...Long Term Care Facility vs. Home Health Care Nursing Karen Waite Eng/102 July, 2014 Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a few of them in the following paper, like the financial aspects, psychosocial, and meeting the overall needs of our ever aging parents or ill loved one. Taking care of your loved one is a full time job in most cases. Long-term care facilities are a traditional approach to caring for the elderly or chronically ill members of society. These facilities are set up in a couple of different ways to provide specialized care depending on a person’s need. In some cases, mom may not need a great deal of care with her daily living, but may need help with fixing food or remembering to take her medication. So, the first point of our discussion is assisted living facilities. These are apartment type communities that specialize in assisting seniors who may have a problem accomplishing their normal activities...
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...------------------------------------------------- Medical Malpractice in Nursing Homes By: Molly Hix Medical malpractice occurs on a daily basis to innocent patients. Today, malpractice continues to increase in nursing homes due to the shortage of qualified staff. Malpractice is when a hospital or any type of healthcare happens through neglect to a patient. Neglect might occur when the diagnosis is wrong, treatment or even aftercare. The number of malpractice cases is on the rise in nursing homes due to the lack of employee to patient ratio leaving patients to suffer and employees on the verge of lawsuits. Back in 1986 a report by the Institute of Medicine was released stating that residents were receiving negligent care. They were likely being physically or mentally abused as well as having all their rights ignored by the caregivers. In 1987 Congress decided to pass a legislation to establish rules and standards for nursing homes. Even though the legislation was passed the nursing homes along with the caregivers were still violating these rules. This regulation was established to make sure patients were receiving the correct care in a professional manner. This meant that the caregivers were required to actively use the available resources to get the proper training to further the patients’ lives and well-being. Fast forward to year 1999, the U.S General Accounting office found a lack of treatment in nearly one- third of all nursing homes. Stated in this report they found bed sores, a number...
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...social-conflict approach society displays through aging, and the impact on society by relating the Frontline video clip we watched in class, “Living Old”. The social - conflict theory argues that individuals and groups, such as social classes within society have differing amounts of material and non-material resources such as wealth and poverty. As well as, it refers to various types of negative social interaction that may occur with social relationships and well being. For example rich vs. poor. I believe this has always been a social concern and is increasing due to successful research and modern improvements in medicine and healthcare. Resulting in elderly people living longer than before. Aging and social-conflict in this video emphasizes the involvement of the aging or older individuals in social activities and engagement in society due to their social status. As well as the ability to be able to take care of themselves in the elder years. I believe that individuals from more of an upper class tend to have better health and independence, which leads them to be more dependent than those of a lower class in their elder years. They typically have even better or greater access to healthcare, consistent access to food, medicine and housing, and can afford to have the help they need for daily tasks and well being of living. Even though a wealthier older person may not see any change in their lifestyle, but the general effects on their health. A lower income elderly...
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...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg, granulocyte...
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...Freedom to Die with Dignity Charletta R. Anderson Strayer University ENG 215 Dr. Aaron Miller December 12, 2011 Euthanasia: Freedom to Die with Dignity The word “Euthanasia” comes from a Greek phrase meaning “good death”. However, in today’s society it means killing a terminally ill person as a way to end that person’s pain and suffering (Cundiff, 1992 ). In the year 2007, my grandfather the Honorable Leon Davis was dying. This American war hero had made a request to die with dignity. He was dealing with a failed kidney, pneumonia, dementia, hypertension, MRSA foot infection, a broken hip, and terrible living conditions at a nursing home. All these problems left him weak and physically dependent on others. For terminally ill patients like my grandfather, where death was inevitable and would have been less painful than living, euthanasia should be a consideration or an option. Euthanasia is a way of relieving terminally or severely ill people's pain and save them from the agony of their illness. People claim that the right to die is protected by the same constitutional safeguards that promise such rights as marriage, and the refusal or termination of life-saving medical treatment. This essay will discuss why or why not ill people should have the right to end their suffering with a quick, dignified, and merciful death by the means of Euthanasia. Legalizing Euthanasia In the 1970s , a movement that had tried to legalize some form of euthanasia,...
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...Palliative and Supportive Care ~2006!, 4, 399–406. Printed in the USA. Copyright © 2006 Cambridge University Press 1478-9515006 $16.00 DOI: 10.10170S1478951506060494 Requests for euthanasia and physician-assisted suicide and the availability and application of palliative options MARIJKE C. JANSEN-VAN DER WEIDE, M.SC., BREGJE D. ONWUTEAKA-PHILIPSEN, PH.D., AND GERRIT VAN DER WAL, PH.D., M.D. Department of Public and Occupational Health and Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands ~RECEIVED June 5, 2006; ACCEPTED August 27, 2006! ABSTRACT Objective: This study investigated the palliative options available when a patient requested euthanasia or physician-assisted suicide ~EAS!, the extent to which the options were applied, and changes in the patient’s wishes. Methods: In an observational study, 3614 general practitioners ~GPs! filled in a questionnaire and described their most recent request for EAS ~if any! ~n 1,681!. Results: Palliative options were still available in 25% of cases. In these cases options were applied in 63%; in 46% of these cases patients withdrew their request. Medication other than antibiotics, which was most frequently mentioned as a palliative option ~67%!, and applied most frequently ~79%!, together with radiotherapy, most frequently resulted in patients withdrawing their request. Significance of results: GPs include the availability of palliative options in their decision making when...
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...Company Profile Physician Sales & Service THE COMPANY PSS World Medical was founded in 1983 with a mission to fulfill the inventory needs of office-based physicians and assisted living facilities by providing unique and innovative services. The elder-care division, Gulf South Medical Supply, provides supplies, equipment and billing services for long-term facilities, home health care and hospice providers. Physician Sales & Service, Inc. focuses on the physician market distributing medical supplies, diagnostic equipment, pharmaceutical related products and healthcare information technology. Based in Jacksonville, Fla., PSS has evolved into the country's largest provider of medical supplies through its commitment to fast service and the belief that "The customer is everything." The company’s founder, Patrick Kelly, grew up in a Richmond, Virginia, boys’ home. Growing up with both forgiving and strict guardians helped develop his penchant for risk-taking, which he brought to PSS. “People here will never get in trouble for making a mistake,” he told Inc. in 1995. As a result of his philosophy, PSS has received numerous recognitions which include Fortune Magazine’s “Most Admired Companies in America and Forbes.com “Most Trustworthy Companies 2009.” CUSTOMER Today, Physician Sales & Service distributes products to approximately 598,000 physicians practicing at an approximate 234,000 offices in the United States. These physicians are defined as internal medicine...
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...Mortality, February 2005; 10(1): 69 – 81 Tube feeding: Prolonging life or death in vulnerable populations? ELAINE J. AMELLA, JAMES F. LAWRENCE, & SUZANNE O. GRESLE Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for...
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...Markets…………………………………………………………………….11 3.5 Positioning…………………………………………………………………………12 3.6 Strategies………………………………………………………………………… 12 3.7 Marketing Mix……………………………………………………………………13 3.8 Marketing Research……………………………………………………………….14 4.0 Controls……………………………………………………………………………15 4.1 Implementation…………………………………………………………………….16 4.2 Marketing Organization……………………………………………………………..17 4.3 Contingency Planning………………………………………………………………..17 5.0 Conclusion…………………………………………………………………………..18 Works Cited…………………………………………………………………………….19 Advanced Support Solutions Inc. will be created as a C Corporation based in Jacksonville, Florida, owned by its principal investors and principal operators. The main office will be located in Jacksonville, FL. The company has been approved for home healthcare services by the Agency for Persons with Disabilities (APD) and Department for Children and Families (DCCF). APD and DCCF are the governing agencies responsible for monitoring and licensing this company. The agency must be licensed by the State of Florida and our services reimbursed by Medicare, Medicaid...
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...ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA Author: Kamau S. Macharia: BScN (Moi), MSc (studying) Nursing Leadership & Health Care Systems Management (University of Colorado, Denver), Higher Dip. Critical Care Nursing (Nbi). Graduate Assistant, School of Nursing & Biomedical Sciences, Kabianga University College (A Constituent College of Moi University), . P 0 Box 2030 20200 Kericho, Kenya , Tel +254 722224577, Email: symomash@gmail.com ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA ABSTRACT Problem Statement: A conference to discuss on ethical dilemmas is thought to be a good way of airing out issues. It is unfortunate that at times a patient in our care may die no matter what we do. Profound ethical questions on end of life issues confront the medical personnel as they watch and wait helplessly. This paper touches on ethics, law, social and public policy as they affect nursing practice. Setting: This is a conference proceedings report augmented with a case study of Nelly from a local setting and compares it with two others from elsewhere which were also presented during the conference. Conference was organized by Federation of African Medical Students Associations (FAMSA), Eldoret 2011. The author was a presenter...
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...Falls: Risks, Facts, Prevention Falls: Risks, Facts, Prevention The following information is a compilation of the teaching plan utilized for the community teaching assignment. The information presented includes statistical analysis and detailed information on potential risks of injury and death related to falls among the elderly. It also highlights prevention methods that can be utilized in an attempt to decrease Emergency Room visits secondary to falls. My target audience consisted of 18 senior citizens who reside at Heartfield Assisted Living Facility in Cary, NC. The median age of this group was 78 years old. A wheelchair with faulty brakes, oxygen tubing and a quad cane were used for props and demonstrations of safe vs. unsafe use. My teaching plan followed the pamphlet that was created for the teaching assignment. I chose this format as I felt it would be helpful to provide a resource for seniors to reference after completion of the session. The title of the pamphlet is Falls: Risks, Facts, Prevention; Understanding potential hazards and how to promote safety. The pamphlet/teaching was broken down into three categories: facts and statistics related to falls in the elderly, fall risks and prevention methods. An “Are you at Risk”? question and answer segment was also included to create awareness for individuals who believe they are practicing safety. This encouraged participants to analyze their...
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...the most on health care, this does not translate into the best care available. Many developed countries outrank the U.S. in quality and access of care. Before the Affordable Care Act came along, many individuals and families would forgo purchasing insurance premiums due to the high costs and only utilize emergency rooms when in need of care. Health care reform ideally will address the millions who are without health insurance and provide a higher standard quality of care. The reform of the health insurance system aims to reduce national spending by making changes to the law to incentivize health care providers and organizations to reduce unnecessary spending and focus on increasing access to meet the new demand of the newly insured. Profit vs. Non-Profit Consider for a moment that the majority of health services spending is done by non-profits. These same non-profit organizations are now held to a higher standard, specifically, what exactly they are doing to serve the underserved in their local markets. Recent healthcare reform is a mixed blessing for non-profit and for profit hospitals. Over 30 million Americans previously uninsured Americans will now have the ability to pay for preventative care and check ups and stay visit the emergency room less often. This upside for both profit and non-profit hospitals creates a greater customer base and fewer uncollectible services. However, there are new limits on certain charges and Medicare reimbursements are now tied to performance...
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...JoAnn Walker is an 84-year-old female who has had a productive cough of green phlegm 4 days ago that continues to persist. She was started 3 days ago on prednisone 60 mg po daily and azithromycin (Zithromax) 250 mg po x5 days by her clinic physician. Though she has had intermittent chills, she first noticed a fever last night of 102.0. She has had more difficulty breathing during the night and has been using her albuterol inhaler every 1-2 hours with no improvement. Therefore she called 9-1-1 and arrives at the emergency department (ED) by emergency medical services (EMS) where you are the nurse who will be responsible for her care. Personal/Social History: JoAnn was widowed 6 months ago after 64 years of marriage and resides in assisted living. She is a retired elementary school teacher. She called her pastor and he has now arrived and came back with the patient. The nurse walked in the room when the pastor asked Joan if she would like to pray. The patient said, “Yes, this may the beginning of the end for me.” What data from the histories is important...
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...if people exercise we can reduce need for restorative health • Migrating from medical model to public health is difficult, clinical intervention associated with restorative health • Preventive: whole is greater than sum of the parts • PA’s and NP’s to extend primary care, about improving access and slowing cost curve increase • States are the primary vehicles for licensure for healthcare personnel, states need to expand the scope of practice • Managed care: managed cost, in 1980s there was financial disincentives for referring to specialists • Public health very small effort of maintaining health • Institution: doctors, payors, hospitals, insurance, technology, pharmaceuticals, taxpayers, professionals, communications, • free market vs. gov. control: history founded on individual rights and liberties, we are a society and there are needs greater than any of us as individuals, works for other countries that don’t have a culture of individualism • Most hospitals are not for profit, for-profit chains are low percentage, VA, military, state hospitals aimed at behavioral health • Cost, Quality, Access: Interwoven quality and access closely related, buyer is not • Hospitalcompare.gov • Remind him about my question on people who opt-out • Medicare: A) Hospitalization: get it when turn 65, financed by payroll tax, federal, passed in 1965 B) Ambulatory services: Voluntary, 99% sign up for part B, financed by premiums and general fund subsidy, pays for partial...
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...Nursing Program CLIENT INFORMATION FORM Student's Name Date of Care: Client Initials Room Number Sex: Age : Admission Date: Admitting Diagnosis: Rt. Lobe infiltrate, Breast & Bone Cancer Secondary Diagnosis if any): Respiratory Distress Surgery Type/Date (if any): Lumpectomy on Rt. Foot at 2002 Working Medical Diagnosis/Etiology (describe definition, pathophysiology, and sign/symptoms) Metastatic Breast Cancer Metastatic breast cancer is the term used to describe cancer that has spread from the original site in the breast to other organs or tissues in the body. Cancer cells can break away from the original cancer in the breast and the cancer cells that break away can spread to other parts of the body via blood vessels or lymphatic vessels. The original site where the cancer cells came from is called the primary cancer. When cancer cell travels from the breast around the body they can lodge themselves in various body organs or tissues. These cells can begin to form breast cancer in new place and this new cancer is called secondary or a metastasis. Breast cancer most commonly spreads to one or more sites: bone, liver, brain and lungs. The sign or symptoms that may experience will depend on where the cancer is in the body and the extent of the cancer. If its spread to the: Bone- pain is fairly constant, aching pain. It may...
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