Long Term Care Facilities: A Case Study

The Long Term Care Organizational has a Licensing of Administrator when is a single facility but when is a larger corporation has a governing body and administration. There hierarchy is flat. A flat structure means that the administrator has a broader span of administrative responsibilities. The legal term care services are to protect residents.

June reflected a drop in price for both companies, resulting from the Government funding changes to the Dementia Supplement with August realising an increase in price for REG after the announcement of the Supreme Court decision to uphold REG’s objection to a notice of assessment of stamp duty by the State Revenue Office (SRO) reducing their unpaid debt to SRO by A$19 million, whereas in contrast JHC realised a drop in price as a result of significant changes in substantial share

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.

Roles of Administrator and Case Managers in this facility vs. roles of Administrator and Case Manager in other facilities

I chose a learning plan topic that would increase my nursing practice competency as a senior nursing student, would be relevant to my placement setting, would build on my knowledge obtained from completing NSE417 – Nursing Practice IV class and NSE407 – Nursing: Professional Issues and Trends class, and was approved by my Primary Preceptor and Faculty Advisor (FA). With a global trend of an increasing senior population and having a placement in a nursing home, it was important to choose a learning plan that focused on the challenges and trends in senior safety. My Overarching goal for my learning plan was to expand my knowledge and critical thinking skills related to expertly assessing and managing elder frailty in a long-term care setting by Tuesday, March 1, 2016. By completing this learning plan, I have fulfilled and demonstrated the College of Nurses of Ontario (CNO)’s Continuing Competency Standard by performing a self-assessment of my knowledge, developing and implementing a learning plan, and evaluating the outcomes of the plan (CNO, 2002). Ultimately, the goal is to enhance geriatric care at my placement setting and advance my competency in delivering safe, ethical, competent client-centred care.

Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.

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?

Howard Terry Newman is 67 year old retired printer who suffered from Parkinson’s disease as well as arthritis, voice impairment, hiatal hernia, and heart trouble. Mr. Newman, the appellee, is contesting his stay between September 19, 1968 and November 11, 1968 at the appellant’s facility, Big Town Nursing Home. The plaintiff was admitted voluntarily by his nephew to the facility with the ability to leave as he pleased. However, on September 22nd, when Mr. Newman attempted to leave the facility, he was told that he could not use the phone or entertain visitors without the administrator’s permission. He proceeded to walk out; he was brought back and restrained on Wing 3 with “senile patients, drug addicts, alcoholics, mentally disturbed, incorrigibles and uncontrollables” according to the administrator testimony.

The continuum of institutional long-term care is for patients whose needs are not adequately met in a more community-based setting. It is for individuals who need more dependency. There are two ends of the continuum of institutional long-term care spectrum. On the one end there are the individuals that may only need basic personal or custodial care (Shi & Singh, 2015, p. 399). An example of personal and custodial care can include help with walking, bladder training, or just helping with bathing. On the other end there are the individuals that may need more round the clock care with nursing or specialized services along with the basic needs (Shi & Singh, 2015, p. 399).

As a MSW student at a long term care home, I get an opportunity to take on many duties and activities. For starters, I get to do a lot of administration work including filing, faxing, photocopying, writing thank you letters for those who came for the tour of the home, mailing care conference letters to families to let them know when it is and making phone calls to family members as well as different agencies such as Community Care Access Centre (CCAC). One of the main duties and most important I find is visiting residents and addressing any concerns they may have. This can include issues that they may be experiencing with another resident and connecting them with different services such as Amy’s Helping Hands and transportation services. To

“Previous studies showed a high incidence of recurrent falls in people with PD, ranging from 18% to 65% in a 1-year period” (Almeida et al., 2016, p. 1075). Falls are a risk for many people with Parkinson’s disease. People who have Parksinson’s disease and have issues with gait control have frequent falls. Nurses help care for individuals who have Parkinson’s when they enter the care facility. Exercising on a regular basis can help decrease the amount of falls with patients who have Parkinson’s disease. This paper will be located in a long term care facility and discuss how decreasing falls can improve quality of life in patients who have Parkinson’s disease.

The objective of this research paper will be to explore available long-term services, long-term facilities and their levels of service, and financing for individuals who are facing the challenge of Alzheimer 's disease. This is an important topic that affects me personally and professionally as well as having lasting effects on our community.

Long-term care organizations provide twenty-four hour around the clock care to seniors that are unable to function independently (“Government of Canada,” 2016). One of the strengths of providing LTC within the community is that they are responsive to seniors changes in health across various life stages (Bravo, Wals, Dubois, Charpentier, 1999). Health care professionals can contribute towards enhancing the quality of care by continuously following up with the residents as well as, collaborating with other health professionals that are involved in administering care to the resident such as nurses, social workers, physicians and anyone else involved in delivering their care (Chaplin, 2017). However, monitoring residents health and service delivery

Many older adults are living with complex comorbidities and rely on a various health services for their care needs. This is especially true for the elderly with chronic illnesses and functional disabilities, such as those living in long-term care facilities. The term “long-term care (LTC) facilities” is a loose term, often used interchangeably with residential homes, care homes, and nursing homes in Canada (Kaasalainen et al., 2010). LTC facilities are defined here as homes providing 24-hour supervised nursing and personal care to residents. When there is a change in residents’ health status, such as exacerbation of a chronic illness, care provided at level LTC facilities oftentimes are insufficient and hence require residents to be transferred

Shayna, working in a Long Term Facility (LTC) can be very daunting at times. In my personal experience while working in LTC, is the demanding workload placed on staff with minimal staff recourses. My mother has worked in LTC 30 plus years, recently we had a discussion about patients are becoming more diverse, and the geriatric population is changing. One of her concerns was similar to yours, trying to find a balance in providing care that will help individuals maintain or reach their full potential. With lack of communication, increased demands on staff, and a changing population I can understand you feelings of frustration at times. Based on my research the nursing model utilized in your facility is quite beneficial. The apparent issues