Nursing Care Meeting Research

Thirty minutes before evening shift change and you receive the call. A new admission is in route to your facility. The patient is reported to be of high acuity, requires intravenous antibiotics, and has a diagnosis of chronic pain. In some health care settings this would be considered a typical new patient admission. However, for rural long-term care facilities there is potential for considerable complications. In a setting where registered nurses are only required to be in the facility eight hours within a twenty-four hour time frame, significant complications can arise during admissions that require certain specialty care specific to the RN. Ineffective discharge

Care plans are developed by the service users, and when needed with help and assistance from friends and family. These plans are then to be agreed by a social worker or senior care manager e.g. the nurse or senior care worker depending on if the person is nursing or a residential client. The planning system allows the individual’s to:

Documentation and communication are constant challenges that healthcare providers face when seeking continuity of care for their patients. Every time a patient moves from a hospital to a nursing home, or from a skilled nursing facility to home health or hospice, the staff that cares for the patient is at risk for a gap in patient care and communication. Home health and hospice agencies rely heavily on Medicaid and other insurance for reimbursements in order to continue to provide care for their patients and keep the doors to their agencies open. Thorough and timely documentation is the key to ensuring proper reimbursement for nursing services and other therapies provided from insurance agencies. This same

The Continuum of Care is the variety of health care services provided to numerous individuals who are in need of it. All the various Long Term Care providers work as a unit, helping an individual handle their disability with various health care amenities accessible. The Continuum of Care, as stated in Long Term Care: Managing Across the Continuum (2010), is “comprehensive, integrated, and client-oriented”. All the services offered should be client-based and cater to the client’s needs and suitable care. The client’s 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. Their goal 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. The continuum has many positive attributes, along with many barriers. The range of barriers are: poor transitions from Long Term Care setting to setting for the clients, the continuum is reimbursement-driven, it is fragmented and uncoordinated, it is under staffed with medical professionals, and there are major language and literacy problems.

As a member of the Somerset County School Nurse Association, I learned about the meeting by email from the coordinator of the meeting, Carolyn Seracka.

The meeting is set up to go for two days and the agenda is set up to go through each person at a fast pace but allowing for a thorough discussion on each matter. I watched the meeting on Thursday September 17, 2015 from 12pm-4pm and was able to understand the importance of the actions as a nurse and

areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting

Throughout Unit 6 we reviewed the continuum of care in long-term care facilities and its many aspects. The continuum of care, also referred to as the delivery system of health care, is best defined as a full range of long-term care services increasing in level of acuity and complexity from one end to the other (PowerPoint). This delivery system is comprised of three substantial components. These components are the informal system, community based care, and the institutional system.

Nursing home facility is for patients who need extended care because they are very sick or unable to function without continued nursing and supportive services in a formal health care facility. These patients are sick and/or are in need of assistance but they are not ill enough that they require the intense treatment and care offered at a hospital. About forty-seven percent of all nursing home facility care is paid for by Medicaid and residents and their families pay approximately one-third of the cost for the facility services. In recent years the length of time one stays at a nursing home has greatly decreased. Even with the decrease in stay there is still a fifty percent chance of an individual in his/her lifetime having to spend some time in a nursing facility. Both of these previous mentioned trends is reflective of the nursing facilities moving toward becoming more technologically sophisticated as well as being able to function as more of a

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

I won't be able to attend tomorrow, I have a NHS meeting and It will last about an hour or two tomorrow. By the time the meeting is over I won't be able to make it to IIT. This meeting is probably the only meeting in this month. In addition, I need to have a serious discussion with my counselor at Von Steuben about taking dual enrollment classes in fall and deadlines are. You can contact my father at 1-773-391-0786 if you have any further questions on my absence.

Staff meetings consist of the doctor, pharmacist, social worker, occupational therapist, physical therapist, speech therapist, dietitians, and nurse. Doing the staff meeting the different team of specialist discuss each patient one by one. Each specialist team gives a report on the patient progress. They discuss what is going on with the patient, their diagnosis, what progress they are looking for with the patient, what’s going to happen going forward, if the patient need more time at the rehab, progress that they have seen, if the patient is ready to go home, and if the patient need home healthcare. This takes about an hour depending on how many patients they are discussing. Once this is done, as a team, they visit the patient that have just

At our staff meeting held yesterday, I was granted permission by my Unit Manager to record the meeting. All nursing staff and other disciplinary were present at the meeting. The Manager facilitated the meeting with the help of the Nurse Practitioner. Discussion was based around staffing, job security and patient workload. There were spirited exchanges between the manager, two other nurses and myself. The meeting was scheduled for 45 minutes but it lasted for an hour with some question not being fully address.

The advanced practice nurse led the planning process to create the community care plan aims to guide programmatic direction, allocation of financial and human resources, and decision making (Stanhope and Lancaster, 2014). Completion of writing the care plan is the end of the initial phase of the process. The other vital phases include advocacy and implementation processes. This care plan is designed to act as a living document to be used for prioritizing work and assessing opportunities that arise.

I met with Dr. Londono today about my future plans and Nursing School. She said that it would be beneficial for me to meet with you to get further information. I am unavailable to meet you this Friday because of a biology lab and a doctors appointment but I am available to meet next Friday, September 11 at 2pm. If this time works for you please let me know, if not we can schedule a different time.