...The following will discuss the background of institutionalized long-term care funding, the reason why there is an emergency, and the individuals that are being affected. Institutionalized long-term care is provided by residential facilities licensed by the state that offer total health care services, such as skilled nursing care, personal care, and rehabilitative services, including room and board to seniors, and individuals with certain disabilities that require specific medical care (Medicaid.gov, 2016). These residential facilities includes, group homes, nursing homes, and assisted living facilities. Americans! Let it be known that nearly a third of our disabled Americans who require institutionalize long-term care are required to pay their own expenses but cannot afford it! The current cost of institutionalized long-term care is over $50,000 per year, and increasing (AARP.org, n.d.). There are no state or federal programs that fund institutionalized long term care for a certain class of individuals. State and Federal programs, such as Medicare and Medicaid lack in funding, thereby these programs need to be reformed. Medicare is a federal health insurance program for individuals 65 or older, and for certain individuals with disabilities, such as End-Stage Renal Disease. Medicare only covers institutionalized long term care for 100...
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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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...Professional Goals Throughout life we have all set goals for ourselves. Whether it be something as small as learning out ABC’s or completing collage with a degree. In order to be successful in life one should always have goals and this is also important for growing in both our personal and professional goals. When setting goals it is important to set short term goals and long term goals. When starting with short term goals and accomplishing those, then one is on the way to reaching long term goals. My Personal goals are to successfully complete my first online class in HCS/301 Undergraduate Nursing Studies class and to complete my Bachelor’s degree in Nursing. My Professional goals are to obtain a Supervisory position in Community Health nursing and to obtain my certification in Case Management Nursing. I believe that with learning time management skills and perseverance that I will be able to reach my goals, both personal and professional. One of my Personal goals is to complete my first online nursing class successfully. By completing HCS/301, will help me complete my personal short term goal. I feel that if I learn time management skills with this first class, complete my work in a timely manner and learn how to navigate the online classroom that I will be successful. I feel that with working full time, have three children that range in age from thirteen, ten and my youngest is six years old, and being married that going back to school...
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...HE0930A CASE STUDY | 1104964 | Jane Smith aged 16 years, was diagnosed with diabetes aged 7. Last month, whilst attending the practice nurse’s diabetes review clinic Jane expresses concerns that over the past few weeks her blood sugar readings have been elevated. She does not want to increase the dosage of her twice daily insulin regime as she is worried that this will cause her to gain weight. 1. What is meant by the terms anticipatory care, self care and self management? (15%) 2. Critically discuss why current Scottish health policy is actively promoting the self care and self management of long-term conditions. (25%) 3. Critically discuss the practice nurse’s role in supporting Jane to self- manage her long term condition (60%). A long term condition (LTC) can be defined as a prolonged health issue that never goes away and is very rarely cured (Magerson and Trenoweth 2010). These conditions require different degrees of on-going care and support tailored to the individual (Scottish Executive 2009). The government has realised that effective management of these LTC’s is one of the biggest challenges that healthcare faces (McVeigh 2009). This essay will focus on the above case study, defining anticipatory care, self-care and self-management, and analyse and explore current Scottish health policy in relation to self-management and self-care. A fundamental part of this essay will discuss the nurses’ role in supporting Jane to self-manage her diabetes. ...
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...Long Term Care Facility Study Outline Long Term Care Facility Study Outline I. Introduction Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these requirements may differ from other facilities because of the types of services provided. The presentation will touch on the differences between Emeritus at Harbour of Pointe Shores and other long-term care facilities, how public policy affects financing for the services offered, reimbursement for care, staffing needs and their roles, and how health care trends affect the operation of the facility. II. State and federal regulations A. Interview with the Administrator B. Review state regulations on Washington State Department of Health’s website. C. Review federal regulations on Washington State Department of Health’s website. III. Licensure and accreditation ...
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...Regulatory Issues in Health Care Fremgen (2009) defines medical laws or actions set by the federal government and the court system that have binding legal force that address legal rights and obligations affecting patients and protecting the individual rights of patients and health care employees. 50 state have statutes for medical practice acts which apply to precisely to the way that medicine is practiced in a particular state. Laws begin as act acts which define the meaning of “practice of medicine” and set the requirements and procedures for licensure. Medical practice acts also establish what can be considered as unprofessional conduct in particular states. Examples of unprofessional conduct include practicing medicine without a license, practicing healthcare or the inability to practice health care while under addiction or mental illness, felony convictions, insufficient record keeping, employing unlicensed persons to practice medicine, and prescribing drugs in excessive amounts. We currently live in a litigious society. Medical providers must balance providing quality and keeping abreast with current health care regulations to protect themselves from health care law suits (Fremgen, 2009). Laws are enforceable rules set by a government authority. An article related to a regulatory issue in health care will be analyzed to reflect how laws affect the regulatory process in health care. The Four Categories of Law Laws fall into different categories which include constitutional...
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...Summary In supporting this model of care through home care services, informatics should be taken into account. As claimed by Parks (2015), home-based technologies like telemedicine and robotic care may certainly be useful tools in providing care for persons at home. Offering home-based technologies may result in better processes of informed consent in health care decision-making, since it allows individuals to make medical decisions or to reflect on options in the familiarity of their homes, where there are unique cues, practices, and configurations of objects and furniture that allow for more complete and authentic decision-making (Parks 2015). New telemedical and assistive technologies now make it possible for individuals to safely remain...
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...Long-term care facilities are defined as a facility that offers rehabilitative, restorative, and ongoing skilled nursing care to patients who are in need of assistance and help with activities of daily living. Long-term care facilities consist of nursing home, rehab facilities, inpatient behavioral health facilities, and long-term chronic care hospitals (Definition of Long-term care facility, 2012). The purpose of this case study was to explain the activities and participation of individuals with Dementia who are residing in long-term care facilities. An exploratory descriptive research study was performed on 329 individuals who were medically diagnosed with Dementia was led in the central area of Portugal. Socio-demographics were gathered...
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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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...Transcript of Metabical Case Study Presented by: The Lever Group Metabical - Case Study Goal? Targeting and Positioning: How to market Metabical to the correct audience to maximize sales Who are we? The Lever Group An independent market research group specializing in the balance between exercise and diet for overweight individuals Cambridge Sciences Pharmaceuticals (CSP) International health care company $25 billion in sales in 2007 Makers of Zimistat Metabical - may be first FDA approved prescription drug? Shown to be very effective for slightly overweight individuals The Situation Ideal target customer is a slightly overweight female between the age of 35-65. Positioning Strategy Losing weight is tough. You don't have to do it alone. Let Metabical and your health care provider start you on the road to a healthy weight and better life. (End Consumers) Advertising Message How to Market? TARGET: SWOT ANALYSIS CSP has spent 10 years and $400 million developing Metabical A successful launch will ensure a steady, long-term demand. Not a long term solution for patients Should be combined with diet and exercise Emphasize support program to change behavior patterns with over-eating The Consumer Decision Making Process Empower your patients to lose excess weight, change their unhealthy eating habits, and achieve long term success. Introducing Metabical – short-term drug therapy and a comprehensive support program for overweight patients. It gets results. (Health Care Providers) The...
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...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 changes...
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...Case Study 3 This case study focuses on a situation that is faced by most healthcare facilities in the United States. The problem involves growing needs versus shrinking financial budgets to meet required outlay of equipment, technology, staffing, and physical facilities. To meet the needs of the growing population of North Reno County, Langley Mason Health (LMH) must make some tough financial decisions in regards to patient safety strategies that effect immediate and long term obligations. LMH has a strategic plan and has set forth ten goals for implementation. Once the goals are implemented, the community and patients will have safe, efficient care and the health system will be in line with other facilities that are technologically proficient. LMH has a multi-phase approach to complete the process and implementation of the plan. To date, the only phase completed is the first, and there is indecision and uncertainty among the LMH management staff about subsequent phases. Staff opposes purchasing equipment for short term safety goals such as smart IV pumps versus purchase of technological systems that include suites such as computerized order entry (CPOE), robots, and smart IV pumps, bar coding, computerized medication delivery, and electronic patient education. While some management decision makers desire to study the strategic problem before dedicating the funds for any equipment or phase, the chief information officer Dr. Moore does not want to get bogged down in a lengthy...
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...likely to be considering and what areas of concern the family should expect Vera to raise when they discuss the future with her. You explain that you do not have much experience in this area, and that you would like to discuss it at the next visit after you have had time to reflect and examine the experiences of others. You formulate the question, In elderly people living at home, what are the likely issues they will be considering when deciding to seek out long-term care services? Searching terms and evidence source You decide to search the CINAHL (Cumulated Index of Nursing and Allied Health Literature) database to identify qualitative studies that have considered this topic. Qualitative studies often address questions about how people experience and feel about things that are happening in their lives. Using the subject headings "long term care" AND "decision making" (exploded), you come up with 117 citations. Adding the subject heading "qualitative studies" narrows the list to 10 citations, which includes the following study: Forbes S, Hoffart, N. Elder's decision making...
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...Holistic care - Long Term Conditions Assignment. Throughout this paper I will analyse the epidemiological data of my area of clinical practice; Slough. I will create a health profile with briefly analyses different areas of variation within the community including deprivation, housing and the structure of the population focussing on the different nationalities that reside within Slough. Following this I will briefly discuss the various long-term conditions that are prevalent within this area before ultimately choosing the most prevalent amongst them to discuss in detail. Along side the discussion of the long-term condition I will focus upon the group of people who are seen to be the most inclined to suffer from that ailment, focussing on the factors that impact upon their trajectory or path travelled with the illness. I will then go onto discuss the possible interventions that will assist patients with the long term condition to cope with their illness, drawing upon national policies developed especially for sufferers of that long term condition. In order to fully encompass the trajectory of a person with a long-term condition I will produce a case study that looks at the history of the patient’s condition and the current health problems with which they face, including the symptoms and experiences during the process of care. Frameworks for affective holistic care will be discussed, ensuring that they take into account the patient’s social needs, cultural needs and their...
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...1 Introduction to Clinical Applications Objectives In this chapter we will study • various approaches to the study of disease; • the role of the Centers for Disease Control and Prevention; • common causes of disease; • the distinction between signs and symptoms of disease; • terms used to describe the time course of a disease; and • common abbreviations for medical specialists and specialties. Homeostasis and Disease The body’s tendency to maintain internal stability is called homeostasis. Examples include the body’s relatively stable temperature, blood glucose concentration, hormone levels, acid-base balance, and electrolyte balance. When physiological variables deviate too much from their set point, the body activates negative feedback loops that tend to restore stability and maintain health. In some cases, such as the stoppage of bleeding, positive feedback loops are activated to bring about rapid change. If the attempt to regain homeostasis fails, disease results. There is a strong emphasis in medicine today on promoting wellness through prevention. However, this manual focuses on what happens when prevention fails, homeostasis is disrupted, and disease occurs. The Study of Disease Disease (illness) is any deviation from normal that interferes with correct, life-sustaining bodily function. Literally, the word means dis-ease, the opposite of ease (comfort and normal function). Disease may have underlying structural foundations, such as a broken bone, and its...
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