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Introduction Home health care is a rapidly increasing service in the health care industry. “Home care is projected to require another 1 million workers between 2012 and 2022, making it the highest growth occupation in the United States, according to PHI Policy Works, a national strategy center working to strengthen the direct-care workforce. It further estimates that by 2020, direct-care workers will be the nation’s largest occupation sector, with nearly 5 million jobs” (Rural Cooperatives). Statistics by The Department of Health and Human Services states, Home healthcare workers are predominantly female (89%) with 24.4% self-identified as black or African American, 20.0% as Hispanic or Latino, and 4.4% as Asian. The Centers for Medicare and Medicaid Services (CMS) approximates that 8,090 home health care agencies in the United States provide care for more than 2.4 million elderly and disabled people annually. Eligibility for Medicare reimbursement for …show more content…
Research provided evidence of problem areas where healthcare crucially needs improvement within the homes. These areas include; fall prevention, unplanned hospital admissions, nurse work environment, and quality of life. Falls among the elderly is very common due to balance problems, weakness, and absence of handrails in the home. Apart from falls, infections, pressure ulcers, and respiratory conditions can contribute to hospital admissions for some clients. If the quality of care that clients receive is not to its highest standard then the care need to be assessed. Steve Olson addressed this issue in his writing about the environment of home healthcare. He states, “Once someone achieves a certain level of chronic care need, families seem to be more willing to compromise on
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
University of California (2006). An Aging U.S. Population and the Health Care Workforce: Factors Affecting the Need for Geriatric Care Workers. University of California, San Francisco, Center for California Health Workforce Studies.
This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.
As a nursing home model, Green Houses are obviously providers of long-term care services, including basic nursing and medical services. According to Kane et al., “A group of GHs on a campus or scattered in a residential neighborhood operates under a nursing home license and within a state’s usual Medicaid reimbursement amounts, although a redistribution of expenditures could occur (2007). Researchers of healthcare management (and healthcare managers themselves) have an interest in studying the differences healthcare management variables that arise between different nursing home models. Healthcare management factors of interest include a model’s financial feasibility (especially for nursing home services covered by some public funds, like Medicaid),
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
Nurses are pivotal in hospital efforts to improve quality because they are in the best position to affect the care patients receive during their hospitalization. Data collection and analysis is the core of quality improvement assisting in understanding how the system work, identifying potential areas in need for improvement, monitoring the effectiveness of change and outcome. Nurses are also the eyes and ears of the hospital to positively influence patient outcome. For example, nurses are the ones catching medication errors, falls, and identifying barriers to delivering care. In this nurse’s facility, in order to minimize patient falls the hospital implemented a falls risk assessment tool called, “The Humpty Dumpty Scale” upon admission
No one ever expects to live out his or her later years in life in a nursing home. When people are young they may not realize the obstacles in life that may cause them not to have a place or person to spend their older years in life with. Regrettably, many of the elderly are not treated with the care and respect they deserve. “Poor quality of care is endemic in many nursing homes” (Fernandez, 2011). It is the responsibility of the younger generation to make sure that the elderly are taken care of and that neglect does not happen. Nursing homes have too many patients and not enough care-givers compared to home care that has familiar one on one care. Home-based
...ches indicate how nurses can ensure prevention and mitigation of the problems experienced due to falls. There are various strategies that can be used to enhance the safety of individuals from falls. In order to be able to deal with these issues within the healthcare facilities, nurses must be involved in the effective policy making so that the risks of patient falling can be amicably dealt with. On the other hand, the nurses must be placed at the forefront of the implementation process of the designed interventions. Leaders must engage the nurses in applying the evidence-based therapies so that they can ensure good safety for the patients. Nurses are important in ensuring advocacy, education and the management of the facility environment. The nurses will therefore apply various necessary interventions that guarantee safe environments for the patients and the nurses.
With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored and deprived of social contact and stimulation. Because of insufficient and poorly trained staff commonly found in nursing homes. Care givers are often overworked and grossly underpaid that often results in rude and abusive behavior to vulnerable residents who beg them for simple needs such as water or to be taken to the bathroom.
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.
"Who does a son turn to, when his 78 year-old mother, newly admitted to a nursing home’s rehab unit, is experiencing delusions and screams through the night? Or where does a daughter turn to for help when she notices a rapid decline in her mother’s health and her mother refuses to seek medical care? Or the gentleman who believes it is time to a continuing care retirement community, but has no one to advise him on the myriad of financial and lifestyle implications of such a move? (Lederman, 2012)." Within in the field of home health care, ecological system creates an outline for defining what it means to provide quality care to the elderly.
Implications for Nursing Practice, Education, and Research. Home Health Care Management Practice, 6, 534-537. doi: 10.1177/1084822304266500
Medicare is the federal program that provides health coverage for people who are 65 and older (Green, 2003). Although many assume that Medicare provides long-term care, these benefits are very limited and are not efficient enough to accommodate the much needed care services for older adults. For example, Medicare programs do not help to pay for personal care services such as eating, dressing or using the bathroom even though these “activities of daily life” are the most needed services for most seniors (Green, 2003). These care services can be provided to seniors by the long term care insurance program. According to the national survey that was conducted among people who are 55 and older, just 36% believed that they would need long term insurance (Carter, 2008). However, it's estimated that at least 60% of people over age of 65 will require some long-term care services at...
(2013) among 40 care workers in the same facility. The study came out with the four major themes; (i) acknowledgment of the patient, it is about recognizing a person’s physical, psychological and social needs, (ii) recognition as an individual, everyone is different from the other, they are unique individuals that needs to be understood, (iii) value of the relationship, it is related to the feelings and warmth which they receive from their friends, family and even the carers. It also resembles the bonding between residents and staff, (iv) encouragement of independence, it is about the environment of the care homes and residents’ right to decision and independence. Apart from these, barriers were also identified which were time, system constraints and process of evaluation and planning.
The first category is health perception and health management. This pattern is related to the client’s view of health and well-being. This also includes the client’s knowledge of lifestyle, preventative health practices, and the client’s adherence to medical advice. The data collected is focused on the client’s perceived level of well-being and focuses on maintaining health. Smoking, alcohol use, recreational drug use, and other habits that are detrimental to the client’s health are also included in this category. This category also focuses on the client’s safety and health management in the home that may need modifications or for continued care in the home. An example of a sub category for this patter is risk-prone health behavior. This would include the client’s use of tobacco product, drugs, or alcohol (Koshar, N.D.). A question the nurse might ask is “On average, how many alcoholic beverages do you drink per day?” One nursing intervention for this would be for the nur...