Long Term Care Transition Analysis

Improving the long-term health care facility requires effective needs assessment of the staff, stakeholders, and the community members. Ensuring appropriate and satisfactorily care of those who live and work in the facility requires a strategic process of needs assessment and documentation. The strategic process may require the confrontation of the taken-for-granted in the current facility, private consultation of certain stakeholders, revisiting the known scenes and meaningfully connecting the previously unconnected facility dreams, “vis-à-vis” the organizational vision and mission statements. In providing superior and meaningful care for clients, staff and community members it is imperative that we prudently involve them in the assessment processes. In this paper, I will delineate the processes used to identify the needs of the facility, staff and the community, in addition to other ancillary needs. Additionally, I will address how I will address the major needs of the staff, stakeholders and the community.

Social exchange theory suggests that there are a series of behaviors and responses that are resulted due to the interactions between and among the individuals (Kirst-Ashman, 2014). This is also another way that the facility functions because as stated above, the social workers are in charge of making sure that the interactions between the family member and the resident does not leave a negative impact on the resident once the family member leaves the facility. Certain interactions that the family member has with the resident could lead into a series of behaviors and responses, either negative or positive. A negative response or behavior would be that the resident is isolating him or herself from everyone, not eating, not attending recreational activities, not showering, or not socializing with others. A positive response from the resident would be that they are now in a better mood; they are attending recreational activities, socializing, eating more, and looking forward to their next family visit. As a social worker at the nursing home our job is to make sure that the resident is enjoying their stay in the facility and that they are not being mistreated or

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.

A social worker in a long-term care facility helps the person who is entering a facility to make the transition from a previous living environment to life in an institutional setting while meeting the social/emotional comfort needs of that resident. Once the resident is established, the social worker assures the resident's continuing needs are met and that the person is given the opportunity to participate in planning for continued care in the facility, transfer, or discharge back into the community. Although the resident is the main focus, it should be mentioned that much of the social worker’s time may be spent working with the

Imagine that you are a patient in an hospital in Ontario - you have undergone acute care and are now ready to enter a Long-term care (LTC) facility for additional care. Now imagine that you have entered a complex maze, like the Waterloo County County Corn Maze, only much trickier. Why?

About 57,436 Veterans chose to use Non-VA (Department of Veterans Affairs) facilities for healthcare service while waiting more than 90 days for appointments with their VA clinicians (Couzner, Ratcliffe, & Crotty 2012). Since post-hospitalization follow-up with primary care providers has a great impact on theses Veterans’ health outcome by promoting recovery and preventing readmissions (Martinez, 2014). The Patient Aligned Care Teams track Veterans’ admission and discharge in VA facilities through the VA’s electronic medical record to ensure timely post-hospitalization with Veterans’ primary care providers. There are no data about post-hospitalization follow up among Veterans who is admitted into Non-VA facilities.

You mentioned two of the main payers for the over 65 population, Medicaid and Medicare. I work in long-term care (LTC) and deal with regulations governing Medicaid and Medicare reimbursement daily. Currently, at least in North Carolina, our skilled nursing facility (SNF) Medicaid rates were frozen at the 12/31/14 CMI rate. That means for over a year now SNFs have been paid at the same rate, but expenses have not frozen. This rate freeze has placed financial pressures on SNFs and presented them with operational challenges regarding implementing and maintaining quality initiatives.

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

Accreditation is a reviewing process to demonstrate the ability of organizations to meet criteria and standards established by a professional accrediting agency.

This article states that Hawaii is introducing a policy to reduce the burden on caregivers who are providing long-term and end of life care to family members. This policy introduces a stipend of 70 dollars per day for people caring for an elderly family member. The policy has some limitations. Only those who work at least 30 hours a week can utilize this stipend. The intent is for caregivers to use this stipend to supplement wages, hire help, and buy caregiving supplies.

Regression models are used to compare variables vs other variables that may share information hand and hand. The following article I research was based on follow-up on latent growth after 1 year and the influence it has on residents in long term care facilities.

According to the U.S. Department of Health and Human Services (n.d.), long-term care is the range of services, in addition, to support one might find necessary to acquire for their individual care requirements. Often long-term care offers assistance, rather than providing medical care which includes the tasks of everyday living. These services can sometimes entail delivering medical care that requires the expertise of skilled healthcare workers to deal with the numerous chronic illnesses correlated among the senior and disabled populations. Also, individuals need help with the basics of cleansing, putting on clothes, and the capability of feeding themselves, transporting to and from the bathroom and other locations, and caring for the incontinence.