Long Term Care Case Study

Upon arriving at the long-term care facility and noticing that the toe tag on the decedent did not match the removal authorization, I would immediately inform; the decedents doctors, the decedents nurse, or whoever was in charge of the care of the decedents body at the facility. I would also call the funeral home and get instructions on what I should do next. Most likely, I would tell the facility to call the funeral home back after the body had been properly tagged. After the facility called me back, I would come back and transfer the body to the funeral home. I would follow the same procedures for transferring a body, but I would do everything I could to make sure that I was taking the correct body. It would be helpful in identifying the

D. Would the physician’s knowledge of the child’s condition serve as a defense against a claim of nursing negligence, particularly because the new graduate had spoken to the physician four times?

The three systems whose factors greatly affect the efficient delivery of services are hospitals, long-term care facilities and mental/behavioral health services. Each of these are significantly impacted by diverse influences, affecting the direction and method for health care delivery. For hospitals, the three factors are vertical integration, horizontal integration and sources of power, or stakeholders (). Horizontal and vertical integration are both structure mechanisms, but are very different in nature and their impact on the hospital system. Horizontal integration allows facilities in different geographic areas and different financial status affiliate with one another through a larger organization for the purposes of offering similar services.

If it has reached a point in time where a family member is considering moving to a senior care center, there are options to work with. Some of the most important factors to consider are the quality of service offered, amenities available, and how much one can pays each month. The monthly expenses are determined by the services that a senior needs, the size of the home, and the type of community. The following tips will help in budgeting for long-term care in Chesterfield.

I see this as a concern due to these following reasons: not all RN 's in the ED has a background in ICU or any acute care setting prior to getting hired there, the ED is not stocked with necessary supplies for an ICU patient, necessary monitoring equipment is also lacking, we do not have a Respiratory Therapist assigned to us, most of the Physicians in the ED have little or no background in Emergency Medicine as they previously worked in a Primary Provider role. I feel that these conditions are unsafe and warrant a re-evaluation of the nursing staffing for this population as nurses are being assigned to ICU patients but may not necessarily have the experience or skill to properly care for that specific case or situation. I bring this concern up because I realize that it is the nurses in the ED that have to care for the ICU patients and be potentially faced with an unsafe patient assignments, workloads or ratios. I know that I am not the only who feels this way because I am aware of a few nurses who has already filed grievance forms and has contacted the nursing union about this unsafe practices.

The statistics were reviewed with the Charge Nurse team, the ED Director, and ED Medical Director and after much deliberation, the group concluded that a reorganization of the nursing staffing was the most judicious response. Realizing the restructure would impact the lives of every staff member employed in the ED, the decision was distressing. Nurses place great value on their shift, full time equivalent (FTE), and the pattern of their working days, however, the current staffing model conflicted with the operational needs of the ED, furthermore, the facility possesses an ethical responsibility to address safety issues when identified and the current status quo did not meet the safety requirements of the patients, nurses, or

The three professional considerations that pertain to this case are similar to the ethical considerations. It was unprofessional for the nurses to call off, leave patients un-attended, and also breaking the patient legal duty to provide proper service to patients. According to (makely), “enhancing professionalism has become a major challenge for healthcare educators, employers, and personnel” (2009).

Growth in the number of the baby-boom generation that enters old age is the main driver of increased demand for long-term care. Women are more likely to use long-term care compared to men because they live longer and often outlive their husbands. The main goal of the long-term care is to provide a variety of services that help to meet a person's health or personal care needs. In addition, the services can be provided at home, in the community, and in facilities. Most of the long-term care services are expensive; as a result, Americans spend billions of dollars out of pocket on the services. The most expensive is the facility-based care, such as assisted living and nursing homes. For example, according to the New York Times, the

everyone has different style when it comes to management. Because it is not an easy task it may be very demanding on anyone having to fulfill his responsibilities correctly. Considering that the manager doesn’t only have to make sure policies are followed correctly but also ensuring that the staff does the job correctly. Because nursing staff ratios can have an influence on managers as nursing lacks can intensify the chance of error. As a result Patients care may suffer and that can cause nurses to get

When trying to find a way to reduce cost of long-term care it can be challenging, therefore, finding two alternative solutions is necessary for just in case the primary solution doesn’t work. One such potential solution would be a cooperative home between college students and the elderly patients. This could help resolve the cost problem because a spilt cost between college students and the patients would dramatically reduce costs and it would help the college students find a more affordable living space in comparison to sharing an apartment with other roommates. We would, of course, interview the candidates for the living spaces to ensure that both parties are not only compatible but also reliable. The situation would be like a roommate because both parties must pay their rent on time and be responsible for their costs. Obviously, the elderly patients would most

traditional concept has now been shifted towards the rehabilitation of CCs and symptoms managements by the utilisation of health promotion and interventions (Barawid, Covarrubias, Tribuzio, & Liao, 2015). Principles related to the provision of PC based on the philosophy of patient-centred care and application of holistic care approach followed by comprehensive care planning and cyclical assessment of any symptoms (Payne, Seymour & Ingleton, 2008). Nurses should be competent enough if any deterioration in a patient's condition to make the patient comfortable. The documentation in a consistent, dynamic and sensitive manner for which they require updating training and experience of evidenced based practice (Coulter, Roberts, & Dixon, 2013; Pringle,

Growing up with your grandparents has its benefits. I remember waking up to freshly baked biscuits and fried sliced ham on Saturday mornings just before cartoons. Riding to the pharmacy with my grandfather to pick up his medicine was one of my favorite trips. We would always stop for ice cream before we returned home. Soaking in the knowledge that streamed from the lips of your elders can go unappreciated until you are an adult. Watching people age gives you an understanding of what is important to seniors as they transition to retirement and lonIg-term care. Seniors value the ability to live and enjoy a life that includes independence, family, and home. In today's economy, there is a shortage of health care professionals. Home healthcare services are vital due to the aging US population and need for increased continuum of care.

There are legal responsibilities that we have as professional nurses. Because of the nursing shortage, one of the major issues of concern is staffing. Inappropriate staffing can threaten patient's safety. Inadequate staffing can also affect the nurse's health,

Centuries ago as people aged and needed assistance with care including hygiene, meals, toileting and moving around, were given assistance from members of their family within the home. Most of these cares were provided by elderly patient daughters to care for them so they can continue to live home. The number of females in the workforce has increased over the years however the increase of females in the workforce is affecting the age females are having children therefore parents are entering their elderly years when their daughters are in their prime of their work years making it difficult to be available to provide care. Life expectancy has increased which means there are more people living longer and entering the age when they may need care. People who need assistance with care tend to find it hard to seek help, as they believe this is a sure sign they are getting old as they can no longer effectively care for themselves and sometimes takes a toll on the self esteem. Children of elderly patients tend to reluctant to admit they can no longer care for their parents as this may imply they no longer care to their parents. As older people we often pride on our independence and privacy and the thought of giving that control someone else is very scary for many elderly patients. This does hinder elderly patients from starting the process of seeking long term care (LTC).

“listen”! Can you do me a favor and give this patient the discharged instructions. I need to immediately attend several victims that have just arrived from a horrible train accident! I know that as an interpreter you’re not acceptable to do this and you don’t have the opportunity to give a patient discharge instructions. However I’m way over my head right now! And it’s very important that I assist the accident victims now! As a nurse I won’t tell anyone about you giving this patient discharge instructions, it would be confidential between you and me. Please don’t refuse my authority. Now “here”, I need to go now!