Long Term Facility Case Study

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.

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.

The long-term care is also faced with an unexpected high demand by a large number of people. There are so many people who are demanding long-term care, but there are little efforts to provide comprehensive long-term care (Freundlich, 2014). The lack of enough professionals and lack of professional development are also important trends that are facing long-term

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

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.

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.

For a long period of time, hospitals have basically been established as nonprofit and for-profit facilities with several similarities and differences between these categories. Notably, these categories have minimal differences though it's difficult to predict their quality based on their structures. The healthcare field has also been characterized by several trends in the past three decades in attempts to improve the delivery of services and patient outcomes. In relation to the provision of long-term care, hospitals and nursing homes have different roles that enable them to achieve this objective. The hospital sector in the United States has experienced several changes that have contributed to its current state of long-term care policy.

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

With today’s technology and the specialized skills of doctors, nurses, and therapists, patients who need long term care of acute problems can obtain these services at institutions known as postacute care providers. One type of facility that falls under this title is the Long Term Acute Care Hospital (LTACH) (Munoz-Price, 2009, p. 438). This paper will discuss services provided by LTACHs, the role of the Chief Nursing Officer (CNO) in these facilities, and Medicare reimbursement effected by patient satisfaction surveys.

Out of the twenty-three workers interviewed, the overall complaint seemed to be about time. They each have totake care of an average of six residents, and with their work schedule there is no way they cancomplete the required tasks. In training, none of the nurse assistants were prepared to deal withtime limits. Gravely, as a team they were left with no choice other than to choose workefficiency over patient care. This is not right, however seeing their side of the situation, it wouldbe extremely difficult. However, patients and residents always come first. Assuming the issue oftime not only affects those who work in long term care facilities, but could affect those workingin hospitals (where I plan to work), is very eye opening. It prepares me to not only learn what

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.

IntroductionThis article touches up on many main points in Nurse Assisting. Authors talk about manynew ways to implement change in Long Term Care Originations. They talk about teamwork,training, and enhancing work strategies. I definitely agreed with this article, with wanting to be aCNA and depending on where I end up working I think it is good that people are wanting tomake these changes.DevelopmentSome key points in this article were how integrating new recruits to manage heavyworkloads in LTCOs can be hard to manage, the enhancements of informal work strategies, andthe debate on if teamwork is a “deterrent to change” or a “lever for change”. Somethings I foundstriking about this article was the heavy load management. In the article one nurse assistantexplained that during training they are told to take all the time the need, but when you startworking in the organization they are told they have 45 minutes with a resident, but actually haveno more than 15 minutes.

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

Boscart. V. M., Bowers, B., Brown, M., & McGilton, K.S. (2014). Making tradeoffs between the reasons to leave and reasons to stay employed in long-term care homes: Perspectives of licensed nursing staff. International Journal of Nursing Studies,51(6). 917-926.dpo:10/1016/j.ijnurstu.2013.10.015

This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.