There are several changes occurring in the nation’s healthcare organization due to the constant increasing demands in our nation. There are over three million members in the nursing profession and with that being said, nursing is the greatest component in our nation’s health care workforce. Nurses play an extremely crucial part in patient care because they have the most direct contact with patients. In order to effectively respond to the expeditiously modifying health care settings in the advancing health care organization, nurses…
It’s amazing how much time is given to elder care but without it many older adults would suffer. With the number of older Americans growing there is an increase need for care but the appropriate funding is required on both ends financially and more support and education is need among staff and administration to actually supply the proper essentials to the aging population. Being a CNA goes beyond caring for sick patients and keeping their patients healthy in a variety of setting as Ai-Jen Poo mentioned in the audio interview incorporating those attributes of dignity and value into the work and allowing the geriatric population to be surrounded by love care and connection is vital to getting older. Nursing aides are the backbone of these health…
Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of care implies that one or more of the requirements mandatory under the federal regulations 42 CFR 483 .13 involving resident behavior and facility practices, 42CFR .15 involving quality of life or 42CFR 483 .25 regarding quality of care are not complied with leading to actual jeopardy to the resident health or safety or having potential for causing more than minimal harm (HealthCare information, 2007). Any nursing home found with delivering substandard quality of healthcare or carrying significant deficiencies in its healthcare treatment plans would be required to immediately address the issue.…
* Leaders lead by example (not in the book but from FM 7-22.7 The Army Noncommissioned Officer Guide) this has stuck with me since my military days.…
The greatest challenge facing long-term care in health care is caring for the large number of elderly as the Baby Boomer generation ages. The economic burden placed on those in need of long-term care will be overwhelming. According to “Knickman & Snell” (2002), “the real challenges of caring for the elderly in 2030 will involve: (1) making sure society develops payment and insurance systems for long-term care that works better than the existing ones, (2) taking advantage of advances in medicine and behavioral health to keep the elderly as healthy and active as possible, (3) changing the way society organizes community services so that care is more accessible, and (4) altering the cultural view of aging to make sure all ages are integrated into the fabric of community life”.…
With the elder population living longer, the medical field needs to expand to meet the demands of the homebound patient. According to a study by Auerbach (2012), he projects the APN workforce will continue to expand a steady rate reaching 200,000 by 2020 and 236,000 by 2025. At the time the study was conducted in 2012, there were 128,000 APN’s. Having a home-care based practice is only one way to ensure homebound individuals are properly cared for and is guaranteed medical attention. One advantage of home-care visits alleviates the burden of the family of trying to find transportation to a physician’s office. Not only will APN’s home-care visits be convenient for homebound patients, it will be very cost effective as well. Naylor and Kurtzman (2010) assumes that the average cost for the APN visit is 20–35 percent lower than the cost of a physician…
In the poem “A Pace Like That” by Yehuda Amichai, it uses metaphors and similes about how he wishes that time were slower. Yehuda also makes references to his own life and how it relates to his wish. I believe Yehuda is trying to convey how and why he wants a slower pace.…
However, reimbursement issues are limiting the progress of APRNs to practice fully of their educational background, thus limiting “American public access to the care they want,” which is “to receive care quickly from a competent person” (Hill, 2012, p. 5). Such barriers not only limit the public’s access to care but also fragment the health care system further. This necessitates a creation of environment with a single goal in mind: patient-centered care, which can be achieved by optimizing APRNs’ role in primary care since “there are simply not enough physicians to care for an aging population” (IOM, 2011, p.112). By expanding practice, APRNs can spend more time doing what they have been for years: patient education and coordination of care, thereby leading the system towards a collaborative approach advocated by the…
Increasingly, senior citizens prefer to receive healthcare services in the comfort and familiarity of their own homes. Nightingale Home Healthcare is aware of this growing need for quality home healthcare services. The company has been in the industry for 17 years and is known for using emerging technologies to deliver efficient and practical home healthcare solutions. For instance, it was the first health care agency of its kind to install home monitoring systems that could track the vital signs of patients and forward the information to a medical professional on duty.…
Beyond that, it provides enlightenment in times when medicine is inept. If I must be scrupulous I hope that the book postulates on the future directions on aging and provide concrete examples of how society can work towards it, perhaps this issue can be recognized as a worldwide initiative or mark advance medical directives as compulsory. As Gawande suggests, we need to take a courageous stance to seek the truth in our medical situation and to be critical of what is significant in our lives. Most crucially, what should be done to instill the philosophy of assisted care so that people can see such form of care in a positive light, especially in Asia countries. With that, it could lessen the negative connotations on how the elders perceive themselves in the assisted facilities. It is significantly important for professionals to be a better listener so they can understand patient’s…
The surveys conducted from the quantitative method emphasised the importance of time to meet the needs of the patients and short staffing conspires to reduce the opportunity to do so. Timing affects the delivery of fundamental importance and high value of care for the elderly within these settings. Unfortunately even if dignified and compassionate care was top of the agenda for trained staff, the pressure they face may result in them not being able to provide this if time and resources were unavailable. Stating that health care assistant’s dignity and values may not be accounted for when delivering care, if staffing levels were an issue (Haynes,…
The adult-gerontological primary care nurse practitioner will provide preventative and comprehensive care to stable adults and elderly adults who may have chronic, managed illnesses (NONPF, 2011). The A-G PCNP often practices in ambulatory and community settings (NONPF, 2011). The adult-gerontological acute care nurse practitioner will provide restorative care to adults who have unstable acute illnesses or critical illnesses (NONPF, 2011). The A-G ACNP practices in environments like hospitals or telehealth, where patients’ clinical conditions may change rapidly. The care between the two different NPs may overlap as patients' chronic health issues may become acute, then stabilized and returned to the previous state of health (NONPF,…
I am a Registered Practical Nurse pursuing a degree in nursing. My previous clinical placement at Bridgepoint Active Healthcare and at Toronto General Hospital gave me valuable experiences and stir my interest in caring for the older adults. I realized that apart from addressing their physiological needs, other factors such as mental, psychological, spiritual, and social factors must be considered to attain and maintain their health and well-being. So to better inform my knowledge and practice, I joined the Gerontological Nursing Association Ontario as a student member and regularly utilized the practice guidelines from the Registered Nurses Association of Ontario.…
The Eden Alternative is a fascinating and relatively new philosophy that has had an enormous impact on nursing homes and long term care facilities across the country. Founded by Dr. William Thomas in 1991, the Eden Alternative has seen tremendous growth and expansion. Researching this topic I spent a lot of time on the Eden Alternative website reading about their philosophies, values, and principles. The Eden Alternative is a nonprofit organization that with the help of grants and donors has been able to expand domestically in the United States, and internationally. The vision of the Eden Alternative is to eliminate loneliness, helplessness, and boredom. Those three comprise what Dr. Thomas calls the ‘three plagues’ that affect elders in nursing home settings. The mission of the Eden Alternative is to improve the well-being of elders and their care partners by transforming the communities where they live and work. I found that the message of this program really resonated with me, and I was impacted so much that I am now looking into this philosophy even further as my grandparents continue to age.…
As more and more people in the United States of America live with chronic medical condition, and as the median age continue to age, long-term care providers are facing so many challenges and they will continue to do so. Quality of care has been a challenge, and will continue to be a challenge. Quality of care refers to the technical competency of medical and quasi-medical services (CITATION). Quality of care in nursing homes, even with all the substantial regulatory oversight, still remained problematic. There are however steps that can be taken to improve and promote quality of care in nursing homes and assisted living facilities.…