...physically (Wilson et al., 2006). Some individuals look towards institutional facilities or independent living facilities to place their aging relatives, and/or spouse. Elderly individuals would like to stay in their normal environment for as long as possible, but this is often not an option as sometimes the caregivers do not feel they can fully meet the growing needs of these individuals (M. Smith, personal communication, March 27, 2018). Agencies like Diversified Training Consultant Group are making continued care in the home...
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...The following will discuss the background of institutionalized long-term care funding, the reason why there is an emergency, and the individuals that are being affected. Institutionalized long-term care is provided by residential facilities licensed by the state that offer total health care services, such as skilled nursing care, personal care, and rehabilitative services, including room and board to seniors, and individuals with certain disabilities that require specific medical care (Medicaid.gov, 2016). These residential facilities includes, group homes, nursing homes, and assisted living facilities. Americans! Let it be known that nearly a third of our disabled Americans who require institutionalize long-term care are required to pay their own expenses but cannot afford it! The current cost of institutionalized long-term care is over $50,000 per year, and increasing (AARP.org, n.d.). There are no state or federal programs that fund institutionalized long term care for a certain class of individuals. State and Federal programs, such as Medicare and Medicaid lack in funding, thereby these programs need to be reformed. Medicare is a federal health insurance program for individuals 65 or older, and for certain individuals with disabilities, such as End-Stage Renal Disease. Medicare only covers institutionalized long term care for 100...
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...any four specific regulations related to long-term care and summarize them. 1. OSHA (Occupational Safety and Health Administration): Sets, regulates, and enforces the level of safety and health conditions in work place (Brown, 2017). 2. OBRA (Omnibus Budget Reconciliation Act): Sets the level that every nursing facility must achieve and maintain in the following areas; The rights of the patient, meeting and surpassing adequate levels of care, providing adequate employees to patient ratios, ensuring the patient’s needs are adequately met by the facility, adequate housing environment, regulation of compliance via survey participation, and enforcement of said regulations (Brown, 2017). 3. Equal Employment Opportunity Commission (EEOC):...
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...Long-term care (LTC) is a critical part of the US healthcare system and represents a main role in the care of patients, particularly seniors. Nowadays, it is necessary to use health information technology (HIT) to effectively manage the healthcare of the senior patients. One of the main reasons for pushing back adoption of an IT by LTCs is shortage of funding. Some other reasons include LTCs ownership, and the current culture and workflow of the LTC. On the other hand, one of most significant benefits quoted by nursing home and home health staff was “anytime and anywhere” access offered by using an EHR. In addition, another benefit included the access from remote locations which allowed patient chart assessment and analysis by physician and...
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...1. Did the trial address a clearly focused issue? Yes, the trial addresses a clear focused issue. According to from the abstract, it has the population of residents in the long-term care facility. The intervention is having animal-assisted therapy for 30 minutes once a week for six weeks (pg. 396). The participants are compared by splitting some of the residents as individuals with AAT (animal-assisted therapy) and the other by groups of two or four (combination of animal-human bonding and socialization). Throughout the abstract, the outcome is clearly considered, which is to determine the relative contribution of socialization and human-animal bonding as mechanisms by which AAT reduces loneliness (pg. 396). 2. Was the assignment of patients...
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...Discussing long-term care options is a difficult topic because there are so many options and it may very difficult for a patient or/and family member to understand the different choices that are available to them. Working as an AGNP in an internal medicine clinic would typically include adult patients only with many of the patients having chronic and complex health conditions. My first response to this important question is to ask the patient if he/she has any family members that are involved in his/her care and/or has any involvement in helping to making this type of decision? From my clinical experiences, I have witnessed the importance of involving all of decision makers including the patient’s family members. I would also ask the patient if he/she prefers to discuss long-term care options with their family members present or not? Prior to beginning: it would be important to me as AGNP to have reviewed the patient’s health history and performed a comprehensive geriatric assessment to be...
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...their vulnerability to skin breakdown due to the contributing factors of skin fragility, decreased mobility, incontinence, decreased nutrition, and hydration (Truong, Grigson, Patel, & Liu, 2016). Thus, the topic I chose for my capstone project is to incorporate a skin bundle program for pressure injury prevention in long-term care and skilled nursing facility patients. Quality Improvement is defined by QSEN as a systematic approach in applying gathered data from past experiences to continuously monitor and improve the system in an effort to deliver the highest quality of care to our patients (QSEN Institute, 2018)....
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...Professional Goals Throughout life we have all set goals for ourselves. Whether it be something as small as learning out ABC’s or completing collage with a degree. In order to be successful in life one should always have goals and this is also important for growing in both our personal and professional goals. When setting goals it is important to set short term goals and long term goals. When starting with short term goals and accomplishing those, then one is on the way to reaching long term goals. My Personal goals are to successfully complete my first online class in HCS/301 Undergraduate Nursing Studies class and to complete my Bachelor’s degree in Nursing. My Professional goals are to obtain a Supervisory position in Community Health nursing and to obtain my certification in Case Management Nursing. I believe that with learning time management skills and perseverance that I will be able to reach my goals, both personal and professional. One of my Personal goals is to complete my first online nursing class successfully. By completing HCS/301, will help me complete my personal short term goal. I feel that if I learn time management skills with this first class, complete my work in a timely manner and learn how to navigate the online classroom that I will be successful. I feel that with working full time, have three children that range in age from thirteen, ten and my youngest is six years old, and being married that going back to school...
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...HE0930A CASE STUDY | 1104964 | Jane Smith aged 16 years, was diagnosed with diabetes aged 7. Last month, whilst attending the practice nurse’s diabetes review clinic Jane expresses concerns that over the past few weeks her blood sugar readings have been elevated. She does not want to increase the dosage of her twice daily insulin regime as she is worried that this will cause her to gain weight. 1. What is meant by the terms anticipatory care, self care and self management? (15%) 2. Critically discuss why current Scottish health policy is actively promoting the self care and self management of long-term conditions. (25%) 3. Critically discuss the practice nurse’s role in supporting Jane to self- manage her long term condition (60%). A long term condition (LTC) can be defined as a prolonged health issue that never goes away and is very rarely cured (Magerson and Trenoweth 2010). These conditions require different degrees of on-going care and support tailored to the individual (Scottish Executive 2009). The government has realised that effective management of these LTC’s is one of the biggest challenges that healthcare faces (McVeigh 2009). This essay will focus on the above case study, defining anticipatory care, self-care and self-management, and analyse and explore current Scottish health policy in relation to self-management and self-care. A fundamental part of this essay will discuss the nurses’ role in supporting Jane to self-manage her diabetes. ...
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...Long Term Care Facility Study Outline Long Term Care Facility Study Outline I. Introduction Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these requirements may differ from other facilities because of the types of services provided. The presentation will touch on the differences between Emeritus at Harbour of Pointe Shores and other long-term care facilities, how public policy affects financing for the services offered, reimbursement for care, staffing needs and their roles, and how health care trends affect the operation of the facility. II. State and federal regulations A. Interview with the Administrator B. Review state regulations on Washington State Department of Health’s website. C. Review federal regulations on Washington State Department of Health’s website. III. Licensure and accreditation ...
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...Regulatory Issues in Health Care Fremgen (2009) defines medical laws or actions set by the federal government and the court system that have binding legal force that address legal rights and obligations affecting patients and protecting the individual rights of patients and health care employees. 50 state have statutes for medical practice acts which apply to precisely to the way that medicine is practiced in a particular state. Laws begin as act acts which define the meaning of “practice of medicine” and set the requirements and procedures for licensure. Medical practice acts also establish what can be considered as unprofessional conduct in particular states. Examples of unprofessional conduct include practicing medicine without a license, practicing healthcare or the inability to practice health care while under addiction or mental illness, felony convictions, insufficient record keeping, employing unlicensed persons to practice medicine, and prescribing drugs in excessive amounts. We currently live in a litigious society. Medical providers must balance providing quality and keeping abreast with current health care regulations to protect themselves from health care law suits (Fremgen, 2009). Laws are enforceable rules set by a government authority. An article related to a regulatory issue in health care will be analyzed to reflect how laws affect the regulatory process in health care. The Four Categories of Law Laws fall into different categories which include constitutional...
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...Summary In supporting this model of care through home care services, informatics should be taken into account. As claimed by Parks (2015), home-based technologies like telemedicine and robotic care may certainly be useful tools in providing care for persons at home. Offering home-based technologies may result in better processes of informed consent in health care decision-making, since it allows individuals to make medical decisions or to reflect on options in the familiarity of their homes, where there are unique cues, practices, and configurations of objects and furniture that allow for more complete and authentic decision-making (Parks 2015). New telemedical and assistive technologies now make it possible for individuals to safely remain...
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...Long-term care facilities are defined as a facility that offers rehabilitative, restorative, and ongoing skilled nursing care to patients who are in need of assistance and help with activities of daily living. Long-term care facilities consist of nursing home, rehab facilities, inpatient behavioral health facilities, and long-term chronic care hospitals (Definition of Long-term care facility, 2012). The purpose of this case study was to explain the activities and participation of individuals with Dementia who are residing in long-term care facilities. An exploratory descriptive research study was performed on 329 individuals who were medically diagnosed with Dementia was led in the central area of Portugal. Socio-demographics were gathered...
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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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...Transcript of Metabical Case Study Presented by: The Lever Group Metabical - Case Study Goal? Targeting and Positioning: How to market Metabical to the correct audience to maximize sales Who are we? The Lever Group An independent market research group specializing in the balance between exercise and diet for overweight individuals Cambridge Sciences Pharmaceuticals (CSP) International health care company $25 billion in sales in 2007 Makers of Zimistat Metabical - may be first FDA approved prescription drug? Shown to be very effective for slightly overweight individuals The Situation Ideal target customer is a slightly overweight female between the age of 35-65. Positioning Strategy Losing weight is tough. You don't have to do it alone. Let Metabical and your health care provider start you on the road to a healthy weight and better life. (End Consumers) Advertising Message How to Market? TARGET: SWOT ANALYSIS CSP has spent 10 years and $400 million developing Metabical A successful launch will ensure a steady, long-term demand. Not a long term solution for patients Should be combined with diet and exercise Emphasize support program to change behavior patterns with over-eating The Consumer Decision Making Process Empower your patients to lose excess weight, change their unhealthy eating habits, and achieve long term success. Introducing Metabical – short-term drug therapy and a comprehensive support program for overweight patients. It gets results. (Health Care Providers) The...
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