Activity programs are very essential for residents in long term care activities. The programs can engage residents in different types of activates. Activity is defined as Active or passive involvement of patients in any activities, outside the activities of daily living, that provide meaning and personal enrichment (Singh, 2015). To assess their effectiveness is by providing significant activities that can attain numerous goals. In order to evaluate the effectiveness of the programs long term care steps must be followed. (1) Promote a sense of well-being, (2) build self-esteem, (3) give pleasure, (4) create a sense of personal fulfillment, (5) provide a sense of accomplishment, (6) promote physical and mental fitness, and (7) accomplish social
What are continuing care retirement communities (CCRCs), and how do they differ from a traditional freestanding SNF or ALF? What are some of the financial challenges faced by developers of CCRC communities (describe at least two items). How popular do you think the CCRC model would be in an area like Westchester or Rockland county (choose only one county for your analysis).
Leading up to the collapse of the Caregroup, a researcher on the CareGroup network started an experiment with a knowledge management system application. The software was designed to locate and automatically copy information across the network. The researcher left the software up and running in its initial configuration. The software hadn’t been tested for the environment and began copying data in large volumes from other computers. By the afternoon of November 13, 2002 (the day of the collapse) the software was moving large terabytes of data across the network.
Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as
Caring for the elderly is an activity that requires patience, willingness, due diligence and effective co-ordination of resources in order to optimally benefit the recipients. Community services and programs is one such avenue that caters for the elderly by providing for their mental, physical, social and emotional well-being, and by extension promotes a greater quality of life. Community services help meet the needs of the elderly and attract older people who face barriers to active living. One strong advocate of community based services and a program for the elderly is the American Association of Retired People (AARP) who relentlessly seeks to promote a healthy lifestyle for people 50 years and over.
Aging is a natural part of human life. With modern technologies and medical innovations, the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes, which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in providing safe and competent care for older adult.
Assisted living is an effective type of care facility programmed towards helping older individuals with their increasing disabilities. “The fit between individual capacity and the availability of satisfying activities within an environment is an important aspect of positive aging and an especially salient issue for ALF [Assisted Living Faculty] management, given the role of activities in the consumer selection of assisted living”.2 This isolation of this quote is “positive aging”. Positive aging is important since it leads individuals to have a happier and more fulfilling life, and it can be supported through everyday activities and through the living environment. In nursing homes, each individual needs help with making sure that they are given care that meets their needs. This varies through different states and also communities. The purpose of the quote is to show that each person should be evaluated individually, meaning everyone needs a different approach to deal with the aging process.
Older people entering long-term care facilities face major adjustment challenges and are particularly vulnerable to mental health problems (Murphy, 1982; Mikhail, 1992; Manion & Rantz, 1995). Newly admitted residents in long-term care facilities are particularly vulnerable to depression and the early recognition and treatment of depression is therefore crucial around the time of admission to a home. (Bagley et al., 2000). By day 14 of their nursing home stay, thirty-eight percents of the admitted residents sampled in a study conducted by Boyle et al. (2004) were positive for depressive symptoms. Depression then is still a highly significant problem among those admitted to a nursing home. (Boyle, 2004).
The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers deliver a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, sub acute care, assisted living, residential care, elderly housing options and community based adult services (Pratt, 2010). A great majority of these providers are already taking care of the many baby boomers that are present today and will be present in the future. “Baby boomers” are individuals who were born between the years 1946-1964. Since 2011, every day 10,000 baby boomers turn 65 years old (Pratt, 2010). This
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
The long term care course was very interesting and helped me learn more about what is involved. In the LTC are not only nursing homes, but also adult day care, hospice and home health service. Long-term care is service and supports that a person would need for their own care. A lot of long-term care is not medical care and is considered assisting on everyday personal tasks. I learned that long-term care services are determined by chronic disease and disability. There will always be a need for long-term care.
Active ageing does not stop when elderly people retire as they can remain active through their families, peers and communities. Active ageing aims allows elderly people to realise and bring awareness to their own psychological, physical and mental well-being as the goal active ageing is the autonomy and independence of elderly people (Alexandre, Cordeiro, & Ramos, 2009).
Because our focus in this paper is on nursing homes, we looked at patient engagement in the public health and medical fields. In the public health literature, the term patient engagement is often used interchangeably with patient participation and patient involvement (Snyder & Engstrom, 2016). However, in other cases the term patient involvement denotes a specific classification within patient engagement. Robinson et al. (2008), for example, in describing patient-centered care as a measure of health care quality, defines patient involvement as purposeful inclusion of patients in their care or in healthcare development. Carman et al. (2013) places patient and family involvement in a broader engagement framework, and defines patient and family engagement the
Another important part of working with a large group of geriatric staff as a Geriatric Counselor is to build a bridge for a better relationship between the staff and patients. This can also help to create a better work environment among the staff. Paul R. Welter, a licensed Psychologist, believes that counselor training program for geriatric care settings will emphasize personal discovery in giving and receiving. In his book, he emphasizes the importance of giving, as well as receiving. It is important to consider the sensitivity of learning styles, inclusion of residents in a workshop atmosphere, continuing involvement of the leader, and a focus on tasks and relationships. (Welter, 1987)
Miller, C. A. (2009). Nursing for wellness in older adults: Theory and practice (5th ed.). Cleveland, Ohio: Lippincott Williams & Wilkins.
The article An Expanded Framework to Determine Physical Activity and Falls Risks Among Diverse Older Adults discusses that the risk of falling can be due to a lack of motivation to stay physically activity. This can add importance to reasons why Activity Theory is so important in the aging population. This article explored ways to motivate older adults to stay active.