nursing home essay

One of the main issues identified in nursing home care is the problem of neglect, which is a crisis both of quality of care in terms of meeting mandated governmental standards and quality of life issues for residents. Increased governmental regulation has been a possible solution to the crisis of nursing home care. The Omnibus Budget Reconciliation Act of 1987 raised the quality of care standards in nursing homes that receive Medicare and Medicaid funds (approximately 76 percent) and provided nursing home residents with a mechanism to ensure protection of their rights. According to the Administration on Aging, nursing homes in every state must provide advocacy for the elderly under the Older Americans Act. Long-term care ombudsmen intercede on behalf of residents’ complaints of improper care; elder abuse such as slapping, hitting, or verbal assaults; complaints concerning chemical or physical restraints; withholding of medical care; lack of privacy; and untimely discharge. These ombudsmen handle approximately 260,000 complaints per year. However, many complaints go unreported because nursing home residents and their families fear reprisal from nursing home staff and administrators.

Health care is always better at homes then nursing homes. The best and the main reason is the availability of all the family member and friends. In home, a person gets a special treatment from his family members and of course he has access to all his personal belongings. He can meet any one at any time, and that is the main reason the patient is happy. Treatment of a disease is one part of the health, but a good treatment towards a person is the most important part of the health.

People all over the world prefer home health care now a day. When we say DISCIPLINE, it does not restrict to nursing homes only. It can be equally applied on home health care as well. There are lots of companies now offering nursing staff for home health care in day or night time, subject to the non availability of the family member cause of their work. If we are considering a home health care for any of our loved one, we are providing him with all the facility, which includes, medical treatment by an expert visiting home, a day care taker, when we are out for jobs, and above all the love of the family giving the patient realization that we are always here for you. The patient is part of the house and is very much actively available in all the activities of the house hold.

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Although there is no single solution to the problem of poor-quality care in nursing homes, advocates suggest that increasing levels of staffing and raising wages of nursing home workers should be high-priority actions. Because nursing assistants (also called nurses’ aides) provide approximately 60 percent of direct nursing home care, their training, retention, experience, and supervision merit our attention. Nursing home workers work for little pay (median wage of $9.86 per hour in 2004) and tend to be disproportionately drawn from lower socioeconomic class backgrounds. According to the Bureau of Labor Statistics, nursing assistants may or may not be required to have a high school diploma or GED as a condition of employment. Nursing assistants are almost always women and frequently are racial and ethnic minority group members.

One of the main issues identified in nursing home care is the problem of neglect, which is a crisis both of quality of care in terms of meeting mandated governmental standards and quality of life issues for residents. Increased governmental regulation has been a possible solution to the crisis of nursing home care. The Omnibus Budget Reconciliation Act of 1987 raised the quality of care standards in nursing homes that receive Medicare and Medicaid funds (approximately 76 percent) and provided nursing home residents with a mechanism to ensure protection of their rights. According to the Administration on Aging, nursing homes in every state must provide advocacy for the elderly under the Older Americans Act. Long-term care ombudsmen intercede on behalf of residents’ complaints of improper care; elder abuse such as slapping, hitting, or verbal assaults; complaints concerning chemical or physical restraints; withholding of medical care; lack of privacy; and untimely discharge. These ombudsmen handle approximately 260,000 complaints per year. However, many complaints go unreported because nursing home residents and their families fear reprisal from nursing home staff and administrators.

Despite a common belief that most elderly people live in nursing homes, according to the U.S. 2000 census, only about 4.5 percent of those age 65 and older reside there—a decline since 1990, when 5.1 percent of those over 65 lived in nursing homes. The reduction is due, in part, to changes in governmental funding, increased usage of alternatives to nursing homes, such as home health care services, assisted living facilities, family caregiving, adult day care, assistive devices, and an overall decline in disabilities for the elderly. However, the aging of the baby boom generation (those born between 1946 and 1964) will likely result in increased demand for quality nursing home care in the near future. Although a small number of disabled and chronically ill children and adolescents live in nursing homes, most residents are elderly: in 2000, more than 1.5 million nursing home residents were age 65 and over.

Nursing homes are facilities that have at least three or more beds at which health care workers (nursing assistants, licensed practical nurses, and registered nurses) regularly provide nursing care services for persons unable to care for themselves due to physical or mental health problems, cognitive impairment, or disabilities. Despite extensive governmental regulation, nursing home care has become a social problem that is often synonymous with elder abuse, neglect, maltreatment, and despair. Many Americans see nursing homes as places of last resort for the unwanted elderly—a place where one goes to die. Recent studies by the Institute of Medicine confirm these categorizations: care deficiencies in nursing homes have caused harm to patients, and the numbers of nursing home staff are often not adequate to provide quality care. However, many older people also receive superior care and benefit from the security and stability that nursing homes provide.

The nursing profession is about helping people. The nurse has an innate sense of caring for others and wanting to ease their suffering. This is the central reason why anyone wishes to become a nurse. Currently, a nursing shortage means that nurses can have a steady supply of places to work and currently some of the highest wages of any profession in the country. However, that is not a good reason to become a nurse. At the end of the day, with aching feet and an aching back, the nurse has to have another reason for doing what they do. The following will explore my personal vision and plan for developing my own leadership skills within the nursing profession.

Furthermore, the staff members made it clear that the communication issues were complicated by family relationships. One of the factors that they mentioned was that many times the residents in nursing homes are unable to meaningfully and reliably communicate with the staff because of dementia, strokes, or other health issues. Family members want to try to communicate resident’s needs, habits, behaviors, and moods to the staff (Palmer, 2012). Sometimes this is complicated by the…… [Read More]

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Windshield Survey on Community Health Nursing.

Geographical pricing is used where there is geographical differentiation of the product and where firms are able to sell products for different price without any loss in revenue.

Service product is neither service, nor product. The term is rather used to define the share of service that product consumption brings. This notion is also known in management theory as the servitization of products. The idea that nowadays many products have been more services than products refers to a service-centric view of modern economy.

As it was previously mentioned, the demand for nursing home services comes from two different groups of consumers – private patients and public patients. Indemnity insurance is another aspect that adds to the demand from private users. According to Scanlon (1980), Palmer, Vogel (1983), and Nyman (1985) who applied the theory of the firm to nursing homes, permanently decreasing demand for a firm’s service product from private patients indicates monopolistic competition (as cited in Vandermerwe & Rada 1998).

The report discusses the following issues: the idea of a service product; nursing home care in service economy; Clark Manor Nursing Home a nursing home care provider; service process at Clark manor; Pricing at Clark Manor; and author’s recommendations.

Medical Care. Neglect can occur if the elderly are not given all of their medications, are not given the correct dosage of it or are given the wrong ones. In addition, it is also a common problem in nursing homes for elderly individuals to have pressure sores or bed sores, which result when the individual remains in a seated or reclined position for too long. This is not uncommon because elderly people are less mobile and often have no desire for physical activity especially when they are ill or depressed. Sores should be addressed regularly in order for the individual to continue on being healthy.

The feeling of neglect has been a part of human life. Since childhood we have had the feeling of being neglected which is being compensated by the love and care of our parents. This essay will try to understand about the same feeling for the elderly.

Neglect can occur anywhere and can happen in many forms. It is done by the caregivers who are assigned to take care of their elderly charges. This is a significant issue worthy of being discussed in a nursing essay because it is fitting that this issue be brought to light. It has already been overlooked and ignored far too long. Even when we visit or formally inspect a nursing home, neglect can easily be hidden because it does not have a tangible proof unlike the neglect of a physical structure such as a building which has clear tell-tale signs. Below are some of the forms of neglect happening in nursing care facilities:

This nursing essay tackles one of the most common forms of abuse that is happening in today’s nursing homes – the issue of neglect. Neglect in the care of elderly patients in nursing homes is most likely to be overlooked in the overall picture of the problems that we face today such as the state of the economy and employment. However, within the context of caring for the elderly, neglect is an important issue because it results to the decline in health, which eventually results to the death of the elderly individuals under the care of nursing home care institutions.

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