Essays on Long Term Care

Over the past two decades, the number of elderly people has been on a rise within the US. The improved care services associated with the emerging technologies as well as the emergence of new methods of care delivery such as patient-centered are have all helped develop tailored mechanisms for managing these patients and therefore meeting their health needs (Flaherty, Fulmer, & Mezey, 2014). The needs of this group are typically very unique normally because they are getting into an age where they will lose a significant portion of the independence, abilities and roles and even begin to think about end-of-life ...

(Author, Department, University,

Corresponding Address and email)

Long-term care is usually required for those people, who have chronic illness and/or disabilities, thereby requiring personal care assistance for long period of time. This long-term care not only includes health-care services but also requires assistance in personal care and activities such as dressing, eating, bathing, walking, and transferring (Housing Bureau for Seniors, 2015). This paper deals with the information about the care required by older people and integration of long-term care services in a cost-effective and attainable manner.

Percentage of older people requiring long-term care

Older people require not only formal care at home but also require long-term care either at home ...

Members of the elderly population experience a lot of negative changes in the body. The negative changes that they encounter are often related to aging and the degeneration-related physiologic changes associated with it, this was supported by a set of guidelines on malnutrition authored by Mauldin & Kelley. In this paper, the author discusses the different tenets of malnutrition, including the causes, of malnutrition among the elderly, drawing data and evidences from previously published studies. It is not atypical for members of the allied medical fields, especially nurses, to encounter cases of elderlies experiencing malnourishment. In a study published in ...

Describe the difference between primary, secondary, and tertiary disease prevention.

Primary disease prevention seeks to prevent a specific disease before its occurrence. This is done by modifying the behaviours that can lead to the disease and by reducing the effects of exposure to the agent causing disease ("The Stages Of Prevention"). Controlling or preventing the use of hazardous products like asbestos and vaccination are some of the examples of this type of prevention. On the other hand, secondary disease prevention seeks to reduce the effect of a disease that has already attacked the body. This type of prevention is usually done by treating the disease immediately in order to ...

Kentucky Medicaid

The Kentucky Medicaid has programs designed for patients who need long term care services. It also outlines the eligibility conditions that must be met for people to qualify for these long term care services. Medicaid is composed of the nursing facility services. These nursing services are provided by certified nursing facilities (CHFS, 2016). The aim of Medicaid is to ensure that patients receive proper health care that will enable them to recuperate. The nursing facility services are made up of a variety of goods and services that are needed by the patients. These facilities include dietary services; laundry services; ...

A theory is a set of interrelated propositions that are used in guiding practice or explaining certain phenomena. Theories in the nursing profession play a crucial role in this regard. Theories help in explaining phenomena and organizing knowledge in the nursing practice. Additionally, theories help in predicting, explaining, prescribing and describing some aspects in the nursing profession. Through these roles, the theories provide guidance to the profession and help in improving practice and patient outcomes. This paper thus aims at describing, evaluating and discussing Katherine Kolcaba’s theory of comfort.

Theorists name and background

The theory of comfort is a mid-range theory that ...

Introduction

The role of Nurse Practitioners has expanded extensively over the past few decades. This has been necessitated by a number of factors ranging from the need to cover the apparent nurse shortage, the reforms in the healthcare sector and the increasing number of Nursing Practitioners which has immensely led to massive power and influence by professional bodies that represent Nurse Practitioners. With the primary need to help overcome the apparent challenges in the healthcare sector especially with the increasing population of patients, as well as the increasing demands for quality of care and new models such as the holistic care ...

The Health Homes Act (Section 2703)

The Affordable Care Act (ACA) provided a wide range if avenues along which patients and populations at risk would be provided with better and improved channels for care access in spite of their economic, social and cultural restraints to access of care (Hofer, Abraham & Moscovice, 2011). One of the major aspects of the ACA mainly focused on the need to open up as many channels as possible for people with chronic illnesses or those at risk of chronic illnesses to aces quality care. The costs of treatment and management of chronic illnesses is one that has remained highly documented over ...

Introduction

My current employer has employed me for seven years as an Assistant Hospital Administrator. However, the Company has noticed my sharp business acumen and dedication to service excellence. Therefore, they have offered me a promotion and relocation package to become the Senior Hospital Administrator of the new Jacob's Hospital Wing for long term care and elderly care, located in Venice, Florida. My responsibilities will be to manage the wing. My job as senior Hospital administrator is to oversee all aspects of healthcare administration. This essay presents a formatted business summary that will be presented to the Jacob Board updating them on ...

A Cost-Benefit Analysis of Provincial Health Services

Introduction Canada along with several other countries follow a public health care system that takes care of all basic health care services required by its citizens. The health care system of Canada has undergone a lot of changes since its conception. Several reforms have shaped the current health care system to turn out as a publicly funded system. The health care system is a provincial responsibility and is comprised of ten provincial and three territorial plans. The entire system is known as "Medicare" to Canadians. Despite various reforms, the main motto of the health care system has remained the same, i.e. to ...

Health care system in USA utilizes a large chunk of GDP on health care services. The high cost of health care in USA can be attributed to a number of reasons, the most important and noteworthy being the government’s lack of managements of the funds that are allocated for the health care. Healthcare system is a complex system that involves a well-knit unit of doctor, pharmaceutical personnel, hospital management team and so on. (Sultz & Young, 2011) It is like a vicious cycle of the high cost of medical education in USA and a thus higher fee of the doctors that leads to an ...

Influenza Vaccine among Health Workers

Influenza Vaccine among Health Workers

Introduction

Evidently, the human body possesses a remarkable capability, which can however be jeopardized by disease. Influenza occurs as one of the widely discussed diseases whose influence on humans has and continues to raise immense concern across various contexts all over the globe. This can be accredited to the fact that this disease occurs as one of the leading causes of respiratory infections. In fact, influenza remains a significant cause of mortality amongst the elderly populations aged above 65 years. Worth noting is the fact that the pathogenicity of influenza is dependent on environmental factors; hence grouping ...

Abstract

Employing the services of Nursing Homes is becoming a huge trend in the United States in recent years. Families can bring their elderly and ailing love ones to these nursing homes and pay for a certain cost to support their treatment. However, there is a growing debate within the country with regards to the use of these nursing homes as some groups believe families should take care of their love ones at home. Supporters to these alternative facilities argue that nursing homes would provide better care to their love ones, especially given the financial and living conditions. This paper will discuss the ...

Introduction

- Summary - Medicaid - Medicare Analysis of challenges to Medicaid in terms of improving access to care, quality of care, and reducing the cost of care. Analysis of challenges to Medicare in terms of improving access to care, quality of care, and reducing the cost of care.

Conclusion

• Conclusions about the future of managed care in each program - Will it grow or decline? - What will be the challenges for success? Introduction This research encompasses a study of managed care in United States of America as perceived under Medicaid and Medicaid ...

First Case

In this paperwork, I am going to discuss a case study, whereby, I will be giving my recommendations for Ruth condition and giving the appropriate living environment that I believe will have the greatest likelihood of success. I will also include what modern research say about the practice regarding the long term care for the elderly. The case consists of the following main characters; Ruth- Beth’s step mother who was a retired beautician, and Beth. According to the case, Ruth is described as being unsympathetic and unbearable towards Beth, hence creating a good environment for the establishment and growth of ...

Lesson 13: The Administrator as Leader; the Administrator as Manager

Lesson 14: Functions of Managers Lesson 15: Communication and Governance Lesson 16: CMS Survey Process and Marketing Lesson 13: The Administrator as Leader; the Administrator as Manager - Explain the difference between leadership and management. A leader is someone who has the ability to project him/herself as someone who is honest. Precisely, leader encompasses demonstration of qualities, which cannot be written in a list of duties. For example, if honesty is a requirement for recruitment of a manager; how can human resource measure honesty? It takes the manifestation of this virtue in a leader for perceptions of honesty ...

The aging population of the baby boomers and chronic diseases has increased the need of health care services. The baby boomer effect describes any person who was born between 1946 and 1964(Gott & others, 2011). Most of the ageing health care personnel such as physicians, nurses and pharmacists belong to the baby boomers demographics in the United States. Also, the looming labor shortage is facing the healthcare industry in the coming years especially nurses, physicians and pharmacists. For example, the nursing profession is facing the biggest challenge of retaining young employees. Furthermore, it is estimated that more than fifty-five ...

The qualitative research selected was a study titled: Pneumonia Care and the Nursing home: A Qualitative Descriptive Study of Resident and Family Member Perspectives (Carusone, Loeb and Lohfeld, 2006).

Problem Statement

The clinical problem that led to the study is the increasing need for long-term healthcare in healthcare establishments due to the increase in population and change in social values. Apparently, a significant part of the population within the age of 65 and above are increasingly requiring hospitalized care for various health related complications associated with old age. Patients requiring this kind of service have been found to prefer receiving the service in ...

Introduction

Disease Process Nursing Evidence based Practice Nursing Care Plan Conclusion Introduction Congestive Heart Failure is also known as heart failure. This happens when the heart becomes incapable of pumping blood efficiently to all organs in the body. Diagnosis is through physical examination. Patients often manifest with shortness of breath upon exertion and swelling in the both legs. Confirmation of the diagnosis is through echocardiographic evaluation. On many occasion congestive cardiac failure could be secondary to hypertension, type 11 diabetes or kidney disease (Goldman, 2011). Essentially, the significance of heart failure relates to ischemic ...

This case study entitled “Airborne Infection Control Case Study: Bay Oaks” (n.d.) describes a rare success story in the fight against Hospital Acquired Infections (HAIs) or “superbugs” as they are sometimes called. This Miami assisted-living facility has virtually eliminated HAIs, using a system called Novaerus HAI Eradication Technology that filters and processes all the air within the building, including all common areas and the rooms occupied by the home’s residents. A typical resident in Bay Oaks is 84 years old and female, and the oldest resident is 102. A spokesperson noted that if a resident becomes ill and needs hospitalizing, they ...

Abstract

- Objective The objective of this study is to analyze UCLA Medical Center Health System in Los Angeles: Its goals, plans and dashboards that incorporate people, service, operations, quality/safety, finances and strategic development. - Executive Summary UCLA Medical Center is the largest provider of outpatient care services in Los Angeles, serving a diverse patient population of over 5,000 which reflects the socioeconomic, racial and ethnic diversity Los Angeles (Tulchinsky, 2009, p. 145). It is a health organization that seeks to improve the health and healthcare of individuals, families and communities in the metropolitan area of Los Angeles ...

Literature Review

Nearly 260,000 patients pass on in the National Health Service hospital facilities in the United Kingdom. This is approximately 56% of the total number of patient deaths recorded in the year 2008 and is in total contrast to 16% of patients who pass on at home, 9% that die in hospices and 18% that die in community health facilities(Office for National Statistics,2010). It is acknowledged that the demise of someone familiar or known to someone has a great psychological effect on the person experiencing bereavement. There have been numerous studies that have been carried out over ...

Social security pertains to social protection programs created by the government to provide individuals with a degree of income security, especially when faced with contingencies related to unemployment, old age, incapacity, disability, survivorship, child rearing, as well as to offer access to either preventive or curative medical care (ISSA, 2013). The International Social Security Association or ISSA defined social security to include social insurance programs, social assistance programs, universal programs, mutual schemes, national provident funds, and other arrangements that is defined and form part of the social security system of a country . Most countries today have adopted some type of social ...

Talking about end of life plans are perhaps the most difficult discussions that families can have. When an older family member becomes ill, it may be even more difficult for a family to discuss end of life issues because they do not want to cause stress to the ailing elderly family member or to talk about death and final decisions. Many older adults may possess the assumption that their family or a particular relative will make critical end of life decisions even though a discussion about specific plans has never taken place. Unfortunately, by the time an elderly family member has reached a ...

Part A

Qualitative research is employed in long term care facilities extensively. This is because long term care facilities provide various services to people suffering from chronic ailments and people in their old age who require specialized care and attention. Because of the delicate nature of this job, it is therefore important to have constant appraisal and feedback from both the care-givers and the patients. Qualitative research, therefore, lends itself to this area of service in many ways. Qualitative research methods are means through which inquiry is done to provide a deep understanding of perceptions and the “how” and “why” aspects ...

Executive summary

The main aim of every patient in the rehabilitation center is to learn to correct previous mental and psychological trauma that had changed their lives in one way or the other. These patients have hopes of repairing their already tarnished lives into a brand new one and any chance of contagious infection may negatively affect their healing process or expose them into a new problem as they go out to start their new lives. The current procedures that are allowed in the rehab which includes permitting the patients who have tested positive for MRSA and VRE infections to interact with other ...

Abstract

Over the years, Americans rely on Medicare and Medicaid to take care of their health care necessities. However, despite of their commitment to ensure quality health care access, these two publicly funded health programs which were considered as national treasures proved to be poorly coordinated. Access to care and quality of service were the common issues these programs struggled with. Beneficiaries are facing problems such as discrimination and inefficient service from health providers. There were cases of Medicare’s improper payments to providers with incorrect claims. In addition, Medicaid’s program shares more than 20% of the state’s ...

Part 1: The Human Environment

Written Assignment 1-Description of five people - Roles - Age relation to age - Analysis applying role theory

Written Assignment 11- On Golden Pond

- Description of Norman’s environment - Selection of Theory - Application of theory to Norman’s Human Environment interaction - Reasons for selecting theory - Credibility of theory

Part 11: Age related changes – Anticipatory Socialization

Introduction - Assessment of present adulthood career paterns

Assessment of financial needs

Description of leisure Selection of retirement environment Conclusion - Anticipatory socialization plan

Abstract

This document embraces two areas of study. They are human environment and age related changes. First, assessment of five persons in ...

40 questions answered from two different books.

Health Care Ethics Principles and Problems (Medical Ethics)

Chapter 1 Briefly describe the differences among ethics, professional ethics and health care ethics. Ethics is concerned with the way people ought to live their lives. It must not be confused with religion even though they may tend to advocate the same values. However, ethics are distinct interrelations among human which can be considered acceptable or unacceptable. Professional ethics embody regulations pertaining to how persons function within a discipline. It specifies right and wrong actions based on morality. It does encompass principles of being, but the authors of this text ...

Pressure Ulcers

According to Frankel & Benett (2000), a hospital acquired condition (HAC) is a detrimental condition or situation that influence a patient, which occur during a reside in a medical facility or hospital. A pressure ulcer refers to area of contained damage to the underlying tissues and skin, which is caused by shear, friction and pressure and or a mixture of these. The vital determinants of pressure ulcer growth are the duration and intensity of pressure and the lenience for pressure of the outer skin as well as it is underneath structures. Pressure ulcers are avoidable or preventable with high-quality essential nursing care, with nothing unusual, ...

Policy, Goals and Options

Healthcare in America just like the immigration system it needs a complete overhaul. In many political and not so political quarters the notion of health care reform has been attacked as being, ‘the Obama scare’ ( Peter,2011). Already, when health care delivery in America is assessed, it would appear that it is cheaper to die than live with a health condition requiring long term care. Precisely, the health scare of the average American citizen is being able to afford the cost of it. Even with government supplemented healthcare known as Medicaid it is impossible to continue living with a disease if there ...

AARP Presentation: Role of the Nurse

The American Association for Retired Persons (AARP) is an organization that is becoming very popular within this society, providing services for citizens over the 50 age group. This is a nonprofit organization aimed at assisting people over 50 years of age achieve health goals as well as the personal desire of maintaining independence for as long as they live. This is a phenomenal accomplishment for an organization in existence since 1958 ( ). Beside these long term objectives of improving the quality of life for people over 50 years old, AARP has embarked on organizing tours; providing health insurance at very affordable ...

People are living longer today than the previous generations and this is why people are also facing more health related problems than people of previous generations. In this changed scenario and to meet with the newly emerged health hazards, it is necessary for people to have the better medical facilities of long term care which would enable them to face the hard times in their old age. The problem is visible in almost all the parts of the world but this paper discusses about the long term health care policies of Americans and several other related aspects of the ...

Health Reforms: Home Care Reforms in Canada

The Canadian health care system has undergone several reforms in the last decade. In 2001 the Prime Minister instituted “The commission on the future of healthcare in Canada,” commonly known as the Romanow Commission. The Romanow report recommended improvements in primary care, home care, catastrophic drug coverage, Aboriginal health among others. Expansion of home-based care services such as palliative care, post-acute patient management and mental healthcare featured prominently among the proposed home care reforms. Accords by ministers have also backed home care services and increased funding to this sector. This paper presents the Home Care reforms at the national ...

Long Term Managed Care

Over time, health management plans have evolved to encompass new services that were initially considered a home affair. With the work environment and tight schedules making it hard for care provision at home for people with chronic diseases or conditions, the long-term managed care has emerged. This issue is further elaborated in the essay below.

According to the New York State Department of Health (NYDH) (2011), managed long term care is a health service designed for people who need a long-term care services. These services offer flexibility to the people and further provide choice since the individuals can choose ...

Introduction

The Canadian health care system has undergone several reforms in the last decade. In 2001 the Prime Minister instituted “The commission on the future of healthcare in Canada”, commonly known as the Romanow Commission. The Romanow report recommended improvements in primary care, home care, catastrophic drug coverage, Aboriginal health among others. Expansion of home-based care services such as palliative care, post-acute patient management and mental healthcare featured prominently among the proposed home care reforms. Accords by ministers have also backed home care services and increased funding to this sector. This paper presents the Home Care reforms at the national ...

Table of Contents

Abstract 3 Long Term Managed Care 4 Introduction 4 Discussion 4 Conclusion 5 References 6

Abstract Over time, health management plans have evolved to encompass new services that were initially considered a home affair. With the work environment and tight schedules making it hard for care provision at home for people with chronic diseases or conditions, the long-term managed care has emerged. This issue is further elaborated in the essay below.

Long Term Managed Care Introduction According to the New York State Department of Health (2011), ...

As We Are Now by May Sarton

The novel as we are now by May Sarton is about Caroline Spencer a 76 year old woman who is a retired school teacher. The novel revolves around the realities of aging and death. Caro, as she is referred to in the novel, suffers a heart attack and is therefore deposited in a nursing home known as Twin Elms located in rural England. Caro is need of short term care, however, this translates to long term care and she is forced to stay in the nursing home for a considerably longer period of time than was supposed to be. The nursing home is under ...