Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as …show more content…
Not only will the social worker be an advocate for the patients, they will also be working with an interdisciplinary team (Doctors, Nurses, Therapies, Dietians etc.) in coordinating the proper care that may be needed. Social Workers will meet with families or represtentives on a scheduled basis to inform about the course of treatment care options and discharge planning if needed. They play a vital role in this setting as an advocate and liaison between the patient and the community. Most of these Social Workers have a Bachelors Degree and have had experience with children with medical disabilities. At this particular hospital the social worker works with the local school system by setting up school for these children and making sure they are equipped with what they need to be able to attend or have it in their …show more content…
I witness a nurse getting on the floor with a patient and taking the time to play with the patient. The patient had the biggest smile on her face. Staff would walk around singing children 's songs, therapist were in rooms with hand puppets and other types of therapeutic activities to stimulate the patient. Family members that were visiting did not just visit their loved ones; they also visit with other patients, families, nurses and therapist. The patients there were happy, most were unable to speak or move due to their medical disabilities. Looking around their rooms, were amazing it was like walking into any little girl’s or boys room all age appropriate. Many community organizations have donated to the “Children Place”, so the children would have a place just like they were at home. Overall, it was one of the friendliest places I have
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
In the beginning of my senior year I was eager to expand my understanding of how it would be to work in a hospital. An opportunity arose allowing me to volunteer in the hospital at the University of Chicago. I was able to volunteer at the children's playroom, which consisted of a weekly commitment. The daily tasks I had to perform where to enlighten the spirits of children and reduce the amount of anxiety that developed within them when they approached a hospital visit. I would play games, read books, or just company the patients at their bedside. I especially love to interact with the younger patients because their laughter and innocence warms my heart up.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Clinical social workers represent the largest group of behavioral health practitioners in the nation. They are often the first to diagnose and treat people with mental disorders and various emotional and behavioral disturbances (NASW, 2005). Clinical social workers are essential to a variety of client centered settings, including community mental health centers, hospitals, substance use treatment and recovery programs, schools, primary health care centers, child welfare agencies, aging
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
Caring for an individual who is facing a life threatening illness is often completed by a multidimensional team, including doctors, nurses, therapists, and caregivers, as well as family members. Social workers are an integral part of this team, since they are usually the healthcare workers that are involved in the evaluation and assessment of patients and their family members’ needs and concerns at the end ...
Subacute units offer a transition point between a hospital stay and their journey home or a nursing facility. Emerging to fill the gap between intensive hospital care and the care that can be given in the home or a nursing facility, and provide a more cost-effective form of care than hospital care (Pratt, 2017, p. 113). Subacute care’s focus on the quality of care given at the cheapest price possible allows subacute care to stay relevant in our ever-changing healthcare system. While also ensuring the patient’s care and overall quality of life are the best it can be. Say you have a stroke, after your stay in the hospital you may need physical therapy, this therapy is received in a subacute care facility (can be a part of hospital or nursing facility). When you enter the subacute care facility you enter with a projected check out date, with a set structured plan of action. I believe subacute care should be offered in hospitals and nursing facilities so that no matter what the finical situation of the patient they can receive quality regulated care at a cheaper price than acute
Examples of patients with complex acute care needs are those with multiple comorbidities who need mechanical ventilator weaning, administration of intravenous antibiotics, and those with complex wound care (Munoz-Price, 2009, p. 438). According to Landon Horton, CNO of Select Specialty Hospital in Fort Smith, Arkansas, “The services provided by LTACH facilities allow the patients to get home who would not otherwise, have a higher level of functioning at discharge, and increase their quality of life” (personal communication, March 7, 2014). The role of the Chief Nursing Officer is a complex position. Educational preparation for the CNO role ranges from a Master’s in Nursing to a degree outside of the profession such as an MBA or a degree in a related area of study (Kerfoot, 2012, p. 38-39). In L. Horton’s role as the CNO for Select Specialty Hospital, the duties required by him are multifaceted.
Aside from the firm decision, being familiar of the concept in paediatrics and its set-up must also be considered. Previous exposures to paediatric wards as well as acute care units can sharpen the skills of a nurse practitioner. Most part of the work involves taking into consideration the growth and development of children and how the nurse should manage to intervene when alterations occur such as hospitalization, procedures and operations to the child. This external factor does not only influence the child...
First off, clinical social workers work one-on-one with individuals by utilizing psychosocial casework to improve their client’s lives. Social workers at the micro level typically provide case management by coordinating and monitoring services, developing a treatment plan, advocating for new services, providing psychoeducation, and by helping clients learn more about their specific disorder (Marx). They also provide psychotherapy through three major therapeutic approaches- psychodynamic, cognitive-behavioral, and humanistic (Marx). When it comes to the mezzo level social worker work with groups and families. They may initiate therapy groups, support groups, psychoeducational groups, and socialization groups all in order to uplift their clients about their mental disorder (Marx). On top of that, social workers also offer family therapy with the goal of helping families learn and function effectively by meeting the needs of a family member with a mental illness (Marx). Finally, social workers also work on a macro level through advocacy and policy changes, and in an administrative setting. Through advocacy, social workers may lobby for policy changes on a local, state, or national level in order to promote positive
...en who are there each week are incredibly inspirational, and they never seem to be discouraged, even though some of the patients have been there for five to six weeks in a row. I look forward to seeing their smiling faces each time I visit, yet I cannot help but hope they will not be there but will be at home the next time I visit. The children and youth I have met at Children’s Hospital have become dear friends, and they have taught me that leadership involves making the most of the talents we each have been given, and seeking excellece, not perfection.
What does a social worker do? A social worker has many duties. They need to assess the situations of those family’s or individuals they will be working with. Once they have assessed what they are working with they will be helping to council those in need. If they are working with children they will consult the parents and or legal guardians with what they have learned. They need to be excellent active listeners. It is also essential to be able to understand others reactions and why someone would react the way they do. You will have to be able to have great communications skills; weather that is though face-to-face, over the phone, or through email. You need to be able to be professional and polite. Social workers are more of a sedentary Job. You won’t be doing very much physical work, but you will be using your mind. You will be thinking and helping to make a difference in the lives of those your touch.
With the addition of this wonderful new facility it would be a shame not to make the most of it. After all, everyone is working toward the same goal: to provide the best possible care and a safe, stable environment for children who may not get the experience of that anywhere else. When focusing on the specific needs of the children, the teachers are happier, the staff is happier, but most important the children are happier.