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Quality improvement in nursing proposal 1000 words
Quality improvement in nursing proposal 1000 words
Quality improvement in nursing proposal 1000 words
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According to Sampsell (2003), “76 million baby boomers are getting ready to enter long-term care (LTC) facilities over the next 25 years” (p. 41). For seniors who need intensive medical care, nursing homes have served as the primary provider to those older adults who “have chronic health problems which are often accompanied by physical impairments and functional limitation” (Luskey and Ingman, 1994, p. 265). In anticipation of this increasing demand for services, there are industry visionaries who are working to change the way the public, the consumer, and the staff within long-term care view nursing homes by implementing “nontraditional principles to attract new residents” (Sampsell, 2003, p. 41). Overcoming the public’s perception of nursing homes, however, may prove to be a greater challenge than securing funding for these new facilities. A majority of the elderly and the public view nursing homes as “the last resort for older people” (Nay, 1998, p. 401). This paper will examine two of those alternative long-term care concepts, the Eden Alternative and the Pioneer Network, and report some common perceptions that society has held regarding nursing home care. Further, this paper will discuss the problems that have resulted in implementing these innovations for staff and residents.
Common Perceptions
The AARP (2007, Capacity) reported in “2004 there were 16,100 certified nursing homes in the United States.” While most people recognize that nursing homes play an important role in addressing the needs of older adults who need advanced care, a majority of people have negative opinions about the quality of life that residents experience during institutionalization, as suggested by Wiener (2003). According to a survey conducted by Th...
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...3, December). The promise, practice, and problems of the Eden Alternative: One facilities learning experience. Nursing Homes Long Term Care Management 52(12), 41-44.
Schoeneman, K. (n.d.). The language of culture change: Mayday. Retrieved March 11, 2011 from http://www.pioneernetwork.net/CultureChange/Language/
The News Hour with Jim Lehrer, Kaiser Family Foundation & Harvard School of Public Health (2001, October). National Survey on Nursing Homes, (conducted April-June 2001) Retrieved March 10, 2011 from http://www.kff.org/kaiserpolls/upload/Kaiser-NewsHour-National-Survey-on-Nursing-Homes-Highlights-and-Chartpack.pdf
Wiener, J.M. (2003). An assessment of strategies for improving quality of care in nursing homes. The Gerontologist 43(Special Issue II), pp 19-27. Retrieved March 10, 2011 from http://www.geroservices.com/downloads/pdf/Assessment_of_Strategies.pdf
As a nursing home model, Green Houses are obviously providers of long-term care services, including basic nursing and medical services. According to Kane et al., “A group of GHs on a campus or scattered in a residential neighborhood operates under a nursing home license and within a state’s usual Medicaid reimbursement amounts, although a redistribution of expenditures could occur (2007). Researchers of healthcare management (and healthcare managers themselves) have an interest in studying the differences healthcare management variables that arise between different nursing home models. Healthcare management factors of interest include a model’s financial feasibility (especially for nursing home services covered by some public funds, like Medicaid),
Long-term care facilities that have implemented a high degree of culture change (as scored from a survey derived from a 2009/10 national nursing home survey) have had a significant decrease in the use of restraints, tube feeding, and pressure sores. Culture change is also associated with an increased number of residents on bladder training programs and a small reduction in the number of hospitalizations/resident/year (Miller, Lepore, Lima, Shield, & Tyler, 2014).
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
When long-Term Care services were developing many mistakes had been made on the way to develop Long Care Services. “Nursing homes evolved during the 20th century without any clear national policy or direction.” (Sarah Thompson, 2008 ) There was a lot of tragedy’s, mistakes, errors and abuse because there wasn’t any type of direction or nation policy. If there was some type of direction on how to run these services there might not be so many cases of ne...
Nursing homes initial purpose was to provide care to the aging population in a home-like environment. With the creation of social security, the elderly had the opportunity to be taken care of and supported through the healthcare system. Ultimately turning nursing homes into a hospital setting. Now people are mostly thought of as patients and their disease first rather than human beings. Basic needs are meet such as shelter, food, and medication, but interpersonal human needs have been lost. Covering the cost of medications which sometimes numbs a persona are far easier, than personal music which could help retain a person’s sense of
Whereas, Australian families tend to keep assistance to a minimum by having care brought from a culturally and linguistically diverse (CALD) approach, which accommodates older adults based on their cultural background (Yeboah, 2015). A point often overlooked is that regardless of the quality of care the older adult receives, they prefer to be located close to family. More importantly, a nursing home produces an environment that shows little consideration for family values, which is the main aspect older adults strive for when considering a nursing home. Therefore, participating in a nursing home can be disputed because it is the defining line between a good or poor quality of life if the older adult fails to make it their home. Quality of life refers to the perceptions people have of their position in life based on their goals, expectations, values, and concerns (Cavanaugh & Blanchard-Fields, 2015).
Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987 Congress responded to reports of widespread neglect and abuse in nursing homes during 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care. The legislation, included in the Omnibus Budget Reconciliation Act of 1987, which specifies that a nursing home “must provide services and activities to attain or maintain the highest practicable phys...
...n-Greener, H., Spector, W. D., Veazie, P., & Mukamel, D. B. (2013). Making Difficult Decisions: The Role of Quality of Care in Choosing a Nursing Home. American Journal Of Public Health, 103(5), e1-e7.
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
In conclusion there needs to be an increase in government funding for long term care facilities to convey maximum ability to provide quality of care to elders and equal accessibility too homes and care. Ways that can produce this outcome are increases in staff funding for training and recruitment, as well as for equipment to help increase care. Government funding should also help elders decrease the cost of living in nursing homes and allow equal accessibility to homes and care in homes.
Matthews, J. L. Beat the Nursing Home Trap: A Consumer's Guide to Assisted Living and
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.
—. Language: Readings in Language and Culture. 6th ed. New York: St. Martin's, 1998. Print.