Nursing Home
Do you agree with the change in the terminology of nursing homes to nursing facilities? Why or why not? How do the terms relate with each other?
The change in terminology from nursing home to nursing facility is an attempt to move away from the stigma related to nursing homes, the isolation of nursing homes, and change the focus of nursing homes. Previously, nursing homes wear viewed as where you go to die, a facility with little regulation and limited collaboration with other facilities. Nursing facilities are collaborative with other facilities, are highly regulated, have a home feel, and focused on treating the whole patient not just the illness. The care provided ranges from intensive (the patient cannot do anything for themselves)
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How did subacute care emerge? What are the strengths and limitations of the emergence of subacute care in long-term care as related to issues in levels of patients' acuity (various levels of nursing care based on the needs of patients)? Support your answer with relevant examples.
Subacute units offer a transition point between a hospital stay and their journey home or a nursing facility. Emerging to fill the gap between intensive hospital care and the care that can be given in the home or a nursing facility, and provide a more cost-effective form of care than hospital care (Pratt, 2017, p. 113). Subacute care’s focus on the quality of care given at the cheapest price possible allows subacute care to stay relevant in our ever-changing healthcare system. While also ensuring the patient’s care and overall quality of life are the best it can be. Say you have a stroke, after your stay in the hospital you may need physical therapy, this therapy is received in a subacute care facility (can be a part of hospital or nursing facility). When you enter the subacute care facility you enter with a projected check out date, with a set structured plan of action. I believe subacute care should be offered in hospitals and nursing facilities so that no matter what the finical situation of the patient they can receive quality regulated care at a cheaper price than acute
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
United Hospital Fund (2013). New York’s Nursing Homes: Shifting Roles and New Challenges. Medicaid Institute at United Hospital Fund.
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
Schmidt, C. (2004). In our community: One vision followed by thousands. Lippincott's Nursing Center.com,104(8), 36-37. Retrieved from http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=517471
First, we will discuss “ What is a nursing facility?” A nursing facility is licensed by the
LaMantia, M., Scheunemann, L., Viera, A., Busby-Whitehead, J., & Hanson, J. (2010). Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review. Journal of the American Geriatrics Society, 58(4), 777—82.
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.
Nursing assistants work in many types of settings including nursing homes, hospice, mental health centers, assisted living residences, home care agencies, hospitals, rehabilitation and restorative care facilities (Sorrentuino & Remmert, 2012). There are many types of Long-term care centers. For this paper, I will focus on the long-term care centers often referred to as nursing homes. These LTCs are "licensed facilities that provide extended care for individuals who do not require the acute care provided in a hospital but who need more care than can be given at home" (U.S Department of Health And Human...
This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
When it comes to switching shifts, nurses usually give a quick report on the patient, so the oncoming nurse knows what is going on with the patients. Sometimes nurses are rushing through the report, skipping through vital information, which can cause harm in our patients. We must have a standard hand off report each nurse must follow to provide patient safety and satisfaction.
Nursing is one of the oldest professions and was originally centered at the patient’s home. The first hospital was built in 1751 in Philadelphia, but it was, at that time, not well thought of as a place to provide safe health care. Hospitals were known as asylums or poorhouses until the Civil War. The Civil War created the need for new hospitals to be built, thus moving the nursing profession from the home to the hospital. This is when nursing became a recognized profession and when people began to respect the work that nurses would do. Over the years, registered nurses have become even more valued in the health care setting (Weatherford).
Nursing, by definition according to ANA is “The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” (cite)Nursing is viewed by some as a lady who just gives shots and takes vital signs. But to millions of individuals out there who know that nurses are way much more. Nursing is the opportunity to help someone restore their health to what it once was. Nursing is going beyond their duty to make sure the patient is stable and comfortable. Nurses are the advocates and the protectors of the patient, the families and the community. Nursing is