...Nurse Shortage in Nursing Homes Nursing shortages have been an issue in the health care field for a few years now. This shortage is seriously impacting nursing homes and the elderly in our society today. With a shortage of 8.1% of nurses in 2008, it is important to understand what is happening to nurses (Addressing the Nursing Shortage, 2010). To help one understand the nurse shortage more, this paper will discuss resource scarcity, stakeholders, economic flows, changes in supply and demand, pricing decisions, along with a business proposal. The business proposal will discuss where the market has a shortage of providers, list of services the firm will provide, explanations of set prices, and who will be hired and how much one will be paid. Resource Scarcity and Stakeholders Economic Flows According to Jacobs & Rapoport, “Economic flows can involve both money and services.” There are a couple of economic flows that could affect the nursing home and the nursing shortage. The first would be how the nursing home provides health care to the elderly. If the firm does not provide good service to the patients and customers, most nurses and patients would not want to stay at the nursing home. The second economic flow that could affect a nursing home is money. If the nursing home does not have the right amount of money, patients are not going to get the service they require. The same could be said about the nursing shortage in nursing homes. If the money is not there, then the nurses...
Words: 848 - Pages: 4
...Generally, a nursing home is a residential facility offering daily living assistance to individuals who are physically or mentally unable to live independently. Residents are provided rooms, meals, assistance with daily living, and in most cases, some medical treatment. The U.S. nursing homes and long-term care facilities industry includes about 80,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $210 billion. The severe shortage of nursing assistants, home health and home care aides, and other paraprofessional workers is the primary trend influencing the current wave of concern about the long-term care workforce. National data on turnover rates show wide variation, depending on the source of the data: One source suggests that turnover rates average about 45 percent for nursing homes and about 10 percent for home health programs, while other data place average annual nursing home turnover at over 100 percent per year. High rates of staff vacancies and turnover have negative effects on providers, consumers, and workers: The cost to providers of replacing workers is high; quality of care may suffer; and workers in understaffed environments may suffer higher rates of injury. The future availability of front-line workers does not look promising. There will be an unprecedented increase in the size of the elderly population as the “baby boom” generation ages. This is why questions such as, nursing-home growth,...
Words: 569 - Pages: 3
...Long Term Care: The Public and Private Funding Debate Long term care is a growing need within the United States. Currently the U.S. population is 318.7 million with the older population comprising approximately 43.1 million in 2012. This amount is expected to jump to 88 million by 2050. Currently, 1 in every 7 or 13.7% to be exact, of the population is an older American. This amount increased by 24% between 2002 and 2012. This amount is projected to increase to 79.7 million by 2040. With advances in healthcare and other factors, persons reaching 65 years of age have an average life expectancy of an additional 19.2 years. Note: Increments in years are uneven. Source: U.S. Census Bureau, Population Estimates and Projections. ----- Sources: U.S. Census Bureau, Population Estimates, Vintage 1980-2012, National Estimates by Age, Sex, Race: 1900-1979 (PE-11) ; 2012 National Population Projections Summary Tables, Table 2. Projections of the Population by Selected Age Groups and Sex for the United States: 2015 to 2060, Middle Series. (NP2012-T2), Released December 2012; and Table 1. Projected Population by Single Year of Age, Sex, Race, and Hispanic Origin for the United States: 2012 to 2060, Released December 2012. Long term care can encompass many different facets. In general it is a range of services and supports that are done to meet personal...
Words: 3849 - Pages: 16
...December 2, 2009 When Parents Age Helen Anna Davey, born October 30, 1922, mother of five children, including my twin sister and me she had at age 41, has always been a strong, vibrant woman. Even after my father passed away in 1976, she remained strong and took good care of her family. As time has passed, she has aged before our eyes, and our mother has transformed into a weak, helpless, person, who can no longer take care of herself. My mother is a breast cancer survivor, but is not the cancer that has left her in this weak, broken, condition. She had polio as a child. Because of the treatment, (body cast, brace, and later surgically shortening muscles), her right leg and foot were shorter, and as a result, she limped. She had a hip replacement years ago, but now the damage is beyond repair. She also had some muscle damage in her arms, which is greatly limiting her arm movements now. Although her body is failing, her mind and spirit are still very strong. So, as my elderly mother’s health is deteriorating, and she can no longer care for herself, my siblings and I face a great challenge as we take on the tremendous responsibility of managing the financial, legal, medical, and final arrangements for her, while we try to navigate through a difficult minefield of emotions. ...
Words: 3660 - Pages: 15
...The Healthcare Organization Colorado Technical University HCM367-1304A-01 Phase 3 - Individual Project Lately, there has been an increase in patients being diagnosed with chronic debilitating diseases here at the healthcare facility, and I believe that Senior Management, Departments Heads, Supervisors, and Stakeholders should come together and discuss a few topics concerning chronic diseases and the aging population. The crisis is clear. Chronic diseases are having a major impact on healthcare. Chronic conditions, unlike acute diseases, cannot be cured and can last for years, limit activitis, and require continuing medical attention. In the United States, chronic illnesses impact millions of people and are the leading cause of sickness, disability, and death. As more and more people age and develop chronic illnesses the number of doctors and nurses needed will go up. Therefore, the availability of well-trained doctors and nurses is imperative in order to provide the best possible care. By communicating and collaborating with doctors, nurses, and the community to treat patients and their illnesses we can possibly cut costs, make programs for patients more readily available, and help the patient improve their overall health. In preparation for this meeting I researched Alzheimer’s disease which is a major issue affecting the aging population. Alzheimer's disease, first described by the German neurologist Alois Alzheimer, is a physical disease...
Words: 1165 - Pages: 5
...medical and social services designed to help people who has disabilities or chronic care needs. Services may be short or long-term and may be in a personal home in the community or in a residential facility. Long-term care facilities such as nursing homes provide care for the elderly or people who are unable to take care of them selves. The important of this paper is to discuss the continuum care of long-term care and examine the future trends of long-term care. Long-Term Care In defining long-term care there are several points. Long-term care is low tech, although it has become more complicated because many elderly patients with complex medical needs are being discharge into long-term settings. The age groups that mostly require long-term care are those who are 85 and older. This age group will double by 2030 and double again by 2050. Long-term care facilities are facilities that provide 24- hour skilled nursing assistance with activities of daily living, health services, and a number of activities. Many people would prefer not to be placed in a long-term care facility. However, some elderly have to because of their condition, circumstances, or the availability of in-home services. Most of the residents who live in a long-term facility can’t function without 24-hour monitoring, extensive personal assistance, nursing care because of illness or physical or mental limitations. The goal of long-term care is to...
Words: 1608 - Pages: 7
...Paper Hospice Care Description of the Organization Care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. Aggressive methods of pain control may be used. Hospice programs generally are home-based, but they sometimes provide services away from home in freestanding facilities, in nursing homes, or within hospitals. The philosophy of hospice is to provide support for the patient's emotional, social, and spiritual needs as well as medical symptoms as part of treating the whole person. Hospice programs generally use a multidisciplinary team approach, including the services of a nurse, doctor, social worker and clergy in providing care. Additional services provided include drugs to control pain and manage other symptoms; physical, occupational, and speech therapy; medical supplies and equipment; medical social services; dietary and other counseling; continuous home care at times of crisis; and bereavement services. Although hospice care does not aim for cure of the terminal illness, it may treat potentially curable conditions such as pneumonia and bladder infections, with brief hospital stays if necessary. Hospice programs also offer respite care workers, people who are usually trained volunteers, who take over the patient's care so that the family or other primary caregivers...
Words: 1064 - Pages: 5
...disabilities. This care meets health or personal needs such as the activities of daily living. These activities include such things as bathing, eating, dressing and using the bathroom facilities. Care can be accessed in assisted living facilities, nursing homes, community or in the person’s home. Long-term care may be needed at any age. Long-term care may never be needed. Nine million men and women over the age of 65 will need long-term care this year. Twelve million will need care by the year 2020. Most of these individuals will receive care at home. Seventy percent of the elderly are cared for by family and friends. A study by the U.S. Department of Health and Human Services says that people who reach age 65 will likely have a 40 percent chance of entering a nursing home. About 10 percent of the people who enter a nursing home will stay there five years or more. (www.medicare.gov/LongTermCare/Static/Home.asp) Long-term care financing is a growing concern over recent years. The number of elderly Americans in proportion to the total population is rapidly increasing. Individuals need to plan well in advance in order to cover the burden that it places on individuals, families, and society. The average annual cost of nursing-home care in the US was $74,000 in 2005 and is projected to rise to $175,000 by 2020. This amount would decimate the assets of all but the wealthiest. (Weisser, 112) The federal and state governments along with the private sector are struggling to...
Words: 1879 - Pages: 8
...Long-Term Care Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them. There has been development since the 1980s of government programs to assist those needing long-term care in locating the services that fit their needs best. A couple of centers created are the Administration on Aging (AOA), the Centers for Medicare and Medicaid Services (CMS), and the Aging and Disability Resource Centers (ADRC). The purpose of these centers is to help people of all ages, disabilities, and income levels to more easily access long-term services and support and transition among various sites of care, make more efficient use of care options, and maximize available services (O'Shaughnessy, 2011). These organizations help so that where ever people enter the system, they find direction to what services best meet their needs. These organizations are state run...
Words: 1510 - Pages: 7
...Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana Laura K. Ogden Southeastern Louisiana University College of Nursing and Health Sciences School of Nursing NLAB 334 October 29, 2014 Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana The community assessed was Ponchatoula, Louisiana. The focus of the assessment was non-acute health and social services. The community-as-partner model was used as a guide in understanding how the different parts of Ponchatoula’s community make up its core, and to apply the steps of the nursing process (Anderson and McFarlane, 2011). The assessment was based on observations of the community, interview data from a nursing home director, and selected published data related to the healthcare and social services assessed. Assessment data was analyzed, and conclusions and inferences drawn from the analysis will be presented in the paper. Windshield Survey On October 28th at approximately 4:00 pm an observation of Ponchatoula was conducted while driving through the city’s limits. This survey was done to acquire an overall health assessment of Ponchatoula’s environment including buildings and people out and about. The city itself appeared dated as evidenced by the architecture, especially on E. Pine St. However, for being the age they are, the buildings appeared well kept with clean paint jobs. Sidewalks lined each side of E....
Words: 2723 - Pages: 11
...less to live and are not able to remain in their homes. Apart from the hospice center they also have a home care agency that provides care for patients that remain in their home or in nursing facilities. This paper will discuss the vision, mission, how it is governed and staffed, the stakeholders and their influences on the organization, marketing strategies and importance, values of diversity, and any environmental trends in which they are faced. Mission and Vision The Community Home Care and Hospice provides care within the Carolinas and is the largest provider. The agency was developed in 1995, by the Carrolton Management Corporation. The agency has grown in response to the increase in admissions, the 24/7 care, and the efforts of personal care. The foundation is non-profit 501 © 3 organization. The mission and visions of the agency is: “As a charitable wing of Community Home Care Hospice, the Community Hospice Foundation raises funds to support the crusade against life-limiting conditions by contributing to community awareness and education; scholarships and research; and programs that engage in the practical ministry of indigent care while honoring those we serve and memorializing those for whom we have cared. Community Hospice is committed to providing supportive, palliative, and loving care to terminally ill clients and their families through an interdisciplinary team (www.communityhch.com).” Community Home Care and Hospice provide care for the terminally...
Words: 1131 - Pages: 5
...Demographic Paper Angela McDowell HCS/490 08/25/2013 Tina Folk-Cromartie Demographic Paper Like the rest of the world, the US is an ageing society. This will place substantial additional pressure on publicly-funded health, long-term and income support programs for older people. This paper analyses the demographic changes that the US faces and how they will affect those programs, concentrating on the factors that may affect the economic burden that these programs impose. The aging of the baby boom generation, the extension of life, and progressive increases in disability-free life expectancy have generated a dramatic demographic transition in the United States. Official government forecasts may, however, have inadvertently underestimated life expectancy, which would have major policy implications, since small differences in forecasts of life expectancy produce very large differences in the number of people surviving to an older age. Forecasts were made with a cohort-components methodology, based on the premise that the risk of death will be influenced in the coming decades by accelerated advances in biomedical technology that either delay the onset and age progression of major fatal diseases or that slow the aging process itself (Wiener & Tilly, 2013). . Population Demographic Data Like the rest of the world, the US is an ageing society. Between 2000 and 2050, the number of older people is projected to increase...
Words: 1831 - Pages: 8
...Social Care Management Strategic Business and Service Planning Business plan for an Old Age Care Home in UK Submitted To: Marion Jackman Submitted By: Santi Thomas Date: 29th May 2015 Table of Contents 1. Introduction 3 1.1 Setting the Objective 3 2. Market Analysis 5 3. Market Strategy Plan 8 4. Operational Plan 12 5. Current and Future Financial Plan 13 6. Ownership and Commitment 14 7. Future Scenario 15 8. Conclusion 16 References 18 Self Assessment Form 21 1. Introduction In developed nations like the UK and Japan, there is an exponentially growing need of care and nursing homes for the elderly. This is because UK and other developed nations have a high percentage of ageing and mature population. Their population rate is poor and the people above the age of 45 are more than 65% of the population. This has led to a drastic change in the overall health and social care requirements in the country (Euromonitor, 2015). NHS is concerned and taking steps to fulfil this gap but it requires efforts both at public and private level to achieve this mammoth task of providing residential and nursing facilities to people above the age of 60 who are living on their pensions (Oswald et al, 2007). There are a large number of elderly people who by force or by choice live in old age care homes and hence the quality and quantity of these centres should increase manifold based on the growth in their...
Words: 6105 - Pages: 25
...Doris, who is assisted by Eduardo, in her with her daily living. When Lenny fails to flush the toilet after Eduardo asks him to do so, and writes insults on the wall with his faeces, concerns are aroused. Doris dies and her family call Wendy, to inform her of the crisis. John and Wendy are engrossed in their own lives on the east coast of the USA where John is a professor of drama and Wendy a playwright whose finances are somewhat precarious. Neither have settled relationships and both seem to struggle with a life outside of their work. As they meet in Arizona to visit Lenny, they learn that he has no legal right to live in his Doris’ home and in addition to the faecal smearing there have been fainting episodes,resulting in his hospitalisation for tests. John and Wendy visit Lenny and find him restrained in bed because he was attempting to pull out his intravenous drip and to get up from bed despite being unsteady and having falls. The doctor informs them that their father does not have vascular dementia but most likely a dementia associated with Parkinson’s disease, which accounts for his masked face and blank stare, his disinhibition, aggression and fluctuating disorientation. John decides to find a nursing home for Lenny near to where he lives but Wendy considers that they should try to look...
Words: 1128 - Pages: 5
...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...
Words: 655 - Pages: 3
