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
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The Patient Protection and Affordable Care Act (PPACA) is one of the most substantial reforms in Medicare since 1965. This is now considered the law of the land according to Douglas Holtz-Eaton. The PPACA portrays a “coverage first” strategy. “Sadly‚ a review a of the state’s experience bodes poorly for the future of national reform.” (Point/Counterpoint 177) There are two major driving factors in which could propose a threat for this reform. The first factor is it costs too much. Many decades
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society people have started to plan for their future. This planning ahead has created multiple diverse businesses and communities. There are numerous different facilities worldwide solely constructed for providing care to the elderly. The percentage of older Americans residing in assisted living facilities has declined in recent years. However rapid aging of the population‚ especially the growth of the population 85 years and older‚ means that demand for nursing home care is steadily increasing. There
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Ostomy Care Teaching Plan I will be developing a Ostomy care teaching plan for client L.J‚ who is 24 days post operative following a colostomy. This teaching plan will be specific to L.J‚ taking into account his learning needs‚ his motivation and readiness to learn and any environmental factors that might influence his learning. The teaching plan will also include visuals for the client‚ active participation and an evaluation of the goals. While working with client L.J‚ I was able to complete
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Precautions: Fall‚ aspiration‚ skin Admitting Diagnosis/Chief Complaint: Dysphagia Past/Present surgical procedures: PEG placement on 11/11/14 Hx. of Present Illness: Patient is nonverbal and history of present illness is not included in the charts. Patient is a 77 year old woman who was admitted to West Gables Rehabilitation Center due to severe disability due to a recent hospitalization for psychosis secondary to dehydration and poor oral intake‚ PEG tube was
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ASSIGNMENT 207 UNDERSTAND PERSON CENTRED APPROACHES IN AN ADULT SOCIAL CARE SETTING TASK B – SHORT ANSWER QUESTIONS Bi Describe two ways of finding out about the history‚ preferences‚ wishes and needs of an individual using the service. * By asking the individual at their initial assessment‚ a full history should be taken as part of their care plan * By referring to past notes from social care workers‚ GP’s and family Bii Describe two ways of making sure that the history
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HLTEN505C L.G. Due Date: Week 11 (13 May)‚ 2013 As per Ehow web and Nursing Times.net‚ the following table compares the neurological and neurovascular observations. | Neurovascular Observation | Neurological observations | Why to observed | Nerve function and blood flow to an injured extremity | Examination of patient’s nervous system to assess the responses to various stimuli. | What & how to observe | 5 P’s: pain‚ pulses‚ paraesthesia‚ paralysis and pallor | Vital signs and
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Do Nursing Interventions Implemented in the Home Setting Have an Impact on Cancer Patients? Introduction Critical Appraisal is a means of which research data is evaluated and examined for the validity and quality of individual studies after the elimination of studies that do not contribute to determining current best evidence (Hamric‚ Hanson‚ Tracy‚ & O’Grady‚ 2014). This evaluation can be used to eliminate studies that do not meet criteria for meta-analysis. Critical Appraisal is used
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Organizing Patient Care Within this discussion‚ I will explore the transitioning of a primary nursing care model to a functional method of staff utilization. Consequently‚ my focus will be on the implementation strategies used or omitted to achieve this change. Structural Change Nineteen eighty-six was an interesting year. University Hospital in Boston practiced primary nursing‚ and as Marquis and Huston (2015) describe‚ this structure provides high job satisfaction along with responsibility
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Describe the details of your patient care experience. I began my career in healthcare working as a behavior therapist for individuals on the autism spectrum. I worked as part of a care team centered on improving the quality of life for the clients we served. Working directly with a behavior analyst and a speech language pathologist‚ I assisted in developing and implementing therapeutic programs specific to my clients’ unique needs. I spent the majority of my time working one on one with clients
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