Premium Essay

Long-Term Care Options: A Case Study

Submitted By
Words 812
Pages 4
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 …show more content…
Home health does not provide 24 hours of care. If a person only needs a few hours each day this option is more convenient and usually less expensive than receiving care at a skilled nursing facility. A person can receive a variety of home services that include occupational, physical, or speech therapy. Additional services include assistance with activities of daily living such as, bathing, dressing, and eating. Cleaning, cooking, and assist with medications can also be provided. An important consideration is too also carefully screen applicants prior to allowing them to come into your home for safety reasons (Eldercare.gov, 2017). Other home health care services include wound care, intravenous or nutrition therapy, injections, monitoring illness, check blood pressure, temperature, heart rate, and breathing, and check a person’s home for any safety concerns (Medicare.gov,

Similar Documents

Free Essay

Long Term Health Care Needs of the Elderly

...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...

Words: 1967 - Pages: 8

Premium Essay

Emanuel Medical Center

...Introduction This paper strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly difficult health care environment, particularly after the federal Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted; legislation that required access to emergency medical care for all, regardless of one’s ability to pay. Additionally, larger, for-profit managed care facilities were making substantial advances into EMC’s service area. Internally, the cost of operating the ED had increased significantly and patient traffic had vastly exceeded the capacity for which the ED had been designed. In addition, reimbursements for services from health maintenance organizations (HMO) and government programs had been drastically reduced. At the same time that other regulatory burdens had increased, EMC began to experience labor shortages...

Words: 1423 - Pages: 6

Premium Essay

Analytical Report

...DRAWBACKS TO CHILD CARE BENEFITS PACKAGE Prepared for Professor Culverson Prepared by Breynna Bass Amy Marvier Veronica Wicks November 17, 2011 BASS AND WICKS ACCOUNT STAFF 7263 North Lake Dr., Columbus, GA 31909 (706)-555-8458 November 17, 2011 Professor Culverson 4255 University Ave Woodall Hall, Room 104A Columbus, GA 31907 Dear Professor Culverson: The attached report describes the financial benefit and drawbacks of child care that our company is offering to our employees as part of an expansion to our current benefits package. We feel that offering this additional benefit will increase employee productivity and performance; produce positive relations between staff, and yield higher profits. The research was designed to examine the impact of child care benefits package in three areas: • • • The projected impact that the child care benefits will have on our company financially The projected impact that it would have on the employee’s productivity, performance, and relation with staff The projected financial income statement of the company after profits and expenses are factored in with this additional benefit cost Primary research consisted of 75 surveys that were given to parents at Aflac Imagination Station, Growing Room, and Netta Little Treasures. We also interviewed the managers at each location to determine various child care benefit packages provided. Secondary research sources included reviewing two large companies and their child care benefits package...

Words: 3455 - Pages: 14

Premium Essay

Ltc Options

...Long Term Care Options: Don and Mary When a loved one is aging or ill the subject of long term care is discussed with family over dinner, with a social worker at a hospital, with friends at a neighborhood social. The dilemma of Don and Mary is faced by millions of families. According to Spencer, Patrick and Steele (2009) older adults would prefer to remain at home, although given several options, most would prefer not to be cared for by family and friends. What long term care options should Don consider for Mary and himself? Don is put in the position of having to explore options for long term care for his wife Mary and for himself. Based on the description of Mary’s illness, it appears she is in the severe stage of Alzheimer’s disease (AD) and requires total care of all functions including feeding, dressing, bathing (McSweeney-Feld & Oetjen, 2012, p71). People with Mary’s symptoms need the safe and structured around- the -clock care provided in a skilled nursing home facility. Don’s physical ailments have started to affect his ability to care for himself, although his mental faculties remain intact. An assumption is made that Don needs help in meeting some of his daily living needs such as meals, transportation to physician appointments, and probably the use of assistive living devices, such as a cane or walker for ambulation. While he could gain the assistance he needs from a home health aide and continue to live at home with some structural changes...

Words: 1555 - Pages: 7

Premium Essay

Personal and Professional Goals

...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...

Words: 1339 - Pages: 6

Premium Essay

Simulation Review

...Phoenix HCS/405   Health care organizations, particularly hospitals face increasing problems managing cash flow due to changes in billing procedures and the economic climate. Research quoted in Fierce Healthcare Finance showed that hospitals are using investment cash flow, normally reserved for capital expenses, to pay for operating expenses. In a study quoted by Fierce Healthcare Finance (Ziegler, 2008) the depth of the problem becomes apparent “Between 2004 and 2007, the 170 hospitals studied by Best allocated a steadily greater portion of their invested assets to cash and short-term investments, climbing from 27 percent in 2005 to 31.1 percent in 2007.”With reduced funds available for capital expenses, it becomes difficult for hospitals to keep up with technology and to thrive. Elijah Heart Center is facing the financial dilemma common in specialized health care organizations, the combination of the need for improved technology, reduced income, and the demand for expansion. Without the needed technology and expansion, there little the hospital can do to improve income. The financial situation requires a combination of strategies to reduce costs and to make the wisest choices regarding acquiring needed technologies and expansion. Phase I: Capital Shortage The goal is to save $900,00 for the first year and to help improve the cash flow problem that Elijah Heart Center is experiencing. The hospital can select two cost cutting options that in an effort to obtain that...

Words: 1415 - Pages: 6

Premium Essay

The Role of Technology in Rising Health Care Costs. What Should or Shouldn’t Be Done.

...The Role of Technology in Rising Health Care Costs. What should or shouldn’t be done. Neha Para, MPH Student 5453-001 US Health Care System University of Oklahoma Health Sciences Center December 8, 2010 Abstract Health care costs are a longstanding concern to policymakers. For years, health care spending has been rising faster than the rate of economic growth, raising the question of what factors are responsible for rising health care costs. This paper explores published articles that report results from research conducted on technological innovations in health care and its relation to rising health care costs. The cost increases have a significant effect on households, businesses, and government programs. Health care experts indicates the development and diffusion of medical technology as primary factors in explaining the persistent difference between health spending and overall economic growth, with some arguing that new medical technology may account for about one-half or more of real long-term spending growth. Rising health care expenditures lead to the question of whether we are getting value for the money we spend. On an average, increases in medical spending as a result of advances in medical care have provided reasonable value. An alternative viewpoint holds that although new technologies represent medical advances, they are prone to overuse and thereby excess cost. Most of the suggestions to slow the growth in new medical technology in the U.S. focus on...

Words: 5135 - Pages: 21

Premium Essay

Telemonitoring: A Summary

...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...

Words: 1457 - Pages: 6

Premium Essay

Multiple Sclerosis Research Paper

...1.1 Introduction Multiple sclerosis is a disease of the central nervous system, harms the brain's ability to send and receive signals. It is considered one of the common diseases of the central nervous system. It affects in most cases the children and people aged between 20-40 years. Multiple sclerosis (MS) is an inflammatory disease of the central nervous system. The central nervous system is made up of the brain, spinal cord, and optic nerves. The exact reason(s) for the inflammation that occurs in MS are not yet known, and this remains an active area of research. We do know that the inflammation damages both neurons and the myelin that protects neuronal processes (called axons). The effect of multiple sclerosis (MS) on the individual and...

Words: 1723 - Pages: 7

Premium Essay

A Study of Functioning & Strategy of Field Forces in Insurance Bajaj Allianz

...Project Report on A STUDY OF FUNCTIONING & STRATEGY OF FIELD FORCES IN INSURANCE BAJAJ ALLIANZ IN PARTIAL FULLFILMENT OF REQUIREMENT OF THE AWARD OF DEGREE OF BACHELOR OF COMMERCE [PROF.] (III) SESSION (2009-10) TABLE OF CONTENTS Sr.No CONTENTS 1. ACKNOWLEDGEMENT 2. INTRODUCTION 3. SECTOR PROFILE 4. COMPANY PROFILE 5. OBJECTIVES OF STUDY 6. RESEARCH METHODOLOGY 7. DATA ANALYSIS & INTERPRETATION 8. CONCLUSION & SUGGESTIONS 9. PROBLEMS IN THE EXECUTIVE TRAINING 10. LEARNING THE EXECUTIVE TRAINING 11. BIBLIOGRAPHY ANNEXURE INTRODUCTION A marketing strategy is a process that can allow an organization to concentrate its (always limited) resources on the greatest opportunities to increase sales and achieve a sustainable competitive advantage. Marketing strategy as a key part of the general corporate strategy marketing strategy is most effective when it is an integral component of corporate strategy, defining how the organization will engage customers, prospects and competitors in the market arena for success. It is partially derived from broader corporate strategies, corporate missions, and corporate goals. They should flow from the firm's mission statement. They are also influenced by a range of micro environmental factors. Marketing strategy and sectarian tactics and actions A marketing strategy also serves as the foundation of a marketing plan. A marketing plan contains a set of specific actions required to successfully...

Words: 6211 - Pages: 25

Premium Essay

P&G Case

...P&G Case Executive Summary This case study analysis is on the Proctor & Gamble Company (also referred to as “P&G”). Procter & Gamble is the world's largest producer of household and personal products by revenue, with its products reaching 4 billion people worldwide. The Case Study includes an Introduction, Company Overview, Company Mandate, Internal Analysis, and External Analysis, followed by various Strategic Options (see below). The author then makes a Final Strategy Option Recommendation. Strategic Option #1: Market to Lower-Income Consumers in both Developed and Emerging Markets (Expand and Build Beauty Segment strictly aimed at Low-Income Consumers). Industry Consolidator. Strategic Option #2: Given the maturity of the North American/Western European market, combined with the emerging popularity and demand for Natural/Organic ingredient products, P&G should look to create New Natural Products and Products tailored to the Male market - Multiple Segments, not just Skin Care (Expand and Build Beauty Segment). Industry Consolidator. Strategic Option #3: Related Diversification through Acquisition. Strategic Option #4: Joint Ventures in Emerging Markets such as China and India. Final Strategy Recommendation: The Recommendation is to go for a combined Low-Income segment and New Natural Product strategy as this facilitates P&G’s need to capture a greater slice of the Low-Income consumer market both in Mature and Developing markets, which also capturing a greater...

Words: 3683 - Pages: 15

Free Essay

Case

...plans designed to meet different needs. Some types of plans restrict or encourage you to get care from the plan’s network of doctors, hospitals, pharmacies, and other medical service providers. Others pay a greater share of costs for providers outside the plan’s network.” (Comparing health plans). However choosing the best form of medical coverage and being able to pay for it can be stressful to some. Each person and family may need different types of coverage and finding one that suits everyone in the household and accepts all family members due to their medical needs can be hard to find. This case study will look at such a family. A family with multiple medical issues to include, two members having diabetes and being obese, one of which has COPD and a child with asthma. We will look into different health care options and cost, a recommended plan for the family and then take a look at what the family will need within a year. Health care costs & coverage options Health Maintenance Organization Plans (HMOs) have a low out-of-pocket cost, which makes them a good choice if you want to avoid spending a lot of money. Also, since your co-pay commonly covers services outside the basic office visits, it is rather wide ranging. On the other hand, there are disadvantages for the reason that your choices are much more limited versus other plans such as, having to choose one primary care doctor and receiving referrals to see any specialists. There are some doctor’s offices that...

Words: 1805 - Pages: 8

Free Essay

Quakitative Research Study

...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...

Words: 1216 - Pages: 5

Free Essay

Annotated Bib

...normal relief options of ibuprofen, nonsteroidal anti-inflammatory drugs, to neurologists and prescribed medication to help alleviate the pain presented from such headache. Sometimes though, people prefer not to take medication or the medication just doesn’t seem to work for them. For reasons as such, people turn to complementary and alternative medicine to ease the pain, specifically acupuncture therapy. For reasons not quite fully understood, this therapy helps to treat headaches in positive outcomes for the majority of people. Acupuncture therapy is an alternative to the normal standard form of treatment that can virtually have no side effects, is much less invasive, and has no need drugs that need to be metabolized by the body. Acupuncture: What You Need To Know. (2014, November 1). https://nccih.nih.gov/health/acupuncture/introduction#hed3 According to the National Center for Complementary and Integrative Health, acupuncture is defined as a “technique in which practitioners stimulate specific points on the body—most often by inserting thin needles through the skin.” This Internet source article reviews what acupuncture is and what it can be used for in alternative medicine. For headache treatments, acupuncture may help relieve the pain from headaches and the amount of headaches one gets. In 2009, some studies were reviewed showing that acupuncture compared to drugs helped people with tension-type headaches. Also in 2012, studies were conducted...

Words: 1993 - Pages: 8

Premium Essay

Emr System

...Read and study information related to: Integration of technology in health care evaluation and planning. Planning of health care services. Effectiveness of the delivery of health care services. 2. Prepare an outline of the most relevant aspects of the readings to be discussed in class. A. Integration of technology in health care evaluation and planning. a. As part of the strategy for the nation to put information technology to work in health care. This includes a variety of electronic methods used to manage information on health and health care of people 1.- Clinical decision support 2.- Diseases computerized records 3.-Computerized provider order entry 4.-Electronic medical records (EMR, EHR and PHR) 5.-Telehealth b. It makes it possible for health care providers to better manage patient care through secure use and sharing of health information. By developing records and private insurance for most Americans and provide electronic health information electronic health when and where needed, can improve healthcare quality, even as it makes health care be more profitable. B. Planning of health care services. a. Health care plan means a plan that promises to make arrangements for the provision of health care services to enrollees, or to pay or reimburse any of the cost for these services, in exchange for a fee paid in advance or periodic paid by or on behalf of the subscribers or enrollees. Also known as the service plan specialized medical care. C. Effectiveness...

Words: 2860 - Pages: 12