A Long Term Care Facility

Issues with long term care services include employee turnover, regulation, employee communication and especially payment for services. Legal concerns associated with long-term care are the rise of population who will eventually need it. The demand for long-term care services are going to explode as the population ages and more people are living longer with chronic conditions. But the main questions still remains, who will pay for these services and how will they be delivered? When I say this I’m referring to the actually facilities themselves, will there be space for patients when the time

The majority population of long-term health facilities is comprised of geriatric patients with complex comorbidities. Studies show that one-third of these patients have cognitive impairments, and over one-half have physical limitations (Tjia, Bonner, Briesacher, McGee, Terrill & Miller, 2009). It is important to know geriatric patients have increased vulnerabilities. When patients are poor historians and family is unavailable, the nurse often becomes their only advocate during facility admissions. Adequate discharge planning is imperative for patient safety and successful transitions from hospitals to long-term care facilities. It is the equal responsibility of both care

Assisted living is a fairly new and unique part of the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the

Long-term care can be defined as a broad set of paid and unpaid services for people who are mentally or physically disabled, or whose chronic illness places them in need of medical or personal assistance for long periods of time. “It is estimated that there are more than twelve million Americans of all ages whose mix of serious disability and chronic illness places them at the high risk for functional decline, hospitalization, or nursing home placement.” (Benjamin) Several different populations require long-term care services, and the needs of these populations vary. In addition to the elderly, many of the long-term care users are younger persons with physical disabilities; persons with developmental disabilities; and persons with chronic

Long term care facilities are first established under state licensing laws and, in most cases, a granted certification that there is a need for nursing home beds in a specific community. Medical professionals and support services providing care and related functions must also operate in the nursing home under the licensing, regulatory, and standards of practice governing their areas of specialty. In addition, each long-term care facility must establish their own policies and procedures for everyday operation to stay within their operating standards and legal limitations (Brady,

Hello Dr. Ullom, majority of the long term care facilities are under staffed. There is usually one registered nurse in charge to manage a 240 bed facility, with LPN's  and nursing assistance. I feel that these patients would benefit from having one RN to every six -eight patients with a nursing assistance. Not only would this benefit the patient but the nurse as well. Patient are placed in long term care facility with a certain problem, but ends up with additional condition such as UTI, MRSA, pressure ulcers, and etc. These issues are related to poor care they receive because of unstaffing. I'm not placing blame on the LPN or nursing assistance, but with a RN and low nurse to patient ratio, they will receive better care.

What are the Effects of current health care tends on long term care and this facility

The Continuum of Care is the variety of health care services provided to numerous individuals who are in need of it. All the various Long Term Care providers work as a unit, helping an individual handle their disability with various health care amenities accessible. The Continuum of Care, as stated in Long Term Care: Managing Across the Continuum (2010), is “comprehensive, integrated, and client-oriented”. All the services offered should be client-based and cater to the client’s needs and suitable care. The client’s should be able to obtain services when it is needed from the provider, making it comprehensive. All the different Long Term Care providers should be interconnected between one another, because their goal is all the same. Their goal is to care for the client’s needs. The Continuum of Care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. The continuum has many positive attributes, along with many barriers. The range of barriers are: poor transitions from Long Term Care setting to setting for the clients, the continuum is reimbursement-driven, it is fragmented and uncoordinated, it is under staffed with medical professionals, and there are major language and literacy problems.

Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.

The long-term care services delivery system in the United States has changed substantially over the last 30 years . There are approximately 17,000 elderly and disabled persons are receiving care in nursing homes (NNHS, 2004). The number of people using nursing facilities, alternative residential care places, or home care services are projected to increase from 15 million in 2000 to 27 million in 2050 (HHS, 2003). Identifying the best nursing home that would fit their needs can be difficult and time-consuming. Although nursing homes usually provide certain basic care that patients need, some nursing home facilities provides special care for certain types of individuals with special needs. For example, people with dementia, AIDS, ventilator-dependents,

These agencies expect long-term care facilities to maintain an environment that will emphasize the importance of one’s quality of life and quality of care (Walsh, 2014).

The character Dorothy said in The Wonderful Wizard of Oz, “there is no place like home” (Baum, 1960, p. 45). Sadly, many of our elderly live in Long Term Care Facilities (LTCF). The transition from living in their own homes, to living in a LTCF, can be a traumatic experience. Poor adaptation to a LTCF may cause depression, malnutrition and significantly reduce the lifespan of the elder. Thus, it is imperative, that nurse’s recognize this promptly.

Health care is a fascinating industry. So many types of care are included within the industry. Health care can be very broad or very specific. Health care is also comprised of different types of health care. One specific sector is long-term health care. Long-term care plays a huge role in the health care continuum. This paper will define long-term care and a continuum as well as discuss the services provided and how these services fit in the continuum of care, the resources that go along with long-term care and how it contributes to overall health care resources, and how long-term care services

This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.

Design and scope constitute element one. Pertaining to nursing homes, a quality improvement program should take aim at medical care, resident selection, and quality of life (Center for Medicare and Medicaid Services [CMS], n.d.). An initiative was developed to better diabetes care