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Characteristics of the US healthcare system
Health care system in the USA
Characteristics of the US healthcare system
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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... ... middle of paper ... ... Aging Services. Nelda McCall (2001). Long Term Care: Definition, Demand, Cost, and Financing. Chicago: Health Administration Press, pg. 19. Nelson, Bill (2013). The Senate Special Committee on Aging: The Future of Long-Term Care Policy: Continuing the Conversation. Aging.Senate.gov. Shi L. & Singh D.A. (2011). The Nation’s Health. Sudbury, MA: Jones & Bartlett Learning. Stone, R.I & Wiener, J. M. (2001). Who Will Care For Us? Addressing the Long-Term Care Workforce Crisis. The Urban Institute. United Hospital Fund (2013). New York’s Nursing Homes: Shifting Roles and New Challenges. Medicaid Institute at United Hospital Fund. 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.
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.
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 ...
... Meeting Preliminary Draft Working Paper Please Do Not Cite or Distribute without Permission Abstract Health Services Utilization of Residents in Assisted Living Com. 1–21 (2013). at
Expect the best, prepare for the worst and capitalize on what comes (Zig Ziglar). The demand for talented, educated and experienced nursing home administrators is increasing, and filling this demand is becoming more challenging. In this paper, the qualifications, responsibilities, and duties of a nursing home administrator, professional staff, nonlicensed staff, and consultants will be identified. We will explore trends that are likely to affect assisted living in the future. We also will explore new changes in regulation related to the F490, the Facility assessment and how it will impact the role of the administrator.
In 1965 the first Aging American’s Act was passed. This legislation was part of Lyndon Johnson’s Great Society reform. In passing this legislation nearly 50 years ago, the government created a new department the focused on the rights and needs of the gaining population called the United States Administration on Aging. The original legislation was complete with seven titles. The articles include Title I—the Declaration of Objectives for Older Americans; Title II—Establishment of Administration on aging; Title III—Grants for state and community programs on aging; Title IV—Activities for health and independence, and longevity; Title V—Community service senior opportunities act; Title VI—Grants for Native Americans; and Title VII—allotments for vulnerable elder rights protection activities. Each of these titles are present in the most recent Aging Americans Act Reauthorization Act of 2013. Each of the titles in the original and reauthorization have levels of measure to ensure that the legislation is enacted in a manner that will protect the aging population. The titles provide guidance to involved organizations and caregivers ensuring each is properly educated in treating the medical and mental health needs of the aging population as well as recognizing, reporting, and preventing elderly abuse, neglect, and physical, mental, and financial exploitation.
Community is an essential part of the existence of human being. The term community may be describe in so many forms. However, Yiu (2012) define community as a group of people, who live, learn, work, and play in an environment at a given time; they have unique characteristics and interest; function in a social system that meets their needs, such as an organization, a region, a province or a nation (p. 213).
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.
Nursing assistants work in many types of settings including nursing homes, hospice, mental health centers, assisted living residences, home care agencies, hospitals, rehabilitation and restorative care facilities (Sorrentuino & Remmert, 2012). There are many types of Long-term care centers. For this paper, I will focus on the long-term care centers often referred to as nursing homes. These LTCs are "licensed facilities that provide extended care for individuals who do not require the acute care provided in a hospital but who need more care than can be given at home" (U.S Department of Health And Human...
When a member of someone’s family goes ill or is no longer able to live on their own and take care of themselves; it is up to the family members to decide the best course of action for them to get the best care that they can. There several different options that need to be considered when looking at long-term care facilities for older adults. In this paper, I will briefly discuss two of the most common options that people choose between when looking at long-term care options. One option is home care and the other is assisted and/or independent living facilities. These two options are some of the best ways to take care of ill elders.
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.
...fully embraced over the next few years. Some of the specifics of Obamacare are yet to be ironed out as they apply to long-term health, however, it seems the end result still equate to less federal assistance for the elderly. For healthcare administrators at nursing home facilities this creates a major shift from the source of income, staff and patients care plans. Challenges in the near future are centered on finances and the government balancing act of cutting money from one spot to give to another. These upcoming financial changes are a major concern for the baby boomers since they are at their retirement age as well as younger generations as they also struggle to help support them. Long-term health has experienced recent changes at a time when millions are seeking assistance; only time will tell if the new revisions will have a positive outcome for the elderly.
"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.
Most long-term care facilities have a nice, caring environment. Most facilities have exceptionally trained personnel caring for that family member’s needs and concerns. Being within the nursing field one notices the morale and the health of these forgotten individuals declining rapidly with no family bonds to connect to anymore. The nursing staff and facilities members, attempt to replace the bonds lost between resident and family. The bonds formed with staff and resident, are not equal to seeing a grandchild at holidays, and being included at that special family reunion. It is understandable some family units don t carry the tight connections other ily units share. Family support systems most require on admittance to semiprivate, busy nursing home settings are lost. Surroundings of this...
Our current health care system is already overwhelmed by the influx of older patients. If we do not take action now to remedy this shortage, we will jeopardize the future of our aging society’s health. Elder Workforce Alliance urges action for federally mandated requirements of geriatric training in all health professions, positive working conditions for healthcare providers devoted to elder care and redesigns of healthcare delivery models to achieve higher quality of care for geriatric patients.
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.