Long-Term Care and the Shortage of Nurses Essay

The Continuum of Care is the variety of health care services provided to numerous individuals who are in need of it. All the various Long Term Care providers work as a unit, helping an individual handle their disability with various health care amenities accessible. The Continuum of Care, as stated in Long Term Care: Managing Across the Continuum (2010), is “comprehensive, integrated, and client-oriented”. All the services offered should be client-based and cater to the client’s needs and suitable care. The client’s should be able to obtain services when it is needed from the provider, making it comprehensive. All the different Long Term Care providers should be interconnected between one another, because their goal is all the same. Their goal is to care for the client’s needs. The Continuum of Care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. The continuum has many positive attributes, along with many barriers. The range of barriers are: poor transitions from Long Term Care setting to setting for the clients, the continuum is reimbursement-driven, it is fragmented and uncoordinated, it is under staffed with medical professionals, and there are major language and literacy problems.

How the Long-Term-Care Homes Act makes their goal possible is by having the participation of mutual respect for all of the residents, the resident’s families/friends,

Long-term care healthcare delivery will be a great/popular option for many of these senior citizens. The long-term care healthcare delivery system falls within the continuum of care. The continuum of care is a series of heath care services that are provided to a great number of older adults who are in need of them throughout the course of their life/older life. The care ranges from: personal care, custodial care, restorative care, skill nursing care, and sub acute care (Shi & Singh, 2012). Different providers work together within the continuum to provide the right care to those in need. The continuum of care, as stated in Long Term Care: Managing Across the Continuum, is “comprehensive, integrated, and client-oriented”(Pratt, 2010). All the services offered should be client-based and cater to the client’s needs and suitable care. The client should be able to obtain services when it is needed from the provider, making it comprehensive. All the different long-term care providers should be interconnected between one another, because their goal is all the same, which is to care for the client’s needs. The continuum of care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. As the future progresses and a great amount of

IntroductionThere has been an issue with lack of care in long term care facilities. Some examples ofthese issues include the following: pressure ulcers, falls, dehydration, insomnia, abuse ofrestraints, etc. of the elderly residents. Therefore, there has been studies performed to determinewhat needs to be changed and what the effect these changes would have on the facility as well asthe workers or nursing assistants. These studies take place in two different facilities in Quebec,Canada. It is sad how the majority of the workers interviewed have the same complaints thatdirectly relate to the reasons why proper care is not provided, yet nothing has been done to fixthose issues.DevelopmentThe most important factor to the career of a nursing assistant and the care of the elderlyin facilities is time.

The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers distribute a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, subacute care, assisted living, residential care, elderly housing options and community based adult services (CBAS) (Pratt, 2010). CBAS is broken down into subdivisions, which include: home health care, hospice care, adult day care and adult day health care (ADHC). ADHC’s falls under the category of non-institutional care, allowing individuals to be independent, stay within their community, live at home, and age in place, while being of high quality and low cost. The ultimate goal of ADHC’s is to keep individuals out of hospitals and nursing homes (institutional care), and allow them to live their life comfortably, independently and in their households with their loved ones (Alteras, 2007).

There are many factors that play a part in deciding who receives short term and long term health care such as an individual’s health and longevity. Health and longevity play a major role because it proves if one is capable or have the capacity to live independent. Long term or short term care is usually caused by the changes in a persons health that result in the decreased ability to care for oneself in daily living such as bathing, cooking, eating, and toileting

Many services provided by long-term care relieve the family of the burden of caring for a loved one, and maintaining employment at the same time. Long-term care also focuses on showing the individual how to live with a handicap. The disadvantages of some long-term care services offered are neglect and abuse. In nursing homes, elderly people are often abused and neglected. Family members are emotionally devastated, and are faced with finding care for their loved one

Long-term care typically refers to extended medical and social services required by people with chronic conditions to help them live as independently as possible despite significant challenges. Medical, social, housing, transportation and other services may be required. Long-term care may be delivered in community settings, such as adult day cares; institutional settings, such

Healthcare in the United States and around the world has always been a problematic issue when discussing on how clients should be housed and cared for in different healthcare environments. The demographic for Acute care applies with any individual regardless of age or condition while long term care facilities usually only apply for patients with similar conditions and the elderly. Americans who are seeking the best quality of the healthcare rely on the establishment with assistance from nurses and doctors to provide that top care. The intent for both care facilities also differ due to their intentions, whereas Hospitals work on treatment and to ultimately cure their clients, nursing homes are designed for giving a client the best quality of life and long term therapy. Precautions and provisions have been taken place at both care facilities to ensure the patient’s health is in its best interest. For the best care and top ongoing assistance for patients long term facilities are a better option than hospitals due to the nurses quality of service, cost of housing and care, and therapy.

But the most important point that needs to be made is this ,Our elderly are there to be taken cared of not neglected or abused. Neglect is the failure to provide care for those who need it ,even if it’s not intentional.Abuse is to treat in a harmful manner or in offensive way. Also retrieved from poppe law firm “ The top four complaints against nursing homes are: Physical abuse, Malnutrition,Dehydration,and Verbal assault.”Some people believe that our nursing homes are perfectly fine,but that not necessarily true.”In Madisonville there were 2 cases where the physicians weren’t notified when they were suppose to be and that resulted in death of the residents in both cases at NHC Healthcare in Madisonville” according to the website nursing home abuse advocate

After contemplating my own role as it was limited to a dietary aide, I realized that just my presence in the nursing home could play a huge role in the lives of all. After reading Atul Gawande’s book Being Mortal, which addresses the issues in elderly care and proposes strategies to solve them, I discovered that the indifferent care I have witnessed is not unique to my facility - rather, it is a part of a complex global dilemma. This did not derail my efforts; it reinforced

During clinicals, the residents had to wait a long duration of time to either get help with going to the bathroom, be transferred from their chair to the bed and vise versa, take a shower, and get help in other activities of daily living. In addition, many of the rooms were small, had bad lighting, and were not decorative or welcoming. Unfortunately, many residents have to share their rooms with others. The nursing home did not look or feel as a home - it was a crowded place. It was unfortunate to see that many residents wanted to go home and be with their loved

This is where the results of the findings are presented, and this list will stay in the system for years to come. As the project was a pilot for future programs, all of the material was newly created. The future health student or volunteer of Greenway may use my material as a template to build and improved, rather than create an original. This list aims to be use by the tenants as guidance, a reference when it is time for them to made a decision on which nursing home to go to when the time have come for them to move on. For a view of the final product, please refer to Appendix C.

The nursing homes that are present today have definitely evolved a great deal from where they first started. Before the 19th century, no age-restricted institutions existed in order to care for long term residents. The elderly people who had an incapacity, were impoverished, or had no family, often ended their days in almshouses (FATE). In these almshouses, elders had to live with those who were insane, intoxicated, and homeless. The older individuals ended up being the dominant residents in the almshouses so superintendents changes the names of these asylums. By 1923, the proportion of elders had increased to 67% in the institutions, and managers stated they could find everything they needed (FATE). This began the formation of nursing homes, however, there was still a negative view that came from the almshouses. People still

There are numerous agencies in the healthcare sector that are involved with catering for different sectors of the population. The improvements of services provided in the healthcare sector and societal developments are increasing the ability to manage both chronic and acute conditions. Therefore, the life expectancy continues to improve, and the healthcare sector advances. However, the current pattern is increasing the demand for another service in the healthcare industry, which is nursing and rehabilitation. The agency that will be evaluated in the paper is Milford Manor Nursing and Rehabilitation Center. Specifically, the organization provides a broad range of services and specialized programs for the geriatric population. The administration of the Center places emphasis on the creation of a second home for the residents and the family.