Case Study Assisted Living

The skilled nursing facility is a facility that has a medical professional (usually an RN) on duty at all times of the day. The patients that are here are usually faced with a serious illness or major physical needs. The objective is to rehabilitate people to return to either their regular living or to an assisted living, however, some patients may never be able to be rehabilitated due to their medical conditions.

The duty of nursing homes is to exercise that degree of care, skill and diligence used by nursing homes in the community. A nursing home does not have to apply the same standard care as a hospital. "Consequently," what is considered negligence in a hospital does not necessary mean it apply to a nursing home. The duty of a nursing homes depend upon the patient's condition. The patient's physical and mental ability is determined by the court (Alcoy v Valley Nursing Homes, Inc., 272 S E 2d 301 (Sup. Ct., Va. 2006). Although treatment of a patient is the physician responsibility, a nursing home can be held liability for transferring a patient that require special precautions to a hospital without informing the hospital of the special supervision.

In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

Patient “DD” is a 56-year-old woman who was admitted to a nearby hospital for respiratory failure. With the only previous medical history being chronic bronchitis, she was diagnosed upon admission with COPD, anemia, hypoxia, moderate anxiety, and dyspnea.

In the article published by Sirkin and Rosner (2009), it was reported that 70% of individuals above the ages of 65 years have hypertension and approximately a third of them fall every year. It was found that hypertension and fall are common in elderly and coexist in most of the cases. It has been thought that the medication that the hypertensive elderly use put them at risks fall. For instance, it has been found that psychotropic agents, antidepressants, hypnotics, anticholinergic and anxiolytics cause falls in many patients. These drugs have been reported to have serious neurological and autonomic effects among the vulnerable individuals (Sirkin & Rosner, 2009). Due to the high correlation between falls and medication, organizations are encouraged to have pharmacy staff provide an ongoing review of patient medication regimens. Through the active participation of nurses, vulnerable patients should be identified and managed according to the required plan.

Mason Pointe is a senior living community of Lutheran Senior Services, LSS is an organization that provides a network of communities and programs for older adults. Mason Pointe is a nursing facility that has a combined acute-skilled short stay rehab, assistant living, and long-term care assistance. The prospects of study, are those residents that are residing in the facility long-term. Long-term is dissimilar from acute healthcare. It encompasses services related to maintaining quality of life, preserving individual dignity, and satisfying preferences in lifestyle for someone with a disability severe enough to require the assistance of others in everyday activities (Tabloski 2006). The residents in the long-term care facility rely on the nursing

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

The Topic of my research paper is How to Start Your Own Assisted Living Business. I choose this topic because I have some experience in the health care field. I am a certified Medical Assistant and I wanted to take my education to the next level. The Health care job market is on high demand and is one of today’s most dynamic fields with a wide range of opportunities. I came to realize that the older you get in this country options for housing, health and personal care services become limited.

When adult children know that an elderly parent should move to assisted living, it can be an emotionally stressful time while struggling to convince this person to do so. If you're dealing with this situation, consider some strategies that may help encourage your parent to accept this step instead of battling against it.

The following case scenario is based on a fictitious patient, and it would be use on this paper as a guidance to develop a patient and family teaching plan. The situation: Mrs. Marquez, a 39-year-old Caucasian female was admitted into the Emergency Department due to complains of shortness of breath and anxiety. Patient cannot take deep breaths, appears overweight and denies Allergies to medication. The background: Patient has medical history for panic attacks, atrial fibrillation, and Grand Mal seizures; however, patient is not constantly taking her seizure medication. Patient previously had a cholecystectomy, and smokes 1 pack of cigarettes per day for 12 years. The Assessment: Patient vital signs 98.8° F oral, 109 heart rate, 26 respiratory rate, 150/86 blood pressure, SaO2 97% on room air. Denies pain. Neurological; Patient is 65 inches tall, weighing 246 lbs. She is able to move all extremities with strong pushes and pulls. States her “last seizure was two months ago.” Respiratory; Respirations are even, deep, and rapid. Lungs are clear on auscultation. Cardiac; EKG reveals atrial fibrillation; patient states, “It feels like my heart is racing at times.” Pulses are palpable +3 all extremities; capillary refill is instant. GI; Abdomen soft, no distended, and no tender with bowel sounds present in all four quadrants; skin is intact and warm. Current medications: Dilantin 400mg PO BID, Lexapro 20mg PO daily, Metoprolol 25

The patient is a 72-year-old black female who presented to the ED with complaints of low blood sugar. Her son found the patient at home in bed unresponsive. The son states he checked the patient's blood sugar it was 47. The patient is on NovoLog 3 times a day and Lantus one time a day. The patient had similar symptoms in the past. The patient has a medical history of dementia. She also is known to be hypertensive, insulin-dependent diabetes and has no surgical history. It is to be noted on presentation her BP was 128/95 with a pulse of 52, respirations of 15, hypothermic with a temp of 93 and oxygenating 94% on room air. She also showed significant bradycardia. EKG at 48 beats per minute, T waves were inverted in leads 4, 5 and 6 but

In deciding how to treat the issue of the eldercare facility bankruptcy information, it has been determined that Grass Man has an error in his previously issued financial statements due to the timing of available information. One might argue that an error in estimation would be appropriate; however the bankruptcy of the Eldercare Facility was not new information, but rather an, “… oversight or misuse of facts that existed at the time the financial statements were prepared.” ASC 250-10-20 [Emphasis added]

Long term care (LTC) is holistic method of treatment of the person who suffer from physical, mental or emotional chronic problems which impacts their routine independent work (Spruit, M., Vroon, R., & Batenburg, R., 2014). The long-term care helps to improve quality of life and help the patient fulfill various needs (Shi & Singh, 2015).

On this date worker visited Golden Living Nursing Home in Winfield, for the purpose of monitoring Mr. Smith's placement. Upon arrival worker realized, Mr. Smith had been moved since last visit. Worker asked the nurse passing out medication but she did not know whom worker was talking about. Worker then asked the nurse at the nurses’ desk and she stated he was now on the other hall. While looking for Mr. Smith's new room worker was stopped and asked who she was looking for. The NH employee directed worker to Mr. Smith's new room. The new room only includes Mr. Smith and one other person. The previous room included three residents.

My patient is 79-year old, male that was brought the University of Kentucky medical center emergency department via ambulance on January 14, 2017. The patient was smoking while using home oxygen, when he fell asleep. The EMS responded to a home fire.