...CONCEPT ANALYSIS Safeguarding Vulnerable Adults: Concept Analysis Abstract Aim. This study is to analyse the concept of safeguarding the vulnerable adults and the role of registered nurse. Background. Registered nurse has major responsibilities in caring and safeguarding the vulnerable adult population. Reduction of health inequalities among vulnerable adults are top international healthcare priorities. Vulnerable adults are among most vulnerable of the populations, many people associate vulnerability with old age only, resulting in negative stereotypical views. Understanding the concepts of vulnerability as relates to adults population, examines how and why adults could be vulnerable will help nurse to educates the vulnerable adults about the rights and choices available to them, enabling nurse to safeguarding the vulnerable adults and empower the vulnerable adults to participate fully in the society. Data Sources. Data source include the Nursing Standard, The PubMed, Health & Social Care information Centre (hscic), Department of Health, Action on Elder Abuse, Offices of National Statistics (ONS), electronic databases were used to search for research papers, articles published between 2000-2013. The searching keywords used are ‘Vulnerable’, ‘Abuse’, ‘vulnerability’, ‘safeguarding’. Seventeen papers from variety of disciplines, including nursing, public health, social-care and medicine were reviewed. Method. The concept analysis was done using Rodgers’ evolutionary...
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...ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural...
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...some articles about elders are often abused in nursing home or at their own house. Therefore, I want to discuss about...
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...homicide by arising from a residents’ death while acting as an administrator? 2) And was the evidence sufficient to support conviction of twelve counts of abuse of nursing home residents? Answer: 1) Yes 2) No Holding: 1) The evidence was not sufficient to support a conviction of homicide by arising from a residents’ death while acting as an administrator 2) The evidence was sufficient to support conviction of twelve counts of abuse of nursing home residents. Brief Statement of Facts: Defendant Stephen Serebin and owners of “Glendale” were charged with one count of homicide by reckless conduct and fifty-eight counts of abuse of inmates, for incidents that occurred December 20, 1975- June 30, 1976. Serebin was the administrator at Glendale nursing home from 1973 to 1977. The homicide charge was from an incident on February 7, 1976. A resident of Glendale, Bruno Dreyer, wandered out of the nursing home unseen and died from exposure to the cold. The charges of abuse stemmed from various residents who lost weight and developed bedsores. Serebin was the administrator and was held responsible for failing to provide a sufficient staff and an adequate diet for the residents of Glendale, and for the death of Bruno Dreyer. The Circuit Court found Serebin guilty of homicide and twelve counts of inmate abuse. Serebin petitioned for bypass of the court of appeals. It was denied on September 21,...
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...Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana Laura K. Ogden Southeastern Louisiana University College of Nursing and Health Sciences School of Nursing NLAB 334 October 29, 2014 Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana The community assessed was Ponchatoula, Louisiana. The focus of the assessment was non-acute health and social services. The community-as-partner model was used as a guide in understanding how the different parts of Ponchatoula’s community make up its core, and to apply the steps of the nursing process (Anderson and McFarlane, 2011). The assessment was based on observations of the community, interview data from a nursing home director, and selected published data related to the healthcare and social services assessed. Assessment data was analyzed, and conclusions and inferences drawn from the analysis will be presented in the paper. Windshield Survey On October 28th at approximately 4:00 pm an observation of Ponchatoula was conducted while driving through the city’s limits. This survey was done to acquire an overall health assessment of Ponchatoula’s environment including buildings and people out and about. The city itself appeared dated as evidenced by the architecture, especially on E. Pine St. However, for being the age they are, the buildings appeared well kept with clean paint jobs. Sidewalks lined each side of E....
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...Substance Abuse and Addiction in Nursing Drexel University Substance Abuse and Addiction in Nursing There was a time when substance abuse (SA) in nursing was unheard of; however, it was always there. The reality was that it was merely disregarded. How could any type of addiction or SA in nursing be disregarded? It is difficult to speculate why our culture overlooked this, but one explanation is associated with the Gallop Poll which reports nursing as the most trusted and ethical profession in the United States (US) (Cherry & Jacob, 2014). Therefore; how can the most trusted and ethical profession coexist with SA, addiction, or an impaired nurse? Townsend defines an individual with a substance abuse disorder as a person who fails at several attempts to control or stop a substance that interferes with that individual’s ability to perform daily functions such as obligations at home, school, or work (Townsend, 2014). It is this impaired ability that endangers patients, coworkers, the organization’s reputation, the nursing profession as a whole, and ultimately themselves. Drug and alcohol abuse is a serious issue that has reached epidemic proportions in the general population (Taylor, Lillis, LeMone, & Lynn, Walters Kluwer Health/Lippincott Williams & Wilkins). It is now believed that the incidence of drug and alcohol abuse in the nursing profession parallels the proportions of the general public (Valdes, 2014). Therefore; ignoring this issue is no longer...
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...Method of Case Study Analysis LAW/531 April 27, 2014 The IRAC Method of Case Study Analysis Facts In the case of Martha Bull, 76, against Greenbrier Nursing and Rehabilitation Center, negligence was found in her death. Ms. Bull was admitted to the center for rehabilitation after a stroke. On the night of April 7, 2008 there was an order to have her sent to the emergency room; however, there was oversight and the order was ignored by the facilities staff. Around 10:00pm Ms. Bull was pronounced dead and the Faulkner courts found the facility guilty of negligence, medical malpractice and violation of resident’s rights (Brantley, 2013). Although, the judgment was for 5.2 million dollars it will be very hard for the family to collect based on new legislation laws and the fact that individual nursing homes are organized as freestanding limited liability companies, under the Central Arkansas Nursing Centers upheld by Michael Morton. Procedural History The Faulkner County jury unanimously decided that the Greenbrier Nursing and Rehabilitation Center was negligent is the care of Ms. Bull. Circuit Judge Mike Maggio presided over the case and the damages to be awarded were for pain, mental anguish and suffering (Brantley, 2013). Issue In the case of Martha Bull vs Greenbrier Nursing and Rehabilitation Center, the two focal legal questions are: 1. Should there be any collection for pain and suffering of elderly individuals, who are victims of nursing home negligence? 2. How...
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...DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document for educational...
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...Introduction Intimate partner violence (IPV) is a serious avoidable social problem which affects the community. The term “intimate partner violence” means physical, sexual or psychological harm by a spouse or domestic partner. Intimate partner violence occurs when two people come in a close relationship. Usually, it begins with emotional abuse and proceeds to physical or sexual abuse. IPV has a serious impact on women’s health especially from all ethnic and socioeconomic groups. As per American Nurses Association, IPV is responsible for 30% of female homicides. The most common mental health consequence of abuse is depression. According to CDC the cost of IPV is approximately 8.3 billion for medical, mental hygiene and lost productivity. IPV is connected to harmful health behaviors. Victims may try to adjust their stress in unhealthy ways such as smoking and drinking. The primary goal of IPV is prevention before the occurrence. Previous studies have shown that nurses working in primary health care settings are not well trained enough to identify and provide proper intervention to IPV. When the abuse remains undetected the victim may face long term consequences. The aim of the study was to assess nurses’ awareness and early detection of IPV and to also provide appropriate care to victims who visit the primary care settings. Protection of Human Participants The participants of the research were told about their voluntary participation and withdrawal from the study at any time...
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...now engaged in jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only...
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...Running head: THE FOSTER CARE AND SUBSTANCE ABUSE The Association Between Foster Care and Substance Abuse Risk Factors and Treatment Outcomes: An Exploratory Secondary Analysis Sharon H. Stoess Grand Canyon University NRS-433V March 27, 2011 The Association Between Foster Care and Substance Abuse Risk Factors and Treatment Outcomes: An Exploratory Secondary Analysis “The child welfare and substance abuse systems are integrally linked through the children and families they serve (Blome, W., Shields, J., & Verdieck, M., 2009). There is a dearth of knowledge, however, on how children who have experienced foster care fare when they are treated for substance abuse issues as adults” (Blome, W., Shields, J., & Verdieck, M., 2009). “In addition, the funds available for in-depth, comprehensive research in child welfare are limited” (Blome, W., Shields, J., & Verdieck, M., 2009). “Data collected for one purpose can potentially be used to answer other questions” (Blome, W., Shields, J., & Verdieck, M., 2009). “Secondary analysis involves the use of data gathered in a previous study to test new hypotheses or address new questions” (Polit & Beck, 2009, p. 295). “The issue, however, is that the original researchers may not have collected all the data needed to answer the current question” (Blome, W., Shields, J., & Verdieck, M., 2009). “This article presents an exploratory study using the Alcohol and Drug Services Study (ADSS) study set” (Blome...
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...Many efforts have been made to address suicide prevention in the veteran population. Finally, in 2007 the U.S. Substance Abuse and Mental Health Services Administration and the Department of Veteran’s Affairs united forces to introduce the Veteran Crisis Line. This national hotline is available 24 hours/7 days a week and is open to veterans, their families, and friends. Every call is attended by a well-trained specialist that provides emergency services for individuals that are currently contemplating suicide. Most of the suicide prevention responders are veterans themselves, this facilitates the communication with those in crisis and enhances the comprehension of the challenging circumstances they face. Early detection is heavily dependent...
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...2.6 HOURS Continuing Education ORIGINAL RESEARCH Probation and Recidivism: Remediation Among Disciplined Nurses ABSTRACT in Six States A link between a history of criminal conviction and a risk of professional misconduct highlights the importance of criminal background checks. O BJECTIVE : The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing...
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...forensic accountant needs to possess and evaluate the need for each skill. Be sure to include discussion regarding the relationship between the skill and its application to business operations. A document for the Skills needed for Forensic Accounting (2012) suggests that Forensic Accountant needs to possess is computer skills, “since document and financial statements have taken a more electronic format, forensic accountants must demonstrate computer skills in finding the paper trials left behind by corporate criminals. A forensic scientist will use computer software, known in their profession as computer-aided tools and techniques CATT to detect white –collar crimes. Some software includes data extraction, spreadsheet and data mining analysis.” According to forensic Accounting (2012) suggests that Forensic Accountant’s investigative skills involve collecting and analyzing the audited information for possible discrepancies. The investigations delve into both missed by ordinary accounting and auditing methods. A forensic accountant bases his finding on criminology specifically centered on regulatory and ethical issues. According to Poole (2002) “forensic accountant must also be open minded and skeptical. In most cases he/she will be instructed by one party or the other and will therefore be presented with that party’s perspective of their case. Forensic Accountant...
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...healthcare institutions. The second is both broader and more subtle: it pertains to the historical relationship of the Native Americans peoples vis-à-vis mainstream U.S. society. After addressing both of these dimensions, suggestions will be made with respect to how a nurse could bridge this gap and provide culturally competent care for the Native American patient. To start with, it is important for the nurse to acknowledge that the Native American perspective on health may simply diverge from the default culture's perspective in some significant ways. For example, BigFoot and Funderburk (2011) have discussed how Native American conceptions of family are different from the contemporary norm, and how this results in the need to adapt nursing interventions in this sphere to the cultural context of Native Americans. Further, these alternative conceptions are often supported by a whole alternate philosophy of life: for example, while Native American culture certainly doesn't advocate passivity "in the face of grave potential harm," there is a pronounced emphasis on "noninterference" and "letting things happen the way they are meant to be" (BigFoot & Funderburk, 2011, p. 312). This may sound somewhat jarring to the ear of the modern nurse. But then, two things must be remembered: firstly, that the modern obsession with dominating nature may sound just as jarring to the Native American patient; and secondly that...
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