...examined family involvement in various long-term care venues were identified through extensive searches of the literature. Future research and practice must consider the complexity of family structure, adopt longitudinal designs, provide direct empirical links between family involvement and resident outcomes, and offer rigorous evaluation of interventions in order to refine the literature. NIH-PA Author Manuscript Keywords Family Involvement; Nursing Homes; Assisted Living Facilities; Family Care Homes; Family Caregiving; Informal Care NIH-PA Author Manuscript Over the past several decades, various research studies have demonstrated that family members remain involved in the lives of their loved ones following placement in residential long-term care facilities (e.g., Bowers, 1988; Maas et al., 2000; Rowles & High, 1996; Smith & Bengston, 1979; York & Calsyn, 1977; Zarit & Whitlatch, 1992, to name a few). These collective findings have helped debunk the myth that families abandon their relatives in nursing homes or similar settings to die in isolation (Rowles, Concotelli, & High, 1996). Although the roles of families in residential long-term care have continued to receive attention in the literature, the findings are diverse as studies are often conducted from different perspectives and are dispersed across various disciplines. The...
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...Should laws governing Nursing Homes be changed? S University Course: ENG 215 Instructor: 25 Oct 2012 Should laws governing Nursing Homes be changed? Are the current laws governing nursing homes effective enough for the safety of residents? My research on this issue is partly personal as my parents are getting to the age that my wife and I will have to make a decision to care for them or place them in a nursing home. My other reason is an article I read about Maine nursing homes. It was a very short article in the Bangor Daily News about a nursing home that simply forgot to give medication to the residents. This simple act of going to a room and providing the necessary medications for people that cannot ask for it themselves. If you would ask me today what my view of care elderly receive I would say it is poor. I remember years ago seeing my grandmother at her nursing home and it seemed like no one cared and it broke my heart. I would go to see when I could which was not near enough and every time I had to speak to the staff about her care. I hope things have changed since then but I do not feel that is the case. I believe it is not always the nurse’s fault as most of them are great at their jobs and very caring people to haven chosen that profession. In my opinion most of the time it comes down to the money the Nursing Facility either makes or is trying to make as most business are there to make a profit and every small item removed saves a nickel. The laws...
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...front of the State include: • An aging population; • Geographic mismatch between the places where services exist today and the places where the elderly population is expected to grow over the next 20 years; • Historically low utilization of home and community based services that can help seniors fulfill their desire to remain independent and in their homes; • Aging skilled nursing facilities; • Shortages of front-line health care workers; • Sharply rising costs of care coupled with tightening of Federal dollars for program support and provider reimbursement; and Inadequate individual planning and financing of long-term care costs. Limited use of long-term care insurance with a growth in the Elderly Population fueling a Rising Demand for Services Demand for long-term care services is projected to grow sharply over the next two decades. Predicting by 2025, residents in South Dakota: • The number of elders (over age 65) will double: increasing by 92,000-105,000 and reaching 24% of the State’s population; • Disabled elders will increase by 42,000-50,000, reaching over 10% of the State’s population; • The number of disabled elders living in the community will rise by 20,000-40,000, depending upon the availability of home and community based care. Growth is not evenly balanced across the State: • Elder-population growth is greatest in the West River, and slowest in the East River regions; • The regions that encompass the Sioux Falls metropolitan area and the...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. 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 Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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...risk of developing pressure ulcers and healing those nosocomial pressure ulcers that were acquired. Currently, our facility has a total of 11 nosocomial pressure ulcers that were acquired in house. Of those 11 nosocomial pressure ulcers, they can be accounted for as previously healed areas and patients who have risk factors predisposing them to the acquisition of a pressure ulcer, and some were avoidable. The plan to purchase alternating air mattresses from H & R Healthcare will prove beneficial to the facility and will help to heal nosocomial pressure ulcers. Currently, we have 29 patients in house who currently have pressure ulcers of various stages and grades. The acceptability of purchasing the mattresses starts with the upper nursing management and the administrator. These management staff must keep in mind the regulations of the federal guidelines and the financial implications they hold with regards to pressure ulcers. Furthermore, survey results are...
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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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...Demographic Paper Kris Schumacher HCS/490 Sept. 24, 2011 Marcia A Thompson Demographic Paper The aging population are making more doctors visits to offices and hospitals. Hospitals are seeing in increase in older people than they were ten years ago. The aging population have more complications and have to have more tests and more care that results in a longer wait time in hospitals due to the nurse shortgage. The average length of a hospital stay for older people 65 years and older was 5.6 days. Older people average more office visits with doctors but most do not seek medical care due to financial barriers. Hospital staff needs to be able to spend more time with each patient due to more and more people are using emergency rooms to get their health care needs. In smaller rural areas the wait is usually shorter than that of a larger urban hospital (Hellmich 2008). The demographics of the aging population is changing. In the year 2009 persons 65 years old or older were numbered at 39.6 million. They represent 12.9% of the U.S. population. In 2007 people over the age of 65 had an average life expectancy of an additional 18.6 years. Also the mortality rate decreased. The baby boomers will reach the age of 65 between the years of 2010 and 2030 (“Admistration of aging”, 2011). By the year 2030 28% of the American economy will be spent on healthcare. Seniors will likely live outside of Urban areas and change their living arrangements. Seniors are finding themselves...
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...(TITLE PAGE) Abstract: Like the rest of the world, the US is an ageing society (CITE SOMETHING). Between 2000 and 2050, the number of older people is projected to increase by 135% (CITE SOMETHING). Moreover, the population aged 85 and over, which is the group most likely to need health and long-term care services, is projected to increase by 350% (CITE SOMETHING). Over this time period, the proportion of the population that is over the age of 65 will increase from 12.7% in 2000 to 20.3% in 2050; the proportion of the population that is age 85 and older will increase from 1.6% in 2000 to 4.8% in 2050 (CITE SOMETHING). (WRITE 3-4 MORE SENTENCES DESCRIBING THE PAPER) Introduction: There are two points that are noteworthy about this demographic change. First, while a significant proportion of the US is elderly, much of Europe already has a higher proportion of its population that is over the age of 65 (CITE SOMETHING). For example, in 2000, 16.0% of the population in the UK and 16.4% of the population of Germany was over the age of 65. Thus, other countries already have to cope with the impact of an ageing society to a greater extent than the US (CITE SOMETHING). Largely as a result of higher fertility rates and immigration, America’s population, while ageing, is nonetheless likely to remain distinctly younger than other developed countries (CITE SOMETHING). Second, the future strains of population ageing in the US derive not so much from the growth in the elderly population...
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...should communicate with one another about any quality issues that may arise. Quality management requires top management commitment and a flow down through all other employees of the organization. It is a planned, organized, and systematic approach to the improvement, monitoring, and analysis of an organization’s performance. Purpose The purpose of quality management is to help organizations improve their performance by eliminating poor quality of service rather than by trying to fix the results after the service has already been given. Quality management allows an organization to continually improve the quality of patient care and services provided and increase the outcome of the patient’s experience being desired and successful. In home health care uses quality control, quality assurance, and quality improvement to focus on the quality of the services offered as well as the means by which the quality is achieved. Focus on the customer by putting quality first and foremost, teamwork, and continuous...
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...now engaged in jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only...
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...Research Summary and Ethical Considerations Michelle Parker Grand Canyon University Introduction to Nursing Research NRS 433V Nora Bazydlo April 8, 2012 Research Summary and Ethical Considerations The relationship between nurses and families is incredibly intricate. The intricacy of this relationship is shown whether the development is for a few hours in the emergency room or for a longer period of time in an intensive care unit or a skilled nursing unit. To understand the study reviewed for this paper it is important to understand family center care (FCC) and the concepts it enhances. Family care center (FCC) is an approach to the planning, delivery and evaluation of health care that is grounded in mutually beneficial partnerships among health care providers, patients, and families. It redefines the relationships in health care. It is where practitioners recognize the vital role that families play in ensuring the health and well being of infants, children, adolescents, and family members of all ages. They acknowledge that emotional, social, and developmental supports are integral components of health care. They promote the health and well being of individuals and families and restore dignity and control to them. Shapes policies, programs, facility design, and staff day-to-day interactions. It leads to better health outcomes and wiser allocation of resources, and greater patient and family satisfaction. ("What is patient- and family-centered health care?" 2010, para...
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...The Patient Self Determination Act came into effect in 1990. The intention of this Act is to make it necessary for individuals to have advised permission, that is, documents about rights in forming their health care choices in advance as well as documentation concerning state rules that can affect legal decisions connected to health care selections. According to WSHA.org this Act is described as, “interim final rule with comment period that amended the Medicare and Medicaid regulations governing provider agreements and contracts to establish requirements for states, hospitals, nursing facilities, skilled nursing facilities, providers of home health care or personal care services, hospice programs, and managed care plans concerning advance directives. An advance directive is a written instruction, such as a living will or durable power of attorney for health care, recognized under state law, relating to the provision of health care when an individual's condition makes him or her unable to express his or her wishes. The intent of the advance directives provisions is to enhance an adult individual's control over medical treatment decisions” (1995). This Act demands that each health care agency informs individuals 18 years of age or older to have advance disclosure in their medical documents or records. Examples of some of the directives are health care proxies, last will and testimony, and medical power of attorney. Individuals must be notified in a written manner by the facilities...
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...Life Stages Interviews and Reports Unexpected Loneliness: Bobbi Hoskins Loneliness is a common issue in any stage of life, however the elderly are more susceptible to it for several reasons; the sudden loss of a spouse, retirement, moving to a new location, and health problems. Loneliness is defined as an unbearable feeling of separateness (Mind infoline, 2012). Loneliness can cause feelings of anxiety, depression, being unloved, and insecurity. There are three basic degrees of loneliness which are, circumstantial, developmental, and internal. Circumstantial loneliness is caused from retiring, moving, losing a loved one; the list goes on and on. Some people retire and they want to be on their own, this is the case for Bonnie. She has always considered herself a loner and she is happy being by herself for several reasons. She likes her freedom, she does not like people telling her what to do, and she does not agree with how some people handle getting old. “They do not like to do stuff.. they just sit on their butts and wait to die.(Appendix B)” These are the people that loneliness takes a hold of and they just want to die, because they feel there is nothing left to do. Developmental loneliness is caused from being in a state of constant despair, and not fully being active in daily affairs. Some people develop loneliness because they do not have anything better to do. As long as the person is doing something they stand a better chance of not getting lonely. In some assisted...
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...Social Problems 2601 “Aging Nursing Home Dysfunctions” Do you have a loved one in a nursing home, assisted living facility, or long-term care center? Do you suspect neglect or abuse happening or even worse a sudden, unexplained death? Do not allow owners of nursing homes to line their pockets with your hard earned money, while their facilities are dangerous and unsanitary for your family members. Abuse is happening everyday all over the world; senior citizens are at a vulnerable stage in life, when they may not be able to defend themselves. Every year, tens of thousands of elderly Americans are abused in their own homes, and even in facilities responsible for their care. If you suspect that an elderly person you know is being harmed physically or emotionally by a neglectful or overwhelmed caregiver or being preyed upon financially. By learning the signs and symptoms of elder abuse and how to act on behalf of an elderly person who is being abused, you’ll not only be helping someone else but strengthening defenses against elder abuse in the future. Many early signs of elderly abuse are commonly over looked due to carelessness, lack of knowledge and many times understaffed facilities. Look out for the signs of abuse and or neglect. Signs and Symptoms of Abuse and or neglect are as followed; Visible injuries are, naturally, the type that you will pick up on right away. Examples are broken bones due to extreme falls, cuts, scars, extensive bruising and bed sores (pressure...
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...Nursing Home Crisis Many may not understand what goes on at a nursing home. They think that it is easy work just taking care of the basic needs of a resident. As for the time that I have been a nurse aide I have found how hard of work being a nurse aide is and how much many nursing home forget the importance of meeting the basic needs of their residents. You would think that this would be the most important aspect that all nursing homes must meet, but just like every other business a nursing home is also money base, it is not charity. Many times in this hard economy nursing homes have to make cuts, and unfortunately they are cutting all in the wrong places. Many times office jobs in the nursing home are the last to be cut and the nurse aides are the first to be cut, and the reason being is because many states do not have laws stating the aide to resident ratio. Today, a local nursing home has just got a new hope in recovering the problem of the loss of success that their nursing home has encountered. They have begun to cut nurse aides and have begun to run the halls short-handed, unfortunately their complaints have went up and their residents have become very unhappy. The nursing home has now decided to fire the current administrator and hire a new administrator in hope for new ideas and better success for their nursing home. Although the new administrator has many difficult problems to solve she has a lot of faith in recovering the problem the nursing home is now encountering...
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