Renaissance Magnificent Home: Community Analysis

I completed my service learning at The Arbors of Bedford, a nursing home for older adults suffering with memory loss due to dementia. Their mission is to care for the whole person in a manner that promotes freedom, choice and the opportunity to live a meaningful life (n.a., 2017). The Arbors of Bedford promotes a therapeutic environment by creating an open and welcome environment and by giving the residents as much choice in their lives as possible. For example, they can choose whether to sit by the window in a seat by themselves, or in a living room chair with a group of people. There is usually a television or music playing in one section, while another section is quiet which allows the residents to choose the setting that is best for them. They host a variety of activities that focus on different therapy areas. The activities offered include listening to spiritual hymns, tai chi, craft designs, piano performances, and invention trivia. These components together, along with a caring and competent staff, allow The Arbors of Bedford to fulfill their mission statement.

The Occupational Safety and Health Act purpose is to assure that individuals are working in safe environments. OSHA has been around for over 40 years and has come with many advantages as well as disadvantages. According to OSHA, “nursing homes and personal care facilities has had one the highest injury and illness rates, workers have faced numerous amounts of health hazards, and disorders compared to other work places”. These obstacles occurring in the health care work force has lead to the NYS Safe Patient Handling Act. This act consists of programs ensuring workers are better educated on how to prevent injuries, reduce disorders and improve quality of care towards patients.

During hourly rounds assess the patients pain level and take necessary intervention to alleviate pain, reposition patients who need assistance and make sure that urinals and call light and telephone are within reach of the patient. Taking care of these needs in a timely manner will make the patient comfortable, which will reduce anxiety and stress levels in the patient and reduce the risk of falls. The nurse should always make sure that the environment is safe for the patient by keeping the area clutter free. Comfort measures like tightening the wrinkled bed, giving warm blanket, changing moist dressings or repositioning the tubes or other objects that bothering the patient can enhance their comfort level Monitor high risk patients with delirium, dementia, hypotension, medications, and other conditions which can increase the risk of fall. Providing safety companions for continuous observation and to help the patients will reduce the number of falls. Nurses should educate and encourage patients to use the call light and phone to call for help. Provide patients with appropriate assistive devices like cane, walker as needed to keep them steady. I believe the concept in this theory of comfort can be utilized to reduce the occurrence of falls in health care settings.

In addition, I have learned that patient safety is at the forefront of nursing and the ability to think outside of the box. Before I had started the nursing program, if I was asked about patient safety my first thoughts would be, what could I do to the prevent the patient from falling, since then I have come to realize that patient safety encompasses so much more. At last my last clinical we had care of the a gentleman who spoke no English, he would just look at us and smile, If it won’t for the use of the interpreter I can see how this patient care would have been affective.

Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.

I chose a learning plan topic that would increase my nursing practice competency as a senior nursing student, would be relevant to my placement setting, would build on my knowledge obtained from completing NSE417 – Nursing Practice IV class and NSE407 – Nursing: Professional Issues and Trends class, and was approved by my Primary Preceptor and Faculty Advisor (FA). With a global trend of an increasing senior population and having a placement in a nursing home, it was important to choose a learning plan that focused on the challenges and trends in senior safety. My Overarching goal for my learning plan was to expand my knowledge and critical thinking skills related to expertly assessing and managing elder frailty in a long-term care setting by Tuesday, March 1, 2016. By completing this learning plan, I have fulfilled and demonstrated the College of Nurses of Ontario (CNO)’s Continuing Competency Standard by performing a self-assessment of my knowledge, developing and implementing a learning plan, and evaluating the outcomes of the plan (CNO, 2002). Ultimately, the goal is to enhance geriatric care at my placement setting and advance my competency in delivering safe, ethical, competent client-centred care.

working in the care environment we must ensure safe and good practise is provided. We are influenced and have such provides to help us gain knowledge such as national factors such as; codes of practise, national occupational standards, legislations and government initiatives. Working in the care environment it is an legal requirement to have an inspection every now and then, which must meet agreed national standards. If not, to result in the home being shut down. Also, the ways of working are set out in legislation and government papers. Every nursing home will have there own policy and procedures which you are able to read for guidance. Also caring and providing for people it is important we behave in a professional manner.

In this task I will be describing how health and safety legislation, policies and procedures promotes the safety of individuals in a Hospital. Quality care is an important issue for both health care workers and their partners. Government continue to work on implementing staffing law that will upgrade the medical systems. Hospitals are required to provide security for patients and staff. Mechanical equipment, housekeeping, administrative and food staff play important roles in preventing all environmental hazards. Safety concerns surrounding these hazards include injury, illness, disease exposure, disaster

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

We have maintained an excellent leadership team and staff loyalty and retention. Our staff goes beyond providing care and our services exceeds customer satisfaction. We work with elders and their families to meet each resident individualized needs. Our activities are structured to enhance the residents’ cognitive abilities and reconnect them to their past. Our schedule outings involve theaters, beach and social events. Our exceptional services have earned our communities trust and the expansion of our services is just one way of keeping up with our longstanding history of community

They found that the daily interaction with residents is very limited which make isdifficult to properly complete the tasks they are assisting with in a quality manner. One Assistantreported that “we’re not enough to provide quality care so we’re asked to take good care ofresidents; we try to but were just not enough, the service we provide is too kept to a minimum.” Ithink these key points are very important to healthcare role, I think that if you are training to bein the healthcare field you should know the importance of taking training seriously and thingsshould be done in a quick but timely manner. I would agree with this article and the nurseassistants who voiced their opinions on how caring more about the residents and properly

I used to work on medical field as a nursing assistant several years ago. The hospital is very strict, and organized when it comes to patients’ safety. Every morning, there is a briefing for fifteen minutes, and all staff should attend. During the meeting, the charge nurse talk about patients’ safety, the census, how busy is going to be that day, what need to be done, and the patient who need more attention due to fall risk. Hand washing is very important. All staff must wash their hands before and after entering the patients’ room. There are hand sanitizer all over the place, everyone must use it to avoid cross contamination. All patients’ bed must be in lower position, with floor mattress on both side of the bod in case the patient fall.

During my service learning experience, I chose to volunteer at Hermitage Gardens of Oxford. Hermitage Gardens of Oxford is a five-star assisted living facility located in Oxford, Mississippi. Assisted living facilities are housing for the elderly or disabled. In assisted living facilities duties such as prepared meals, nurse care, and housekeeping are provided. Seniors who need assistance with their daily activities and routines choose assisted living. Hermitage Gardens of Oxford is great for those who are retired or needs extra assistance. The environment of Hermitage of Gardens is warm, friendly, and homely. The residence and staffs treated me as if they had known me already. In my opinion, an environment in an assisted living facility should be

The age group I prefer to work with is the elderly due to the fact that they are often forgotten of in our society. I favor possibly working at a nursing home facility over visiting a patients home since environments controlled and safe through organizations. Completing my service learning at a nursing home center confirmed this fact that I would be more comfortable having a consistent work place. Originally I feared my communication skills were inadequate to work a nursing home facility however, I excelled at conversing with resident at the

Safety is an important aspect in nursing, but trying to balance it out with independence is a little tricky. Especially with older resident, trying to keep them safe while also maintaining their independence is difficult. This article it brings up the issue of visual impairment and dementia interfering with safety. Visual impairment could “increase vulnerability to risk” (p.476). Since the elderly lose their vision they will tend to lose their independence. The article talks about how the elderly need to be able to do things for themselves. I agree if they are healthy enough but as for some resident who do suffer from vision loss or dementia should be supervised on certain task. I work in the advance unit and most of them are either visually impair or suffer from dementia. I try to give them some independence but when it comes to ambulating by their self I cannot allow that. Being a certified nursing assistant is difficult sometime because I try to let one resident wander around but he refuse to wear a wandering alarm so it difficult to allow him to have freedom due to the safety issues. Safety is not just for the resident it is also for the care professional. In the key point section they state “lack evidence on how best of support older adults” (p.479). If the staff is uneducated how can they provide the best care for the dementia patients. It all will go back to their independence fighting with safety regulations.