...examined family involvement in various long-term care venues were identified through extensive searches of the literature. Future research and practice must consider the complexity of family structure, adopt longitudinal designs, provide direct empirical links between family involvement and resident outcomes, and offer rigorous evaluation of interventions in order to refine the literature. NIH-PA Author Manuscript Keywords Family Involvement; Nursing Homes; Assisted Living Facilities; Family Care Homes; Family Caregiving; Informal Care NIH-PA Author Manuscript Over the past several decades, various research studies have demonstrated that family members remain involved in the lives of their loved ones following placement in residential long-term care facilities (e.g., Bowers, 1988; Maas et al., 2000; Rowles & High, 1996; Smith & Bengston, 1979; York & Calsyn, 1977; Zarit & Whitlatch, 1992, to name a few). These collective findings have helped debunk the myth that families abandon their relatives in nursing homes or similar settings to die in isolation (Rowles, Concotelli, & High, 1996). Although the roles of families in residential long-term care have continued to receive attention in the literature, the findings are diverse as studies are often conducted from different perspectives and are dispersed across various disciplines. The...
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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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...were abused or neglected (Wallace, 2005). While the majority of abuse happens in the home by a family member, there is a rise in the amount of elderly abuse being reported in nursing homes. In 2000, states were asked to indicate the number of elder abuse reports received from nursing homes. Based on figures from 54 states, the total number of reports was 472,813 (Teaster, 2003). A study prepared by the minority staff of the Special Investigations Division of the House Government Reform Committee found that 30% of nursing homes in the United States, 5,283 facilities, were cited for almost 9,000 instances of abuse from 1999 to 2001 (Waxman, 2001). The report stated that 1,601 of these instances could have or did cause the resident serious injury or death. The instances reported ranged from physical abuse, verbal abuse, sexual abuse, bedsores, inadequate medical care, malnutrition, dehydration, preventable accidents, inadequate sanitation and hygiene. Some other shocking finds of the report were that more than 40% of the abuse violations were not reported until formal complaints was brought by residents or family members. 1,327 of the nursing homes were cited more than once for abuse violations during this two year period, 305 were cited for three or more violations and 192 were cited for five or more abuse violations (Waxman, 2001). If you have an elderly parent of relative in a nursing facility there are signs to look for to determine if your loved one is being properly...
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...Tylor Richardson Aging Optimally The people in the video that I though where aging the most optimally where all of the people at the nursing home, that did not have Alzheimer's. These people are good examples of people who are aging optimally. They are participating in activities and social interactions that help them maintain a good outlook on their remaining years. The people engage in activates and perform tasks to help them deal with the life in the nursing home. The nursing home provides help for whatever they need such as mobility, eating, and help with problem-centered and emotional-centered coping. These are all examples of what is needed for optimal aging; they help maximize the gains of old age and try to minimize their losses. They maintain social relationships with each other and their care giver’s which is an important characteristic of aging optimally it keeps their self-efficacy feelings high. People that are in the later stages of life don’t have a lot to look forward to so maintaining a good outlook on live is essential, this includes coping well with negative changes. People in nursing homes are more capable of this due to the support that the nursing home provides them. Rose Marry Hake is a prime example of someone that is not aging optimally. She has been diagnosed with Alzheimer's. This is caused by plack build up in the nurofibers of the brain, causing her to forget things and making aging optimally just not possible. Mrs. Hake cannot carry out a...
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... 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 care 7.9 8.0 7.8 Physician/clinical services 8.8 10.1 8.3 Nursing home care 8.7 9.7 7.5 Dental services 7.4 8.8 7.3 Home health care 15.0 16.5 12.3 Durable medical equipment 6.6 12.0 5.6 Prescription drugs 9.3 13.5 8.2 Source: Centers for Medicare and Medicaid Services, 2010a. National Health...
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...FINAL EXAM REVIEW Know which residents make up the majority of Long-term Care facility admissions [page 1] Difference between a policy and a procedure [page 5] Policy is a course of action that should be taken every time a certain situation occurs. (Example, a very basic policy is that healthcare information must remain confidential.) Procedure is a method or way of doing something. (Example, your facility will have a procedure for reporting information about residents. The procedure explains what form to complete, when and how often to fill it out, and to whom it is given.) Scope of practice for nursing assistants, specific tasks outside of the scope of practice [page 15] The things you are allowed to do and how to do them correctly. Tasks outside the scope of practice: NAs do not administer medications unless trained and signed to do so, NAs do not honor a request to do something outside the scope of practice, not listed in the care plan, or not on the assignment sheet, NAs do not usually perform procedures that require sterile technique. NAs do not diagnose or prescribe treatments or medication, NAs do not tell the resident or the family the diagnosis or the medical treatment plan. Describe the purpose of the care plan [page 16] A care plan is created for each resident by the nurse or doctor. The care plan is a guide to help the resident reach and maintain the best level of health possible. Long-term care survey process [page1] Surveyors study how well staff care...
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...Social Security Act (1935) With a dramatic increase in life expectancy and decreases in mortality rates, many old People live their later lives with chronic illnesses and disabilities. As a result, long-term care is becoming an important part of service to the elderly population. The US General Accounting Office (1994) reports that more than 12 million Americans need long-term care and 55% of them are people aged 65 or older (Binstock, Cluff, & Mering, 1996). Accordingly, the government spends substantial amounts of money to provide care through nursing homes and community/home based services. In 1994, more than $100 billion was spent on long-term care in the US in 1994, 72% of which went to nursing home care (Binstock, Cluff, & Mering, 1996). It was not until recently, however, that long-term care of the elderly received attention from the government and the health care sector. Throughout most of American history, the long term care of the elderly has been considered a responsibility of family households, especially a daughter of the person, rather than the society and its health system (Holstein & Cole, 1996). Now, public attention has increased due to the growing elderly population and their political influence, the economic and psychological burden of the family and caregiver is still substantial. According to 1994 statistics, it is estimated that individuals and their families pay out of pocket costs equaling 44% of the total amount of long-term care...
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...On-Line Medicaid Billing-Nursing Home Access the Texas Medicaid website, www.tmhp.com to bill Nursing Home claims. Select Providers link (top of screen) and then select Access TexMedConnect (right side of screen). 1. Medicaid a. If pt is utilizing hospice services and has Medicaid, we have to bill and pay for their room and board b. You will receive an email with new admitted patient information from each location c. The nursing home bills a patients private insurances for services d. only bills Medicare for hospice skilled services and Medicaid for Room and Board e. Drew and Troy took over Nursing home billing in July f. A folder for each location is called Medicaid, each office has its own folder, each office folder has a spreadsheet for each Nursing home i. There is also a spreadsheet for Medicaid Primary g. Medicaid hospice pays for different levels of rooms at different rates i. Tile or RUG rates: ranges from $100 to $250 a day depending on the level of care h. There are 25 levels of facilities (25 being the low end facility) i. deals with level 5-12 facilities i. Ex: tile level CA2 = $114 (refer to cross legend) j. Texas Medicaid Website is: www.tmhp.com – Below are features of the site i. MESAVE lets you check patient eligibility ii. Look for NURSING FACILIITY ROOM AND BOARD iii. NEED...
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...1. he impact of the IOM report on nursing education. 2. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report. 3. The impact of the IOM report on the nurse’s role as a leade The impact of iom report on nursing In 2011, the Institute of Medicine (IOM) collaborated with Robert Wood Johnson Foundation (RWJF) to publish The Future of Nursing: Leading Changes, Advancing Health. With the increasing changes in health care, it is up to the nurses to keep themselves updated and competent. The purpose of this collaborated effect put forth recommendation that allow nurses to “(1) ensure that nurses can practice to full extent of their education and training (2) improve nursing education,(3) provide opportunities for nurses to assume leadership positions and to serve as a full partners in health care system and (4) improve data collection for workforce planning and policy making”(The Robert Wood Johnson Foundation and the Institutes of Medicine[RWJF and IOM]. IOM has a great impact on nursing education. A higher level of education, training and experience could make a nurse competent in her level of pra. One of the statistic shows that 34.2% nurses have BSN, 33.7% have associates degree, and 17% have masters or a Doctorate degree (Cherry & Jacob, 2008, p.550). While there are changes made in our health care there should be changes in nursing education prior to licensing and post...
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...hospitals, but LTCHs focus on patients who, on average, stay more than 25 days. Many of the patients in LTCHs are transfered there from an intensive or critical care unit. LTCHs specialize in treating patients who may have more than one serious condition, but who may improve with time and care, and return home. Services provided in LTCHs typically include comprehensive rehabilitation, respiratory therapy, head trauma treatment, and pain management. I’ve heard a lot about “long-term care.” Is this the kind of care that long-term care hospitals give? No. Long-term care usually refers to care that’s basically custodial (like help with feeding or dressing), even if there’s some health care given. Medicare doesn’t cover this kind of care, which can be given in your own home or in various kinds of facilities (like assisted living facilities). LTCHs are hospitals that give inpatient services to people who need a much longer stay to get well. ★ Do I pay more in a LTCH than in an acute care hospital? Generally, no. Under Medicare, you’re only responsible for one deductible for any benefit period. A benefit period begins the day you’re admitted to a hospital or skilled nursing facility (SNF), and ends when you haven’t gotten any inpatient care in a hospital or SNF for 60 days in a row. This applies whether you’re in an acute care hospital or a LTCH. You don’t have to pay a second deductible for your care in a LTCH if: • You’re transferred to a LTCH directly from an acute care...
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...Westmount Nursing Inc. is a for profit chain with seven different nursing homes. It has a grown from a small few bed facility to a facility with 4 different divisions that made to help make seniors more independent. The Westmount Nursing Homes were in search for a chief executive officer and president, which was filled by Shirley Carpenter. After Shirley Carpenter came on to the company, many changes were made and implemented. Some implementations were successfully, but she was also challenged with many problems with the Union Federation of Nurses and the Board of directors regarding wages and total quality management implementation. My recommendation would be for Shirley to stop the implementation of total quality management and focus on employee morale. Westmount Nursing Homes are a chain seven nursing facilities serving the elderly located in northeastern area of the United States. It is composed of four different divisions to help the seniors lead independent lives. The first division is the Facilities Division which manages the skilled nursing homes. The second division is the Home Care Division, which helps the elderly within their own homes. The third division is the Commissary Services Division, which is the management of a centralized kitchen which delivers food to its homes, hospitals, and patient homes. The fourth division is the Consulting Division, which provides accounting services to its clients. Westmount Nursing Homes (WNH) is still searching...
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...three years, which comes out to be 69% of the population. The reasons for LTC are various, but facing the facts it is needed. Topics elaborated in this paper will be the need for a facility, demographics, and a description of the LTC facilities floor plans. LTC services are obtained when individuals can no longer perform daily activities on their own like dressing, bathing, and cooking. This usually is the outcome of a disability or an illness. Some situations call for more extensive care for illness or disability such as confusion, memory loss, or other cognitive impairments like Alzheimer’s disease. Roughly 70% of individuals over 65 receive some type of long-term care service in their lives, and over 40% will be or are placed in nursing home facilities (Department of Health and Human Services, 2013). So, the need for a long-term care facility that specializes in memory care as well is vital to the aging population. Forgetfulness is a part of aging and is becoming more prevalent but can be very annoying to those going through it. The need for this facility is the inadequate amount of facilities that focus on memory care. LTC facilities do the best they can to treat resident’s individual needs, but to specialize in specific areas of need is vital. In 2011, it was estimated that 5.4 million people has some forms of dementia including Alzheimer’s disease (Assisted Living Today, 2011). Today families are faced with the weight of caring for their loved on their own or...
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...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 by elderly individuals, individuals that have a chronic illness, or may be disabled either physically or mentally. It is estimated that 80% of the individuals who use long term care services are over the age of 65 (Austin & Wetle, "Chapter 8, Who uses LTC?," 2012). A facility-based service provides housing and housekeeping services. Some facilities manage...
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...Aging of America and The Preventive Measures we take Christopher J. Murray Professor Adler HCM 625 Selected Learning Activity for December 2012 { Salem International University, Healthcare Management Program } Abstract Between now and 2030, the number of Americans age 55 and older will almost double. To put the demographic numbers into perspective, we will see 60 million to 107.6 million; a 10 percent increase as the Baby Boomers will reach their retirement age. Within that same time period, the number of Americans over 65 will more than double, with an increase in population of 34 million to 70 million; an almost eight percent increase (Administration of Aging). The average life expectancy has increased almost 20 years for females and 16 years for males, in part due to the advancements of our educational system and healthcare. We, as Healthcare Managers, must plan accurately because of this current trend of extended longevity. Fail to prepare, prepare to fail. What do these words mean for our country? It is imperative that we, as Americans, prepare for the future in all aspects due to such a large population. We will see drastic increases in aging, income, and the need for a practical plan by every American because of the statistics that have been listed. The proof is in the pudding by showing the statistics given by the Administration of Aging; we see increases in all age brackets...
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...Agent Policy Paper Risk Management is defined as policies and procedures put in place to enhance infection control, patient safety, and quality of service. In healthcare there is always the risk of something getting out of hand and hurting a patient or even the staff of the facility. My facility is a Nursing Home/ Long-Term Care Facility about 2/3 of the residents are just elderly people suffering from ailing health, dementia, or Alzheimer’s. The other 1/3 is post-op recovery patients that need some where to recover before they head home; the average recovery time is 6-8 weeks. My facility has no one person dedicated to Risk Management. The closest we have is an Infection Control Nurse who is responsible for ensuring that no outbreaks of any sort happen and if it does happen it is her responsibility to ensure that the outbreak is contained as well. The Infection Control Nurse is also tasked with administering and keeping updated all records of TB tests. Upon asking her, I was informed that the current standards and policies were given to us during our initial employee orientation. My role as a Respiratory Therapist it falls to me to assist all the new patients as they come into our facility to determine their respiratory needs. Also in case of any code situation, it is the responsibility of the on-duty RT to take charge and stabilize the patient until Emergency Medical Services arrives and then transfer custody of the patient to EMS to deliver them to Emergency Department...
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