...In October of 2004 I became extremely ill while working at the Fondulac Nursing Home. I was concerned that this could have killed not only myself, but my unborn daughter as well. I was hired in by Kandi Brewster on May 21, 2004 to work as a housekeeper at the nursing home. I worked there for only a few short months when I contracted Clostridium difficile otherwise known as c-diff. On October 13, 2004 my co-worker Sarah was absent and I was asked to work one side of A-Hall, which is not my normal hallway. I took the necessary precautions as I would normally, I wore rubber gloves, washed my hands afterwards, etc. I would later find out that Mary Smith, one of the residents at Fondulac had c-diff and she was not under isolation as she should...
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...1. There are a number of clients at the Shady Pines Nursing Home who have suffered neurological damage. Given the limited, and admittedly oversimplified, information provided in your course handbook about the patients at Shady Pines Nursing Home, make an educated guess as to the part of the brain that has been damaged. a. Jo-Marie: Jo-Marie could possibly have damaged her prefrontal cortex which is responsible for executive planning. This could be the explanation for her inability to make future plans and being to impulsive. The prefrontal cortex forms part of the cerebral cortex in the cerebrum, which is located in the forebrain. b. Leonardo: Leonardo’s paralysis of the right side of his body is an indication of damage to the left hemisphere...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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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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...Pneumonia Care and the Nursing Home: A qualitative Research Study of resident and family member perspective. Jaya George Introduction to Nursing Research NRS-433 V Bazydlo, Nora June 06, 2011 Pneumonia Care and the Nursing Home: A qualitative Research Study of resident and family member perspective. Introduction. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical issues, or the typical age related changes occurred in the lungs structure of the elderly. Background. The use of long-term care facilities are increased among the Americans...
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...Identification of Research Topic Over the past five years while working in a residential care home for people with dementia, the researcher has observed that incidents of violence and aggression both physical and verbal towards health care staff happened regularly. The incidents of aggression affected staff mentally and physically but the majority of incidents went unreported. The nursing staff, registered nurses and nursing assistants in this environment both acknowledged the seriousness of this on-going problem to them. However the reluctance to report the aggression is because they considered the aggression to be part of the job despite them acknowledging it as a problem. England is an ageing society and as the population ages, health care providers, government, communities and families are faced with the burden of caring for people with dementia (Cubit, 2010). According to Access Economics (2005), dementia is becoming increasingly predominant to the aging population worldwide. A survey of over 15000 care homes in England and Wales found that 78% of residents were cognitively impaired (Bowman et al, 2004). In addition the Alzheimer`s Society (2007) reported that there are around 750 000 people in United Kingdom with a dementing illness. A more recent survey by the Alzheimer`s Society (2009) reported that around one third of older people with dementia in UK live in residential home care settings, representing 200 000 individuals. According to Leonard et al (2006); Zuidema et...
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...Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of quality, but can also lead to use of care practices associated with lower quality. Key Words. Minimum direct care staffing ratios, quality, nursing homes Nursing homes are faced with the challenge...
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...Quantitive and Qualitative Article Review Kristi Schneider Walden University NURS-4000 Res/Scholarshp Evid-based Prac2016 3-20-2016 Quantitive and Qualitative Article Review Quantitive and qualitative studies in research are an important aspect of the nursing profession. Researching and reviewing quantitive and qualitative articles is a process of systematic examination of materials to enhance, validate and learn new knowledge (Schmidt and Brown, 2012, p. 67). As Schmidt and Brown (2012) state, quantitive research design is used to predict relationships and explain relationships and causality whereas qualitative research design gives meaning to events of phenomenon’s (p.72). The purpose of this paper is to identify and interpret research questions, study designs, sample sizes and representativeness, the strengths and weakness of the designs, as well as results of data analysis of both quantitive and qualitative research designs. Overview of Quantitive Design Using the Research Study “A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections.” Research Question The basis of a research question is to pose an interrogatory question that describes the variables and population of the research study (Schmidt & Brown, 2012, p. 72). In the article “A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections.”, (Pokrywka et al., 2014), Pokrywka et al. (2014) present the research question; will the...
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...Elder Neglect and Abuse The latter years of a person's life have been called the "golden years" unfortunately the numbers of elders being abused are growing each year. Gray-Vickrey (2001) reports that neglect occurs in 49 percent of substantiated elder abuse cases, emotional abuse is found in 35 percent of cases, financial abuse is found in 30 percent of cases, and physical abuse or use of physical force is found in 25 percent of cases. The U.S. Department of Justice estimates more than half a million of our nation’s elders are mistreated each year, of course the numbers may be three times higher since few cases of abuse are reported or investigated (Axmaker, 2003). Experts estimate the number of older adults who are mistreated annually at more than two million (Swagerty, 1999, p.2804). A U.S. National Elder Abuse Incidence Study confirmed that reported elder abuse cases are only the "tip of the iceberg" (National Center on Elder Abuse, 2003). The study also shown that two-thirds of the offenders were adult children or spouses. Additionally, elders are being abused in nursing homes, hospitals, or other institutions; in one study, 36 percent of nursing home staff stated that they had witnessed at least one physical abuse incident with an elderly patient (Nelson, 2002). Clearly, elder mistreatment or abuse of the elderly is a growing social occurrence. Unfortunately, our elder population is considered to be easy targets because they are perceived to be fragile and defenseless...
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...IRAC 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? ...
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...this happens to some elderly as well. While some elderly may be productive enough to care for themselves, others are not. The end result is a complete (or close to complete) dependency on someone else for their needs. In addition, just like with children, this dependency can lead to abuse and/or neglect. There has been an increase in the number of elderly that have been subjected to violence and mistreatment. This type of treatment is associated with the individual’s dependency on others; whether it be a relative, acquaintance and/or institution (Meadows, 2010). According to estimates “between 1 and 2 million Americans aged 65 years or older have been injured, exploited, or otherwise mistreated by someone on whom they depended for case or protection (National Research Council Panel to Review Risk and Prevalence of elder abuse and neglect, 2003)” (Meadows, 2010, p. 87). The type of abuse that elderly get subjected to is not only physical, it may also be emotional. Obviously, abuse may take on many different forms and may include: financial abuse, physical abuse, emotional abuse, and neglect. This abuse is not limited to certain circumstances it can happen in poor, middle-class or upper income household. This includes a variety of ethnicities (Meadows, 2010). Anyone may potential cause abuse and/or neglect. Neglect gets broken up into two types, passive and active (Meadows, 2010). Passive neglect is when “the primary caregiver, perhaps a son or daughter, for some...
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...Wesley D. Pointjour Final Research Paper: Telehealth In Nursing Homes Health Quality Management April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education...
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...Professional Values: The Case of BSN-RN Completion Education Winston-Salem State University School of Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information was provided by the authors from previous similar studies which supported their...
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...Applied Conceptual Influences Jennie Golden-Wear Aspen University Concepts and Theories in Nursing June 04, 2012 Applied Conceptual Influences Nursing theorist have over time provided incredible structure by conceptual influence in developing theory utilized in nursing education and practice. This paper will explore a variety of nursing theories including that of Florence Nightingale, Virginia Henderson, and Lydia Hall. Developing care plans and referencing case studies, the theories of Hiligard Peplau, Joyce Travelbee, and Ida Jean Orlando will also be observed. This exploration is meant to enlighten the reader of theories structuring nursing as a practice. Case study #1 The following case study is based on community healthcare visitation to a home for a post-partum follow-up involving a young woman, Isabel. Isabel was a mother of two children, Jerry her two-year old son and Pearl her three-week old daughter. The scene of Isabel’s unclean, ill maintained, single room and so-called home now, was a challenging observation for the visiting nurse. Despite the horrendous site of an overflowing box of dirty cat litter, the dirty diapers, dried food, and spoiled bottles of formula; the nurse was drawn to the values of Florence nightingale. This approach allowed a great deal of compassion for the depressed, frustrated, and exhausted young mother. Fostering receptivity would be a priority in creating a plan of care. First, the nurse knew she must gain Isabel’s confidence...
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...Nursing 106 Spring 2016 Maternal Child Case Study All questions apply to this case study. You may type or clearly write this assignment. It must be legible. Responses to questions must be in your own words. Scenario M.H. is a three year old boy with cerebral palsy (CP) who has been admitted to your unit preoperatively. He will have surgery for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. 1. After getting the family settled, you return to the nursing station, and the nursing student asks you to explain CP and what might have caused cerebral palsy. How would you answer the student’s question? 2. The nursing student asks what the family might have noticed that would indicate CP in M.H. when he was a baby. Which of these findings will you include in your discussion with student? (Select all that apply and state rationale) a. Head lag at 5 months b. Able to sit unassisted at 7 months c. Positive Moro (startle) reflex at 2 months d. Leg scissoring e. Right hand preference at 12 months f. Use of pincher grasp at 9 months g. Increased irritability Case Study Progress You and the nursing student finish a health history with the family and determine that M.H. has impaired vision (wears glasses), speech impairment, seizure disorder, and has had poor weight gain and feeding issues since birth....
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