Long Term Care: A Case Study

When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed

I have spent my time as a student pharmacist learning about opportunities within clinical pharmacy and making certain that I was equipped with the knowledge and skills necessary to succeed. In my pursuit, I became an active member of pharmaceutical organizations, held multiple leadership positions, attended clinical conferences, established research projects, participated in community service events, and other initiatives. I excelled academically, which was manifested in not just a high academic standard but also in tutoring fellow classmates and arranging sessions with other pharmacy students to help them improve time management and study skills. I shadowed pharmacists and residents before my advanced pharmacy practice experiences commenced to discover which areas of clinical pharmacy I found intriguing. I have obtained valuable pharmacy practice experiences in five specialties thus far including inpatient internal medicine, long term acute care, geriatrics and telehealth, and primary care. Through these rotations, I built upon the knowledge I acquired from my didactic courses but also developed patient-centered approaches and strengthened my clinical skills. I enjoyed many aspects of my rotations, including contributing pharmacotherapy recommendations, providing patient education, attending rounds and interdisciplinary team meetings – all of which have solidified my desire

The contribution of pharmacists in a clinical setting and community pharmacy is significant that the workforce benefit from. When the workforce understands their medications and complies with the prescribed treatment plans the work center becomes healthy and the potential of increased productivity becomes a realistic and profitable proposition for the organization. When the workforce takes advantage of the healthcare services the pharmacists provide in a community and clinical pharmacies productivity and profit are at high potential reality.

The duty of nursing homes is to exercise that degree of care, skill and diligence used by nursing homes in the community. A nursing home does not have to apply the same standard care as a hospital. "Consequently," what is considered negligence in a hospital does not necessary mean it apply to a nursing home. The duty of a nursing homes depend upon the patient's condition. The patient's physical and mental ability is determined by the court (Alcoy v Valley Nursing Homes, Inc., 272 S E 2d 301 (Sup. Ct., Va. 2006). Although treatment of a patient is the physician responsibility, a nursing home can be held liability for transferring a patient that require special precautions to a hospital without informing the hospital of the special supervision.

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).

The long-term care system is aimed at providing continued care to individuals both in facilities and at home. Many people associate long-term care specifically with nursing and assisted living facilities, but long-term care is so much more. This care can be provided to an individual whether they are home or in a specialized facility (National Institute on Aging, 2017). In essence, the system of long-term care involves the coordination of facilities, providers, and case manager support to provide the best quality of care for individuals.

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 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

Following this, the health care system has been attempting to adjust to the decreased funding which has attributed to the rise in health inequalities and challenges with accessing quality care (Hick, 2014). Furthermore, these reductions in the financing have emerged in many long-term care (LTC) facilities that have cut their expenses by employing lower educated staff and decreasing their staffing levels (Walter, Wodchis, Anderson, Anderson, 2007). As a result, research on the cost of implementing good quality care in long-term care facilities revealed that by having well-trained staff, they could save money by preventing risks to seniors health (Walter et al., 2007). For example, skin ulcers, use of physical restraints, incontinence and levels

According to the U.S. Department of Health and Human Services (HHS), the aging population is likely to impact the necessary size and composition of the health care workforce (Center for Health Workforce Studies, 2006). There are now 35 million people over the age of 65 in the United States. It is estimated that about 1.6 million older adults will be living in nursing homes with almost half of the residents being over the age 85 years old (Kovner, Brewer, Fairchild, Poornima, Kim, and Jadjukic, 2007). The purpose of this paper is to he identify of facility and number of residents being care for. What would be the role of the nurse practitioner in this facility and the regulatory issues as it supports this role?

Upon arriving at the long-term care facility and noticing that the toe tag on the decedent did not match the removal authorization, I would immediately inform; the decedents doctors, the decedents nurse, or whoever was in charge of the care of the decedents body at the facility. I would also call the funeral home and get instructions on what I should do next. Most likely, I would tell the facility to call the funeral home back after the body had been properly tagged. After the facility called me back, I would come back and transfer the body to the funeral home. I would follow the same procedures for transferring a body, but I would do everything I could to make sure that I was taking the correct body. It would be helpful in identifying the

In deciding how to treat the issue of the eldercare facility bankruptcy information, it has been determined that Grass Man has an error in his previously issued financial statements due to the timing of available information. One might argue that an error in estimation would be appropriate; however the bankruptcy of the Eldercare Facility was not new information, but rather an, “… oversight or misuse of facts that existed at the time the financial statements were prepared.” ASC 250-10-20 [Emphasis added]

Mr. Johnny Boggs (69-year-old Caucasian divorced male) reported living in Louisa at the current residence (381 Greenbriar Rd, Louisa, KY, 41230) for the last 50 years. The number on the mailbox outside the house has a different number. Mr. Boggs’s daughter, Wanda Boggs Ferguson (20-year-old Caucasian female) is married to Charles Ferguson (21-year-old Caucasian male) and they both live in the same house along with their two sons – Charles Ferguson Jr (3 years 10 months old) and Liam Ferguson (13 months old). Randel is the youngest child, 17-year-old Caucasian male, who was placed out of home for drug use, aggression (hitting, pushing, and cursing) towards his father, non-compliance, defiance, running away from the home with whereabouts unknown,

Stephanie, great post. I have experienced similar situations many times while working as a nursing assistant in long term care. I also agree with the nurse in her statement that some resident's become familiar with certain nurses or other staff and tend to be more compliant with them. Also, maybe the nurse or other staff members resemble a friend or family member that played an important part in the resident's life, and this could be one of the reasons that the resident is more apt to follow directions. While it is true that the caregiver must remain calm when trying to De-escalate a situation, the caregiver must also be gentle but firm, and project a level of confidence to the resident that will provide the resident with a sense of security