It is my understanding that hospitals, long-term care centers, and mental health systems are different for a few reasons. The type of care they offer and the patients they serve are quite different. Each system has evolved through the years, but their types of patients remain different.
First, the hospital has the forefront role of patient care in acute illnesses, injuries, and short-term care (Williams & Torrens, 2008). Hospitals are institutions with many specialized departments that provide integrated care for the patient while they are there, from radiology to cardiology, to physical therapy. There is organized medical care that is delivered 24 hours a day 7 days a week. The cost drivers for the hospital are cost and technology.
Physicians are responsible for the care provided to patients in any healthcare environment. Without these physicians, hospitals would crumble. While many others play a large role in patient care, it is the physicians who are responsible for ensuring the correct care plan for each individual patient. Hospitals need physicians to operate, and physicians can get great value from working with hospitals.
For a long period of time, hospitals have basically been established as nonprofit and for-profit facilities with several similarities and differences between these categories. Notably, these categories have minimal differences though it's difficult to predict their quality based on their structures. The healthcare field has also been characterized by several trends in the past three decades in attempts to improve the delivery of services and patient outcomes. In relation to the provision of long-term care, hospitals and nursing homes have different roles that enable them to achieve this objective. The hospital sector in the United States has experienced several changes that have contributed to its current state of long-term care policy.
The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to
Long-term care facilities are a traditional approach to caring for the elderly or chronically ill members of society. These facilities are set up in a couple of different ways to provide specialized
The sector, health, that I have chosen includes a variety of people from ranging from elderly too adult too teenagers, children and baby’s. A hospital is a health care institution which provide treatment for many diseases and conditions.
Throughout this course I have learned about the various challenges that impede productivity and efficiency at today’s hospitals. These issues facing the modern healthcare organization come in varying forms from technological, staffing, and financial to name a few. There are no limits to what hospitals can face in these modern technologically savvy times. Below are the major issues that today’s hospitals are facing, though there are many facets to these topics it will be described as best as possible to meet overall challenges:
I took a different approach when surveying two individual at my place of employment. Instead of surveying coworkers, I interviewed two individual that are a patient of the hospital. My place of employment is known for specializing in mental illness known as Georgia Regional Hospital/Atlanta (GRH). The two patient that I interviewed, one is a veteran which received treatment under two different mental hospitals, veteran and ours hospital, while, the other individual just received treatment only GRH mental institution. Georgia Regional Hospital (GRH) is an institution that evaluates, and treating the individual that has a mental disorder, which includes patients that are incarcerated or patients that is diagnosed with a mental disorder. Although, Veteran hospitals provide the same treatment that GRH offers but only to veteran patients.
Hospital is an institution providing medical care and other services for sick and injured persons. The modern hospital has three major functions: patient care, education and medical research. The total number of hospitals around the world is estimated to be about 1,25,000. In the United States there are about 10,000 hospitals providing services and facilities for the humanity. There are also more than 10,000 nursing homes providing care to the chronically ill and the aged. Thus hospital provide a great service to the society.
Hospitals regularly measure patient care, which is defined as any health care service provided to an individual. It is measured in different ways according to the type of health care service provided. However, there are basic principles that guide how all patient hospital care is measured.
Statement of the Problem/Issue: Providing geriatric patients with better options for mental healthcare is an ongoing issue in long-term care statewide. Under the Omnibus Budget Reconciliation Act (OBRA) of 1987, congress made a Preadmission screening and resident review program (PASRR), to help alleviate worries that numerous individuals with genuine emotional instability and mental impediment were living in nursing homes that lacked sufficient assets to suitably meet their needs. PASRR enactment obliges state Medicaid organizations to implement programs that screen and distinguish nursing facility applicants and residents with chronic mental illnesses (Shea & Russo, 2001).
The United States has never had an official federal-centered approach for mental health care facilities, entrusting its responsibility to the states throughout the history. The earliest initiatives in this field took place in the 18th century, when Virginia built its first asylum and Pennsylvania Hospital reserved its basement to house individuals with mental disorders (Sundararaman, 2009). During the 19th century, other services were built, but their overall lack of quality was alarming. Even then, researchers and professionals in the mental health field attempted to implement the principles of the so-called public health, focusing on prevention and early intervention, but the funds were in the hands of the local governments, which prevented significant advances in this direction.
I did not find that much crossing over between, “The New Asylums,” and the article by Dolch. The video talks about how mental hospitals are closing and putting unstable mentally ill patients on the streets. Then they act out in the “real world” and get thrown in jail or prison. The article talks about a case study, different types of mental illnesses, the medications, and how they affect men and women differently. I best crossover between the two is how they talk about hospitalization is only short term treatment. On page 24 of the article it says, “Hospitalization is mostly used in the short term, while medications are tried out and the patient is made safe and stabilized.” This connects to the video because they talk about how if a mentally ill inmate acts out, then he/she is put into the prison infirmary for only a short term just like being at a hospital. Once the inmate becomes stable, they are put back into the prison. Unfortunately, this does not work out well because the prisons are not equipped or
Mental illness and insane asylums have a long and harsh history. When people hear the words “Insane Asylum” they typically think of a horrific place filled with crazy people in it. When actually it is just a hospital for the mentally ill, otherwise known as Mental Institutions. Institutions have changed a lot since the 1920’s, 1930’s, and 1940’s along with Americans perspective on the mentally ill do with the knowledge we have on it. People used to treat the mentally ill in very inhumane ways. People treated them like animals instead of human beings. The mentally ill had to go through harsh living conditions in institutions, torturous treatment from psychiatrists, and discrimination from society.
In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.
This, in turn, means that the patients that are in the hospital are more acute and require intensive nursing care. The role of the registered nurse must now include greater professional judgment, management of complex systems, and greater clinical autonomy (Lippincott, 2003). The pressure to contain costs and meet the needs of the rising levels of severe illnesses of inpatients make it imperative for hospitals to seek out ways to redesign delivery of care without compromising quality of care (Tappen, 2004). The structure, organization and financing of health care are rapidly changing. Patients previously hospitalized are now treated on an outpatient basis, relying on care through different delivery systems. Hospital communities are trying to increase health care services while raising prices as little as possible.