Home Care Case Study

The reporting party (RP) stated that 92 year old resident Delora Lovelock DOB: 1/15/24 was residing in the facility from 5/15/2015 to 6/4/2015. Prior to admission the facility was informed that the resident had a broken femur and could not bear weight. The resident required two caregivers to transfer. Initially the facility assessed the resident and accepted her into the facility. Subsequently the resident was not provided the care necessary. The resident was transferred by one caregiver that resulted in the resident's trip to the emergency room where she was diagnosed with contusions to her ribs. The RP stated that prior to admission that the caregivers were trained in transferring resident however the caregiver had no idea how to transfer a resident from bed to

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

CCIB Intake received a call from resident Eugene Kunz DOB 2/8/24 in room #6. Mr. Kunz call to state he wanted to remove his daughter Joyce as his Power of Attorney (POA) and pay his $3000 rent each month. According to the caller he has residing in the facility for approximately 3 1/2 years and wanted to return to his home, however due to his slight dementia he was having difficulty with his memory and therefore could not return to his home. Conversely the caller described how his daughter would have him examined by physician who would give him 3 words at the beginning of his examination and at the end would ask him the 3 words. Unfortunately the caller could never recall the 3 words and thus was unable to return to his home. Recently the caller

Your senior loved one is important and there are many different senior care services available. What do you do, how do you decide what service is best? In short, with all of the other choices in the market, why choose Comfort Keepers?

The reporting party (RP) stated resident Juanita Knee was placed in the facility by Dignity Healthy on 11/23/16. While present in the facility the resident was hit by a caregiver during the night (name of caregiver was not provided). Subsequently the resident is currently terrified. Additionally the resident has not been given her medications and her oxygen has not been set up. According to the RP the resident has not been able to make her own medical decisions. Consequently the Dignity Health worker (Marguerite, (916) 631-3753) who placed the resident in the facility is contacting law enforcement on the caregiver. CCIB Intake LPA McGaskey contacted APS Pam Ng for additional information will be unavailable until December 5, 2016; contacted

SC met with Pa, for scheduled RA HV in Pa's home on 03/1/2016. The completed both the LCD and CMI assessment. Pa appeared clean, appropriately dressed in PJ's and sitting on the couch SC in the home. Present in the home were the Pa visiting nurse Scott from Millennium home care. He was on the phone trying to order the Pa medicines. Also Pa’s aide was present from the agency aide. Pa appeared weak and in discomfort. The SC asked Pa if she okay and she reported that she is in a lot of pain. The SC asked if she is taking her medications and she reported that she ran out that’s why the nurse is helping now. The SC asked the Pa how did that happen and she stated that when she saw her PCP in January for her post hospital and rehab discharged he

Due to many foster parents not receiving proper support it is effecting not only the children but the agency as well. Many of the case workers at First Home Care, have so many children on the waiting list but not enough homes to put them in. Studies show children in the foster care that has great parents that care for their well-being 70% of them go on to become successful adults (Children’s Bureau, 2015). According to Staci Fattore (director of First Home Care) out of 100 foster parents 15% of the parents are complaining they do not receive support from the agency. Staci continued to state that FHC have several trainings throughout, the year but foster parents do not show up. She has also stated that children are forced to sleep in lobbies of DHS. Staci has stressed to me although FHC is a therapeutic agency foster parents give them a hard time when it is time to take in a child. They often ask the behavioral issues of the child or does the child have a history of physically attacking their foster parents.

We received your grievance request regarding Bayada Home Health Care advising you they are only allowed to treat home bound patients and a Nurse refusing to leave your wound care supplies at your apartment leasing office. This request was received by Blue Cross® Blue Shield® of Arizona Advantage (HMO) on May 24, 2017.

Reporting party (RP) states that her mother is a 95 year old resident (identifying information not provided) who has purchased a life-time contract over 15 years ago. The resident is currently residing in the newly added memory unit known as Maggie's Place. RP is the residents POA and stated that for the last year (especially the last 4 months) the facility has ignored her requests to be notified of medical appointments, medical information such as resident's medications and any changes to her health condition. RP often receives calls at odd times informing her of unexplained bruising or falls that occurred days prior with no explanation; she was assured that the nurse would contact her but she is never contacted. Over the past 2 months,

To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.

How does one decide where to put a loved one, once they realize that they cannot provide care anymore? For anyone, deciding to put their loved one or themselves into a long-term care facility, it can be difficult and resources can be hard to understand. In March of 2016, I personally went to three nursing homes in Northwest Ohio region. These nursing homes were; Concord Care Center of Toledo, Swan Creek Care Center and Lakes of Monclova Health Campus. Two of these nursing homes; Concord Care Center of Toledo and Swan Creek Care Center were in urban settings while Lakes of Monclova Health Campus was in a rural setting. All three of these facilities welcomed me, were happy to answer my questions and provided me with residents to interview as well.

Overall, Ms. Abdirahman did a fantastic job with this presentation and I believe that the grade given reflects this. All criteria was met throughout this presentation. Ms. Abdirahman talked about the role of the pharmacist in Long Term Care (LTC) Pharmacy by describing some of the roles such as dispensing and management operations, making drug interactions, and also making formulary decisions. Within the presentation, she also did a great job describing the impact that LTC has on the patient. She discussed how with the aging population, many of the patients a LTC Pharmacist works with is of an older age, she also describes how the elderly are more likely to need medication relations and counseling, and lastly she described how some of the patients may even be in correctional institutions or mental health facilities.

Months after the patient's death her spouse fell into an intense depression no one found out until later because after her death everyone else's life went on but his. The family did not find out how badly her death affected him until he tried to take his own life, thankfully with an unsuccessful attempt. There could have been so many interventions done along the way during her hospital stay and before her death that could have helped him cope with her death and not resulted in his near death. During her hospital stay the healthcare provider could have followed more of a patient-centered care approach involving the family more by communicating clear information and verbalizing understanding. "Physicians should strive to identify patients and families who require special attention and to determine how their personal style of interrelating with family members

Overall patient’s perceptions of tele-home care are resoundingly position. Tele-homecare information can also empower homebound patients with chronic diseases to make informed decisions about their disease as well as reduce the burden currently experienced by their formal and informal caregivers. Patients felt that tele-homecare promoted daily self-monitoring activities, and they were satisfied that the clinicians were monitoring their tele-homecare readings daily. Patients report an increase sense of security by having tele-access to their clinicians and from knowing the clinician able to facilitate daily remote monitoring, surveillance, and support, which otherwise would not have been possible without tele-homecare technology. Continuity of

I have recently experienced the worst of family dynamics. Admitted to our floor was a elderly lady that was admitted with a urinary tract infection. This woman had many other comorbidities that consisted of diabetes, congestive heart failure, large stage four pressure ulcer that overlaid the sacrum and coccyx and was bedridden due to the effects of two major strokes. Her daughter was power of attorney and provided all of her mother’s care in the home environment. This is a healthy family trait but became an unhealthy one the moment the mother was admitted for care. Her daughter would not allow the nurses to perform the necessary interventions prescribed and require for her mother.