Of course no nursing home wants one of its residents to successfully elope, however a prevention policy to reduce the number of occurrences is essential. Representatives from the corporate and management team met and decided to make some security changes to prevent any further escapes. All windows either permanently locked or secured so can’t be opened more than two inches. All employees went through education and re-training program for elopement prevention and emergency response protocol. Resident with high risk of elopement moved to lock unit. Visual face to face checks every 15 minutes on known elopers. Wonder guards changed and all residents assessed for elopement risk. Nursing staff required to head count when begins the
Assisted Living Facilities abuse is a frequently occurring problem in our society (Hamilton). There are diverse categories of abuse that transpire in Assisted Living Facilities which are physical abuse, sexual abuse, emotional abuse, neglect, abandonment, and financial abuse. Samples of physical abuse would be hitting or beating the elders with an object or their hand, force feeding them or pulling their hands. Sexual abuse is the Assisted Living Facility employees having sexual acts with non-consenting patients. Emotional abuse is the employees saying things verbally to torment the patient. Neglect would be the employee does not take care of the patients such as providing hygiene. Abandonment occurs when leaving patients to fend for themselves. Financial abuse is when the patient’s family pays for the services that were not taken care of. “Elder abuse is fast becoming one of the uppermost law enforcement tasks of the next century, “said Paul Hodge who investigates crime against the elderly (Gonzalez). Since abuse occurs throughout assisted living facilities, state and federal governments should establish a type of punishment such as sending for employees to prison, ways to prevent abusing elderly’s is by inspecting employees ' criminal records, qualified staff, reporting injuries, having surveillance of the areas that do not affect patients privacy, promoting continuous family visits, and shortage of staffing.
First and foremost, Sunshine Generations has consistently met and exceeded both State and Federal Nursing Home regulations and standards. We have Nursing Home inspections conducted annually which includes the residents’ rooms and appearance, the living spaces, staff qualification and attributes, food and nutrition, and last but definitely not the least, overall safety and care. We specifically employ a “two-in, two-out rule” which means for every 2 nurses required by state and federal law, there are 2 more nurses assigned per day. This is to insure proper medical care and to reduce the chance for medical errors. This gives us the highest standard of care not commonly seen in the industry. A team work approach is also employed where staff physicians, nurses, nurse aids, and family have a say in the treatment and care of our residents. At any point any staff member or family member...
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
This scenario deals with an appeal by a estate administrator who sue a nursing home for "negligence, sexual assault and battery" due to failure of nursing personnel to protect their love one, but the nursing home is protected under the Medical Malpractice Act. Code §§ 8.01-581.1 through -581.20:1 (the Act)."
Unmarried heterosexual cohabitation has increased sharply in the recent years in the United States. It has in fact become so prevalent that the majority of marriages and remarriages now begin as cohabiting relationships, and most young men and women cohabit at some point in their lives. It has become quite clear that understanding and incorporating cohabitation into sociological analyses and thinking, is crucial for evaluating family patterns, people’s lifestyles, children’s wellbeing and social changes more broadly. This essay presents some common explanation for cohabitation’s dramatic rise and identifies some analytic questions as to how cohabitation is increasingly a major barrier in the marital stability in the United States.
We all know someone who has been placed in a health care setting such as a rest home or hospital because their needed care is out of their families own ability; whether it’s our own grandma or the neighbor’s great aunt. Many people in this day and age are getting care from health care workers on a daily basis and need constant watch and care. Many of those in the older population are put into rest homes where they can spend the rest of their lives in comfort, while others are placed in hospitals to recover from a stroke or a mental illness. At times, many patients become abusive or unresponsive by choice or not. Because of this abuse and also less control over thoughts and feeling restraints are used to keep them safe. Many believe that last statement; that they are completely safe. With my knowledge, the use of physical and chemical restraints in geriatric health care settings, such as rest homes, should be lessened because they cause injury, require patients to need more care and they take away necessary freedoms.
It is important to preserve the dignity of all patients in the care of nurses and to not make them feel as though they are worthless. For example, when someone is incontinent and cannot care for themselves anymore, such as some residents in long-term care, it is important to help them remain dignified. The resident should be able to feel as though they are respected and are given the appropriate amount of privacy as we are working in their home. With this being said, it is very crucial for nurses to provide residents’ in long-term care, as well as patients in the hospital, with great care while still preserving their dignity and maintaining their privacy. It is important for the client to feel as comfortable as they would if they were in their own home. With this, Registered nurses must appreciate and respect each person in whom they care for. This respect is seen through the nurse as they explain to the patient what they will be doing as they are caring for them, as well as providing care within the wishes of the person. Patients in the hands of the Registered Nurse, appreciate caring as a core value during their stay in the hospital. This is proved as Davis (2005) states, “From a patient perspective, the caring presence that emanates from nurses, positively impacts patients’ hospital experience,” (p.127) As nurses, caring is the absolute root of nursing practice. Preserving patients’ privacy and dignity involves aspects such as closing doors or screens and making sure they are covered while doing so, (Royal College of Nursing, 2015). The Code of Ethics outlines the importance of Registered Nurses supporting the person, family, group, population or community receiving care in maintaining their dignity and integrity, (Canadian Nurses Association, 2008). All these factors involved with the Code of Ethics greatly impact the nursing practice of
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
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.
Preventing fall in the nursing facilites Introduction/ Background Fall is one of the major issues in nursing facilities. Of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually (AHRQ, 2012). Those who fall will have the tendency to fall again. Falls in older patients can change their quality of life. Because people who fall are terrified of falling again that can affect their daily activities.
Of nursing home staff interviewed in 2004, nearly 40% admitted to committing at least one psychologically abusive act toward a resident and 10% admitted to physically abusing a resident in the preceding year.[1] Not only are nursing home residents at risk of being abused by their caretakers but they are also at risk of being restrained, which may lead to a form of abuse. With five percent of the elderly population, or one to two million instances of elder abuse occurring yearly there is no doubt that elder abuse deserves serious consideration.[2]
With advanced technologies in health care, the average lifespan of humans is around eighty-eight years, and these numbers are growing rapidly. Most elderly outnumber the younger within our population now, and with more of the baby boomer generation reaching the gold years, this number will rise exponentially. The cost of healthcare rising and the amount of Medicare funds decreasing makes caring for that loved one challenging. Statistics by Dr. Feng presented, “Individuals are living much longer; family structures are changing; women have entered the workforce. With no national health insurance program like Medicare and with the one-child policy that places elder care responsibilities on fewer shoulders” (Dr Feng). To some, the question of placing an elderly family member in long-term care facilities is a difficult one to consider. All too many times the elderly abandoned are not seeing families until visitation funeral ceremonies.
It is not a new thought that today’s young Americans are facing issues, problems and difficult decisions that past generations never had to question. In a world of technology, media, and a rough economy, many young adults in America are influenced by a tidal wave of opinions and life choices without much relevant advice from older generations. The Generation Y, or Millennial, group are coming of age in a confusing and mixed-message society. One of these messages that bombard young Americans is the choice of premarital cohabitation. Premarital cohabitation, or living together without being married (Jose, O’Leary & Moyer, 2010), has increased significantly in the past couple of decades and is now a “natural” life choice before taking the plunge into marriage. Kennedy and Bumpass (2008) state that, “The increase in cohabitation is well documented,such that nearly two thirds of newlyweds have cohabited prior to their first marriage”(as cited in Harvey, 2011, p. 10), this is a striking contrast compared with statistics of our grandparents, or even parents, generations. It is such an increasing social behavior that people in society consider cohabitation “necessary” before entering into marriage. Even more, young Americans who choose not to cohabitate, for many different reasons, are looked upon as being “old-fashioned”, “naive”, or “unintelligent”. This pressure for young people to cohabitate before marriage is a serious “modern-day” challenge; especially when given research that states, “... most empirical studies find that couples who cohabited prior to marriage experience significantly higher odds of marital dissolution than their counterparts who did not cohabit before marriage”, stated by Jose (2010) and colleagues (as c...
No one ever expects to live out his or her later years in life in a nursing home. When people are young they may not realize the obstacles in life that may cause them not to have a place or person to spend their older years in life with. Regrettably, many of the elderly are not treated with the care and respect they deserve. “Poor quality of care is endemic in many nursing homes” (Fernandez, 2011). It is the responsibility of the younger generation to make sure that the elderly are taken care of and that neglect does not happen. Nursing homes have too many patients and not enough care-givers compared to home care that has familiar one on one care. Home-based
... the nurses had to give her a shot to calm her down. In the end, she was able to recognize him, and they believed their love was so strong that they could leave that place together, and they did. They died together, holding hands. It is said that some elderly couples die within minutes, hours, days, weeks, or months of each other. I believe it to be a sort of spiritual thing, a connection that can not be broken, even by death.