The Role Of Culture Change In Long-Term Care

You mentioned two of the main payers for the over 65 population, Medicaid and Medicare. I work in long-term care (LTC) and deal with regulations governing Medicaid and Medicare reimbursement daily. Currently, at least in North Carolina, our skilled nursing facility (SNF) Medicaid rates were frozen at the 12/31/14 CMI rate. That means for over a year now SNFs have been paid at the same rate, but expenses have not frozen. This rate freeze has placed financial pressures on SNFs and presented them with operational challenges regarding implementing and maintaining quality initiatives.

As human services workers we have to be aware of the different cultures and how to respond to them so that we are able to provide the best treatment the clients. The American Psychological Association suggest that we first need to learn about ourselves by exploring our historical roots, beliefs, and values so that we can realize the pervasive role culture plays in our lives (Clay, 2010). After accomplishing this we need to educate ourselves about the different cultures we are going to work with through journal articles and books, along with learning a second language is a good way to further cultural education (Clay, 2010). You state that members of class have learned about culture in different ways depending on their background, these ways

However, many residents yearn to go back to previously known environment such as their homes and living their lifestyle. Many residents perceive they are stuck or trapped in a nursing home due to the lack of autonomy (Choi et al., 2008, p. 539). Many nursing

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Great post. I would like to add that, culture is not apply only to clients and families; it includes educational, health care, and professional organizations. The model includes the domain workforce issues, it is used to assess cultural issues among staff. Each culture reflects the social structure, historical antecedents, values, traditions, management processes, policies and procedures. Every staff has diversity in thinking, reflecting, and behaving, which we are encouraged or tolerated. Managers and directions use the model to promote staff acceptance in multicultural and multinational populations in the workforce. In the long-term care facility used the model to guide care plan development for their Jewish residents because many non-Jewish

Long term care (LTC) is holistic method of treatment of the person who suffer from physical, mental or emotional chronic problems which impacts their routine independent work (Spruit, M., Vroon, R., & Batenburg, R., 2014). The long-term care helps to improve quality of life and help the patient fulfill various needs (Shi & Singh, 2015).

The continuum of institutional long-term care is for patients whose needs are not adequately met in a more community-based setting. It is for individuals who need more dependency. There are two ends of the continuum of institutional long-term care spectrum. On the one end there are the individuals that may only need basic personal or custodial care (Shi & Singh, 2015, p. 399). An example of personal and custodial care can include help with walking, bladder training, or just helping with bathing. On the other end there are the individuals that may need more round the clock care with nursing or specialized services along with the basic needs (Shi & Singh, 2015, p. 399).

I enjoyed reading your discussion post about how patient-centered care is present in the long-term care. I believe that all nurses should be taking the time to find out how the patient prefers to take their medication and what the patient likes to take it with, whether it is with ginger ale, water or something else. I believe that the little things that the nurse can do for the patient can make all the difference to the patient. No matter where the nurse is working there can always be difficult patients to work with like the patient that you gave as your example. We see patients like this in the emergency room, it is vital for the nurse to remember that we are seeing this patient in what the patient considers an emergency. Sometimes allow them

Health care providers interact with patients from many different cultures. It is important to be knowledgeable and respectable of other cultures. Health care providers will be able to improve the experience of the patient if they are more culturally. More than 500 nations of Native Americans exist in the United States with a population of over four million people. Each has their own language, culture, healers, and tribal customs and religions informed (B. Stuart, Cherry, & J. Stuart, 2011). The purpose of this paper is to inform the reader of cultural influences on end of life care in the Native American culture.

“Demographics of the US population have changed dramatically in the last three decades. These changes directly impact the healthcare industry in regard to the patients we serve and our workforce” (Borkowski, 2012). In fact, Voutsas (2011) argues that the U.S workforce is the most demographically heterogeneous workforce in the world and he believes that this is due to major changes and diversity .Borkowski (2012) also states that the significant changes in the US populations has been seen greatly in regards to gender, age ,and race and ethnicity .

I would have to say yes in light of the fact that the expanding increasing diversity of the country brings opportunities and difficulties for health care providers, health care frameworks, and policy makers to create and convey culturally competent services, which has enhanced tremendously. Dialect and communication barriers can influence the amount and quality of health care received and may likewise prompt patient dissatisfaction, poor understanding and adherence, and lower quality of care. A few cultural impacts, for example, excellence in care delivery, ethical values, involvement, professionalism, value‐for‐money, cost of care, sense of duty regarding quality and strategic thinking were observed to be key cultural determinants in quality

Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied

The first step to promote culture, as a determinant of health is to have a case conference with the resident, the family and multidisciplinary care team. The Australian Society for Geriatric medicine (2001) indicated that the best way of meeting health needs of people in aged care is through a Case Conference. Having the multidisciplinary team members, family and the caregivers gives the opportunity to discuss issues and bring about a solution (Halcomb 2009).

We talk a lot about culture change, but what is it about the culture that needs to be changed, and which culture are we talking about? In all community care settings, there are actually a few cultures that come together and, sometimes, collide. We have examined culture before and used Edgar Schein's definition, which we have loosely summarized as “the way we do things around here.”

When it is comparable it is easy to differentiate, where I could not find any similarities in the way the elderly are treated in the U.S. society and in my native culture. When people get older they want more comfort and care of their families. In U.S. society and in my native culture they both do care of elderly people. However, In the U.S. society, they do more to care for elderly people than in my culture. The two major differences are financial issue and care of their families in a different way.