 PB STERLING HOME 1/1/2011 UNIT III: HEALTH & SAFETY IN HEALTH & SOCIAL CARE INFORMATION BOOKLET SUBMITTED BY: MARIA ANTONIA BOC SUBMITTED TO: CHARLOTTE MILES SANDRA SMITH DECEMBER 12, 2011 CONTENTS: i. Introduction A. Location B. Aim C. View D. About our home E. Organizational Chart ii. Health and Safety iii. Trainings A. First Aid B. Fire Safety C. Control of Substances Hazardous to Health (COSHH) D. Manual Handling E. Infection Control F. Food Hygiene iv. Data Protection Act v. Whistle blowing Policy vi. Equal Opportunities and Discrimination vii. CRB and ISA Adult first checks viii. Disciplinary System ix. Confidentiality x. Disclosure Procedure xi. Legislations xii. Policies and Procedures for the safety of A. Residents B. Visitors C. Staffs xiii. Employers and employees responsibilities xiv. Accident/ Incident Reporting Procedures xv. Missing Service users/ Residents xvi. Fire and Health and Safety i. INTRODUCTION: This Staff Handbook provides you with a summary of the policies and procedures that operate in the Company. It should be read in conjunction with your Contract...
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...Rights In Care home The rights of all of service users are the main priority in philosophy of care. Each and every service user should be treated with respect and dignity and also to be provided and encouraged to exercise their rights to the full. All the service users have rights, these rights are: PRIVACY AND DIGNITY RIGHTS • Helping service users to personalise and equip their rooms as they wish. • By providing keys to their rooms and a secure place for valuables as they wish. • Giving service users the opportunity to have privacy when receiving guests, making telephone calls or opening and reading mail. • Securing all service users' records and information and respecting the confidentiality of those records. • Treating each service user as an individual and a respected member of the "family unit". • Assisting service users to maintain their dignity through their personal appearance and behaviour • Promoting activities that encourage service users to express themselves as individuals. • Helping service users to overcome any shortcomings they may experience through age or disability. INDEPENDENCE Each service user should be having opportunities to think, plan, act and take sensibly calculated risks without continual reference to others. Even though a person is receiving domiciliary care it does not mean they should lose their independence, the care home should do...
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...3 years prior; two more strokes followed, and he lingered in poor health at the center over the intervening time. Margie is now 95 years of age, and William was 73 when he passed this week. The last 5 years have simply been devastating for Margie. First her husband Earl passed on at the age of 88. They had been married for 68 years, most of them wonderful and successful years together, until the medical problems began. They had one other son, Jacob, who died in a motor vehicle accident in his 30s. As Margie sits in the quiet of her nursing home room, she faces the reality that she is utterly and completely alone in the world. She and Earl had hoped for grandchildren, but that never happened, and Margie’s family is simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago slowed her down significantly, and a heart attack 2 years ago nearly took her life. But she survived due to good emergency medical care and quick placement of an electronic pacemaker. Margie’s heart rhythm is now 100% paced, meaning that her heart will not function effectively without the pacemaker; she is completely dependent on the pacemaker for her survival. Margie is a woman of great...
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... a nursing home is a residential facility offering daily living assistance to individuals who are physically or mentally unable to live independently. Residents are provided rooms, meals, assistance with daily living, and in most cases, some medical treatment. The U.S. nursing homes and long-term care facilities industry includes about 80,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $210 billion. The severe shortage of nursing assistants, home health and home care aides, and other paraprofessional workers is the primary trend influencing the current wave of concern about the long-term care workforce. National data on turnover rates show wide variation, depending on the source of the data: One source suggests that turnover rates average about 45 percent for nursing homes and about 10 percent for home health programs, while other data place average annual nursing home turnover at over 100 percent per year. High rates of staff vacancies and turnover have negative effects on providers, consumers, and workers: The cost to providers of replacing workers is high; quality of care may suffer; and workers in understaffed environments may suffer higher rates of injury. The future availability of front-line workers does not look promising. There will be an unprecedented increase in the size of the elderly population as the “baby boom” generation ages. This is why questions such as, nursing-home growth, will...
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...Nightingale Home Health Care Prepared for Steve Klense Professor DeVry University Prepared By Christopher Merrell Student Student DeVry University Tables of Content Executive Summary……………………………………………………………………………….3 Target Market…………………………………………………………………..………………….4 Marketing Plan....………………………………………………………………………………….4 Mission…………...………………………………………………………………………………..5 Goals…….………………………………………………………………………………………...5 Objectives…………………………………………………………………………………………5 Marketing Strategizing…………………………………………………………………………….6 Implementation Strategy..…………………………………………………………………………7 Conclusion..............……………………………………………………………………………….7 Executive Summary Nightingale Home Health Care Services is a new home health care agency which offers a combination of both premium health care along with community-based social services to the suburb of Hinsdale located 20 miles west of Chicago. The main office is located at 920 N York Road, Suite 300 Hinsdale, Illinois 60521. Nightingale Home Health Care will provide • Nursing Aide • Physical, Occupational, and Speech Therapy • Skilled Nurses • Some Social Work Market research indicates that there is a significant need for quality home health care services and social services within the Hinsdale Village/ Cook County and we believe that employing educated and well-trained staff along with organized and responsive managers we can become...
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