Improving The Long Term Health Care Facility

Hello Dr. Ullom, majority of the long term care facilities are under staffed. There is usually one registered nurse in charge to manage a 240 bed facility, with LPN's  and nursing assistance. I feel that these patients would benefit from having one RN to every six -eight patients with a nursing assistance. Not only would this benefit the patient but the nurse as well. Patient are placed in long term care facility with a certain problem, but ends up with additional condition such as UTI, MRSA, pressure ulcers, and etc. These issues are related to poor care they receive because of unstaffing. I'm not placing blame on the LPN or nursing assistance, but with a RN and low nurse to patient ratio, they will receive better care.

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

Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.

For a long period of time, hospitals have basically been established as nonprofit and for-profit facilities with several similarities and differences between these categories. Notably, these categories have minimal differences though it's difficult to predict their quality based on their structures. The healthcare field has also been characterized by several trends in the past three decades in attempts to improve the delivery of services and patient outcomes. In relation to the provision of long-term care, hospitals and nursing homes have different roles that enable them to achieve this objective. The hospital sector in the United States has experienced several changes that have contributed to its current state of long-term care policy.

Flexible and inexpensive, focus groups consist of six to ten participants (Hartman, 2004, p. 408). Additionally, a moderator guides the discussion among its panel members that allows researchers to observe real-time verbal responses and nonverbal cues (Hartman, 2004, p. 402; Cooper & Schindler, 2014, p. 160). Focus groups moderators also have the ability to introduce new ideas to gain a greater understanding of concerns from respondents (Hartman, 2004, p. 402). However, a concern with focus group is the lack of anonymity due to the face-to-face participation.

These agencies expect long-term care facilities to maintain an environment that will emphasize the importance of one’s quality of life and quality of care (Walsh, 2014).

Shayna, working in a Long Term Facility (LTC) can be very daunting at times. In my personal experience while working in LTC, is the demanding workload placed on staff with minimal staff recourses. My mother has worked in LTC 30 plus years, recently we had a discussion about patients are becoming more diverse, and the geriatric population is changing. One of her concerns was similar to yours, trying to find a balance in providing care that will help individuals maintain or reach their full potential. With lack of communication, increased demands on staff, and a changing population I can understand you feelings of frustration at times. Based on my research the nursing model utilized in your facility is quite beneficial. The apparent issues

Fourteen staff nurses participated in the focus group. The results of the focus group revealed a lack of clarity related to the intent of the study, documentation was an added burden, some felt it was a punitive measure for something

This article represents a focus group type of qualitative research. According to Qualitative Research Consultants Association (2015), in focus group qualitative research, a group of individuals who share a need, life circumstance, or habit relevant to the research issue(s) at hand are led in a discussion by a modulator. The focus group discussions often include between two to ten respondents, and are often held face to face. They can also be conducted remotely through videoconferencing, teleconferencing, or

The realization of such services should be supported with adequate funding. Again, the stakeholders of the organization should be the major contributors towards the long term care service provision funding. The continuum care is crucial in the sense that it ensures that the care of the patients continues amid all the challenges and at all times. In case of financial challenges, the government ought to lend a helping hand to assist fund the important services (Pratt, 2010). Other private organizations with keen interest in healthcare provision

Ground Rules: Participation in the focus group is voluntary, that it is all right to abstain from discussing specific topics if you are not comfortable, that all responses are valid-there are no right or wrong answers, to please respect the opinions of others even if you do not agree, to speak as openly as you feel comfortable, and avoid revealing very detailed information about your personal health. (University of Massachuetts, nd)

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

A reoccurring issue such as bedsores is something nursing home facilities try their best to prevent. Unfortunately, the rate at which it is occurring in our nursing home is 12%, a little higher than that of the national average. This is a number that we as a facility are not proud of, and as Director of Quality Improvement, new strategies will be implemented to improve the quality of care in which our patients are receiving. This simple plan mimics that of the FOCUS PDSA and can be broken down into a few steps in order to be better assessed. The first step involves creating a team of employees to research and better understand the main source of the bedsores. The second step includes developing a strategy, without any errors, within the team

Health care is something that everyone requires in order to lead a healthy life. After a visit to a hospital there are instances when certain individuals require further care due to their circumstances. Although hospitals may provide long-term care, it is not usually ideal. Hospitals are in place to handle emergency situations and aid in stabilizing the patients. Once the patients are stable, they must be transitioned to another facility if they require further assistance. This will avoid maximum occupancy for the hospital and allow it to remain available to other patients that may need their services. Patients who require long-term care or around the clock care and are in good medical condition should seek a long-term care facility, such as a skilled nursing facility or nursing home. For some individuals, facilities such as skilled nursing facilities or nursing homes are a blessing. These types of facilities are in existence to aid in the recovery of certain injuries and or to provide living arrangements for those who lack someone to care for them or assist with meeting their health care needs.

A Focus group is defined as a research technique that collects data through a group interaction, on a given topic from the researcher. Along with this definition are some essential components. Firstly, it states that, focus groups are research methods devoted to data collection. Secondly, it signifies the interaction of group discussion as a source of data. Lastly, it acknowledges the active role of researchers in establishing the group discussion in order to collect data (David, 1996.p.130).