On 1/20/2015 SO EMT Perez was dispatched to KC-304 regarding skin pain. SO EMT Perez knocked, announced his presence and was verbally invited in by the resident. The resident, a Mrs. Marian Fox stated that she has been having some severe skin irritation the last couple of hours and she wanted a second opinion on what she should do. SO EMT Perez performed an assesment which revealed the following; Blood Pressure 120/80, Pulse 64, no visible lesions or abrasions of the area where Mrs. Fox was complaining of pain and no other pain outside the ordinary. Mrs. Fox than decided to lay back in her bed.
Reporting party (RP) stated that after visiting with her client, resident Bruce Thompson (DOB: 06/24/60), RP removed the resident from the facility due to severe bed bug sores that were bleeding. RP stated that she has not seen a case of bed bug bites this severe. RP stated that they left the resident's belongs at the facility along with his medication. RP stated that the caregiver/facility (Caregiver information is unknown to RP) would not relinquish the resident's medications to him. RP stated that the resident paid $1,000.00 per month to resident at the facility.
I am grateful to experience what it is like to have an extraordinary employer. Not many people can say they had the chance to work for someone who is not only a strong leader, but an exceptional mentor. I had the pleasure of working as a Residential Assistance for Mr. Joseph at Florida Memorial University for a year, and I could not have asked for a better experience. His dedication and passion for the students at Florida Memorial University was refreshing and uplifting. In Residential Life, our main focus was the residence’s housing experience; however, Mr. Joseph sincerely cared about each student’s wellbeing and success.
What would happen to your thoughts and system responses if the narrative changed when discussing costs and savings? For example, what is the savings metric given the hidden costs to anyone with health insurance prior to ACA? Anyone using their insurance or visiting a hospital, given hospital pass through costs due to their need to treat uninsured people, especially uninsured who waited too long to get treatment because they could not pay? What is the potential monetary savings metric given a shift to either a public or private single payer system? Why are we paying for multiple administrative structures when a single system would potentially be less expensive and more efficient?
California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.
Prior to the implementation of the Affordable Care Act (ACA), few people anticipated employer-provided health care would disappear as a major player in the United State healthcare arena. However, ACA adoption and has put more than 169 million employees at risk for losing their workplace coverage. Several studies indicate employer-based coverage will decline rapidly over the next decade as the traditional US system is displaced by the healthcare exchange system. While consumers grapple with finding affordable coverage options and providers adjust to the new norms, there is another wrinkle in the mix. In January, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the agency's push toward value-based and alternative reimbursement models.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
The long - term nursing facility has contracted with the community hospital to provide a program for patients recovering from heart failure. The goal of this program is to provide care and prevent hospital readmisstions for patients recovering from heart failure who cannot care for themselves in the home setting. Current chart audits on nursing care provided to patients with any type of cardiac related illness reveal that the nursing staff is unable to recognize a change in condition, especially in regard to physical signs of fluid retention in the lungs, abdomen, and lower extremities. Training is necessary for the nurses who will be caring for patients admitted into the cardiac program at the long-term care facility in order to provide proper
Based on the case study on pages 36-37 of our text and looking at the individual and financial needs of Don and Mary, I feel that they should both live in Assisted Living Facilities. According to our textbook, Assisted Living Facilities (ALF) provides assistance and supervision of activities of daily living for 24-hour. It offers more independence and privacy, a greater choices of services, and more involvement of direct care workers. (McSweeney-Feld & Oetjen, 2012, p. 25). As their care needs change, they can also opt to live in a Continued Care Retirement Communities (CCRC) which according to the book are residential complexes for seniors that offers housing options and comprehensive nursing care with their changing needs.
that, “I have no nursing home insurance, due to the fact that I saved money which resulted in me having a nice home and nice cars. In order for me to continue to own these I do not have any debt because when I get a balance on my credit card I immediately pay it off” (Bill Miller). Now that is someone who knows how to effectively manage their money by paying off any bills immediately and not having to worry about debt and have nice things because he pays them off immediately. Along with both the people that I interviewed giving responses to the questions that were asked of them there were actually a lot of things that were similar between both of them.
Consequently, the discussion about nursing home abuse and neglect should never be a topic of discussion to discuss. Mainly, because unfortunate occurrences of neglect and abuse in nursing homes across America should have never happened and/or occurred in the first place. Unfortunately, it does happen. When reading Pozgar’s and Santucci’s Chapter Six: Criminal Law- Healthcare, it is sickening to not only read, but also grasp in clear-cut detail of the repeated instances of nursing home abuse and neglect.
The J.R. Retirement Home for Elderly is a residential care home located in the charter city of Lancaster, California which is in the Antelope Valley. The historic community was the starting of the Southern Pacific Railroad. The scenic area is rich with historic events and activities for everyone to enjoy. Lancaster is a great place to live with a welcoming atmosphere for all friends and family members to visit.
Residential facilities and Assisted Living communities have blossomed into a massive business, it is the fastest growing living option for seniors. Facilities such as these provides a wide range of services and it is senior housing solution for adults who can live independently, but also require some assistance (Gleckman, H., 2014). The century of the baby boomers is here the nation prepared? The answer is a large no. The geriatric society appears to have been a forgotten body of people that the nation has not been prepared for.
She ordered a CT scan of Mrs. Adae 's chest to rule out the possibility of an aneurism, a CT scan of her abdomen to evaluate her liver, additional lab work, and thyroid testing, possibly to be performed on an outpatient basis. Mrs. Adae 's DischargeSummary, signed by Dr. Pesante, states, in part, "it just seems like [Mrs. Adae 's] problem may have moreso been either some kind of infectious process or possibly a thyroid abnormality." Also on July 1, three days after her discharge from CMH, the CMH laboratory reported to the resident on duty that Mrs. Adae 's blood cultures were showing "gram positive cocci in clusters. " The following day, the laboratory reported to Dr. Pesante that Mrs. Adae 's blood cultures were positive for staphylococcus aureus, a type of bacterial infection. Neither the resident on duty on July 1 nor Dr. Pesante contacted Dr. Bain or the attending physician on-call about Mrs. Adae 's blood culture results.
Human service agencies most time are under security because of the services we provide. The focus on efficiency, loyalty dependency and interaction with the consumer are characteristic that I believe have the most impact on the current company I work for. My current agency would be categorized as prevention which our book indicates is an efforts to prevent the problem from continuing to occur (Weinbach & Taylor, 2015). Although we would would like to have characteristics of being loyal and dependable our job is to help people get better and be less dependent upon us. As a case manager I work closely with clients on a daily basis and I see clients who become very dependent upon our services which I believe causes more harm.
