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.
FMLA and ACA in regards to APRN or NPs Introduction The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. Indeed, the nursing profession is making a wide-reaching impact by providing quality, patient-centered, accessible, and affordable care. - Institute of Medicine
It is difficult to comprehend the costs of nursing homes to quantify. The costs are most likely a small portion of the overall costs of the regulation which falls on the nursing homes. Another reason would be stakeholder’s debate. It is believe that many quality issues still exist and the regulations should be tense with harder standards and a much more aggressive enforcement. CMS also argued that regulation should be clarified and reduced and should only focus on problems that is based on cooperation and partnership.
The Importance of Literature: Why To Kill a Mockingbird Should Not be Banned from Middle School to High School School Name Name Teacher Name Class Date To Kill a Mockingbird, a classic American novel written by Harper Lee, should not be banned from middle school to high school because it provides valuable lessons about racism, discrimination, and the importance of empathy that are still relevant today, and it encourages critical thinking and promotes freedom of speech. To Kill a Mockingbird, a novel published in 1960, has been a subject of controversy and debate for many years, and it has been banned and challenged in many schools and libraries.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
According to Piotrowdki (2010) there is great NA shortage in nursing homes as well as in hospitals across many regions. This shortage eventually leads to fewer resources for nurses to rely on when providing basic patient
These facilities can be improved to reach higher expectations and tremendous rewards, but in order to do so, these events taking place in nursing homes and assisted living centers need to stop immediately. One way these facilities can improve is to require further education for the employees to complete so there will be an increased amount of suitable crowds hired to work. These facilities are already unbearably expensive so it would be an easy fix to use part of that money to raise the employee’s pay. Once there is a better group of employees with higher education and better pay, then there should be improvement in the care the residents receive. Superb quality nursing homes start with a superb quality administrator.
The Medicare and Medicaid programs were signed into law on July 30, 1965. President LBJ is pictured at the signing ceremony in Independence. The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law by another George W. Bush, on December 8, 2003. This historic legislation adds an outpatient prescription drug benefit to Medicare and makes many other important changes.
In 1987, the Nursing Home Reform Act was introduced and has started a great leap (post Medicare and Medicaid) into the realm of quality of care for the elderly. The main objective of this Act was to make sure that residents in nursing homes received the quality of care that would ultimately maintain or achieve their highest level of mental, social and physical well being. However, since it was introduced, it has been difficult to make a collective agreement on what is considered acceptable quality of life for someone who needs LTC.
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
Care Practice in the community UG no: 000910267 Bexley College no: 15023983 Residential and Nursing homes were controlled by Parts one and two of the Registered Homes Act (1984) until the Care Standards Act (2000) was presented in April 2002. The old Act had two units. Nursing homes were controlled under Part one, in addition residential homes under Part two. Homes offering nursing and residential care were reviewed twice and some homes were relieved from review. The Care Standards Act is an enormous portion of legislation that goes far beyond purely regulating homes Nursing Times (2002).
The ethical issues that are faced in nursing homes stem from a conflict of the institution's policy, staffing concerns regarding safety matters, and the general desires and preferences of the residents. When moving into a nursing, there is a loss of privacy as many residents share bedrooms, bathrooms, and common areas. The resident’s independence and decision-making ability over matters such as what to eat, wear, and their entertainment can all be controlled by the nursing facility, and this leads to a loss of autonomy. There are also concerns when the decision-making capacity of a resident conflicts with the general well-being of the nursing home populations. Moral issues that come into play when the resident has demonstrated a lack of competent decision-making practices is that who’s input regarding the resident's well-being has their best interest.
A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective health care delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there are a large amount of nurses that are near or at the retirement age.
