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Assisted Living Reflection

1044 Words5 Pages

Mrs. B, a chronically weak bed bound 78 year old woman was in the hospital for an acute change of mental status. Her baseline was that she was alert and oriented but needed assistance with activities of daily living except feeding herself. She had a 24/7 caregiver caring for her, but recently it was reduced to 6 hours a day because she was financially unable to pay for it. I was taking care of her and witnessed the social worker from Adult Protective Services speaking to her about her safety and trying to arrange for her to move into an assisted living facility. This would be paid for through a Medicaid waiver, but the patient refused. When the social worker left I tried speaking to my patient telling her that it would be best for her to move …show more content…

I didn’t understand how she could refuse if it was going to improve her safety and she was going be taken care of with no cost. Even when I tried explaining all the benefits that an assisted living facility has to offer, she continued to refuse. I tried to picture myself in my patient’s place and didn’t understand why she refused. It was her life we were talking about, we are trying to keep her safe so she can live longer. I continued to care for my patient by changing her linen and helping her bathe. I spoke to her in a friendly therapeutic manner making sure she was happy and in a good mood. The assembled multidisciplinary team of professionals came into the room and told my patient that her current arrangement at home was unsafe for her and that she was at a greater risk of developing medical problems which can be deteriorating. The patient understood completely what was at stake, her Mini Mental State Examination score was 28 of a possible 30. She also understood all the risks involved, but remained uncooperative. She explained that she would need to be dragged out while kicking and screaming if they want to put her in a nursing

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I believe everyone on this email thread was aware of my meeting today with Joe Baldwin, Guardian, of Kathy Rennich to discuss her recent return from inpatient rehabilitation at a local nursing facility and her expressed desire to move to the Hensgen Home. Basically, in February 2017, Kathy fell resulting in a fractured tail bone. She received inpatient rehabilitation at Care Springs for fourteen days and has returned home with PT services. Since her return home, Kathy has refused to participate in ADL’s (which isn’t a change in pattern as she refused prior to the nf stay) and is demanding that she have the opportunity to live at the Hensgen Home. Kathy’s reasoning behind wanting to move the Hengsen Home isn’t exactly clear to the team.

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Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.

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162 Words | 1 Pages

I chose to pick a case were an assistant living in Texas failed to meet the OSHA requirements. This assistant living (Williamsburg Village Healthcare Campus) was fined $46,000 for failing to have a safe, hazardless environment. They failed to have appropriate eye or face protection, training sessions, facilities for eye flushing, or a written exposure control plan for the employees to follow. They had 15 business days to change things to be able to pass and they failed to do so which caused them to pay a fine. I work at an assistant living here in Iowa and I know how important it is to have a safe environment to work in.

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842 Words | 4 Pages

By the next day, she didn’t even try to speak but would squeeze the nurse’s hand when spoken to. Mrs. Fernandez who is a widow lives with 5 of her children (all married with Kids). Mrs. Fernandez children are asking questions

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177 Words | 1 Pages

Rhonda Nearhoof, this is very touching and I absolutely admire your courage and strength. Being a hospice nurse, you face a lot of challenges of whether or not to be emotional close to the patient and the family. Based on your post I can see that you went beyond the call of duty to advocate for the patient in every way that you could. I also agree with you that “if we do not speak for our patients, then who will?”. As mentioned in your post, many patients are unable to speak for themselves, and they need our education and guidance to advocate for them to their families, doctors, or whoever else is involved with their care, and I honestly agree that it is our duty as a nurse to speak up and ensure their needs are met because as a nurse

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588 Words | 3 Pages

I think she was a little upset. She mentioned why she would have to stay with the resident’s. I told her that this was mention at staffing that staff would have to stay. When they returned I did ask, how did it go? She said that it was pretty good and that it was meant for her to stay.

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477 Words | 2 Pages

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1083 Words | 5 Pages

The aide did her job, addressed a possible issue to her administrator, and followed rules set by that administrator. Herman suffered the most. He was lonely, sad, and felt unsafe. He was a war veteran and an elderly man. Although not positive, he could have had PTSD and depression, which could have been evaluated and assessed if it had been acted upon.

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497 Words | 2 Pages

SC met w/ Pa, at EADC Penn Asian Senior Services (PASSi) and completed monitoring visit. Present at the visit was a staff member/Chinese Community Liaison and interpreter name Pearl who interpreter thought-out the interview. The Pa was clean, appropriately dressed in street clothes. The Pa, SC and interpreter complete interview in a private room.

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1495 Words | 6 Pages

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1326 Words | 6 Pages

We also went over the various types of licensed care facilities an ombudsman serves. Ombudsmen are expected to visit Skilled Nursing Facilities (SNF), Distinct Part Facilities (DP) Residential Care Facilities for the Elderly (RCFE), Intermediate Care Facilities (ICF), Adult Residential Facilities (ARF), Adult Day Health Care Facilities (ADHC) and Adult Day Programs (ADP). Although we learned about these different facilities, the main two types of facilities I became familiar with were the SNFs and RCFEs. Although both are care facilities, they each serve different populations and have different requirements they need to meet.

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1218 Words | 5 Pages

My website analysis is on the well-known social problem of disability. I am using this website for the first time in hopes of discovering some useful information and resources that may prove to be beneficial to me in my Personal Care Services (PCS) job at Ambercare. The website that I have chosen is Disability Advocacy Network (DAN) http://www.dan-inc.net.au (Disability Advocacy Network). The social problem addressed within this website is that of a disabled individual.

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1789 Words | 8 Pages

She is also unsure whether the patient wishes to report this issue. The social worker was presented with the ethical dilemma of choosing between respecting the patient’s confidentiality or intervening to disclose and report the issue to the hospital

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256 Words | 2 Pages

The last three clinical weeks at the Long Term Care Facility have provided me with real life situations to enforce the SILC clinical skills and improve my therapeutic communication. This experience has helped shaped me as a professional by allowing me to develop essential skills that contribute to the holistic care of nursing. A significant improvement that I developed following this experience included my assessment skills during every resident interaction. During these resident encounters, I began to address the resident’s overall well-being and comfort rather than just the current problem. I started incorporating questions about pain, how the resident slept at night, their current mood, and many other questions addressing the resident’s status as a whole.

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727 Words | 3 Pages

I would have more patience and try to get to the root of the problem instead of dismissing it. I would try not to get frustrated so easily and have the empathy to care for this patient. Empathy is essential for person-centred care and nurses must have empathy in order to understand the situation from the patient’s perspective (Girffiths et al, 2012). If I responded with more empathy and less frustration I think the patient in turn would be less frustrated and although the problem may not be resolved, anxiety will be reduced and a trusting relationship will develop.

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