Nursing Care In Nursing Home

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Introduction Nursing home is a place offers residential care for people who need continual nursing care [1]. In recent years, the number of older Americans over age 65 live in nursing faculties is more than 1.4 million, and it is expected to increase because of the aging of baby boom generation and population ageing. 6% of nation’s healthcare expenditures are spent on 15,500 nursing homes in U.S. The increasing population requiring nursing home and increasing expenditures suggest a pressing need for quality measure in nursing homes. Despite numerous clinical, regulatory efforts and huge expenditures, poor quality of care in nursing homes is still a big problem. Falls among nursing home residents happened frequently and repeatedly. 50% to 75% of nursing home residents fall each year. That’s twice the rate of falls for people living in the community. Although 5% of adults 65 and older live in nursing facilities, nursing home residents account for about 20% of deaths from falls in this age group [3]. Fall is a significant cost burden for nursing home. Fall-related injuries of elderly population account for 6% of all medical expenses in US. Among nursing home population, $11,719 is the average cost of patient with a hip fracture [4]. Quality measures can provide the information to guide the nursing facilities to improve their quality and help the patients’ family to make better decision of choosing a satisfying nursing home for the patient. Risk factors can be identified by monitoring the quality measures. Evidence-based suggestions would help reducing the incidence of falls. Measure Selection To access the rate of falls in nursing home, an outcome measure is selected in this study from the database of National Quality Measures C... ... middle of paper ... ...elf-organization requires management practices that change how people relate to one another. In particular, management practices promoting the rate of information flow through the system, the nature of connections among people, and the diversity of cognitive schema, are related to better resident outcomes. Management practices that support constructive self-organization can lead to better outcomes. A variety of management practices are needed to assure lower residents’ fall rate in nursing homes. Using the key concept of co-evolving, the process of management asks individuals to adapt with new situations, for example new patients with uncommon health conditions. The individuals continuously learn to adapt to changing environment, and evolves with the environment, therefore enhance their ability to take care of the residents and reduce the incidents, such as falls.
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