In unit 10 we discussed the ins and outs of regulation and enforcement in long-term care. The main reasons for health care regulation are that the government is a major payer and majority of the clients are often frail and vulnerable. In this post, I will discuss some of my take-ways. This unit taught me that there only a few main enforcement agencies. Some of them include the Department of Justice (which sets standards for the disabled), Medicare, and Medicaid. When we were discussing Medicare I had NO idea it has so many detailed sections! Something else I found equally interesting was use of surveying to verify compliance. Compliance is important because enforcement requires substantial compliance. There are actually two types of survey
Consequently, there are abuses constantly occurring in assisted living facilities. Since abuse occurs throughout assisted living facilities, state and federal governments should establish regulations to inspect employees’ criminal record, have surveillance of the areas that do not affect patient privacy and promote family visits. People need to realize that he elderly have emotions like everyone else, they should not be getting mistreated in assisted living facility. Instead they should be getting help and enjoying the life they have until it is time for them to go. If these people are constantly abusing elderly’s, the law enforcement should arrest the employees. The employees should get life in prison.
P3 – Describe the investigations that are carried out to enable the diagnosis of these physiological disorders
After reviewing the current state of the long-term care policy from the United States, it
P1: Using a table, describe the physical, intellectual, emotional and social development for each of the life stages of an individual.
Nelda McCall (2001). Long Term Care: Definition, Demand, Cost, and Financing. Chicago: Health Administration Press, pg. 19.
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
To enable individuals to have a choice and control over the services they receive they must be placed at the centre of the decision making process, the current changes within the health and social care sector reinforce the idea that it is the individual in need of these services that knows best what their needs are and how they can be met effectively. Within my workplace we support and encourage service users to partake in their own care planning process to ensure the care they receive is personalised/ tailored to them as an individual, it contains personal likes/ dislikes/ preferences and choices regarding every aspect of their life.
I will discuss how LTC contributes to the U.S. Healthcare System, the targeted clients, employees that work within the long-term setting, the benefits and services offered within LTC, and the expected outcomes for individuals in a long-term facility. I will discuss the legalities and regulatory issues faced within the LTC setting along with ethical issues that may impede successful facilitation of a long-term facility.
Nursing homes who receive federal funds are required to comply with federal laws that specify that residents receive a high quality of care. In 1987 Congress responded to reports of widespread neglect and abuse in nursing homes during 1980’s, which enacted legislation to reform nursing home regulations and require nursing homes participating in the Medicare and Medicaid programs to comply with certain requirements for quality of care. The legislation, included in the Omnibus Budget Reconciliation Act of 1987, which specifies that a nursing home “must provide services and activities to attain or maintain the highest practicable phys...
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
P2: Assess own knowledge, skills, practice, values, beliefs and career aspirations at the start of the programme.
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
In conclusion there needs to be an increase in government funding for long term care facilities to convey maximum ability to provide quality of care to elders and equal accessibility too homes and care. Ways that can produce this outcome are increases in staff funding for training and recruitment, as well as for equipment to help increase care. Government funding should also help elders decrease the cost of living in nursing homes and allow equal accessibility to homes and care in homes.
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 deliver a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, sub acute care, assisted living, residential care, elderly housing options and community based adult services (Pratt, 2010). A great majority of these providers are already taking care of the many baby boomers that are present today and will be present in the future. “Baby boomers” are individuals who were born between the years 1946-1964. Since 2011, every day 10,000 baby boomers turn 65 years old (Pratt, 2010). This
Another important reason we need partial government involvement in regulating and supplying healthcare is so that they can standardise and regulate services. Through this, standards can be made, problems can be properly dealt with, and greater and faster advancements and decisions can be made. In the perfect healthcare model, because hospitals and healthcare providers are privately ran, there must be partial government oversight to make sure that quality is held at a reasonable level through all facilities. This would prevent some issues with the completely privatised system and let one national group control the level of care throughout all facilities. This will allow quality control to be upkept, as well as letting the government have a say