Developing Long Term Care Facilities

Creating new support for modernizing multipurpose senior centers including a plan to use the skills and services of older individuals in pain and unpaid

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.

Have the American people thought about their life in the future? Will People need long term care? One long term care option is an Assisted Living Facility. Assisted livings need to be ran effectively with consideration of elder’s health, wellness and safety; while maintaining a balance between care and daily business functions. As people get older, there comes a point in time where family may need to make the decision to put a loved one in an assisted living facility. It is not an easy decision to make but the family or individual has to decide what the best next step may be.

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.

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

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.

Mr. Henry and his wife need medical care coordinated throughout the health care system to receive proper treatment and prevent health complications, encouraging their independence by remaining in the same setting. Marek and Rantz highlight that by providing care coordination and health care services for older adults residing in specially designed senior apartments, older adults will not have to move from one level of care delivery to another as their health care needs increase; and they will have the opportunity to “age in place” (Marek & Rantz, 2000). Care coordination starts with a comprehensive assessment of each of Henry and Ertha individual needs for health and social support, and by developing an individualized plan of care for each of them. “Patients should be evaluated, and care plans should be designed and implemented according to the individual needs of each patient (American Geriatrics Society, 2012, p. 1966). As Mr. Henry and his wife health care needs increase, they can receive periodical physical examinations to monitor their underlying health problems, and for early detection of complications remaining in their apartment. This will prevent negative outcomes associated with relocation, and medications and treatment noncompliance.

Health care in the United States is currently facing a looming crisis that requires an urgent response of intervention. With the baby boomers population on the rise, there will ultimately be an increased need for long-term care (LTC) services. Pratt (2015) defines baby boomers as “the name given to the large number of people born in the period following World War II, between 1946 and 1964” (p. 17). According to Mikulaschek (2013), “Beginning in 2010, the roughly seventy-eight million baby boomers began turning sixty-five at a rate of three to four million per year leading to growing concerns over meeting their healthcare demands” (p. 86). This brings the number from about forty million in 2010 to seventy-two million in 2030 causing them to account for almost twenty percent of the total U.S. population (Mikulaschek, 2013, p. 96; Pratt, 2015, p. 17). This alarming rate will correspond to the increasing number of elderly individuals with chronic conditions who depend on LTC services for daily functioning (Pratt, 2015, p. 17). This influx of baby boomers presents the health care industry with a plethora of issues related to costs, quality, and access to the LTC services that this population so desperately needs.

The continuum of institutional long-term care is for patients whose needs are not adequately met in a more community-based setting. It is for individuals who need more dependency. There are two ends of the continuum of institutional long-term care spectrum. On the one end there are the individuals that may only need basic personal or custodial care (Shi & Singh, 2015, p. 399). An example of personal and custodial care can include help with walking, bladder training, or just helping with bathing. On the other end there are the individuals that may need more round the clock care with nursing or specialized services along with the basic needs (Shi & Singh, 2015, p. 399).

The federal government needs to evaluate different types of long-term facilities to determine which one is the most effective and can provide assistance to the majority of older individuals in need of long term care. Once the optimal long-term care facility is determine, the government can invest to help the industry grow to satisfy the need of the aging population. Medicare’s future coverage of long-term services will help the economy by recovering those lost wages from the informal care and will create more health care jobs, all while providing support to older

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.

Centuries ago as people aged and needed assistance with care including hygiene, meals, toileting and moving around, were given assistance from members of their family within the home. Most of these cares were provided by elderly patient daughters to care for them so they can continue to live home. The number of females in the workforce has increased over the years however the increase of females in the workforce is affecting the age females are having children therefore parents are entering their elderly years when their daughters are in their prime of their work years making it difficult to be available to provide care. Life expectancy has increased which means there are more people living longer and entering the age when they may need care. People who need assistance with care tend to find it hard to seek help, as they believe this is a sure sign they are getting old as they can no longer effectively care for themselves and sometimes takes a toll on the self esteem. Children of elderly patients tend to reluctant to admit they can no longer care for their parents as this may imply they no longer care to their parents. As older people we often pride on our independence and privacy and the thought of giving that control someone else is very scary for many elderly patients. This does hinder elderly patients from starting the process of seeking long term care (LTC).

When trying to find a way to reduce cost of long-term care it can be challenging, therefore, finding two alternative solutions is necessary for just in case the primary solution doesn’t work. One such potential solution would be a cooperative home between college students and the elderly patients. This could help resolve the cost problem because a spilt cost between college students and the patients would dramatically reduce costs and it would help the college students find a more affordable living space in comparison to sharing an apartment with other roommates. We would, of course, interview the candidates for the living spaces to ensure that both parties are not only compatible but also reliable. The situation would be like a roommate because both parties must pay their rent on time and be responsible for their costs. Obviously, the elderly patients would most

I aim at providing strategic information process guidelines for establishing assisted living program, the target population includes proprietors who desire to establish assisted living for low to high levels of care. Moderate care level programs accepts residents who require a moderate level of care. High level of care program accepts residents who require comprehensive support for any number of daily activities. (State of Maryland (Comar 10.07.14.02), 2013). Moreover, those who desire to establish an assisted living program to improve the quality of the lives of the citizens will find the strategic process information guideline extremely helpful and reduce the level of overwhelming frustration that accompanies lack of clearly delineated