Case Study Assisted Living

Assisted Living Concepts Inc., hereafter referred to as ALC, was a Nevada corporation formed in 1994 with its principal place of business in Menomonee Falls, Wisconsin. ALC provides senior assisted living residences that provide multiple personal services for their residences. ALC was purchased by Extendicare Health Services, Inc. in January 2005. In 2006 ALC was spun off from Extendicare as a publicly traded company. As of December 31, 2012 ALC had 211 assisted and independent living residences in 20 states totaling 9,348 units with 4,600 employees. ALC generated revenues in excess of $228 million dollars for year-end 2012 (Assisted Living Concepts, Inc. 2013). In July 2013, ALC was acquired by the private equity firm TPG Capital, L.P. for $278.3 million dollars (Boulton 2013). In March 2014 ALC changed their name to Enlivant (Enlivant 2014).

Fit Adult Care Home LLC is a residential care home located in the beautiful city of Gresham, Oregon, which is Multnomah County. Our historic community is the fourth largest in the state with wonderful restaurants and shops. Gresham is a wonderful place to live with lots of events and activities for family and friends to enjoy when visiting.

3) advocates autonomy and independence of the residents. According to the guideline states that medication review is an evidence-based intervention and this review should be performed regularly (ACSQHC 2009, p. 72). A meta-analysis was conducted in aged care facilities and the relationship polypharmacy and falls, and fall injuries were found out. Residents taking cardiovascular medications, including diuretics, antiarrhythmics, digoxin, have higher fall risks. But, by reviewing their medication, the risks of fall were reduced up to 66% (Baranzini et al. 2009, p. 228). A randomise controlled trial was conducted targeting residents in aged care facilities, and a comparison between medication-reviewed population and non-reviewed population performed. The effectiveness of medication review was statistically confirmed that reviewed population showed 38% lower number of falls than the non-reviewed population (Zermansky et al. 2006, p. 589). Therefore, in aged care facilities, falls are obviously a big problem and often harm the residents. Medication is a major factor for falls because the vast majority of residents are taking multiple medications. However, reviewing their medications, fall risks are significantly reduced. As a nurse, careful observation for the residents and frequent collaboration with pharmacists or doctors should be performed to ensure the residents

Vicki, I spoke to Lisa and she refused the offer for an Assisted Living long term move; in addition to the room size, the rooms in ASL were not inviting enough. As per Lisa, she does her mother’s pill box, Ms. Shilling eats all of the groceries that she brings in weekly, Ms. Shilling is clean and free of odor and Lisa does her laundry. Lisa is not concern about her mother’s falls, she feels she will fall wherever she is. Essentially, Lisa feels her mother is not at the point to move to ASL at this time.

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.

The reporting party (RP) stated her husband Vernon Ferguson DOB: 11/29/29 was sent to the emergency room due to a frozen shoulder on 3/29/16. The resident was released to return to the facility 3/30/16, however the facility refuse to allow the resident to return. The facility notified the family on 3/30/16 the resident was at the hospital and he would not be allowed back in the facility. The RP stated the resident was abandoned and forced to spend two nights in the emergency room prior to finding an alternative placement (Mountianview Care Home). The RP stated she paid the facility $6500 for the month of April and due to the facility eviction she is entitled to receive a refund. According to the RP the administrator stated the check went out

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.

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

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

Hanson, Massachusetts is a town on Plymouth County with a total population of 11,063 as of July 1, 2017. This town is well-populated, but you won't find many things to do beyond dining out, some local shopping, grocery shopping, enjoying nature, and grabbing a quick coffee and bite from the local Dunkin Donuts or McDonald's. It's peaceful and serene, especially at the local senior living community, All American Assisted Living.

In elderly people, polypharmacy is known to be associated with adverse drug events otherwise defined as “presence of untoward and unintended symptoms, signs or abnormal laboratory values arising from the appropriate or inappropriate use of prescription or over-the counter medications” (13).

Many aging Americans often struggle to pay for home care, assisted living and other forms of long term care. When choosing the right type of care much consideration and research should be given. In determining whether one must self-fund their care can be a process which can leave the door open for many unanswered questions. Questions like, what is the expected cost, will Medicare help to cover any cost, or can one use their property to pay the cost for long term care. Since elder care and senior care can be in a variety of forms, the biggest concern is who takes on the brunt of payments. According to Benjamin (2015), “99% of our services are a private pay product with some assistance for veterans; long-term care insurance does account for part of the remaining 1%, along with some waivers provided by Medicare. “Private Pay can be funded by savings and investments, long term care insurance or annuities, social security or other retirement benefits, Veterans’ benefits, and through the conversion of a life insurance policy into a Life Care Benefit Plan or Long Term Care Benefit Plan” (Orestis, 2013, para 1). Most anyone can pay or arrange their care cost, however cost is usually determined by ones need and where they live.

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.

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).