The Geriatric Institutional Assessment (GIAP) Profile relates to staff awareness of existing programs and protocols at your institution, that support nursing staff who are caring for the geriatric population. There is a section on the GIAP which drills down on specific care regimens that should be part of routine patient care, for patients with confusion, patients at risk for falls, or those at risk for pressure ulcers
Nursing homes and assisted facility homes are all examples of long term care facilities. These facilities are usually targeting individuals who are of geriatric age or need around the clock care (mental health and physical health). The residents in these communities have access to individually-tailored levels of individual or group-centered activities, programs, and assistance whether it is with home or personal care. Long term care facilities are generally for those who are unable to manage independently in the community. Specific types of long-term services include nursing homes, hospice care, home health agencies, and residential care facilities. The goal of these programs is to make sure each patient has a safe and comforting environment
The guideline selected for review is published in the National Guideline Clearing House by Johnson VB, Chalmers J., University of Iowa College of Nursing, John A. Hartford Foundation Center of Geriatric Nursing Excellence. There are three main parts to the guideline: risk factors, assessment, and prevention. The focus of this evaluation is on identifying risk factors, assessment and interventions, and prevention. In brief, the guideline is outlined as follows, and can be read in its entirety on the National Guideline Clearing House website:
The majority population of long-term health facilities is comprised of geriatric patients with complex comorbidities. Studies show that one-third of these patients have cognitive impairments, and over one-half have physical limitations (Tjia, Bonner, Briesacher, McGee, Terrill & Miller, 2009). It is important to know geriatric patients have increased vulnerabilities. When patients are poor historians and family is unavailable, the nurse often becomes their only advocate during facility admissions. Adequate discharge planning is imperative for patient safety and successful transitions from hospitals to long-term care facilities. It is the equal responsibility of both care
The Pearson PIA activity is designed to show the somewhat hidden parts of a personality through a series of questions. With mini tests like ‘Are you a Type A personality’, ‘Creative Learning Style’ or ‘Work Motivation Indicator’, some of the most important aspects of a personality can be categorized. I enjoyed seeing my results; especially in comparison with others. Based on the assessments as a whole, I believe they show a lot of room for improvement. The tests that most interested me were the type-A personality, self-awareness, and emotional intelligence assessments. They validated several aspects of my personality that friends and family have shared with me as weak points. I plan to take this information and work on myself in order to mature
Long term care facilities are first established under state licensing laws and, in most cases, a granted certification that there is a need for nursing home beds in a specific community. Medical professionals and support services providing care and related functions must also operate in the nursing home under the licensing, regulatory, and standards of practice governing their areas of specialty. In addition, each long-term care facility must establish their own policies and procedures for everyday operation to stay within their operating standards and legal limitations (Brady,
Types and number of staff that this facility needs, and the rationale for this. How these needs differ in facilities that attend to different long-term care populations
The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.
According to Statistics Canada, aging population has steadily increased since the mid-1960. The age of 65 and older comprised 15.7% of the country’s population. Promoting health in these aging population is very crucial to minimise the severity of health complications that might occur in the long run. Gerontological Nursing involves the care of aging people and emphasize the promotion of the highest possible quality of life and wellness throughout the lifespan (Eliopoulos, c2014 p73). Aging people need Gerontological Nurses who are knowledgeable and willing to promote health and optimum quality of life with the consideration of their core needs such as physiological balance, connection and gratification (Eliopoulos, c2014 p78).
The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”
This paper examines the quality of care received by the elderly with an emphasis on measurements for care, recommending additional tools to be adopted to measure the overall well-being for the elderly in order to gain a more comprehensive understanding of the quality of care for those living in senior care facilities.
To ensure the best health care provided to older adults, nurses need to apply the nursing process to all their patients to reduce their hospitalization and help them live better lives. This also provides the health care provider all the information needed to plan their care. L. Lilley, S. Collins, and J. Snyder (2013) explain the importance of lifespan considerations with elderly patients, “More than 80% of patients taking eight or more drugs have one or more chronic illnesses. More complicated medication regimes predispose elderly patients to self-medication errors, especially those with reduced visual acuity and manual dexterity.” (p. 43) Considering our patients age of being over 65, special considerations are needed
Therefore, he promotes his idea about integrated delivery system to the board, and he forms a group called “The Geriatric assessment and Care Planning Team” which gather medical, rehabilitation, social services, nursing staffs to work together on resident health assessment. But his plan bristled with difficulties.
The Balanced Scorecard of the nursing home needs to take many aspects into account for the environment is fast-paced and potentially stressful and providing care involves drawing upon a complexity of technological and interpersonal skills.
Assessment is described as”The first stage of the nursing process, in which data about the patient’s health status is collected” (Oxford dictionary of nursing, 2003, p23), following this phase a care plan can be devised.
Design and scope constitute element one. Pertaining to nursing homes, a quality improvement program should take aim at medical care, resident selection, and quality of life (Center for Medicare and Medicaid Services [CMS], n.d.). An initiative was developed to better diabetes care