Long-Term Care Organizations: 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.

determine that communication has been effective. Also when communicating with my manager or other professionals any changes to residents care needs I monitor the effectiveness by ensuring that information

Introduction The need for effective health care and incidence of chronic health conditions are expected to increase considerably with the aging of the baby boomers’ population. It is estimated that number of Americans with chronic health conditions will reach 150 million by the year 2030 (Joseph 2006). Furthermore, current long-term care facilities designed decades ago are lagging behind the legal regulation that were established, while not accommodating the needs of the staff and the clients comfortably. Some the facilities are facing regulatory challenges that emanate from the original design and intended use. Subsequently, the requirements for cost-effective long-term care facilities must be carefully considered and planned for to accommodate current and emerging needs of all stake holders. We need to redesign our facility to meet regulatory challenges, emerging technological needs and future health care needs of the consumers and other stakeholders. Successful and effective design in long-term care originates with a master plan. In this paper, I will focus on renovation of existing long-term care facility, summarize my research findings including explanation of the need for the facility renovation and summarize the research findings and describe the types of facilities and services offered in my local community, and explore the role of health care administrators in facilities planning decisions to meet legal and regulatory challenges while including the anticipated

The Long-Term Care Act was to benefit and work with seniors to improve their overall well-being. The Long-Term Care Homes Act guarantees to help residents living within the long-term care system to receive dependable, high-quality, and safe care for the residents. It is often common for seniors to adjust when placed in long-term care as this is a new and challenging transition for the senior and their families. The commonplace goal is to have a long-term care home environment where residents feel comfortable and at home, where residents are treated with the respect they deserve, and have the proper supports and services that cherish to their particular needs for their overall health and well-being. These services are physical and mental health related services- especially one that relates to the Community Worker Program such as Community and Social Workers that are crucial in a senior’s life often.

span and advancement in the field of medicine. Long term care comes with additional responsibility of providing diversified, coordinated services with increased flexibility to respond to the changing needs of patients regardless of their age, Sultz and Young, 2014. With the help of

Mr. Henry and his wife need medical care coordinated throughout the health care system to receive proper treatment and prevent health complications, encouraging their independence by remaining in the same setting. Marek and Rantz highlight that by providing care coordination and health care services for older adults residing in specially designed senior apartments, older adults will not have to move from one level of care delivery to another as their health care needs increase; and they will have the opportunity to “age in place” (Marek & Rantz, 2000). Care coordination starts with a comprehensive assessment of each of Henry and Ertha individual needs for health and social support, and by developing an individualized plan of care for each of them. “Patients should be evaluated, and care plans should be designed and implemented according to the individual needs of each patient (American Geriatrics Society, 2012, p. 1966). As Mr. Henry and his wife health care needs increase, they can receive periodical physical examinations to monitor their underlying health problems, and for early detection of complications remaining in their apartment. This will prevent negative outcomes associated with relocation, and medications and treatment noncompliance.

Providence Home Care LLC is a home health care service institution that is located in Oklahoma City, Oklahoma. This home health care agency was established in 2002. Providence Home Care LLC offers home care and private duty services. Some of the home health services include wound care, hospital prevention protocol, skilled and psychiatric nursing, monitoring chronic illness, physical, occupational, and speech therapy, patient and caregiver education, and more. Providence Home Care LLC has been awarded for being a National Top 500 Agency. This home health care facility is also the winner of the Quality Excellence Award.

Long-term care healthcare delivery will be a great/popular option for many of these senior citizens. The long-term care healthcare delivery system falls within the continuum of care. The continuum of care is a series of heath care services that are provided to a great number of older adults who are in need of them throughout the course of their life/older life. The care ranges from: personal care, custodial care, restorative care, skill nursing care, and sub acute care (Shi & Singh, 2012). Different providers work together within the continuum to provide the right care to those in need. The continuum of care, as stated in Long Term Care: Managing Across the Continuum, is “comprehensive, integrated, and client-oriented”(Pratt, 2010). All the services offered should be client-based and cater to the client’s needs and suitable care. The client should be able to obtain services when it is needed from the provider, making it comprehensive. All the different long-term care providers should be interconnected between one another, because their goal is all the same, which is to care for the client’s needs. The continuum of care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. As the future progresses and a great amount of

IntroductionThere has been an issue with lack of care in long term care facilities. Some examples ofthese issues include the following: pressure ulcers, falls, dehydration, insomnia, abuse ofrestraints, etc. of the elderly residents. Therefore, there has been studies performed to determinewhat needs to be changed and what the effect these changes would have on the facility as well asthe workers or nursing assistants. These studies take place in two different facilities in Quebec,Canada. It is sad how the majority of the workers interviewed have the same complaints thatdirectly relate to the reasons why proper care is not provided, yet nothing has been done to fixthose issues.DevelopmentThe most important factor to the career of a nursing assistant and the care of the elderlyin facilities is time.

As a recent graduate from the Health Care Administration and Planning (HCAP) program at Tennessee State University my desire for Health Care Administration has grown tremendously. My passion has always been Long Term Care, from observing family members being admitted into a facility with high abuse rates, sitting with the elderly at a young age, to completing an internship at National Healthcare Corporation (NHC) during the summer of 2016 under the Regional Director, Mr. Tim Shelly. I have always had a love for the aging population and wanted to work in an environment that believed in producing the best quality of care for the aging population.

Fit Adult Care Home LLC is a residential care home located in the beautiful city of Gresham, Oregon, which is Multnomah County. Our historic community is the fourth largest in the state with wonderful restaurants and shops. Gresham is a wonderful place to live with lots of events and activities for family and friends to enjoy when visiting.

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).

Always Best Care Senior Services is a senior care that has the program for Alzheimer’s diseases. This office mainly covers most of the south bay area including Torrance, Palos Verdes, Lomita, Harbor City, Redondo Beach, Hermosa Beach, San Pedro, Lawndale, and Hawthorne. The address is 21250 Hawthorne Boulevard, Suite 500, Torrance, CA 90503, and it opens 24 hours. Also, walk-in is welcomed for this senior care organization. It has the services of family support, memory care, in-home care and assisted living finder. For Alzheimer’s disease, there is a specific team called MCT, The Memory Care Team, that provide training to caregivers about how to communicate with patients with memory loss, and how to manage and improve difficult behaviors. Also,

I have contacted the Davis County Health Department, she explained that they get the inquiries about what services are available for seniors most of them are widowed and wanting to stay in their own home for as long as possible. Most seniors living a fixed income and one of their

As many people know the baby boomers are entering into retirement and are classified as seniors. There are some who are unwell and others who are active seniors. Some are financially well off where others are financially struggling. Within Canada there are some non-profit agencies or government programs which try