...Several different agencies regulate residential care homes for the dual purposes of protecting the welfare and rights of residents and assuring they receive an appropriate level of quality care. Residential care homes provide care to persons unable to live wholly independently but not in need of the level of care and services provided in a nursing home. Toward that end, these regulations are designed to foster personal independence on the part of residents and a home-like environment in the homes. Residential care homes are licensed as either Level IV or Level III. Both levels must provide room and board, assistance with personal care, general supervision and/or medication management as necessary for each individual. Level III homes also must provide the additional service of nursing overview. The intention of the Department of Aging and Disabilities is to assist residential care home providers to attain and maintain compliance with these regulations. One effective agency that is working to ensure essential services for those in need of long-term care is the Department of Aging and Disability Services (DADS) in the state of Texas. This organization provides a plethora of programs for those needing special help within the state. These programs include, but are not limited to, adult day care, assisted living facilities home health care, and residential care for those citizens who have intellectual and developmental disabilities. To qualify for the services this department offer...
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...United States has faced many challenges as it entered into the 21st century. First is ensuring that individuals receive the medical care and support they need throughout their life with dignity and quality. With the aging of “baby boomers,” the number of individuals 65 and those with disabilities will increase from 12.4 percent in 2000 to about 20.4 percent by 2040. This will represent a need for increasing nursing facilities, assisted living, other residential care, and home care services. This represents an expected increase from 15 million in 2000 to 27 million in 2040. This will affect more than just the different facilities; it affects the number of medical professionals needed to staff the facilities. The need for registered nurses, licensed practitioner’s, nurse aides, home health, personal care workers, and physicians will also increase from 1.9 million in 2000 to about 45 percent in the year 2040. We will see another rise in growth for direct care workers in long-term care by 2030 when the baby boomers reach the age of 85. The expected growth equates to about an additional 3.8 to 4.6 million. One of the problems the country will face is that the increased need of workers will not increase at the same rate as they are needed. Currently unpaid informal caregivers, such as, family members, neighbors; and friends provide the majority of care. This is expected to increase from about 20 million in 2000 to 37 million by the year 2030. This is an estimated increase of about...
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...skills that are necessary for the provision of care of the highest standards to their patients. Because of the majority of workers who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities. Residential care can be referred to as a place for individuals who do not require care at hospitals, but cannot be cared for in their own homes. The residential care is set up like a hospital with staff that provide medical care and also speech, physical, and occupational therapy...
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...affecting children. The Children Act 1989 gave every child the right to protection from abuse and exploitation and the right to inquiries to safeguard their welfare. Its central tenet was that children are usually best looked after within their family. The act came into force in England and Wales in 1991 and - with some differences - in Northern Ireland in 1996. The key principle of the Act is that the welfare of the child is vital when an issue concerning the upbringing of a child has to be decided by a court under this legislation. A court must also ascertain the wishes and feelings of the child and shall not make an Order unless this is 'better for the child than making no Order at all'. Every effort should be made to preserve the child’s home and family links. The Act introduced the concept of parental responsibility which is defined as 'the rights, duties, powers and responsibilities which by law a parent of a child has in relation to the child.' This replaced the old idea that parents have 'custody' of the child or children. The Children Act 2004 was introduced following the tragic death of Victoria Climbie and the public enquiry into the circumstances surrounding her death. The inquiry, chaired by Lord Laming, found massive failings on the part of as many as twelve agencies with a role to play in protecting children. It led to recommendations for a radical reform of services, particularly in the areas of better joined up working and information sharing....
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...because there isn't access for a disabled person example there's not lift or ramp in the building. This act makes it illegal to do things like that without a justified reason. Disability is not only physical, there other type of disability such as mental disability which is under the disability act but only if the mental illness affect the person's everyday life. This helps to promote anti discriminatory practice by making sure that all public sectors review their plans, procedure and practice so it can also be in favour of the disabled. Nursing and residential care home regulation 1984: this applies individual in residential and nursing homes. they need to apply to their local council for a licence in order for them to operate which regulate their practice. This act promote anti discriminatory practice by making sure the service user is being treated with respect and the nursing home need to provide adequate care for the...
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...the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the Fort Washington area in terms of older adults and the long term care market. The challenges with this provider are marketing and staffing for which I suggest low cost advertisement and comprehensive staffing patterns. Lastly, a conclusion and summary are provided for the current state and future of assisted living facilities. Overview of Assisted Living While the definition of assisted living facilities vary from state to state, this type of facility is generally defined as “a housing option that involves the delivery of professionally managed, supportive services and depending on state regulations, nursing services in a group setting that is residential in character and appearance” (Evashwick, 2005, p 152). Assisted living facilities serve as a way to provide care to people who...
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...Funding Health Care Services Dr. Johnican HSA 500 Health Services Organization March 3rd, 2014 Funding Health Care Services Ambulatory services are the services offered to patients if they are to be accommodated within the compounds of the healthcare institution under professional nursing care because of the severity of their health or because of the recommendations of patients’ physician or surgeon (Williams, S. & Torrens, P. 2010). The patient is only there for a day and then is discharged for the facility. There are services that be provided in a day starting from registering the patient to providing them with medication. There many different kind of services that falls under ambulatory care such as outpatient clinics, urgent care centers, emergency rooms, ambulatory or same-day surgery centers, diagnostic and imaging centers, primary care centers, community health centers, occupational health centers, mental health clinics, and group practices. There has been an increase in the ambulatory care because it is inexpensive and more appropriate health care setting. It is hard for the health care personnel and patients to adjust because of the changing technology and complex reimbursement systems. There are spending costs involved in health care like money paid to health care providers in hospitals, outpatient centers, Veterans Affairs and other clinics, doctor and dentist practices, physical therapists, nursing homes, home health services and on-site care at places...
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... a nursing home is a residential facility offering daily living assistance to individuals who are physically or mentally unable to live independently. Residents are provided rooms, meals, assistance with daily living, and in most cases, some medical treatment. The U.S. nursing homes and long-term care facilities industry includes about 80,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $210 billion. The severe shortage of nursing assistants, home health and home care aides, and other paraprofessional workers is the primary trend influencing the current wave of concern about the long-term care workforce. National data on turnover rates show wide variation, depending on the source of the data: One source suggests that turnover rates average about 45 percent for nursing homes and about 10 percent for home health programs, while other data place average annual nursing home turnover at over 100 percent per year. High rates of staff vacancies and turnover have negative effects on providers, consumers, and workers: The cost to providers of replacing workers is high; quality of care may suffer; and workers in understaffed environments may suffer higher rates of injury. The future availability of front-line workers does not look promising. There will be an unprecedented increase in the size of the elderly population as the “baby boom” generation ages. This is why questions such as, nursing-home growth, will...
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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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... Health & Social Care | |Unit Title |11 – Safeguarding Adults & Promoting Independence | |Level |3 | |Part Unit |P4, M2, M3, D2 |Whole Unit | | |Assessor | | |Start Date | |Task 1 (P4) | |You are in charge of a charity that runs a small care home and an adult placement scheme for people with mental health problems. A committee of | |volunteers oversees the charity’s work. | |A new member has been elected to the committee and has a meeting with you to find out more about the home and fostering scheme...
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...Unit 2: Equality, Diversity and Rights in Health and Social Care Assessment Criteria: Explain the Concept of Equality, Diversity and Rights in Relation to Health and Social Care. Describe Discriminatory Practise in Health and Social Care. Describe the Potential Effects of Discriminatory Practice on Those Who Use Health or Social Care Services. Assess the Effects on Those Using the Service of Three Discriminatory Practices in Health and Social Care Settings. Equality: - The term equality according to Dictionary.com (2015) “Is the state or quality of being equal; correspondence in quantity, degree, value, rank and or ability” however I believe that this definition can establish misconception on the view of an individual, and so the more realistic concept behind ‘Equality’ in regards to the health and social industry; is for all individuals to be provided with equal opportunities to access of the concerning services, and for these users to be treated fairly (not equally) accordingly to the approaches used to meet their individual needs. Diversity: - Is a termed used to describe the promotion and celebrating of differences which an individual may have on the aspects of your own identity as well as others. Rights: - "They are the legal entitlements which we are all privileged to own, with the aim of allowing equal opportunities for all citizens in certain aspects of an individuals' life. There are a number of rights entitled under the enforcement of The Human Rights Act. 2000...
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...Abstract This paper will explore the long term care system in the United States focusing on the elderly. Understanding aging and the effects it shall have on the long term care industry is important for our society, as the numbers of the elderly are increasing. This paper shall also identify problems in the current long term care system that can cause risk to the elderly such as financial burdens and inadequate care. It will address the long term care professions and job opportunities available as well as give information needed for long term planning. Changes and needs to the long term care delivery systems will be addressed. In conclusion this paper will educate on the elderly needs for long term care and the best way to plan for their future. Long Term Care Systems in the United States When one contemplates the long term care system in the United States, the first thing one must do is understand the importance of aging. In the not so distant past, it was not uncommon for infants to die due to poor nutrition and infectious diseases, nor was the life span as high as it is today. The increasing number of elderly in our society, due to the “baby boomers and longer life spans,” and the changing patterns of activity among them, have led to new assumptions on how their needs and wishes govern the organization of long term health care. When thinking about long term care we must evaluate our rate of growth of the elderly. Statistics show that the population of 80 years or older...
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...Department Of Health on Assisted Living Assisted Living Program (ALP) Serves persons who are medically eligible for nursing home placement but serves them in a less medically intensive, lower cost setting ALP provides personal care, room, board, housekeeping, supervision, home health aides, personal emergency response services, nursing, physical therapy, occupational therapy, speech therapy, medical supplies and equipment, adult day health care, a range of home health services, and the case management services of a registered professional nurse. Who is eligible? To be eligible, both Medicaid recipients and private-payers must be medically eligible for, and would otherwise require, placement in a nursing home due to the lack of a home or suitable home environment. However, eligible ALP residents must not require continual nursing care, be chronically bedfast or chairfast, or be impaired to the degree that they endanger the safety of other ALP residents. The ALP program is limited to 4,200 residents (approximately 85% are Medicaid recipients). How do I find the services of the Assisted Living Program? Private-payers and Medicaid recipients may contact the ALP directly. However, Medicaid recipients must have their ALP services approved in advance by the Local Social Services District. ALPS are regulated by the State Department of Health. The regulations require that the appropriateness of ALP services be determined by initial and periodic reassessments...
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...Running head: CONTINUUM OF CARE PAPER Continuum of Care Paper Patricia Alexander University of Phoenix Health Care Delivery in the U.S. 310 Michelle Crakes May 25, 2009 Continuum of Care Paper Long-Term Care Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? What is long-term care? Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Description of Services The purpose of long-term is to provide the most appropriate service in the least restrictive setting possible. Long-term care programs offer institutional services...
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...Analyze the types of health care businesses in your community, including hospitals, nursing homes, physicians, dentists, and home health. Use the internet, phonebook, and/or Chamber of Commerce as data sources. Summarize your findings in one page. Be certain to cite references used. Palmetto Health Richland is located on 5 Medical park Rd, Columbia SC 29203. In 2016 they were recognized by the American Heart Association/ American Stroke Association Get with the Guidelines program for heart failure. This is the only hospital dedicated solely to the prevention, diagnoses and treatment of cardiovascular disease. Forest Pines Retirement Home is located on 1720 Devonshire Drive, Columbia SC 29203. They offer independent care. They have great reviews with plenty of activities. They also have studio apartments one to two bedrooms. The food seems to be good and they do care about the seniors that are living there. Dr. Bernard G. Kirol is an Orthopedic Surgeon in Columbia SC from rate MDS he is number one with great reviews their name is and they are located at Midlands Orthopedics Pa 1910 Blanding St Columbia, SC, United States 29201 No long waits, very polite, and a great overall experience. Heartland of Columbia Rehabilitation & Nursing Center Address: 2601 Forest Dr, Columbia, SC 29204 They offer rehabilitation services and they have a comfortable environment they have short term care and long term residential care. This is a nursing home for people who need rehab...
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