...Understanding Continuum of Care ServicesAccording to "National Care Planning Council" (2012), “When a person requires someone else to help him with his physical or emotional needs over an extended period of time, this is long-term care.” Long-Term care is usually needed by people who are disabled, injured and the elderly. While some people might need assistance in many activities some people may only require minimum assistance. Long-Term care patients can usually be found in a nursing facility, retirement centers, and rehabilitation facilities.Some of the help long-term care provides is help with bathing, dressing, eating, daily household chores such as laundry, house cleaning, and ensuring their monthly expenses are being paid. Long-Term care patients may also need help with transportation to appointments and other daily obligations.("National Care Planning Council", 2012).Long-Term Health Care is one of the biggest challenges the United States faces today because of the expense it requires to take care of people who are in need of this type of care. According to the U.S. Department of Health and Human Services the amount of people who need long-term care is on the rise. In 1982 the amount of people who required this care was 29.2 million people. It is estimated by the year 2020 the amount of people will be 52.1 million people. Applebaum and Kunkel (1991)Often times, people do not think about the future, and they do not properly prepare for life altering events; such as...
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...(2010). Understanding the U.S. health services system (4th ed.). Chicago: Health Administration Press. * Course Text: Understanding the U.S. Health Services System * * Chapter 8, "The Health Services Workforce" * Chapter 9, "Hospitals" (Note: This chapter was assigned in a previous week; review it as needed with this week's focus in mind.) * Chapter 10, "Biomedical Research, Health Services Technology, and Technology Assessment" * Chapters 11, "Overview of the U.S. Health Services Delivery System" * Chapter 13, "Primary Care" * Chapter 14, "Secondary Care" * Chapter 15, "Long-Term Care" (pp. 349–369 only) * Chapter 16, "Tertiary Care" * Chapter 17, "Palliative Care" * Chapter 18, "The Care of Special Populations and Special Disorders" (pp. 399–406 only) * Chapter 19, "The Health Services Delivery System: How Managed Care Has Influenced Delivery" (Note: This chapter was assigned in a previous week; review it as needed with this week's focus in mind.) * Article: The Scan Foundation (2011). Improving the continuum of care: Progress on selected provisions of the affordable care act one year post-passage. http://www.thescanfoundation.org/improving-continuum-care-progress-selected-provisions-affordable-care-act-one-year-post-passage As you have learned, health care services are provided through a range of organizations. For this Discussion, you will consider how direct- and indirect-care organizations...
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...Understanding Continuum HCA/210 Understanding Long Term Care Long Term care is a range of services and support that patients may need as they age to meet there every day ADLs or Activities of Daily Living. Most long term care is not medical care it is care that is given to a patient that has had and acute or chronic illness. For examples if a patient gets in a car accident and becomes paralyzed from waist down they most likely will need assistance with bathing, dressing, toileting and eating those are examples of ADLs. What is Continuum of Care? Continuum of Care services in the U.S. is an integrated system of care that will guide and track a patient over time spanning all levels of intensity of care, providing a model to guide daily decisions about the patient’s healthcare delivery. Furthermore continuum of care is meant to guide post for a patient to have their overall care managed. For example a patient can receive assistance with basic care like setting up doctor’s appointments or more extensive care such as hospital care. What are the problems with Long Term? Long-term care is one of the greatest challenges facing the health care delivery system today because of the cost. With the rising cost of healthcare period in the U.S., long-term care services are more extensive due to the fact that many people are living longer this is causing a lot of work place shortages , quality of care is being jeopardize and also the financing is at...
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...Understanding Continuum of Care Services Long-term care is when an individual needs someone to help them with their physical and emotional needs for a long period of time. Patients need help with their everyday activities. Some examples of long-term care would be senior or nursing homes, assisted living and in-home nurses. In the United States, continuum of care is a concept involving an integrated system of care that guides and tracks patients over time through various services. It allows a patient to have their care managed effectively from basic care services, such as prescriptions to making appointments, to more advanced care services, such as hospital care, critical care or long-term care services. It creates a medical community where the doctors and ancillary staff, which are involved in a patient’s treatments, all communicate with one another regarding a patient’s health. Long-term health care is one of the greatest challenges facing the health care delivery system today. This is due to the aging population growing extremely fast. The first of the baby boomers generation is joining the already elderly in the retirement age and there are a lot more individuals from that generation to reach the retirement age as well. The resources used for long-term care are also extremely expensive. Long-term care costs the delivery system a huge amount of money. It requires many resources such as home care, assisted living, adult daycare, respite care, hospice care and nursing homes...
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... | | |HCS/235 Version 3 | | |Health Care Delivery in the U.S. | Whenever there is a question about what and when assignments are due, please remember this syllabus is considered the ruling document along with your Instructors Policies and Course Requirements located in our Course-materials forum. You will also find our Course Calendar at the end of this Syllabus. This will assist you with when all assignments and DQ’s are due. Course Description This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum...
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...Due Date: Aug 24, 2014 23:59:59 Max Points: 150 Details: In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following: Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may "practice" these skills with a patient, community member, neighbor, friend, colleague, or loved one. Complete the "Health History and Screening of an Adolescent or Young Adult Client" worksheet. Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Complete the assignment as outlined on the worksheet, including: 1. Biographical Data 2. Past Health History 3. Family History: Obstetrics History (if applicable) and Well Young Adult Behavioral Health History Screening 4. Review of Systems 5. Include all components of the health history 6. Use correct acronyms or abbreviations when indicated 7. Develop three Nursing Diagnoses for this client based on the health history and screening. Include: one actual nursing diagnosis, one wellness nursing diagnosis, one "Risk For" nursing diagnosis, and your rationale for the choice of each nursing diagnosis for this client. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines,...
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...Continuum Of Care Process Traumatic brain injury can be a very serious problem among adults in the U.S. It can occur without warning and can change your life in an instant. Brain injury is responsible for a substantial number of deaths and even permanent disabilities (“Traumatic Brain Injury,” 2014). In order to treat this type of injury adults usually undergo a step-by-step process through different health care settings. The patient would seek assistance from a hospital, their healthcare provider, pharmacies and from pharmaceutical companies. All these health care settings work together to enhance the health and wellness of our communities. The first step in this process is hospitalization. From the early 1700’s to today, the development of the hospital in the US has drastically changed. In the beginning, they provided care for the very poor. Today, however, physicians are more interested in providing care to other social classes and communities (Barton, 2010). If an adult is getting treated for a traumatic brain injury, then physicians will most likely use a CAT scan to see the severity of the injury and to generate a clearer view of the patient’s anatomy. The use of the CAT scan is directly related to biotechnology companies. They are companies that manufacture medical equipment for different healthcare organizations. This equipment provides hospitals with state of the art technology to detect and treat various diseases. A patient will also be given some medications...
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...Title: Application of Cognitive Continuum theory to decision making by nurse managers Student Name: Institutional Affiliation: 10th October, 2014 Introduction Decision making may in this case be expressed as a route of selecting an alternative that is more likely to facilitate the achievement of organizational or individual goals (Bjork & Hamilton, 2011). The nursing practice has moved towards full evidence-based implementation of care which as a result enhanced the call for proper creation of decision within nursing. However, numerous nursing theories have been developed to support increased rational analysis and decision making in the nursing practice. The theory of cognitive continuum is in this case a vivid middle-range theory developed Hammond. The theory basically shows how judgment situations are linked to cognition. Additionally, six of the decision making modes which are based on the cognition and judgment, are described in the theory (Custers, 2013). The cognitive continue part of the theory shifts from suspicion to examination whereas the judgment varies from worse-planned to well-planned (Dhami & Thomson, 2012). Indeed, this study seeks to launch how the theory of cognitive continuum strategy may be useful in helping nurse managers make critical decisions. The paper includes the following sections: statement of the nurse manager decision making issue; and description of how the theory of cognitive continuum theory may be employed to determine the issue...
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...Comprehensive Health History and Holistic Plan of Care Schizophrenia is a mental illness that is difficult to diagnose. In the prodromal period people exhibit suspicion and withdrawal along with an increase of unusual thoughts. The exact causes of the disease are unknown, but genetics, brain chemistry, and a variety of environmental factors are thought to be contributing factors. Stress, malnutrition, and viruses are environmental factors that may play a part in the development of disease (National Institute of Mental Health, n.d.). The patient is a 40 year old female who has experienced a schizophrenic episode including psychotic symptoms, (see psycho-social history) and was recently released from the psychiatric ward of a hospital in Detroit, Michigan. She is temporarily living with her mother. The patient has no history of mental health illness, and it is unclear how long she has been having psychotic symptoms. The patient’s mother reports that she was informed by the patient’s husband that the delusions have been going on for about six months. She is no longer delusional, and is refusing medication. She currently presents with a slight vitamin B12 deficiency and exhibits negative characteristics of schizophrenia, as well as exhibiting lethargy and anhedonia, which are symptoms of mental illness, and vitamin deficiency. I have used the data assessment tools of a comprehensive health history, a psychiatric nursing interview, and the brief...
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...from non-aboriginals in access to health care and overall health outcomes. Although the overall health of Aboriginals has been improving over the past 20 years (Health Canada, 2013), as a group, Aboriginal people still have the shortest life expectancies and poorest health (HCC, 2012). Literature and antidotal research as cited several factors they negatively affect health outcomes. An important barrier that this paper will discuss the concept of cultural safety as a barrier to access health care by Canadian Aboriginals. It will then define cultural safety and discuss the evolution of...
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...Continuum of Care Health care services in the U.S. include all services from prenatal care to Palliative care up to the last days of life (Barton, 2010). The way most Americans receive their initial health care is from their General Practice physician for some symptom that needs professional care. Depending on how severe the symptom, or symptoms, turn out to be, either a prescription is given to patient, blood work or X rays done, or admittance to an inpatient hospital. Heath care delivery varies, depending on you geographical region, race/ethnicity and SES (Shi, L. & Singh, D., 2012). Geographic In some rural areas, there is usually one hospital with a small inpatient unit, one source of ambulatory care, and all services are offered under one roof: inpatient, outpatient, nursing home (Wakefield & Linden, 2013). With 40 physicians, and more than 425 employees, Grinnell is one of the top rural medical centers in the greater Poweshiek County area of Iowa. Also on staff is a resident physician staff of 40 or more practitioners that provide services usually only offered in major healthcare centers (About Us, 2009). Race/Ethnicity Black Americans fall behind with their health due to mainly their SES, regardless of the “progress” that was made in the last decades. This race usually reports their health as fair or poor. Next is the is the Hispanic race, who may run into issues of accessing health care in America, due to immigration issues that my disqualify...
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...She works 50-hour weeks to support and care for her family and has little time to relax on her own. Fatima does not smoke, in truth, she cannot afford to. All of her money goes to her children. Fatima eats along with her kids every day, but often cannot afford fresh fruits and vegetables for their dinner, often the family eats processed foods (boxed macaroni and cheese, frozen pizza, etc.). Fatima has long suffered from fatigue and the occasional chest pain but cannot afford to go to the doctor. One day, she fainted and was diagnosed with hypertension at the...
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...necessity for long-term care is increasing which will require additional training and education for health care personnel, family members, and patients. Family members can have peace of mind knowing their family member will gain confidence in learning how to become accustomed to his or her new life while maintaining a quality continuum of care during and after treatment for physical, mental, or age associated illnesses. Long-term care is also known as personal assistant services and is defined as an individual who requires health care assistance for more than 90 days. Personal assistants provided to a patient help them with the activities of daily living (ADL) as well as instrumental activities of daily living (IADL). These activities may include personal care services like bathing, doing household chores, and other activities to help the patient remain independent while still residing in or near his or her home while maintaining the quality of care the person is accustomed to if there are no medical hindrances preventing it. Long-term care also includes community services, such as meals, adult day service programs, and transportation services (Austin & Wetle, "The long term care continuum, Who needs long-term care?," 2012). Residential facilities, such as skilled nursing facilities and assisted living facilities, also provide long-term care services along with housing ("National Clearinghouse For Long Term Care Information,” n.d.). Continuum of care services are utilized...
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...Care Management Model Based on My Philosophy Care Management A shift from encounter based care to continuums of care is one of the biggest changes occurring in health care today. This change is driven by governmental legislation, payer incentives, and the recognized need by providers and healthcare systems. The lack of coordinated care results in medical errors, unnecessary procedures, and other forms of waste. This also creates higher costs for the patient, lower quality, and produces an unsatisfactory patient experience. A study performed by the Midwest Business Group on Health in collaboration with the Juran Institute revealed that 30% of all health care expenses result from poor quality care. In 2009, total health expenditures in the U.S. were $2.5 trillion. This means that $750 billion was the result of poor quality (Ralston & Park, 2011). Care Management Model Based on My Philosophy Case management and clinical pathways are strategies used to manage patient care. Although they use different approaches, both are related. The primary function of a case management program is to enhance the coordination of needed resources for patients and their families. Case managers facilitate access to services, both clinical and non-clinical, by connecting the individuals to resources that support him/her in playing an active role in the self-direction of his/her health care needs. Clinical pathways, on the other hand, are tools and systems. The tool reflects only part of the case...
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...Support for Adults Living with Chronic Kidney Disease Introduction The movement towards evidence-based healthcare has been gaining momentum quickly over the past few years, motivated by clinicians, management and politicians concerned about quality, consistency and costs. Best practice guidelines, or BPG’s, are systematically developed statements to assist practitioners and patients in decisions about appropriate health care for specific circumstances. They describe appropriate care based on the best available scientific evidence. BPG’s are developed and implemented to reduce inappropriate variation in practice; promote efficient use of resources; to act as guideline for quality control, highlight shortcomings of existing literature; suggest appropriate future research; and to provide a focus for continuing education. In 1999, the Registered Nurse Association Organization (RNAO) began its mission of advancing health public policy and promoting the full participation of registered nurses in improving health, and in shaping and delivering health care services. To date, the RNAO has implemented eight Healthy Work Environment Best Practice Guideline’s (BPG’S) and 44 Clinical Practice Guidelines. Each guideline undergoes rigorous, structured research by a panel of experts prior to implementation and is reviewed and revised as needed every three years. The following paper evaluates and assesses the quality of the Decisional Support for Adults Living with Chronic Kidney...
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