Nursing Home Care Case Study

One of the hardest moments for not only the person with dementia, their caretaker, and their family, is deciding the appropriate time to relocate to an assisted living facility or a skilled nursing home. Like the variety of the disease symptoms and durations, the question of when to accept outside help also has different answers depending on the situation and the caregiver’s abilities and resources (Smith, J., 2016). Many caretakers may view the idea of placing their loved one in a home as a sense of failure on their part; however, it does not have to be this way. With the increasing demand for assisted living facilities and nursing homes, improvements in the standards of care for dementia patients as well as a shift towards more “patient-centered

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.

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.

Some disadvantages of the current health care system in the United States is tons of people have no healthcare insurance at all and many of the insurance coverages have such high premium and deductibles people can't afford it. For you to be eligible for Medicaid you have to have a very low income. To get Medicare you have to be a certain age and Medicare doesn't cover all health care costs. For Private health care insurance you have to have a clean bill of health and if you have health conditions they will deny you coverage. But if private insurance companies are willing to give you insurance the premiums are so high and the

The alternative in providing care for a dependent family member is keeping them in their own home, or the home of a family member. In recent years there has been a move in market place to an idea that is much more cost effective to provide most of the same services that traditionally found in a long-term care facility in the home. It is estimated that providing these services in the home are approximately $21,800.00 a year. It is also important that these figures only cover the cost of providing skilled health care. These figures do not cover additional expenses occurred in the home such as the cost of room and board. In many instances, the idea of keeping family members in the home where their care, may be more closely supervised is becoming increasingly appealing. Many health care providers are recognizing this and providing more and more services available in the home. In today’s market place anyone can find nursing, physical therapy, occupational therapy, and respiratory therapy companies

Being insured can relieve a lot of stress off a person. The cost of healthcare is an

First, it’s called continuum care system, it deals with tracking and keeping in contact with a patient over time and to follow them thru their health care services. The breakdown of continuum care is extended care, acute hospital care, ambulatory care, home care, outreach, wellness and housing. It could follow a patient from birth to the end of life. The services could be acute healthcare, hospital, emergency, inpatient services, outpatient services, urgent care, skilled nursing home, rehab, home care visiting nurse services, hospices, wellness care, public health and care management and research.

This would enable some individuals to remain at home longer. Monitoring services include GPS tracking devices as well as alarm devices. Tracking devices are beneficial to individuals who tend to wander. Alarm devices can be good for individuals to alert someone from a 24-hour monitoring service when they have a sudden medical emergency (“Using Professional Home Care Services,” 2012). Understanding the various resources for long-term home care can permit an individual to stay-at-home in a safe and comfortable environment.

718). Another challenge or tradeoff, if you will, is the need for a large body of healthy people to sign up in order to support financially of the consistently recently insured ill population (Cohen, 2015). The argument is that this is inflicting a very ruthless economic weight on the younger population who do not have a pressing necessity for coverage (Cohen, 2015).

Advantages include coverage to low income families who otherwise would not have coverage and children from disadvantaged families are given access to a continuing medical and special needs care because of the Medicaid program (Eskow, Pineles &Summers, 2011). Disadvantages include limitations as to the type of treatments covered by Medicaid (based on medical necessity), Medicaid reimbursements are often lower compared to what doctors usually charge, resulting in doctors shying away from accepting Medicaid patients, and state governments argue that federal fund matching is not calculated appropriately, therefore causing the wealthier stated to receive more money than the poorer states with a greater need (Eskow, Pineles &Summers,

2.Cost/AffordabilityTo me, there is no such thing as affordable insurance. The health care system is expensive and not affordable for everyone in the United States

There are currently sixteen countries with a single payer health care system. Single payer health care is a universal health care system where a single fund, rather than private insurers, pays for health care costs. There are nine countries with a two tier health care system. Two-tier health care is a government provided health care system that only provides basic medical necessities. The secondary tier of care exists for those who can purchase additional health care services to receive better quality and faster access. The last type of universal health care is mandatory health insurance, which makes it mandatory for every citizen of the country to purchase health insurance, whether is from a public or private insurer. There are eight countries that have this type of mandatory health insurance.( List of Countries with Universal Healthcare. True Cost Blog.) Just like everything else, there are also pros and cons to each of the three universal health care systems. The beneficial aspect of a Two Tier health care system is that the people that can afford to buy the better health care, get better health care. The negative aspect would then be that it is not an equal system for those who cannot afford the better care. With the single payer health care system the positive aspect is that every person gets the same

Some countries model a universal health care policy coverage for its citizens, like Canada. The United States have that option for the government to explore further. There are many positive attributes to having universal health care delivery system, as there are negatives.

It should come as no surprise that the United States’ current health care system is in need of some major changes. Everyone knows that going to the doctor or hospital in the United States can cost a lot of money out of pocket, whether you have insurance or not. Americans who do have insurance pay into it with every pay check, only to go to the doctor and have to pay more. What it would be like to not have to worry about how much money there is in the bank when someone is sick? When a person is ill there are enough things to worry about without having to worry if they can afford the doctor bill. What are some of the pros and cons of a health care reform for the United States?

One drawback I found across all my research was that health care is regarded as an economic good, based on the individual buying the health care, rationing relies on the ability to pay for it, and individuals are responsible for finding their care. "Americans should not adopt a national health care plan because embedded in the nation's culture are the deontological values of individual responsibility, self-reliance, and capitalism, and the market-oriented society supports private rather than government solutions to social problems of health, like all other economic goods, healthcare is a business" (GUJHS 2004). Since health care is looked at as an economic right, many do not want to pay for someone else's