A Long Term Care Facility

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.

Roles of Administrator and Case Managers in this facility vs. roles of Administrator and Case Manager in other facilities

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 objective of this research paper will be to explore available long-term services, long-term facilities and their levels of service, and financing for individuals who are facing the challenge of Alzheimer 's disease. This is an important topic that affects me personally and professionally as well as having lasting effects on our community.

“Long-term care is a range of services and support for your personal care needs. Most long-term care isn’t medical care, but rather help with basic personal tasks of everyday life, sometimes call activities of daily living (Medicare)”. Which is very important due to that Medicare its self does not provide coverage for long-term “custodial care”.

Understanding the benefits of assisted living homes is important in determining where a loved one will best enjoy their remaining years. The ability to remain independent, yet have the appropriate level of care can relieve stress for both family members and the loved one. There is a big difference between assisted living and nursing home facilities. Realizing these differences can help ease the idea of leaving home behind and moving into a facility with round the clock care.

The need for effective health care and incidence of chronic health conditions are expected to increase considerably with the aging of the baby boomers’ population. It is estimated that number of Americans with chronic health conditions will reach 150 million by the year 2030 (Joseph 2006). Furthermore, current long-term care facilities designed decades ago are lagging behind the legal regulation that were established, while not accommodating the needs of the staff and the clients comfortably. Some the facilities are facing regulatory challenges that emanate from the original design and intended use. Subsequently, the requirements for cost-effective long-term care facilities must be carefully considered and planned for to accommodate current and emerging needs of all stake holders. We need to redesign our facility to meet regulatory challenges, emerging technological needs and future health care needs of the consumers and other stakeholders. Successful and effective design in long-term care originates with a master plan. In this paper, I will focus on renovation of existing long-term care facility, summarize my research findings including explanation of the need for the facility renovation and summarize the research findings and describe the types of facilities and services offered in my local community, and explore the role of health care administrators in facilities planning decisions to meet legal and regulatory challenges while including the anticipated

This is a tricky question to answer. There is a plethora of literature which highlights older adults’ perception of entering long term care facilities vs. the myths and horror stories associated with nursing homes. I believe income plays a strong factor in level of care and how nursing homes are operated.

I chose to volunteer at Lakeview Health Center in West Salem, Wisconsin. Lakeview Health Center is a long term care facility that provides care for adults with special behavioral or mental health needs. At the beginning of the semester I listed ways that I thought Lakeview Health Center would enrich my knowledge in the field of psychology and goals that I intended to accomplish during my hours spent volunteering. I believed my knowledge would be expanded in the areas of mental health, the process of socialization and altruism. I will now reflect on this list and on the goals that I hoped to achieve.

Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States.

Pima County, AZ, is a popular area for seniors to receive care in an assisted living facility. The provision of handicapped-accessible paths, equipment and signs throughout facilities makes them convenient for seniors who have impaired mobility. Residents are encouraged to be independent by using the services and amenities provided by skilled caregivers. We understand the need for seniors to live in this type of community with the dignity and respect that they deserve.

There are lots of older adults suffering from Parkinson disease. People suffering from Parkinson have to deal with gait problems and its effect their life style, make life of their caregivers so stressful. Parkinson disease client also have problem in walking and doing other things same time and if they do so they have a greater risk of falling.

And ultimately, will Parkinson’s disease speed up time in a sense of the grim reaper coming much faster than wanted or expected before the diagnostic of having Parkinson’s disease? Even though those answers do not have definite “no” or “yes” answers, a family, spouse, or friend can plan for the worst and strive for the best outcomes for a person with Parkinson’s Disease. In a situation like this a case study was performed with a psychologist and a wife of a 35-year-old man who was just diagnosed with Parkinson’s disease. The actions of the wife and her children are recorded for researching purposes:

The decreased physical activities and range of motion are a significant concern in Parkinson’s disease patients. Physical Therapy has been shown to benefit Parkinson’s patients, improving the quality of life. According to the data by Gisbert and Schenkman, research shows that Physical Therapy has a positive short term effect on people with Parkinson’s disease. Exercises such as 2- and 6-minute walk tests, walking speed, step length, Timed "Up & Go" Test (TUG), Functional Reach Test (FRT), have all showed positive results for PD patients. All these exercises relate to Physical Therapy and are based off its principles. One patient in the study said he was able to walk up and down a flight of stairs without help because he had strengthened his

It is sad that not all nursing homes/long-term care facilities are based on the greenhouse concept. Tabitha has a greenhouse long-term care facility here in Lincoln and it is amazing. The residents of this facility enjoy a better quality-of-life which adds years, comfort, joy and security to their lives. My grandmother, who had a stroke a few weeks ago, might need to be moved to a long-term care facility and I'm concerned about where she will end up especially since there isn't a greenhouse facility anywhere close to her. Taking this class has given me information and knowledge into the land of senior housing and I have been able to turn around and use this knowledge in helping elderly family members make decisions regarding where to live.