...If you are a senior in need of long-term nursing home care, your Medicare insurance is not likely to cover it. The good news is that if you cannot afford to pay for nursing home care, there is a chance you may qualify for Medicaid. The following are few things to understand about Medicaid coverage. You must meet certain income standards Unlike Medicare, Medicaid was designed to be a welfare program to help the poor in need of health care; for this reason, there are income limits. Those who make more than this maximum amount will not qualify. However, it should be noted that these income limits vary by state. Although Medicaid is a federal program, it is administered at the state level. States may also have different income limits related to the type of long-term care that is needed by an individual. There are limits to your personal wealth Although there are certain assets that are exempt from determining your eligibility for Medicaid, the list is a short one. But these exemptions can be complex. For example, your house will likely be exempt if there is a...
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...Working in a nursing home, like high school, one is bound to witness several types of residents or cliques because it seems as though the dining room turns into a high school cafeteria with the “assigned” seating. The loners, the drama queens, and the spoiled rich ones are typical to be found in a nursing home. However, the most well-known types of residents are the gossipers, the bullies, and the nice popular ones. The Gossipers are pretty common among the nursing home setting. The gossipers are the clique that knows everything and anything about the staff members and other residents. While sitting in the dining room they will spend the entire meal talking about various events or people. A common example is at a lunch meal; Mary, Flora, and Virginia sit together and quietly discuss among themselves how one resident on the unit is not doing well while he or she is in the hospital....
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...their homes due to the threat of them falling and not having anyone at their side to either help them back up if they are minor falls or call 911 if they are indeed significant falls. However, these incidents should not just be a worry for older patients who live home alone, but for patients in nursing homes as well. 30-40 percent of community-dwelling adults that are 65 and older fall each year, yet such rates are higher for the same age group residing in nursing homes. Nursing home facilities are set up in aiding their residents, many of whom are elderly, with their living arrangements and making their lives easier and safer. Therefore, improvements must be made amongst many facilities to lower the fall rates of their patients and ensure that such occurrences are not as likely to occur with the use of proper techniques and the development of the right...
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...Efforts to improve the quality of life for nursing home and assisted living residents has been the focus for a number of years beginning in 1987 with the Omnibus Budget Reconciliation Act (OBRA). OBRA 1987 addressed many physical and emotional areas, but did not include effective communication or interactions with residents. One of the simplest methods to better assess residents is to communicate with each individual and ask for their input. In a study of communication between residents and staff, Williams (2006) found that effective communication is an important contributor to quality of life, and it enhances life choices for elderly residents. Effective communication does not belittle or marginalize elderly individuals. Effective communication...
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...Manager position on the sub- acute unit of the Alaris Health is Nursing Home and Rehabilitation Center. The purpose of this memo is to provide the Nursing Administration department the necessary information to be communicated with the incumbent Nurse Manager. The Alaris Health is a 222-bed facility providing long term care to senior citizens, sub-acute services such as intravenous therapy, diabetic teaching, pain management, wound care, and comprehensive rehabilitation services to the patients recovering from surgery. The Alaris Health at is dedicated to our patients and embraces innovative nursing methods based on evidence in practice to improve the health care we provide. We believe in self-governance in our nursing staff. The Alaris Health nursing administration supports self-governance to foster excellence in nursing professionalism. The nursing administration includes a Director of Nursing, Chief Medical Officer, Assistant Director of Nursing, and an Administrator. The Director of Nursing Services serves as a guidance-mentor and provides support as needed to ensure accountability of nursing professionalism. We recognize all our nursing staff as key members to our success for improving patient outcomes. As a potential candidate for the position of Nurse Manager, the position includes focusing on sophisticated planning of care for patients in the sub-acute unit. The Nurse Manager along with our nursing teams promote staff preceptor-ships, and mentoring...
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...wrote that nursing is a passionate profession and is akin to a fever in the blood[1], with the hard work and long hours fading in importance against the vocational rewards. But community nursing has shown how the nursing profession is no longer viewed as merely hard work and long hours, it has illustrated nursing is a skill, a crucial facet of government health strategy, and a social and medical science. This passion extends from hard work and includes the profession shifting its core functions providing a flexible service that meets the changing health and social needs of society. The rewards to the profession and the community include personalized and case specific localized care, health program implementation, and guiding improved social trends at the ‘coal face’. Community based nursing is now at the forefront of social awareness and this important benefit is discussed throughout this essay. This essay focuses on the importance of community based nursing to the profession looking at aspects such as the role’s expanded influence on social trends, analysis, palliative care, outreach to vulnerable groups, and program implementation to the wider community. These functions in combination play a key role in ensuring this aspect of the nursing profession is effective in prevention and in tune with society’s needs. Community based nursing comprises several fields of expertise, including community health, public health, home health, and community mental health nursing. This essay...
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...imagination. I am innately depraved, yet I am made perfect. I plan my day with the knowledge that “Everything is meaningless” (Ecclesiastes 1:2), but I must “make the most of every opportunity” (Colossians 4:5). I search for simple answers, but find only complex questions. Once, on my way to a wrestling tourname whether living in an abode which rotated near the speed of light would result in my being younger (utilizing the Theory of Relativity) and stronger (utilizing the properties of adaptation along with the definition of centripetal and gravitational force) that I failed to realize that I had left my wrestling shoes in my locker. My mother says that my decision to wrestle is indicative of the fact I don’t think. Through working in a nursing home, the most important lesson I’ve learned is that I have many lessons yet to learn. Thus the most valuable knowledge I possess reminds me how little knowledge I have. Often times people make the mistake of assuming that mutually exclusive qualities bear no relationship to one another. Not so! These dichotomies continuously redefine each other. In some cases one is totally dependent on the other’s existence. What is faith without doubt? Without one, the other does not exit. When juxtaposed, opposites create a dialectic utterly more profound and beautiful than its...
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...Term Papers, Essays and Research DocumentsThe Research Paper Factory"">JoinSearchBrowseSaved Papers"">Home Page » Other Topics Discharge Planning In: Other Topics Discharge Planning INTRODUCTIONThis essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional...
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...Audrey Banks is a student at Univesity of Phoneix and if there are any concerns about this essay you may contact her at audreybanks32685@email.phoenix.edu. Dilemma 2. Abstract This essay is about and ethical dilemma that my best friend has experienced at her workplace. As you read this paper you will find out exactly what the relationship between values and morals are when it comes to working in a nursing home. Also you will gain knowledge on how I examined the way external social pressures influenced some business ethics in this situation. Dilemma 3. Have you ever faced an ethical dilemma in the workplace? In this essay you will find the different relationships between personal values and moral concepts that have occurred in an ethical dilemma. As you continue to read this essay you will find out information on a person I know that has come face to face with an ethical dilemma as a certified nurse's aide. An ethical dilemma according to www.wikipedia.org, “is a complex situation that often involves an apparent mental conflict between moral imperatives, in which to obey one would result in transgressing another.” People often come across ethical dilemmas in an attempt to refute an ethical system or moral code. What happened to my friend at the nursing home, was that it was around the Christmas holidays and one of the residents family members...
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...Introduction: In this essay, I will discuss several issues that seem to bind nursing practice with questions of ethics, sociology and management. Reflective practice is an important aspect of nursing management and in this essay we discuss implications of discrimination in nursing care and examine the importance of anti-discriminatory perspectives in nursing. In this paper, the case study I will elaborate is of an elderly woman who was of a non-British ethnic origin and spoke little English. A junior nurse visited her home to provide care but her attitude towards the patient has been discriminatory and abrupt, a situation that calls for serious reflection on the issues of racial discrimination at the clinical setting. The patient was apparently treated with leg ulcer. The questions that have to be considered here are: Where in the observation did discrimination occur and how this could have affected the delivery of care given? And how has discrimination influenced the lady’s care? The concept of anti-discriminatory practice as a contemporary issue within adult nursing is discussed here considering observational evidence and similar case studies. Reflection in Nursing: Reflective practice in nursing is guided by models of reflection. Reflective practice model serves as a framework within which nursing or other management professions can work. Reflective practice model is also a structural framework or learning model that serves the purposes of a profession and is particularly...
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...The Fourth of July Audre Lorde’s “The Fourth of July”, is a very descriptive essay about racism and how it affected her deeply on a family trip to Washington, D.C. Audre uses sensory language to captivate her audience. She starts her essay out as an innocent child on vacation because her parents have tried to hide the ugly truth about racism from her. She tells of how she learned of her sister Phyllis not being able to go on a senior trip to Washington because they didn’t let blacks in the hotels. She explains in her writing that she was told at a young age not to trust white people but was never told why, this was confusing to her because her mother was light skinned along with her aunts. She uses verbal irony when she describes the brightness her eyes are exposed to in Washington, squinting up at the Lincoln Memorial. She states, “I was squinting because I was in that silent agony that characterized all my childhood summers.” She uses narrative commentary to describes an incident in the Breyer's ice cream and soda fountain...
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...Essay Question Discuss the Murdoch University School of Health Professions ‘Nursing Inherent Requirements’ (see module one). Explain why you think these are important and how they apply to professional practice, using references to support your discussion. Examine your suitability to become a Registered Nurse in relation to the inherent requirements, by reflecting on your motivation, goals, personal qualities and experience. The word count for this assignment includes the essay only; from introduction to conclusion (including headings and subheadings if present and in-text referencing). The word count does not include title or contents pages, assessment criteria or end-text referencing / reference list. This assignment should be written in an academic style with well-structured paragraphs and using APA 6th edition referencing. A size 12 sans-serif font should be with used (e.g. calibri, arial, tahoma, trebuchet etc), with 1.5 line spacing. Default (2.54cm) margins should be used, paragraphs should be separated by one blank line OR the first line of each paragraph indented, and pages should be numbered consecutively. To begin your assignment, please download and use the word document provided in the Assessment section of the unit LMS Home Page, so that the Essay Assessment Criteria Sheet is included as the first page of your assignment. Remember to submit your assignment to Turnitin and edit as required before submitting for marking. When you are ready to submit your...
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...concepts of ageing as presented in the text book “Human Development period inside quotes”. no period outside quotes [note: if you are going to mention “race” and “ethnicity” in the introduction, then mention these topics in the body of the essay---] Age (Center the heading and bold.) [note: Use headings to help the reader know what you are writing about--] There is a rapid increase in the number of oldest-old on the horizon (the baby boom generation) who make up most of the frail numbers in this group. There are a few videos we found on u-tube portraying the elderly for example, https://www.youtube.com/watch?v=TVh2EGxEIyE Older adults do whatever they can to adapt their homes and activities to accommodate the changes that occur with age. Despite the challenges that arise due to physical changes, the death of a spouse or partner, sudden illness, or other events, nearly all older adults report that their very strong preference is that they age in place their own home. Doing so provides a sense of self-determination and independence, even if they need assistance to achieve these outcomes. Misconceptions about nursing homes are common. Contrary to what some people believe, only about 5% of older adults in the United States live in nursing homes (Centers for Disease Control, 2010c). Communities must take into consideration the older adult when they are constructing housing for them. Living...
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...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
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...Nuclear families can be any size, as long as the family can support itself and there are only the parents and children. The purpose of the interview presented in this paper was to discover and describe the experience of pregnancy by a married woman who is in her late twenties. The paper presents the findings observed in the interview and ends with a series of conclusions and personal reflections on the interview method. The confidentiality of the pregnant lady’s name and that of any member of her family will be respected throughout the paper. This essay is an example of a student's work Disclaimer This essay has been submitted to us by a student in order to help you with your studies. This is not an example of the work written by our professional essay writers. Essay Writing ServiceEssay Marking ServiceExample Essays Who wrote this essayBecome a Freelance WriterPlace an Order The interview with Mrs. B was conducted in her home which was where she said she felt most comfortable answering...
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