Long-Term Health Care 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.

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

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 healthcare system has an infrastructure that is unfriendly and difficulty to navigate. With a growing number of frail older people living in the United States, the pressure to find a more affordable way to care for them will mount. Nearly 12 million people need some form of long-term care (LTC) and half are over age 65 (Wilber, 2014, Class Session 2). As mentioned in the article “Waiting in the Dark with Dad,” a large percentage of American healthcare costs fund medical procedures and medications to keep terminally ill people 65 and older alive (Lopez, 2014, p. 1). Steve Lopez experienced this with his 85-year-old father, Tony, who lived in a nursing home that was a place meant to keep his heart beating, but not actually improve his health and well-being. This is the harsh reality of the long-term care industry that many have faced, including experts in the field such as Dr. Robert Kane, author of It Shouldn’t Be This Way: The Failure of Long-Term Care. Long-term services and supports (LTSS) are supposed to maximize the quality of care and the quality of life for the individual (Kane and West, 2005, p. 169). When that focus is lost, it is the responsibility of healthcare professionals, like myself, to bring that issue back to the forefront of policy making.

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).

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

Growing up with your grandparents has its benefits. I remember waking up to freshly baked biscuits and fried sliced ham on Saturday mornings just before cartoons. Riding to the pharmacy with my grandfather to pick up his medicine was one of my favorite trips. We would always stop for ice cream before we returned home. Soaking in the knowledge that streamed from the lips of your elders can go unappreciated until you are an adult. Watching people age gives you an understanding of what is important to seniors as they transition to retirement and lonIg-term care. Seniors value the ability to live and enjoy a life that includes independence, family, and home. In today's economy, there is a shortage of health care professionals. Home healthcare services are vital due to the aging US population and need for increased continuum of care.

The demographic of clients in the long term care delivery model has a range that starts in infants and ends with the elderly, this care also includes persons with disabilities (mental and physical). According to Hooyman (2014),”to address escalating health and long-term care costs, the locus of care for older adults and persons with disabilities is shifting from institutional to community-based settings (p.25). Community based settings would fall under the realm of assisted living, nursing homes where there would be onsite staff that included nutritionist to ensure residents had a balanced diet, physicians, certified nurse aides or medical assistants, nurses, physical therapists, pharmacy technicians, and a health care administrator, but a large portion of long term care is also carried out by family members and friends due to the financial costs associated with facility care which offsets the coverage provided by private insurance, Medicaid and Medicare. The ultimate goal is to have a positive outcome and assist the person receiving care in regaining their

Long Term Care (LTC) is an area where change is needed. According to the CDC, by 2030, older adults will account for roughly 72 million of the U.S. population. In 2030, when the last baby boomers turn 65, one in every five Americans will be over the age of 65, and will account for roughly 20% of the population. As the growing population of baby boomers continued to aged they will become more reliant on long term care services. Nurses will be at the forefront of providing care to this demographic of the population. Leadership and accountability are needed in long term care to provide efficient care to the aging population.

Mason Pointe is a senior living community of Lutheran Senior Services, LSS is an organization that provides a network of communities and programs for older adults. Mason Pointe is a nursing facility that has a combined acute-skilled short stay rehab, assistant living, and long-term care assistance. The prospects of study, are those residents that are residing in the facility long-term. Long-term is dissimilar from acute healthcare. It encompasses services related to maintaining quality of life, preserving individual dignity, and satisfying preferences in lifestyle for someone with a disability severe enough to require the assistance of others in everyday activities (Tabloski 2006). The residents in the long-term care facility rely on the nursing

The long-term care system is aimed at providing continued care to individuals both in facilities and at home. Many people associate long-term care specifically with nursing and assisted living facilities, but long-term care is so much more. This care can be provided to an individual whether they are home or in a specialized facility (National Institute on Aging, 2017). In essence, the system of long-term care involves the coordination of facilities, providers, and case manager support to provide the best quality of care for individuals.

The definition of a patient in need of long-term care is a patient who needs assistance to perform the basic acts of daily life. This may be as a result of a chronic condition, trauma, illness or advanced age. "Long-term care often involves the most intimate aspects of people's lives what and when they eat, personal hygiene, getting dressed, using the bathroom" (What is long-term care, 2012, FCA). Unlike other types of healthcare, the goal of long term care is to maintain the individual's independence and functionality at the most optimal level given his or her condition rather than to cure it.

Growth in the number of the baby-boom generation that enters old age is the main driver of increased demand for long-term care. Women are more likely to use long-term care compared to men because they live longer and often outlive their husbands. The main goal of the long-term care is to provide a variety of services that help to meet a person's health or personal care needs. In addition, the services can be provided at home, in the community, and in facilities. Most of the long-term care services are expensive; as a result, Americans spend billions of dollars out of pocket on the services. The most expensive is the facility-based care, such as assisted living and nursing homes. For example, according to the New York Times, the

The three systems consist of hospitals, long-term care, and the mental and behavioral health system. Hospitals before the 17 and 1800’s were institutions for the poor and sick. Middle class people preferred to receive their care in the comfort of their own homes. Hospitals have evolved tremendously since the 17 and 1800’s. All people are treated in hospitals today, despite their social class. The key factors of hospitals are to deliver care for acute illnesses and injuries and maintain advanced technology. Many hospitals provide specialized centers in order to provide the best care for patients. Because hospitals are overcrowded, the goal is to stabilize the patient, and send them home to follow up with their primary care physician for further treatment. Hospitals are under constant pressure to admit only the patients that are facing life threatening illnesses. Technology is the driving force behind transforming healthcare. Patients will gravitate to hospitals that provide the latest technology for the best treatment options. Technology can also reduce stress, improve errors, and reduce healing time for certain surgeries. Long-term care is for those requiring more

With the healthcare industry becoming more competitive, healthcare organizations like Long-Term Care facilities are finding better ways to improve quality, safety, and their medical outcomes (Schulingkamp & Latham, 2015). Many LTC organizations are improving their performance of how they operate in delivering care by following the elements of a high-reliability organization, as well as the Baldrige Performance Excellence Program criteria. By LTC organizations following the Baldrige Model criteria, it inheres to a sound platform for attaining the achievement of a high-reliability organization (Griffith, Jan/Feb 2015). In addressing the Board of Directors of a LTC organization, I will outline the required elements of a high-reliability organization based on the above Matrix Chart and the criteria needed to meet for the Baldrige Performance Excellence Program.