Pa Self-Directed Model

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.

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.

MSW discussed and educated Pt and husband about the hospice process and services offered. Husband decided he was interested in starting hospice services for the Pt, the Pt verbelized the same. MSW also offered the husband a booklet of overall community resources within the county that can be some assistance if needed in the future. MSW notifed Donna, RN about them being interested in hospice servies and made a referal to Conunim Home Hospice to go evluaate the Pt for hospice services. MSW will continue to provide community resource planning and emotional counseling as needed. Pt to possiblity e discharaged for Home Health to Hospice services. Alzhemers, Stage

CCIB received a Corrective Plan of Action (CAP) detailing the visit to the home on 10/18/17 by Service Coordinator, Sally Cano. Ms. Cano arrived at the home, but no one was there. Ms. Cano proceeded to check Delta Home 3 (located next door) and found 2 of Delta Home Care IV residents along with residents from Delta Home Care 3 at the home. As Ms. Cano was leaving, she observed a bus arrive at the Delta Home Care 2. The bus driver reported that there was no staff at the home and that the residents were waiting outside. It was observed the Delta Home Care 2, 3, and IV to be lacking staff. On 10/19/17, RP and Quality Assurance specialist (QAS) Jesus Ozeda went to the facility to observe the staff to resident ratios and to collect the staff schedules

Independence Care System works very closely with HRA, to facility the services for their members. They also have a department that make sure their clients Medicare, Medicaid and social security benefits are active, the social workers at ICS work closely with Human Resources Administration (HRA), Department of Housing and Home Care Agency (HHA) to provide the necessary needs and resources for their members. At ICS the care coordinators including the social workers find linkage with adult’s day care or social day program so their members are provided with daily activities. These programs are under two models, medical and social model. Not only did the social worker Mrs. Alexander provide these resources to her clients and their family she stayed

Ms. Coleman has a long experience as an APCW and has demonstrated excellent knowledge of risk identification, investigation, agency programs and outside resources, which she applied for the benefit and safety of reported adults. Beyond assisting reported adults in her assigned cases, she also has provided information about programs and resources, such as CDS, in Home Services, MFP, RCF and nursing home placement, guardianship and Medicaid to outside callers asking for information. She knows and has adhered to all policies and HIPPA confidentiality rules. She consistently worked independently and kept her supervisor informed of all pertinent work. Ms. Coleman has passed on her knowledge about some detailed technical Case Compass operations to her supervisor and new co-workers. Ms. Coleman consults with APCS regarding clients, policies and procedures; Ms. Coleman meets most objectives in this job component.

Residential and personal care facilities provide supervision and assistance but not medical or nursing needs. These facilities services are not provided but licensed professionals but rather paraprofessionals. They avoid taking in individuals that have severe disabilities but will consider taking in individuals that have mild mental dysfunction (Shi & Singh, 2015, p. 400). The facilities range from basic to deluxe and the deluxe facilities are often paid out of pocket privately. Social security and other government funds can be used as the payment for these facilities for those on a fixed or limited income. The basic services included here are laundry, housekeeping and daily meals.

SC completed monitoring telephone with Pa’s informal Tressa on 1/28/2016. No new health problem was reported. However Pa’s treatment regimen has change to include radiation therapy due no change in the tumor. No ER visit, hospitalization, or falls were reported by CG. A temporary increase in PAS services was requested due to new medical treatment. Pa's informal, stated Pa is requesting a temporary increase in Pa's aide services so that she can safely remain in her home with assistance. Pa is being treated for cancer and need a more aggressive treatment which includes chemo and radiation 5 days a week. Pa currently gets 6 hours of PAS per week, 4 hours on Wednesday and 3 Saturday agency model PAS via Prestige Home Car. Pa anticipates that

A 40-bed capacity aged care facility that offers hospital level of care with registered nurses on duty in each shift (Anne Maree Rest Home, 2014,b). Weekly visits from the doctor helps keep the care going in the right track. A physiotherapist visits weekly and is also on call whenever needed. There is a low ratio of residents to health care givers to ensure quality care at all times (Anne Maree Rest Home, 2014, b). Staff is highly trained, ensuring safe and efficient care to the elderly. The organization train employees to be of excellence because this ensures success of the body (Wentland, 2007). Residents engage in activities developed by the

This is tantamount to elder abuse, because Hazel from 24/7 KIT continues to perpetrate this scheme upon Norma & Christina (employees of Park Plaza), to contract illegally with these vulnerable seniors who pay privately for this additional personal care. I pray that you will investigate this matter and bring this unscrupulous operator into compliance with the "Home Care Protection Act". On a follow call the RP stated that Park plaza does provide the basic services to residents such as bathing, grooming and etc. RP stated that Park Plaza contracts with 24/7 Keep in touch for additional help and for fall risk residents that need extra care. RP stated that he has talked to Bruce about what is going on in his facility (which has been told to RP by his caregiver in the facility) and that he would give him a week before RP would report what’s going on. RP stated that he has a caregiver that is still at the facility that provides care to a resident (name not provided). In addition, the RP stated that his caregiver is being intimidated by staff to let 24/7 KIT provide care to her

Ms. Milton continues to need attendant care services provided by her husband. Ms. Moran requested a survey to be done with providers who can provide services in her home area.

Reimbursement for these facilities and programs is shifting to a quality and acuity-based system, meaning the better care a facility provides, the better the reimbursement will be. This new reimbursement system is aimed at benefiting those receiving care but does not take into consideration the costs associated with providing such care. Additionally, this program is not just centered around medical care, but also considers the quality of life long-term care facilities and programs provide for their patients (TN Division of TennCare). Long-term facilities and programs focus their attention to the maintenance and monitoring of health conditions in individuals, and now these facilities and programs must do so while documenting every aspect of care – from when and what types of medicines are being given to the number of showers an individual takes each week to the portion of meals an individual is eating. While this may sound essential in the maintenance and monitoring of conditions, the extensive charting required under the new reimbursement system also takes caregivers away from providing additional

Here I observed many residents at very different levels of functioning both physically and mentally. The residents range from those who need a lot of assistance with basic everyday needs to those who need minimal assistance and are nearly self sufficient in this setting. These residents are encouraged establish or maintain as much independence as possible and are supported in that effort with physical and occupational therapies available to them. This facility works to ensure the well being of the “whole” person with services that range from mental health screenings, individual counseling to transportation and support at physical health appointments as well. This facility works not only toward the satisfaction of the aging person but the satisfaction and comfort of their family. This facility works to exhibit quality care of not only those residents with active family involvement but also for those who have no active family

Continuing care retirement communities are life-care communities that are based in the United States. Under these communities, the lives of aging people are enhanced through independent living; assisted living and nursing home care (Morrison et al., 2013). These types of care may be met in a single residence or apartments. My community consists of 300 units. These units are divided into 180 independent units, 40 assisted living beds and 80 nursing home beds. The community accommodates an older resident for three years in the independent facilities, followed by one in the assisted living facility. Finally, the resident lives in the nursing home for nine months. The CCRC serves aging people in the United States. These people move into CCRC even when they live independently. Their stay in the community continues until the end of their lives. The advancement in age leads to changes in medical needs as well as the changes in the kind of nursing they receive in the community. In this regard, an increase in age leads to a corresponding increase in care services for aging people. The community takes care of the needs of the patrons. In the event that a patron requires hospitalization, s/he may go back to their residence when they get well. They receive relevant treatment and care in these residences. The community attracts senior people that live in isolation and are in dire need of care environment alongside people of the same age.

MISSION: To provide high quality of personalized care for clients in their own home, to preserve independence and promote adequate care for their specific needs that can be from an hour a week or 24/7 that depends on their necessity and secure their safety as services is being rendered.