Open Availability In Nursing Home

Issues with long term care services include employee turnover, regulation, employee communication and especially payment for services. Legal concerns associated with long-term care are the rise of population who will eventually need it. The demand for long-term care services are going to explode as the population ages and more people are living longer with chronic conditions. But the main questions still remains, who will pay for these services and how will they be delivered? When I say this I’m referring to the actually facilities themselves, will there be space for patients when the time

The challenge America now faces is the number of people reaching retirement will double in number by 2030, and the U.S. population will increase almost 20 percent ("Our Aging Nation," 2015). The goal is for the elderly to maintain and live with independence and dignity, as well as, provide a wide range of professional health and social service expertise, home care, and residential support and services that will be needed ("Our Aging Nation," 2015). Since the number of caregivers needed for this population will not be able to meet the demands other resolutions are considered necessary.

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.

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.

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

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,

One thing every living organism has in common on this planet-- age. No one wants to age or face the fact that aging is inevitable. However, since it’s impossible to beat the never ending time clock that is life; everyone wants to be as comfortable as possible when age finally does catch up with them. When the majority of people think of comfortability in old age, they think of living in their own homes and being surrounded by their loved ones. Not many individuals want to be placed into a nursing home type facility because they can’t imagine themselves being comfortable that way. Nonetheless, even though being placed in a home does take away some of an elderly person’s independence, usually the independence lost is in activities that person can no longer do for themselves. Indeed, nursing homes do have their own set of scary stories behind them; life lost, independence lost, and privacy lost, yet many of those stories are outdated. Upon investigation, it would be easy for anyone to scare themselves out of a nursing facility due to the stories that are out there. Yet, upon even further research people would be able to see how far the United States has come in their development and evolution of nursing care facilities. The care of the elderly in the form of nursing homes has faced a tough evolution starting off with a harsh past, to what nursing homes are like now, and what people can expect for the future of these homes.

Long-term care is a result of people having terminal conditions, disabilities, illnesses, injuries, or being elderly. The purpose of long-term care is to provide services to people and to aid people at a time in their lives when they cannot depend on themselves to maintain daily activities. There are many variations of long-term care available – such as home care, adult day care, and independent and assisted living, personal care facilities, nursing homes, and hospice.

Long-Term Care is the retirement crisis that no one is talking about. There is an increasing demand for long-term care services because Americans are living longer with chronic health conditions. For Example, Veterans may live with family or alone and need services that their caregiver can no longer provide or may outlive their primary caregiver. Nursing home placement seems like the only option.

In my practice as a social worker in a long term care setting, I have become aware these are the resident who lack to ability to care for themselves due to physical limitations as opposed to their mental limitations. I have also noticed this is the population which has the most difficulty adjusting to living in a nursing home. This seems to be the population which most often displays symptoms of depression and sadness regarding their situation of living in a nursing home, and often times will state they want to discharge home even though they and their families are unable to provide needed care.

If you've ever thought about senior homecare, you've probably heard or read some home care myths that made you stop and think twice about it. With only a third to a half of seniors receiving homecare going through a professional care agency, many family care providers wonder what the reluctance is. Perhaps some of the myths are true?

Activities of Daily Living can include just that, such as cooking/eating, bathing, personal care, toileting and help with medications. This around the clock care can be quite expensive for anyone, especially those who have already retired and were living on a fixed income, including retirement and social security. In the facility that I observed to live on the skilled care side and receive care twenty four hours a day seven days a week in a semi private room (double occupancy room), the cost was nearly $11,000 a month for each resident. The average cost across the country is $248 per day for a private room and $222 daily for a semi-private room (Costs Of Care), which for a private room can add up to over $90,000 a year. While that number is quite high assisted living can be much cheaper, at an average of $3,300 a month for the “base fee”, however each additional service that they require help from staff to complete is an additional fee. In the facility observed there was a fee for every action that staff completed or assisted with, including assistance with medication, trash, cleaning, and applying treatments such as a breathing machine. Though the cost may seem high many who do not have children or other family members to help provide care for themselves or have a condition that cannot be managed at home (due to physical or financial restraints) have no choice but to enter a long term care facility to receive help completing tasks needed for simple

Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at

This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.