Home Healthcare Case: Accessibility And Financing Of Home Care

In the book “mama might be better off dead” written by Laurie Kaye Abraham, tells a story of Jackie Banes and her family, and their struggles to hold the family’s health together. Her grandmother Mrs. Cora Jackson, who pretty much raised her, has suffered the amputation of one leg because of uncontrolled diabetes. Jackie’s father, Tommy, who has suffered a stroke because he didn’t care about the consequences of high blood pressure. Jackie’s husband, Robert, who has a progressive kidney disease. Abraham has gone out of her way to find more about the American health care system in North Lawndale, Illinois. Throughout the book she talks about how the health care system in America is so unfair and unsatisfactory to the needs of poor people such as the Banes’s Family.

Initially we had difficulty obtaining his discharge orders as the hospital care manager replied she had forwarded the documentation, but neither I nor Mrs. Bianco had received a copy. Mrs. Bianco made a visit to Mills Creek and met with Mr. Smith at that time she was made aware of an appointment that Mr. Smith attended. Mr. Smith attended a physician appointment on June 28, 2017 with Dr. Leonard, Orthopedic trauma. Mills Creek assisted with the transportation and a mobile x-ray unit was coordinated to obtain x-rays of the femur at the facility as Mr. Smith didn’t bring his slide board to the appointment and couldn’t get onto the radiology table.

The dilemma is that Mrs. Margie Whitson a patient at Golden Oaks Rehabilitation Center is going through some very hard times after just loosing her son William about a week ago. She has also had to deal with loosing her husband in the past 5 years leading up to this. She is also reflecting back to when she lost her first son to a motor vehicle accident. Margie is having a very difficult time taking this all in and now feels all alone and wants the one and only thing keeping her alive removed. Margie suffered a heart attack 2 years ago that almost took her life and she

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

However, this causes a financial burden. Medicare is a program which provides insurance benefits to all individuals aged sixty-five and older, including younger people with disabilities (Grabowski, 2007). Medicare covers few long-term care services and Medicaid covers the rest of the huge amount. “Policy options include capitation, pay-for-performance, and federalization, in which federal government would assume the Medicaid’s costs for the dually eligible population” (Grabowski, 2007). Medicaid and Medicare programs do not sufficiently cover acute and long-term care services, an example. After the injury the disability process takes long. There is a language barrier, institutional barrier, and ratio cost-sharing. Also, cost shifting within health care settings, and cost shifting across health care settings needs major improvements. Policy holders should expand their critical

The ever rising cost of healthcare has made access to healthcare almost impossible to many households in the United States. That these households have stagnant incomes has further complicated issues (Collins, 2008). Many working families without insurance cover have been forced to pay for their own medical expenses that consume lion share of their incomes. Individuals have been forced to forfeit healthcare because of its inherent costs. The lower-income and middle-income families are a very vulnerable lot because they are either uninsured or underinsured (Collins, 2008).

After the Great Depression the United States implemented several programs to assist the American people with low income and disabilities (Dingell, 2015). Within these programs included Medicaid and Medicare, which were not set up to serve for the purpose of long-term care for seniors. Today we find that due to the set up of the programs there is a void in the assistance of long term care of seniors in our country (Dingell, 2015).

This exercise point out some very important factors with regard to health care cost.  nursing homes and other health care delivery systems are faced with significant shortfalls in reimbursement for various reasons.  Medicare reimbursement often does not cover the full extent of treatment of individuals.  McPike (2008) notes that, “The insurance and hospital industries released a study today showing that underpayment by Medicare and Medicaid costs consumers and employers $88 billion more a year for health care as providers attempt to make up the difference.” Today with continue cutbacks in medicare reimbursement this number is significantly higher.  In an attempt to reclaim these losses, both self pay and privately insured patients are charge

Kettl use two primary examples to illustrate his argument. The first example talks about his mother-in-law, Mildred, who is suffering from the Alzheimer’s disease. She received medical and nursing-home care through Medicare and

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?

Government programs, such as Medicare and Medicaid are designed to provide assistance to individuals outside of what the market provides. For instance, Medicare provides coverage to over sixty-million elderly and disable individuals in the United States (Medicare, 2015). One advantage of Medicare is that Part D, also know as the “doughnut hole”, is expected to decrease by 2020. In short, this is “where beneficiaries had to pay 100% of their costs until they reached the catastrophic coverage level” (Medicare, 2015). On the other hand, Medicare does not cover hearing aids, vision, or dental services; nor does it pay for “long term services and support such as extended stays in a nursing home” (Medicare, 2015). This is extremely counterproductive

Mr. P is an 88-year-old man who was admitted to hospital after falling outside his home on an uneven sidewalk. He underwent a successful hip replacement surgery and has begun his rehabilitation on an acute care surgical unit. Mr. P’s 61-year-old son and daughter-in-law visit him frequently while he has been hospitalized, but they are unable to care for him after his discharge from the hospital. The physical therapist feels that Mr. P cannot adequately care for himself at home. (Fero, Herrick, & Hu, 2011, p. 113)

In the article “Don’t Seniors Deserve Better?” (MacQueen, K. 2011), MacQueen writes that many elderly patients in the midst of a medical crisis go straight to the hospital and stay there, tied to machines, consuming high-tech resources to little effect, growing weaker until the dim hope of a nursing home bed is made available. He also continues by saying that elderly citizens suffer a five percent functional decline for every day in hospital. This is a great issue; the fact being that Canada does not have enough long term facilities for the elderly population to stay in nursing homes is not being fair to the seniors of Canada. In fact, (MacQueen K. 2011) remarks, that each day in Canada, 7550 hospital beds are filled with the elderly who should be in long-term care nursing homes or in rehabilitation, yet they cannot get this option. Also, outside of the hospital, many elderly people run into the financial crisis of caring for their medical needs without the help of the Canadian Government. In the article “The unexpected costs of caring for your elderly parents” (Leong, M. 2014) Peter Silin says, “People think the government will pay for home care and nursing homes which they will, but that help is really limited.” In fact, “Seven in 10 caregivers were providing some sort of financial assistance to their parents or aging relatives, a 2012 BMO survey suggested, and half of these individuals said they had to adjust their own retirement plans as a result.” (Leong, M. 2014). With that, it costs $1,000 to keep a person in a hospital bed for a day, long term care costs $130 a day, and home care costs $55 dollars a day. (Simpson, C., Caissie M., Velji, K. 2015). After looking at the negative impacts of keeping our elderly in the hospitals, as MacQueen stated earlier, “elderly citizens suffer a five

 Discuss the ways in which Lanesha, Grandma Marietta and Hannah Healthcare approach this situation from totally different perspectives.

As a home care nurse, I am designated to care for a 56-year old female patient that presents with lymphoma which has metastasized to her spine, and is presently in quest for chemotherapy treatment.