Recommended: Nursing home reform
Bessie is an 87-year-old client who has recently been discharged from an acute care hospital after experiencing a cerebrovascular accident. Due to her compliling health issues she has been refered to home health to get assistance she needs to continue to live independently as long as possible. Bessie has a friend next door that is willing to help, but does not have any family nearby and does not have any discretionary income, because of these limitations she will need her home health nurse, Laura, to advocate for her to come up with a plan of action. The role of adcvocate is increasingly important because of clients changing needs and demands. Elderly clients need more help than ever with finding resoursed and applying for them with our increasingly
In 1991, the United States government initiated the Nursing Home Reform Act, also known as the Omnibus Budget Reconciliation Act (OBRA) of 1987 that outlined “a set of national minimum set of standards of care and rights for people living in certified nursing facilities” (ncmust.com). OBRA requires all nursing home residents have a complete health evaluation upon admission to a long-term care facility, and to be re-evaluated quarterly or after any major changes in health or functional status. This evaluation process is called the Resident Assessment Instrument (RAI) which is composed of three components; Minimum Data Set (MDS), Care Area Assessment Process and RAI Utilization Guidelines. Together, the components of RAI provide information
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.
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.
It is my analysis of the financial burden and decisions we had to make for my grandmother is that as the demand increases for long-term care as the baby boomer population ages, Medicare and Medicaid will be forced to reevaluate how they pay for long-term care. Many states are not equipped to handle the comprehensive needs of this aging population (Ford, Henderson, & Handley, 2010). Also, families are forced to take on enormous financial burdens due to the lack of coverage by Medicare (Can Medicare, 2015). The are no true pros to this situation.
regarding who else is informed about it and what it is used for (Heath and Human Services Administration, 2002). There are boundaries set up by the HIPAA Privacy Rule based on an individual's medical records and consequences of violating any of these rules are also explained (Heath and Human Services Administration, 2002). The main argument that people make against allowing cameras within private rooms of residents at nursing homes is that it is a violation of privacy for any other individual, whether it be staff or another resident, that may enter the room. One thing that HIPAA does is protect the identity of older adults in nursing homes and the privacy of staff and other residents. Residents in a nursing home need care from staff and other medical professionals and some don't want to be recorded.
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.
It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’ This type of care approach is focused solely on the person and the concept of personhood (HSE, 2010). It is imperative that the nurse hears the voice of the older person.
Over the years, there has been various debates over how the elderly is being treated in long term care facilities. Each and every year the number of the elderly people living in the U.S continues to grow immensely and whether or not we have the right systems in place to deal with this overwhelming number of baby boomers remain questionable. This number is projected to continue to grow and it is important that the right care is provided and also that the elderly is properly taken care of as they make this transition. As the number of elderly people in long-term care facilities continue to increase, different and various issues arise. One of the many serious issues involved with the elderly in long-term care facilities is the use of chemical
Having knowledge of social policies is essential to address elder abuse because it is crucial to have valued information to provide to the service user or how to report any type of abuse or neglect with seniors. In Canada, elder abuse legislation is a responsibility of federal, provincial and municipal (Podnieks, 2008). Likewise, the federal Criminal Code (1985) defines the standards for criminal justice through the country. Hence, this code has strengths and limitation regarding elder abuse.
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
Every decade our population gets older and a whole new generation of seniors comes along with a new set of attitudes and expectations as to what they want from an assisted living facility. And now that people are living longer, there is a much greater need for these facilities. They can provide a refuge to many family members that may become severely burdened by the arduous task of taking care of a loved one who can no longer take care of themselves. When simple tasks such as bathing and feeding become near impossible to manage alone, not to mention driving to the store and shopping, decisions about placement into a home become paramount. Most important to the family members is the ability of the facility to provide the adequate care that is needed for their loved ones.
