...with in dealing with palliative care. Palliative care is an up and coming method of health care that deals with easing of pain for any stage of someone’s disease. Hospice care only deals with patients in the final stages of their disease. The Denver hospice is leading the way by branching out and developing a palliative care program to service more people than just standard hospice alone. The Denver Hospice's fearless culture of innovation has produced partnerships that bring hospice and palliative services to a wide variety of people who might not otherwise have access to them (Greene). Palliative care is a difficult item to get funding for. No one wants to fund the final minutes of a person’s life. Although, Denver Hospice has a reputation of never turning anyone away, they will treat whoever is in need. Denver Hospice works with many different groups to try to cater to the clientele as well as get funding. The Veterans Administration has worked with the Denver Hospice to identify special needs of veterans, who make up 31 percent of the hospice's patients (Greene). Many of which may have seen combat or had to endure something that which has made care now that much more difficult. It is important that programs such as this take root and continue to thrive, so that there will always be someone there that can continue to help the aging population. Tabar, P., (2013, May). Making space for hospice. Long-term living: for the continuing care professional. 62(4), 36-36. This...
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...regulatory agencies are responsible for licensing long-term care facilities to ensure compliance of laws and regulations. Regulatory agencies also receive and investigate complaints that are related to the facility and the services in which the facility provides (Walsh, 2014). All long-term care facilities are expected to abide by these regulations in an effort to ensure long-term care patients proper care, ethical treatment, safe living environments, and health care reimbursement. These agencies expect long-term care facilities to maintain an environment that will emphasize the importance of one’s quality of life and quality of care (Walsh, 2014). This paper will discuss three regulatory agencies including the Centers for Medicare and Medicaid Services, the Department of Licensing and Regulatory Affairs, and the Administration on Aging/Long-Term Care Ombudsmen Program, which have made huge impacts on the way long-term care is delivered in the United States. Centers for Medicare and Medicaid Services The Centers for Medicare and Medicaid Services (CMS) has become a staple among regulating long-term care facility practices. The CMS produces and maintains federal regulations for long-term care facilities that choose to accept residents that rely on Medicare and Medicaid benefits as a form of payment (Long-Term Care Facilities, 1989). Local licensing agencies are responsible for surveying, licensing, and inspecting the long-term care facilities to ensure that they are compliant...
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...The Long-Term Care System is constantly changing; action is necessary not only for the future elderly population, but also for those currently in need, both under and over age 65. This research paper will mainly focus and point out two main concerns within the long-term care system. First issue will be discussed on how to develop a vision of a better, more responsive long-term care system and the policies to promote it. Then the second issue will clarify on financing and delivery options. Services are provided including adult day care centers, assisted living facilities, nursing homes, hospice and Home Health Care. Adult Day Care is used to relieve the caregiver usually their son or daughter from or his or her duties for the day while ensuring...
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...MICROECONOMICS APPLIED RESEARCH MICROECONOMICS AND LONG-TERM HEALTHCARE Cochise Community College Campus Microeconomics Cochise Community College Microeconomics and Long-term Healthcare It was not long ago that our country was going through some very difficult economic times. Job losses were on the rise, there were many issues leading to an increase in foreclosures, and many financial institutions needed to be bailed out. Many people, however, held the misconception that the health care industry was immune to the economic problems that faced our society. Many thought that those working in the health care industry had no need to worry about losing their job and that they were disconnected from the larger problems of society. Those involved with health care have to deal with issues that are faced by the rest of society. Because of this, it important that the health care industry address these problems in a timely manner due to the lives that are often dependent on their decisions. In 2009, individuals aged 65 years of age and older constituted approximately 12.9 percent of the U.S. population (A Profile of Older Americans, 2010). Projections for 2030 show there will be an increase to 20 percent of the population that will be 65 or over. The aging of the population will affect the demand for healthcare because older individuals encounter more frequent and prolonged spells of illness. Those individuals that are...
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...any four specific regulations related to long-term care and summarize them. 1. OSHA (Occupational Safety and Health Administration): Sets, regulates, and enforces the level of safety and health conditions in work place (Brown, 2017). 2. OBRA (Omnibus Budget Reconciliation Act): Sets the level that every nursing facility must achieve and maintain in the following areas; The rights of the patient, meeting and surpassing adequate levels of care, providing adequate employees to patient ratios, ensuring the patient’s needs are adequately met by the facility, adequate housing environment, regulation of compliance via survey participation, and enforcement of said regulations (Brown, 2017). 3. Equal Employment Opportunity Commission (EEOC):...
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...Care Home South Rehabilitation and Assisted Living Daphanie Caldwell American InterContinental Abstract As people age, more are faced with the outlook of moving either ourselves or an older family member into an assisted living environment, nursing or convalescent home. It may be from a decision that happens suddenly following hospitalization, or progressively as needs of one become more difficult to meet, and may require other types of housing. When making a decision to move in to a new place it can be stressful and have effects on everyone involved. People have different views when it comes to these various environments this can be due to misconceptions about these facilities. To make a decision that’s right for you and your loved ones, it’s important to learn all you can about the different facilities. Care Home South Rehabilitation and Assisted living offers the best to all involved. The care of the resident’s, clients and the staff that the company has to offer is unbeatable by any other company. The residents who stay in the assisted living quarters get the best living around. The clients that we serve in the rehabilitation get the best care and service around. The holistic approach of being able to touch everyone needs in all aspects is part of unique culture and care at Care Home South Rehabilitation and Assisted living. Care Home South Rehabilitation and Assisted living Care Home South Rehabilitation and Assisted living helps those...
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...Violence towards Nurses in the Health Care Sector We have all heard before of the abuse and violence that happen in nursing homes; but what we tend to hear more about is how nurses are abusing patients, those being patients that are older, disabled and coming closer to the end of their life span. Patients sometimes receive such negative abuse from nurses, this consists of physical abuse which is defined as any action with the intention to cause any physical or bodily harm to someone; for example this would include a nurse hitting or slapping a patient or even pushing them around. You often hear about nurses neglecting their patients, this is a deliberate action where nurses deprive the patients of what they need, this includes a nurse that purposely withholds a patient from eating, drinking or giving them their medication ("Abuse in Canada's Nursing Homes", 2012). It’s quite sad to see how this action takes place in nursing homes; a nursing home is a place for the elderly to go to because they can no longer take care of themselves and they need the assistance in their day to day activities. The nurses in long-term care facilities are there to provide residents with the care that they need and require, as they cannot do it themselves. Patients will often receive mental abuse from staff, that is, an act with the intention to cause any emotional harm to someone ("Abuse in Canada's Nursing Homes", 2012). You often hear about nurses yelling or threatening patients; this seems hard...
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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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...Manage care is a term that encompasses a variety of restrictions and guidelines for healthcare professionals in order to promote efficient and cost effective outcomes throughout the healthcare environment. The ultimate goal of a managed care system is to produce quality healthcare at a cost that is sufficient to both the system and to the healthcare consumer. In practice Managed Care Organizations take a variety of shapes and thus there is no one fit all model that works ideally for each type of healthcare organization. In terms of the disease management of chronic long-term conditions, MCOs can offer services at cheaper cost than the fee-for-service model. A key function of a manage care system with a disease management inclusion is the integration between all of the providers providing care. This paper will primarily act to define disease management and give a brief overview of its clinical framework....
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...Temple Living Center East Expansion Michelle Grey-Karl HCS/446 Facility Planning January 23, 2012 Ryan Haywood, MBA Temple Living Center East Expansion Within the world today there are different types of health care facilities to serve the different types of individuals and health care conditions. Temple Living Center East is a long-term care facility that serves the individuals who requires prevention, healing, and rehabilitative nursing care services for non-acute, long-term environment for the elderly. Temple Living Center East will be working on updating the secure unit for the individuals who require special care because of the diagnosis of Alzheimer’s. There will be several tasks that should be completed before the individuals can enjoy his or her new living environment. It is important that the contractors understand each of the regulatory requirements before planning out the design and ordering the supplies and equipment. In Texas the Department of Aging and Disability Services, which is part of the Department of Human Services (DHS) lay out the Texas Administrative Codes set up for long-term care facilities. The Texas Administrative Code rule §19.344 Plans, Approvals, and construction Procedures requires that the plans of a new building or expansion is to be reviewed by the DHS, and the facility will be notified within 30 days of the review on the architectural requirements or changes (Department of Aging and Disability Services, 2011). When submitting...
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...Johnniece Harris Long Term Care Facility Joint Commission Accreditation Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed. Joint Commission accreditation has been around for many years. Most Long Term Care facilities today are not joint commission accredited. There are eligibility requirements that must be met in order for facilities to become accredited. A facility has to have beds licensed by the state as nursing home beds, excluding intermediate care facilities specializing in care for individuals with mental retardation and other developmental disabilities. Beds designated as long term care beds under a hospital license, excluding beds belonging to a long term acute care hospital and hospital swing beds. Beds, units or facilities certified by Medicare or Medicaid as skilled nursing facility beds. Beds, units or facilities designated as long term care by a governmental...
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...Content Frame Skip Breadcrumb Navigation Home arrow Chapter 2 arrow Nursing Care Plan Nursing Care Plan Nursing Diagnosis Impaired Verbal Communication r/t sedation, presence of artificial airway, or decreased level of consciousness Long Term Goal: Patient is able to use a form of communication to get needs met and relate to his environment Short Term Goals / Outcomes: Patient and nurse will establish a means of communication Patient will be able to effectively communicate and needs Intervention Rationale Evaluation Assess the patient’s primary and preferred means of communication (verbal, written, gestures) Communication can be frustrating for both the nurse and patient. It is critical that the nurse and patient determine the best method for each patient. Patient can write words clearly on paper Assess the patient’s preferred language and ability to understand written words, pictures and gestures The nurse can not assume that the patient is grasping the information that is provided. In recognition of the vast array of cultures and physical challenges that patient’s face, it is the nurse’s responsibility to communicate effectively Patient speaks and reads English. Recognize that the presence of an artificial airway will hinder the patient’s ability to communicate When air does not pass over the vocal cords, sounds are not produced. Other methods of communication will have...
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...MODULE 1: SOCIAL GERONTOLOGY - OVERVIEW/LEARNING OUTCOMES/ KEY TERMS CHAPTER 1 OVERVIEW In this first section, you are presented with an introduction to the field of gerontology, which addresses the social, psychological, physical, and demographic concerns related to aging and introduces the role of the person-environment perspective to study issues relevant to aging. Due to an increasing interest in understanding the process of aging and the changing demographics of the world, including the United States, gerontology is a growing field. More and more people in the U.S. are living beyond age 65 or even 85, with these "oldest old" as the fastest growing age group among Americans. The population of older adults in the U.S. is also becoming more ethnically diverse, although elders of color generally have a lower life expectancy due to health and economic disparities. The growth of the older population has raised questions as to whether our nation is prepared to meet the health care and social service needs of this group and their families. Given the growth in the number of older adults, society needs to address the public policy issues related to aging, including assessing the appropriateness of current policy and exploring innovative policy to meet the changing needs of older adults. Researching policy and social issues related to aging poses some challenges to gerontologists. The important question centers on being able to distinguish age differences from cohort differences...
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...Identify three examples of entities with for-profit, not-for-profit, and government financial environments in the health care industry. Compare the similarities and differences between the for-profit, not-for-profit, and government financial environments. | |For-Profit |Not-for-Profit |Government | |Exampl|Hospitals |Hospitals |Veteran hospitals | |es |Clinics |Home health |Long term care | | |Long term care |Long term care |Clinics | |Simila|Make money through daily operations. |Make money through daily |Make money through daily | |rities|Health care organization have |operations |operations | | |contracts with insurers, government, |Nonprofit and government get |Nonprofit and government get | | |payment from government insurance |property tax exemptions. |property tax exemptions. | | |like Medicare & Medicaid, work under |Health care organization have |Health care organization have | | |same health care regulations. |contracts with insurers, |contracts with insurers, | | |Nonprofit and for profit have board |government, payment from |government...
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...Facility Or Home Health Care for your Elderly Loved Ones Kelly M. Skawienski University of Phoenix While a facility, like a nursing home, is a good option for extreme care of the elderly, most cases show that living in their own homes, surrounded by familiar people and things can promote better health and wellness. While working in the health care field I have worked in both fields; a Skilled Nursing Facility and Home Health Care. Some important points to consider in choosing which option is best for you or your loved one are the cost; how much is it going to cost for each of these two options, services provided; what help will you be receiving for your money, flexibility and freedom of accessibility; having friends and family visit and being able to travel, go for a walk, and last is the comfort of the client or patient would they do better in a sterile environment or in their own home. The cost of a Skilled Nursing Facility (SNF) as most already know can be expensive. The average cost is more than $50,000.00 a year and climbing, and it will vary widely depending on where you live (Long Term Care, 2012). Your employee health insurance does not pay for a SNF, so about one third of the residents pay from their own funds. This can eat away at their savings very quickly, most people run out of funds after six months. Five percent of people have purchased long term care insurance which will cover the cost of a SNF (Long Term Care, 2012). Medicare, a federal...
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