Hospitals in the United States offer different care than a nursing home facility and admit over 37 million people every year and mainly provide care for those with acute problems and emergencies. Hospitals will see many who have been readmitted from the long term care facilities. A patient under the age of 65 on average will stay 4-5 days in the hospital and 6 days for those 65 and older. Chronic illness is the main cause of hospital admissions. People with heart disease, cancer, respiratory conditions, and broken bones are some of the main chronic conditions related to hospital admissions. Hospitals treat and release their patients as soon as possible due to the lack of rooms to accommodate all of them. The easiest way to differentiate care
The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.
1. Present your informative speech’s anticipated topic, general purpose statement, specific purpose statement, and thesis statement. - Topic: The impact of media in society, The experiences and joys of nursing homes facilities - General Purpose Statement: Is to inform the audience on how nursing homes facilities are beneficial as well as common for elderly people to embrace as their live out their latter or rehabilitation years. - Thesis Statement: In todays’ world, nursing home facilities purpose is to bring health and awareness to those who are in need of special treatment and care. 2.
Health care is something that everyone requires in order to lead a healthy life. After a visit to a hospital there are instances when certain individuals require further care due to their circumstances. Although hospitals may provide long-term care, it is not usually ideal. Hospitals are in place to handle emergency situations and aid in stabilizing the patients. Once the patients are stable, they must be transitioned to another facility if they require further assistance. This will avoid maximum occupancy for the hospital and allow it to remain available to other patients that may need their services. Patients who require long-term care or around the clock care and are in good medical condition should seek a long-term care facility, such as a skilled nursing facility or nursing home. For some individuals, facilities such as skilled nursing facilities or nursing homes are a blessing. These types of facilities are in existence to aid in the recovery of certain injuries and or to provide living arrangements for those who lack someone to care for them or assist with meeting their health care needs.
Nursing Home Administration is an area which specialized in medical and health services management. Nursing home administrators specialize to supervise clinical and administrative affairs of nursing homes and related facilities. They also have a working knowledge of the physical and psychological effects of the aging process. An administrator’s duties includes overseeing staff and personnel, financial matters, medical care, medical supplies, facilities, and other duties as specific positions demand. This paper will discuss different aspects of nursing home administrator and I will follow up with an interview by Kathy Kondolf, an administrator at Heartland of Zephyrhills.
This model reimburses hospitals based on quality of care instead of the volume of patients. The quality of care is assessed by patient questionnaires and if hospitals are unsatisfactory penalties may be imposed (Edwoldt, 2012). The value-based system also affects Medicare and Medicaid. It was reported that Medicare readmissions within 30 days of discharge cost 17 billion dollars annually (Edwoldt, 2012). Due to the high costs of readmissions Medicare and Medicaid have implemented a Hospital Readmission Reduction program. A formula is utilized to evaluate readmission rates within 30 days of discharge for any medical reason related to their original admission such as heart failure and pneumonia. Upon review the hospital is potentially penalized. It is important that nurses strive to provide excellence in care despite their beliefs on the ACA. Nurses have the ability to provide a safe patient environment and reduce the risk of hospital associated infections by following hospital protocols such as hand washing.
The medical model, which originated in the 1950's, delivered high‐quality, standardized care to a large number of individuals. The care provided in long-term care facilities has traditionally been based on a medical model. This is characterized by nursing units with centralized nursing stations and long, doubly loaded corridors with shared bedrooms and bathrooms. Often, the finishes and ambiance are institutional and bare, and the setting provides few opportunities for residents to personalize their environments. Residents follow a rigid routine that dictates when they eat and when they sleep. The medical model involves the use of medical jargon, which can be problematic for residents and families. The medical model also focused on the individual’s
There is a perceived notion that Eastern societies view aging in a positive aspect, while Western societies view aging in a negative light. Although there is much emphasis on respect for elders on the Confucian societies, however, does East Asia’s treatment of the Elderly really differ from North America’s treatment? In the Perceptions of Aging in Two cultures: Korean and American views on Old Age, the authors are able to prove their thesis that through previous studies by Harwood et al that countries such as South Korea, Philippines and Hong-Kong do not necessarily hold positive views on of old age. In this study, to better understand beliefs and perceptions of aging, Koreans were expected to have a greater fear of old people, worry more about their physical appearance, and show greater levels of anxiety over aging more than their American counter parts. Although American women were expected to show more anxiety towards their physical appearance more than their male counterparts. Such perceptions on older people have an effect on the mental, physical and emotional health of elderly people. The many negative stereotypes about seniors affect how seniors see themselves and how society views them. These stereotypes are usually “regarding their physical and cognitive abilities”. Although these stereotypes may seem harmless, they hold serious ramifications to which affects the elderly participation in activities which may improve their physical or cognitive abilities. These
"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."
In doing the reviewed study researchers calculated rates of hospitalizations for different conditions using various counts of admissions inpatient data and estimates of the population from the census. They also aquired data on admissions taken from the Agency for Healthcare Research and Quality's. Among the HCUP databases is the Statewide Inpatient Database (SID), which contains discharge data from nearly all hospitalizations in several states. In the study, SID data from the 23 states were used from the 2005–2007 year period. When using the SID files for these states, we count hospitalizations separately by state, year, and two age groups: 60–64 and 65-plus. The quantity of hospitalizations for eight conditions that they hoped to be delicate to medicate adherence: here and now inconveniences of diabetes, ceaseless obstructive pneumonic issue, congestive heart disappointment (CHF), angina, uncontrolled diabetes, asthma, stroke, and intense myocardial localized necrosis
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
Another important aspect is long-term care in the Unites States. Some long-term care facilities in the United States are considered either private or state owned. The state-owned facilities need to improve the quality of care. Due to people living longer have put a large demand on long-term facilities. A lot of state owned facilities are unstaffed and over pullulated. Americans should have access to universal healthcare coverage and log-term coverage care from a quality long-term facility.
There were reports of rampant neglect as well as abuse of the people in the nursing homes across the USA, something that prompted the Congress to enact legislation to deal with this in 1987. The legislation was known as the Nursing Homes Reform Act which stated that each nursing home "must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care."(Motley Rice, 2013).
You have permanent residents receiving non-skilled care; those are the ones that need help with activities of daily living. Permanent residents receiving special care, these are specific units that provide specialized care such as for Alzheimer’s disease. Permanent residents receiving skilled care, such as tube feeding, complex wound care, or long-term ventilator care. Short term patients who have a length of stay of less than 100 days, these patients are usually those that are recovering from a stroke or hip replacement surgery. The last type is patients in respite care, who require the services and supervision that a traditional long term care facility offers, but is there to give relief to the primary caregivers. These patients can stay anywhere from overnight to several weeks, depending on the caregiver’s
We all know that nursing home is extremely expensive and not everyone can afford it. I personally think that there is not enough Medicaid to help people who need it the most. Many people want to go a nursing home, but they do not have Medicaid to pay for it. Medicaid becomes important for some families when their parents cannot no longer take care of themselves in their own home. Some people do find a way to get Medicaid to cover them but it is not going to do a lot. Nursing home facilities are doing business and they also need to pay their employees I guess that is why Medicaid is really expensive. I do not know anyone who uses Medicaid spend down, but when my parents get older I will observe them to see if they will use Medicaid spend
Quality of life is elusive. Quality of life is complicated, multi-faceted, and subjective. Conventional ways of measuring it have emerged, mostly in terms of access to technology, level of fulfillment of basic needs, etc. Certainly it is very difficult to have a high quality of life without having a consistent or stable source of food for your family or yourself. But in the end, the question of defining “quality of life” seems to be, unavoidably, self-determined. In addition the quality of nursing homes and long term care is determined by privatized companies who end goal is to make profits. In LTC and nursing homes it is advertised that, every department is involved in implementing quality management to offer the best quality of service;