Nursing Care Settings

Nursing homes and assisted facility homes are all examples of long term care facilities. These facilities are usually targeting individuals who are of geriatric age or need around the clock care (mental health and physical health). The residents in these communities have access to individually-tailored levels of individual or group-centered activities, programs, and assistance whether it is with home or personal care. Long term care facilities are generally for those who are unable to manage independently in the community. Specific types of long-term services include nursing homes, hospice care, home health agencies, and residential care facilities. The goal of these programs is to make sure each patient has a safe and comforting environment

Staff working in partnership with a service user’s family will become more aware of families' individual needs, and know more about an elderly person's home context, thus enabling them to be aware of how the care home is different or similar to their own home and understand the elderly person’s behaviour with this in mind.

Creating new support for modernizing multipurpose senior centers including a plan to use the skills and services of older individuals in pain and unpaid

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

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:

* Partnership. Work with the individual and ask them what they would like to do. Work with other carers to provide efficient care within the home.

The long-term care services delivery system in the United States has changed substantially over the last 30 years . There are approximately 17,000 elderly and disabled persons are receiving care in nursing homes (NNHS, 2004). The number of people using nursing facilities, alternative residential care places, or home care services are projected to increase from 15 million in 2000 to 27 million in 2050 (HHS, 2003). Identifying the best nursing home that would fit their needs can be difficult and time-consuming. Although nursing homes usually provide certain basic care that patients need, some nursing home facilities provides special care for certain types of individuals with special needs. For example, people with dementia, AIDS, ventilator-dependents,

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

"Many older people fear that a hospital stay could leave them even more disabled than they were before. Unfortunately, there's new reason to believe this fear is justified. Elderly patients who are hospitalized are at much higher risk of cognitive problems afterward, according to a study published on Wednesday in the journal Neurology."

Two major forms of staffing guidelines will be discussed, nurse-to-patient ratio and staffing by acuity. This paper will discuss the history of each staffing form. It will point out the benefits and negative features of both practices, describe how hospitals deal with staffing and discuss the states that have laws requiring certain guidelines be followed.

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

They must try to adjust to an environment that is traditionally designed to meet geriatric-based medical and emotional care needs. Due to their age, the small/large group planned programs are not age appropriate nor of interest to them. Many individuals living in long-term and residential care do not pursue independent leisure activities because of their diagnosis and require programs and one-to-one activities. Typically programming is centered on the needs of the older individuals who are the majority in this environment and those that are under the age of 65 may not be having their needs met. This paper will look at who these individuals are and how therapeutic recreation can appropriately meet their leisure and recreation

Participants are a mixture of chronically mentally ill, Alzheimer’s, demented, developmentally delayed and physically frail seniors. Most of who live in family care, adult homes and special residences. We also sever seniors who live independently or with family members. All Center members must continent, self- feeding, ambulatory (with or without devices), able to negotiate stairs and free of behaviors that indicate they are a danger to themselves or others.

Constraints are anything that “limit or discourage certain movements at the same time they permit or encourage other movements or ‘shape’ the movement(s).”1 In light of that, when assessing the constraints that may exist for this female patient there are three constraints that she will encounter: individual constraints, environmental constraints, and task constraints.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity