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Historical development in healthcare
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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. Historic Development and Current State of Health Care Delivery 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. When long-Term Care services were developing many mistakes had been made on the way to develop Long Care Services. “Nursing homes evolved during the 20th century without any clear national policy or direction.” (Sarah Thompson, 2008 ) There was a lot of tragedy’s, mistakes, errors and abuse because there wasn’t any type of direction or nation policy. If there was some type of direction on how to run these services there might not be so many cases of ne... ... middle of paper ... ... have created a more detailed scope that the patients need to be take care of with the quality of care and Long-Term Care Services need to be transparent and will be held responsible for care that is not pursing the patients quality of life. References Armes, D. (2009). Journal of Financial Planner. Ashish Chandra, L. A. (2006). Hospital Topics, 33-38. Daniel P. Wright, K. M. (2010). Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility. Decision Sciences , 373-401. Miller, E. A. (2012). Journal of Aging and Social Policy . The Affordable Care ACT and Long Term Care . Nardi, D. A. (2013). The Global Nursing Faculty Shortage. Journal of Nursing Scholarship . Sara Thompson, D. P. (2008 ). Journal of Housing the Elderly , 169-194. Sharon Kaasalainen, R. M.-M. (2010). Journal of Advanced Nursing .
Albeit LTC facilities are designed to benefit individuals with disabilities, residents in LTC settings are often victims of unethical practices conducted by healthcare employees. Types of abuse commonly seen in long-term care ranges from withholding food from the individual, overdosing residents with medication to keep them calm, withholding individuals from activities, physically beating or spanking residents, and the list goes on. There are many instances where residents are verbally abused, called names, and profanity is used against the individuals. This type of behavior from health care professionals is unacceptable, and these incidents must be
Long term care facilities are for patients looking for 24 hour care, these are sometimes referred to as nursing homes. Providing safety and quality of life with nursing as well as endless supervision. Long term care facilities are held through profit or non profit organizations. Long-term care facilitates are generally classified by ownership: Proprietary (for profit) meaning owned by individual or corporation and run for profit. Religious, meaning owned and operated by a religious organization, lay/charitable meaning owned and operated by a voluntary, non governmental and non religious body. (non profit). And others would be municipal, regional, provincial and federal. “Ontario carries 17% For profit facilitates, 46% government owned, 18% not for profit, and 19% Religious facilities for long term care. That is a 48.4% rate of not for profit homes with a 51.6% rates of profit organizations” (Banerjee, An Overview of Long-Term Care in Canada and Selected Provinces and Territories). Through the whole of this research paper, the terms will be grouped looking through for profit facilities and not for profit facilities of Ontario. This paper also has the intention to promote the need for maximizing priorities in long term care facilities as they lack the funds needed to fully produce the mission of quality. “Take away the public relations spin and it is clear that even the for-profit association admits that cutting on food and staff costs, and charging higher fees is the practice to maximize profit taking from the homes. Conversely, municipalities are pouring funding into the operational budgets of the facilities to improve care. Non-profits fundraise to provide activities and amenities. They act ...
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...
Nevidjon, B., & Erickson, J. (31 January, 2001). The Nursing Shortage: Solutions for the Short
... & Abrahamson, K. (2009). A critical examination of the U.S. nursing shortage: contributing factors, public policy implications. Nursing Forum, 44(4), 235-244. doi:10.1111/j.1744-6198.2009.00149.x
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.
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
Polsky, D. (2009, June). The health effects of medicare for the near-elderly uninsured.. Retrieved from http://web.ebscohost.com/ehost/detail?hid=105&sid=a55fa2f1-dfd5-41b9-a739-d67a1b9ba856%40sessionmgr114&vid=3&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=a9h&AN=39772605
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.
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.
Long-term care facilities have been forgotten by the Federal government for a while now. Even though the government has enforced Medicare, certain restrictions are placed on Medicare that do not allow most people to use these types of resources to pay for their housing in a long-term care facility. Because Medicare is offered to people 65 years and older, long-term care services should be covered by Medicare for the health protection of persons age 65 and older. Since Medicaid covers long-term care services for very low-income persons, Medicare should also provide coverage for long-term care facilities for the older persons of age 65 and older. While not suggesting that the Federal government should just loan millions of dollars for long-term care facilities, alternative ways need to be created, in order for the elderly to afford their living while they age, such as allowing Medicare to work for all elderly and older people age 65 and older.
...parture from the nursing profession or retirement from the line of work. Several key elements have been established throughout the research that lead to theses nurses feeling the need to retire and include: burnout, physical demands, mental health, linkage to the organization, hours worked, organizational culture, work intensity, and fiscal requirements. Organizations are beginning to establish evidence-based strategies in an effort to retain older registered nurses. Human resources are beginning to formulate policies and procedures to meet the needs of these aging nurses, which focus on their safety, stress levels, preferred work setting, schedule, and job satisfaction. The ability to delay retirement of these nurses or creating career paths that help facilitate a transition to a different work setting could help ease the shortage of nurses in the next decade.