Long Term Care: A Case Study

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.

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

Long Term Conditions (LTC) are illnesses for which there is no cure, yet can be managed with the correct medications and treatments. Common LTCs include high blood pressure, chronic obstructive pulmonary disease and arthritis (The King’s Fund 2015). The following essay will discuss LTCs and their prevalence in today's society, by first looking at statistics and the government policies that were developed as a result of said research. Secondly, this essay will examine different methods of developing a care plan for an individual following a biopsychosocial model. Lastly, a Long Term Condition will be examined that was experienced when interacting with a patient from a previous community placement; this individual was living with Chronic Heart Failure and this essay will critically evaluate CHF, including the ailments, causes and the various

Long-Term Care pharmacies which are Long-Term care serve residents an institution like nursing homes and assisted living facilities, as well as LTC patients in more residential environments. A long-term care pharmacy is actually re-exploring the initial role of the general physician in terms of monitoring patient conditions and regulating drug protocols. They provide pharmacy, infusion, education, consulting, and population. When students that are just finishing the

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

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?

The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers distribute a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, subacute care, assisted living, residential care, elderly housing options and community based adult services (CBAS) (Pratt, 2010). CBAS is broken down into subdivisions, which include: home health care, hospice care, adult day care and adult day health care (ADHC). ADHC’s falls under the category of non-institutional care, allowing individuals to be independent, stay within their community, live at home, and age in place, while being of high quality and low cost. The ultimate goal of ADHC’s is to keep individuals out of hospitals and nursing homes (institutional care), and allow them to live their life comfortably, independently and in their households with their loved ones (Alteras, 2007).

Specialty pharmacy is based on the dispensing and managing medications based on the disease state. Some examples of this include but are not limited to cancer, HIV/AIDS, hemophilia, and immune disorders. Specific and continuous monitoring is required for many chronic conditions and generally there is a high cost for the use of certain medications. Specialty pharmacy plays a role in ensuring the best outcome for these conditions and the minimalization of adverse reactions. Some of the appealing aspects listed about these positions include being able to work with other fields or health professionals, spending a good portion of their time working with patients, and having a flexible schedule. The more negative aspects of this position include traveling, the amount of prescriptions processed, and some respondents stated there was low patient interaction. According to United Health Groups article The Growth of Specialty Pharmacy, due to new therapies and treatments spending on specialty pharmacy is growing by double digit numbers. In 2012 the spending on specialty drugs was estimated to be about $87 billion and it is suggested that spending is could increase to $400 billion by

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

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).

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).

If it has reached a point in time where a family member is considering moving to a senior care center, there are options to work with. Some of the most important factors to consider are the quality of service offered, amenities available, and how much one can pays each month. The monthly expenses are determined by the services that a senior needs, the size of the home, and the type of community. The following tips will help in budgeting for long-term care in Chesterfield.

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

At this particular site I saw the importance of pharmaceutical care and its importance between patient and pharmacist. The major idea of pharmaceutical care is having a patient-centered pharmacy practice. This was practiced heavily at this pharmacy. Patients were counseled on any new prescriptions that they had and they were always informed about any changes in their medications. In my second week of IPPE I had to inform a patient that their medication would look

This semester has been a tough one but I feel like I have learned a lot about pharmacy over these past few months. I have had a lot of courses so far and in each one, I have been able to make connections to the practice of pharmacy. In this essay, I will reflect on some of things I learned in my courses and how they relate to my future career as a pharmacist. I will also identify areas where certain topics intersect in different courses.