...the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the Fort Washington area in terms of older adults and the long term care market. The challenges with this provider are marketing and staffing for which I suggest low cost advertisement and comprehensive staffing patterns. Lastly, a conclusion and summary are provided for the current state and future of assisted living facilities. Overview of Assisted Living While the definition of assisted living facilities vary from state to state, this type of facility is generally defined as “a housing option that involves the delivery of professionally managed, supportive services and depending on state regulations, nursing services in a group setting that is residential in character and appearance” (Evashwick, 2005, p 152). Assisted living facilities serve as a way to provide care to people who...
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...Unit 2: Equality, Diversity and Rights in Health and Social Care Assessment Criteria: Explain the Concept of Equality, Diversity and Rights in Relation to Health and Social Care. Describe Discriminatory Practise in Health and Social Care. Describe the Potential Effects of Discriminatory Practice on Those Who Use Health or Social Care Services. Assess the Effects on Those Using the Service of Three Discriminatory Practices in Health and Social Care Settings. Equality: - The term equality according to Dictionary.com (2015) “Is the state or quality of being equal; correspondence in quantity, degree, value, rank and or ability” however I believe that this definition can establish misconception on the view of an individual, and so the more realistic concept behind ‘Equality’ in regards to the health and social industry; is for all individuals to be provided with equal opportunities to access of the concerning services, and for these users to be treated fairly (not equally) accordingly to the approaches used to meet their individual needs. Diversity: - Is a termed used to describe the promotion and celebrating of differences which an individual may have on the aspects of your own identity as well as others. Rights: - "They are the legal entitlements which we are all privileged to own, with the aim of allowing equal opportunities for all citizens in certain aspects of an individuals' life. There are a number of rights entitled under the enforcement of The Human Rights Act. 2000...
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...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, family practice, primary care, pediatrics, OB/GYN, general practice and other specialties. A team of more than 750 sales consultants are trained...
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... HCS/451 Health Care Quality Management and Outcomes Analysis Quality Management Quality management is a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes. The medical field tends to use quality management to focus on patient and staff safety, reducing medical errors, and avoiding or decreasing morbidity and mortality rates. In order to improve the quality of a facility requires the entire facility to be in consensus about what the definition of quality means, who is responsible for it, and how the employees in the facility 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...
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...Nursing Home Administrator Darryl Bowler HCS/320 October 8, 2013 Salome Kapella-Mshigeni Option 1: Nursing Home Administrator Because our local nursing home is being taken over by a national group, there will be new policies that we must adhere to as we progress. These policies are going to force our nursing home to adapt and change. I will review the new polices, the affects they have on our patients, the affect they have on our patient’s relatives, how we will effectively communicate to our patients, and what arrangements we are making for displaced individuals. In addition, I will attempt to define our role as a local nursing home being merged into a national group. Traditional health care communication to our nursing home clients would be a tedious task. The traditional media cannot cover all the needs of patients because the lack of services so that is a disadvantage. The advantages are physicians know the process without any problem which benefits our nursing home clients. The traditional process would involve acquiring a listing of the shareholders and a listing of our clients. We would also need mailing lists and phone contacts and hope those listings were accurate. We would have to attempt to contact each and every one listed. It would also require several personnel for the process and become very time consuming. This process would be an extreme disadvantage taking away from the productivity of the employees and the standard operations of our nursing home. Another...
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...Freedom Home Care Andrea Smith HCS/235- Health Care Delivery in the U.S. March 15, 2012 Aaron Love Freedom Home Care The Internet has become a part of everyone’s lives. There is a substantial amount of subjects that people can research on the Internet. Health Care has become a topic that people are researching to look up health services, diseases, fitness programs, etc. One of the many health care delivery system providers in Georgia is the Freedom Home Care. Located in Columbus, Georgia, Freedom Home Care is a State-Licensed private provider that was started by Joe and Hope Robbins. The facility can be found at www.freedom-homecare.com. This essay will discuss the delivery services as well as community information that are provided, resource options that are provided by the website and ways that the site can become beneficial to the writer’s needs. Freedom Home care provides solutions for families that need assistance with the challenges of everyday life. The facility goes through a screening process to find the most qualified staff that will provide quality assistance for the clients. There are professional caregivers who will come to the individuals’ house and help them with everything from bathing to cooking and stay for a few hours a day. The caregivers are available 24 hours a day. From child care to elder care there are trustworthy and reliable caregivers to be there when others such as family members cannot due to busy work schedules. There are numerous aspects...
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...the age of 65 and possible recommendations to improve their plight through the review of the movie, Amour (a movie about an octogenarian couple, Georges and Anne, where Anne develops vascular dementia) and current literature pertaining to the topic. Georges “Put yourself in my place. Didn’t you ever think it could happen to me, too? Anne: “Of course I did. But imagination and reality have little in common.” Anne’s sudden speech arrest and frozen stare at the breakfast table with no recollection afterward are the first signs of a partial seizure. Caregivers, like Georges, who are not prepared for looking after patients are under pressure because of their increasing needs. Georges does not seem to mind this responsibility of taking care of her initially, but Anne’s condition deteriorates fast. She experiences profound right sided weakness and is bound to the wheelchair. Georges struggles to lift her from the wheelchair and make her sit on a chair or go the bathroom. Increased stress in his behaviour is noted when he is unable to sleep at night and begins smoking again. He also wakes up wailing after a nightmare. Despite his obvious incapability to cope with her illness, Georges does not hospitalise Anne, respecting her wishes and dismisses a hired nurse, since she is not compassionate and caring. Research has shown that caregiving is extremely taxing and exhausting. The caregiver faces the...
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...hospital setting or SNF because it is their “space”. I also enjoyed the lack of chaos and gossip which has been noted at the majority of nurses stations in any location. The true value was to see how important it is to be well prepared for each home visit. The necessary knowledge, skills, documentation, and medical supplies as it pertains to a specific client. Principles learned were the importance of verification of current doctor’s orders for treatment, prescribed medications, and follow up visits required. Observations for client safety included, placement of furniture, unobstructed floor space for walking, medical equipment, cleanliness, proper food storage, compliance with medications and instructions. The practice of proper hand hygiene before and after the visit, client assessment, teaching and education. Proper documentation of the visit was written in detail and a copy provided to the client. The following factors may be considered in all areas of nursing care in any setting: level of self-care, ability for activities of daily living; level of nursing care needed; prognosis; education needs; mental status; level of compliance with instructions from healthcare professionals. Ways in which the nurse adapted care to the home setting are briefly stated in the following: Changing a Foley catheter on a male client, setting up a sterile field while kneeling on the floor as the client was sitting at the edge of the bed; setting up an IV without an IV pole or pump using a...
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...Grandma, as her primary caregiver, to help with most of her Activities of Daily Living (ADLs). The doctor referred Grandma and Mom to talk with the social worker after prescribing her pain medicine for Grandma’s arthritis. Mom, 53 years old, convinced Grandma to see the doctor after numerous tense discussions about Grandma needing help to manage her pain. Now Mom is voicing the opinion that Grandma cannot continue to care for Great-grandma in the home. Mom comes over to help Grandma with her caretaking responsibilities at least twice a week. But lately, Mom has needed to give more time, since Grandma is not able to meet the needs of both Great-grandma and Grandpa. Mom feels guilty that she’s not able to help as much as Grandma wants her to. However, Mom has just gone back to school to get a nursing degree, and works nights as a nursing aide in the hospital. Mom thinks Great-grandma needs to move to a skilled nursing facility, because no one in the family is able to provide for all her needs. Grandma is highly resistant to moving her mother to any kind of long-term care facility. Mom doesn’t...
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...Running head: CONTINUUM OF CARE PAPER Continuum of Care Paper Patricia Alexander University of Phoenix Health Care Delivery in the U.S. 310 Michelle Crakes May 25, 2009 Continuum of Care Paper Long-Term Care Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? What is long-term care? Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Description of Services The purpose of long-term is to provide the most appropriate service in the least restrictive setting possible. Long-term care programs offer institutional services...
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...Nursing Facility Or Home Health Care for your Elderly Loved Ones Kelly M. Skawienski University of Phoenix While a facility, like a nursing home, is a good option for extreme care of the elderly, most cases show that living in their own homes, surrounded by familiar people and things can promote better health and wellness. While working in the health care field I have worked in both fields; a Skilled Nursing Facility and Home Health Care. Some important points to consider in choosing which option is best for you or your loved one are the cost; how much is it going to cost for each of these two options, services provided; what help will you be receiving for your money, flexibility and freedom of accessibility; having friends and family visit and being able to travel, go for a walk, and last is the comfort of the client or patient would they do better in a sterile environment or in their own home. The cost of a Skilled Nursing Facility (SNF) as most already know can be expensive. The average cost is more than $50,000.00 a year and climbing, and it will vary widely depending on where you live (Long Term Care, 2012). Your employee health insurance does not pay for a SNF, so about one third of the residents pay from their own funds. This can eat away at their savings very quickly, most people run out of funds after six months. Five percent of people have purchased long term care insurance which will cover the cost of a SNF (Long Term Care, 2012). Medicare...
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...Shala Ingram Case Study I. Synopsis of the prevailing situation On September 9, 2013 at 5.30 p.m. Martin Healthcare received a patient intake of an individual who had been referred through Cane Creek Hospital for Rehabilitation. After reviewing the patients’ medical charts, the patient had histories of falling and fractured hip because of having the diagnosis fibromyalgia, and arthritis. During our initial meeting, patients are asked about discharge planning. This patient stated that she would like to go home once she is well, but didn’t have a home to return to because of personal reasoning’s and asked if it was possible to be a resident at Martin Healthcare long term. Due to the change of requirements to stay in skilled nursing facility; the patient did not score high enough to stay long term. Therefore our focus changed to not only making sure the patient was well enough to return home, but to find a home for the patient reside. II. Presenting problems of highest priority Throughout the period of time, the resident began to get better and better, which showed that therapy was really working. Therefore we knew that the PAE would be denied. We started focusing on the highest priority which was finding a place for the patient to live. This was a difficult issue, because the patient didn’t have much income to help and she didn’t have a support group such as family and close friends. III. Statement of immediate/short-term goals The immediate/short-term goals that were given...
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...Health Care Spending Marsha Whiteside October 1, 2012 HCS/440 Caryn Callahan Health Care spending is on the rise and is going to continue to rise year after year. The United States spends more on health care than any other country and with the loss of many jobs and low income families the spending is going to continue to rise. The United States spends nearly $2 trillion annually and spends two-and-half times more than the Organization for Economic Cooperation and Development (OECD) average (Johnson, 2012). There are many factors that contribute to the health care spending which include: technology, prescription drugs, rise of chronic diseases, and administrative cost. Not all people are in agreement with the health care spending in the United States and feel if there was some changes made, the spending would be lower and the United States could focus on other issues. The level of current nation health care expenditures is on the rise and is causing hardship on families as well as businesses. The United States spent seventeen percent of its gross domestic product (GDP) on health care which is higher than any other nation (Johnson, 2012). Fifty one percent of the health care expenditures in 2010 were made up of hospital care and physician/clinical services. The other forty nine percent includes: home health care, other professional services, nursing home care, Rx drugs, government administration, net cost of health insurance, investment, and other health and personal...
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...leading cause of hospitalization for persons older than 65 years and often necessitates assistance from family caregivers.1,2 Approximately 40% of older adults are readmitted within 3 months postdischarge, resulting in significant health care costs.2,3 Indeed, more than one million hospitalizations attributed to HF cost the patient and United States health care system over $27 billion a year.1 Hospitalizations related to HF are complicated by the aging process, comorbidities, and psychosocial concerns that affect successful management.2 In a study of patient outcomes post– hospital discharge, Naylor and colleagues4 demonstrated that the use of advanced practice nurses (APNs) was effective in improving outcomes for patients with HF. The feasibility of adapting this approach is limited, however; costs for home visits by an APN are high, a shortage of APNs employed in home care exists, and funding for home care has decreased with the Medicare Prospective Payment System.5 An alternative strategy for promoting self-management of HF is the use of electronic home monitoring (EHM). EHM is a form of telemedicine in which medical/nursing management interventions are provided to individuals at a distance from the health care provider.6 The primary objective of this pilot study was to examine the effectiveness of postdischarge telemonitoring by an APN on reducing subsequent hospital readmissions, emergency department (ED) visits, and costs and increasing ...
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...CareBridge, LLP Contents Executive Summary ...................................................................................................................................................................... 5 Business Concept ........................................................................................................................................................................... 6 Our Product .................................................................................................................................................................................. 6 Target Market and Market Size .......................................................................................................................................... 8 Funding Requirements and Strategies ........................................................................................................................... 9 Mission Statement .................................................................................................................................................................... 9 Executive Team .......................................................................................................................................................................... 9 Product Introduction............................................................................................................................................................... 9 Prequalification...
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