Long-Term Care Administration
Long-term care refers to the wide range of medical activities designed to assist the needs of people living with chronic health issues. Debates concerning hospital quality, and nursing care often occur independently to one another. The activities that ensure adequate performance of hospital nursing play a role in quality improvement, and realization of effective control of hospital costs. In addition, the nursing homes practitioners are critical to the provision of quality and efficient care. Facilities that adopt front-line staff motivated performance improvement approaches, such as Transforming care at the bed-side demonstrate how practitioners (Needleman, 2009), driven by effective leadership can play a role in improving both the quality and efficiency of hospital care.

The healthcare organization may adopt strategies, or approaches that will improve the provision of quality care. Organizations should lay emphasis on the engagement of front-line staff as a strategy to achieving quality care. A typical model…...

mla

References

Fleming, O.M. (2013). Improving patient outcomes with better care transitions: The role for home health. Cleave land clinic journal, 80(1) doi: 10.3949/ccjm.80.e-s1.02

Goldsmith, S.B. (1993). Long-term care administration handbook. Gaithersburg, Md.: Aspen

Publishers.

Joseph, A. (2006). Health promotion by design in long-term care settings. The center for Health

The nurses are however trained not to get too intimate with the patients as this is against professionalism Braithwaite, Makkai, & Braithwaite, 2007.
They also offer informational sup-port giving the resident the right information and guidance in making certain decision.

The facility also helps some resident who have been unable to foot their bills to pay up. However, this is after the facility has ascertained beyond doubt that the individuals are not in a position to clears such bills. The targets of this facility is the older generation who are often suffering from several ailments and need long-term care nursing services. It also targets people with temporary and permanent disabilities either inborn or resulting from ailments such as diabetes.

Sources of the Finance for the facility

Willow oak nursing is a profit making institution and get some of its finances form Medicaid and the rest from the clients' contribution. Old people of age…...

mla

References

Allen, J.E. (2011). Nursing home federal requirements: Guidelines to surveyors and survey protocols. New York: Springer Pub. Co.

Beaulieu, E.M. (2001). A supplemental guide for nursing home social workers. New York: Springer Pub.

Berkman, B., & D'Ambruoso, S. (2006). Handbook of social work in health and aging. New York: Oxford University Press.

Braithwaite, J., Makkai, T., & Braithwaite, V.A. (2007). Regulating aged care: Ritualism and the new pyramid. Cheltenham: Edward Elgar.

Medical procedures, like chemotherapy and radiation, are frequently used to alleviate pain and symptoms and for cure. Intravenous medications tackle pain but are also costlier than other forms. The appearance of new and costlier drugs blurs the fine line between life-saving and mere comfort-giving. Chemotherapy can shrink a tumor to allow swallowing and radiation can ease or reduce pain. If the hospice is not well financed, one or two patients who demand these procedures can bring cost problems to the hospice. Shareholders who fear that the return on their investment is jeopardized may decide to cut down on staff. They may also shed off community grief centers, extensive bereavement care, alternative therapies, and inpatient care centers.
The multicultural view of death is another issue in hospices in the United States and Western Europe (Wexler & Frey, 2004). Migrants with Easter cultures have an entirely different perspective from those with Western…...

mla

Bibliography

Carlson, M.D.A., et al. (2007). Hospice care: what services do patients and their

Families receive? Health Services Research: Health Research and Educational Trust.

Retrieved on November 20, 2008 at  http://findarticles.com./articles/p/mi_m4149/os_4_46/ai_n27331524?tag=content;col1 

Indiana Hospice & Palliative Care (2007). Crossroads. Indiana Hospice & Palliative

Funding options include Medicaid and certain aspects of Medicare, which can help to offset costs. Frequently, however, this sort of funding needs to be supplemented with payments made by an individual and his or her family.
Employers of long-term care facilities are affected by the issues related to this service in extremely pragmatic ways. They are the ones who must ensure that they have adequate resources to provide care for a multitude of people with a bevy of different needs and specialized areas of treatment. In addition to procuring sufficient funds to obtain these resources, one of the primary concerns of employers of long-term care facilities is staffing their locations with people who have been sufficiently trained to handle the various levels of treatment that patients will inevitably need. Thus, it is vital that employees implement policies which reinforce the level of professionalism and quality treatment provisioning that is key…...

mla

References

Avitzur, O. (2013). Lower the costs of long-term-care coverage. Consumer Reports Money Adviser. 10(12), 6-7.

Freudlich, N. (2014). Long-term care: what are the issues? Robert Wood Johnson Foundation. Retrieved from   -- what-are-the-issues-.htmlhttp://www.rwjf.org/en/research-publications/find-rwjf-research/2014/02/long-term-care 

Just because people grow older does not mean they abandon their dreams and desires, and it is important to help find ways that the elderly can continue these pursuits.
Table 2

Interview No. 2: "Ron D.":

Interview Question

Response

hat do you see as the most important needs for long-term care residents in skilled nursing facilities?

Loneliness is far and away one of the biggest problems we see in our facility. It breaks my heart to see elders who we know have family members never receive a visit from anyone. Some of our residents just seem to become depressed, give up and lose the will to live when they are lonely.

How does your facility address these needs?

e have regularly scheduled activities in our center, of course, but we also try to get our residents out in the world as much as possible. e take those who are physically able to local events two or three…...

mla

Works Cited

Osgood, Nancy J., Barbara a. Brant and Aaron Lipman. Suicide among the Elderly in Long-

Term Care Facilities. New York: Greenwood Press, 1999.d

Cassidy, Thomas M. (1998, February 16). "Long-Term Care Financing Traps Seniors in a Squeeze Play." Insight on the News 14(6): 30.

Donlin, Johanna M. (2003, March). "Moving Ahead with Olmstead: To Comply with the Americans with Disabilities Act, States Are Working Hard to Find Community

Health care [...] long-term care, and its' affect on the health care industry today, and in the future. Long-term care is becoming much more prevalent in our society because people are living longer, and as the Baby Boom generation ages, there will be even more elderly and infirm that will need this special type of health care.
What is long-term care? "Long-term care has been described as 'a set of health, personal care and social services delivered over a sustained period of time to persons who have lost or never acquired some degree of functional capacity'" (Johnson, 1999, p. 306). Long-term care is important for a number of compelling reasons. First, our society is aging, and already there are "13.5 million Americans who need long-term care under the age of 65 and are expected to live longer than their counterparts did a generation ago. [ ... ]. By 2050, their…...

mla

References

Batavia, A.I. (2002). Consumer direction, consumer choice and the future of long-term care. Journal of disability policy studies, 13(2), 67+.

Fox-Grage, W., & Shaw, T. (2000, April). The crisis ahead in long-term care. State legislatures, 26, 30.

Johnson, T.F. (Ed.). (1999). Handbook on ethical issues in aging. Westport, CT: Greenwood Press.

Palley, H.A., & Hollen, V.V. (2000). Long-term care for people with developmental disabilities: A Critical Analysis. Health and social work, 25(3), 181.

Medicare, as long-term care policy, is not a key component for long-term care. Medicare covers only sensitive care costs and its skilled home health and nursing facility care aims at offering short-term health coverage for post- acute care after hospitalization of a beneficiary. On the other hand, private long-term care insurance is a policy that covers a small portion of a patient's bill.
2. Medicare offers an array of coverage and options to receive health insurance coverage. Explain eligibility and its various components. To satisfy this question, you must include the major parts to the program and the benefits to each of these parts

Medicare is a federal social program of insurance provided by the government of the United States from 1965. Medicare ensures access to health coverage for people above sixty-five years and young persons with disabilities. Medicare also covers people with terminal illness such as those suffering from renal…...

long-term care settings, ranging from legal issues typical of any care setting such as malpractice suits, accusations of negligence, licensing procedures and/or violations, etc., to issues that are more specific to long-term care provision such as an increased duty of care, issues involving decision-making and the ability to recommend and/or dictate care, and non-medical issues such as potential thefts and other abuses (THCA, 2012). All of these legal issues relate to ethical issues in one way or another, some with very clear and direct links, and they must be carefully considered in the planning and carrying out of long-term care and long-term care settings. If a nurse administrator were to find that an ethical violation has occurred, the healthcare team members should be approached first in an inquisitive and instructive manner, ensuring that team members are aware of ethical and legal guidelines as well as the justifications behind these…...

mla

References

Phillipsen, N. & Hayes, D. (2007). The Multi-State Nursing Licensure Compact: Making Nurses Mobile. Journal for Nurse Practitioners 3(1): 36-40.

THCA. (2012). Legal issues in long-term care. Accessed 22 February 2012.  http://www.txhca.org/pie/legalissuesinlongtermcare.htm

Long-Term Care Sustainability as a Major Issue Affecting Canadian Healthcare System
The Canadian Health Act (CHA) provides that provincial governments should cover the entire cost of hospital and physician services. There are however two components that the CHA doesn't require provincial governments to pay for including two other components of healthcare; drug costs and non-acute care provided in nursing homes and other kinds of long-term care facilities. Thus, it is up to provincial governments to decide this element of medical care. This leaves policymakers with the responsibility of using funds available to make sure that long-term healthcare needs of the elderly are taken care of (Blomqvist and Busby, 2012).

Long-term planning for non-acute care is crucial to ensure that Canada's aging population is catered for (Blomqvist and Busby, 2012). Long-term care can be defined as a continual, indeterminate (in terms of duration) care for persons who are no longer able to support…...

mla

References

Alexander, T. (2002). The History and Evolution of Long-Term Care in Canada. In Stephenson, M., & Sawyer, E. (Eds.), Continuing the Care: The Issues and Challenges for Long-Term Care, 1-55. CHA Press, Ottawa, ON.

Banerjee, A. (2007). An Overview of Long-Term Care in Canada and Selected Provinces and Territories. Ontario: Women and Health Care Reform Group. Retrieved October 27 from  http://www.womenandhealthcarereform.ca/publications/banerjee_overviewLTC.pdf 

Blomqvist, A. and Busby, C. (2012). Long-Term Care for the Elderly: Challenges and Policy Options Commentary No. 367. C. D. Howe Institute. Retrieved on 1st November, 2105 https://www.cdhowe.org/pdf/Commentary_367.pdf

Canadian Healthcare Association. (2009). New Directions for Facility-Based Long-Term Care Retrieved on 1st November, 2105  http://www.healthcarecan.ca/wp-content/uploads/2012/11/CHA_LTC_9-22-09_eng.pdf

Advising Parents on Long-Term Care Options
Advising Parents on long-term care (LTC) Options

Long-term care refers to the services or support that one might need in their cognitive impairments while either at home or in an organisations facility. Long-term care helps those who are unable to take care of themselves financially from the effects of old age, disabilities or sickness to live a healthy life. This paper provides appropriate information useful for parents seeking long-term care options. It considers a case study in which it recommends suitable long-term health care options.

Long-term care has been in time proved to be hard, expensive, time consuming and stressing to about 70% of American citizens. According to the case scenario, Don gave everything he could to boost his lifetime love, Mary, but it was not enough. Had the two of them sat and lay down the right, effective and efficient long-term care concepts and programs to…...

mla

References

McSweeney-Feld, M.H., & Oetjen, R.M. (2012). Dimensions of long-term care management: An introduction. Chicago, Ill: Health Administration Press.

Frolik, L.A. (2006). The law of later-life health care and decision making. Chicago, Ill:

American Bar Association.

Signh, D.A. (2010). Effective Management of Long-Term Care Facilities. London: Jones & Bartlett Publishers.

Long-Term Care on the Family
Social Factors Affecting Care Giving

Effects of Divorce

Effects of Abuse and Neglect

Effects of omen in the orkforce

Proximity and Other Factors

The Long-term Care Shortage

Factor Involved

Future Trends

Formal Long-term Care: The Impact on Society

Minority Issues

Financial Impact on Family

Social orkers and Home Caregivers

The Effects on the Caregiver

Physical and Emotional Symptoms

Five Major Causes of Stress Among Home Caregivers

earing Many Hats

The Impact and Cost of Long-term Care on the Family

Long-term care can be needed for a variety of reasons from accident injuries, debilitating and long-term illness, or simply due to becoming elderly. There are sometimes when persons cannot care for themselves and must rely on others for their daily needs. Sometimes the care takes place in a facility designed to provide such services. However, sometimes the burden of caring for loved ones falls on family members or even friends. Long-term care places a strain on people financially. This has been the primary…...

mla

Works Cited

Berkman, B., (2000) Chapter 9. Geriatric Social Work. In The Merck Manual of Geriatrics. Beers, M. And Berkow, R. (Eds.) Internet Edition Provided by Medical Services, USMEDSA, USHH. Accessed February, 2003.http://www.merck.com/pubs/mm_geriatrics/sec1/ch9.htm

CASA for Children, Inc. (2001) The Economic and Social Impact of Child Abuse on the Community. 2001.   Accessed February, 2003.http://www.casahelpskids.org/economic.htm 

Cox, C. (1999) Race and Caregiving: Patterns of Service Use by African-American and White Caregivers of Persons with Alzheimer's Disease. Journal of Gerontological Social Work, 1999, 32 (2): 5-19.

Craig Hospital (2003). Long-term Caregivers. Rehabilitation Research & Training Center on Aging with Spinal Cord Injury. METS brochure.   Accessed February, 2003.http://www.pridemobility.com/Rehab_Zone/Rehab_Articles/Long_Term_Caregivers/long_term_caregivers.html 

Facility Planning Long-Term Care
Facility Planning for Long-Term Care Facility

With the increasing urban population and the rate of disease, the healthcare facilities developed decades ago need to be upgraded or renovated. In the same way, the Escondido Hospital has recently renovated its long-term facilities. The facilities are upgraded in terms of technology as well as equipment. The research and development in medical care results into new equipment that is more facilitating. The original health care facility expands over an area 14.5 acre. The existing structure was developed 50 years ago. The paper discusses the changes introduced in the facility and the costs and scheduling involved in the renovation process.

Changes Suggested

The facility renovation of Palomar Pomerado in Escondido will involve purchasing new machinery to replace old one and to expand behavioral health care ward and also to have an upgraded skilled nursing facility. These changes will require time and money and also…...

mla

References

Fried, D. (2005). "PPH rolls out renovation plan for Escondido hospital," Retrieved from:

 http://www.utsandiego.com/news/2005/Jul/29/pph-rolls-out-renovation-plan-for-escondido/ 

Hayward, C. (2006) Healthcare facility planning. (1st ed.) Chicago, IL: Health

Administration Press.

Ethics in Long-Term Care Administration
When it comes to offering options to competent adults who are able to make their own health care decisions, there are several things to consider. The main consideration is that these people are indeed adults, and what they decide for themselves should be honored when it comes to long-term care (LTC) decisions (Amaradio, 1998; Costa-Font & Patxot, 2005). In this case, the woman coming to the LTC facility was presented with all the facts of her case, and she clearly understood that she could (and most likely would) die if she did not have a lifesaving blood transfusion.

However, her religious beliefs did not support getting a transfusion, and her family supported her in this belief. The first question here is whether it is ethical to speak to this woman in private, without her family present, and offer her a transfusion in secret that others would not…...

mla

References

Amaradio, L. (1998). Financing long-term care for elderly persons: What are the options? Journal of Health Care Finance, 25(2): 75-84.

Costa-Font, J., & Patxot, C. (2005). The design of the long-term care system in Spain: Policy and financial constraints. Soc. Society 4(1): 11 -- 20.

Lewin Group. (2010). Individuals living in the community with chronic conditions and functional limitations: A closer look. Report prepared under contract #HHS-100-95-0046 for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.

Mulvey, J., & Li, a. (2002). Long-term care financing: Options for the future. Benefits Quarterly, 18(2): 7-14.

medicare.gov/MedicareEligibility/home.asp?version= default&bro wser=IE%7C7%7CWindows+Vista&language=English and following the prompts to enter personal information that will serve to assist the establishment of eligibility for Medicare. Generally, one is eligible for Medicare if they or their spouse "worked for at least 10 years in Medicare-covered employment" and if the individual is at least 65 years of age or order and is a permanent resident of the United States.
IV. Medicare Premiums

One qualifies for Medicare Part a at age 65 without the requirement of paying premiums if: (1) They already get retirements benefits from Social Security of the Railroad Retirement oard; (2) They are eligible to get Social Security or Railroad benefits but haven't yet filed for them; or (3) They or their spouse had Medicare-covered government employment.

If the individual is under the age of 65 they can receive Part a without the requirement of paying premiums if they have: (1) Received Social Security or Railroad…...

mla

Bibliography

Long-Term Care (2009) Medicare. Online HHS.gov available at:  http://www.medicare.gov/LongTermCare/static/Home.asp 

Medicare and Long-Term Care (2007) Long-Term Care Financing Project. Georgetown University. February 2007. Online available at:  http://ltc.georgetown.edu/pdfs/medicare0207.pdf 

Medicare Premiums for 2009 (2009) Medicare Eligibility Tool. HHS.gov. Online available at:  http://www.medicare.gov/MedicareEligibility/Home.asp?dest=NAV|Home|GeneralEnrollment|PremiumCostInfo#TabTop 

Medicare Eligibility Tool (2009) Medicare -- HHS.gov online available at:  http://www.medicare.gov/MedicareEligibility/home.asp?version=default&browser=IE%7C7%7CWindows+Vista&language=English

Policy Process: on LONG-TEM CAE Part II
Policy Process 3292

Health care and nursing is more complex today than ever before. New technologies and ever-growing population demands a much more disciplined and organized health care industry (Abood, 2007). This is possible when there are policies, rules and regulations about medical procedures. The medical industry involves some policies today that a person could never imagine few centuries ago. For example there are policies for sperm donation, use of organs after death for research purposes and saving human genome in labs. In the same way there are many other medical procedures that are in policy making phase for example abortion, long-term care, state sponsored insurance of immigrants etc. (Jones, 2000). This paper discusses the policy making process of long-term care. The stages of policy making discussed here are evaluation, analysis and revision.

Evaluation stage

Some topics are too controversial that they cannot become a favorable policy.…...

mla

References

Abood, S. (2007). Influence health care in the legislative arena. The Online Journal of Issues in Nursing, 12(1), 1-7

Crimm, N.J. (2006). Toward facilitating a voice for politically marginalized minorities and enhancing presidential public accountability and transparency in foreign health policymaking. Vanderbilt Journal of Transnational Law, 39(4), 1053-1059

Jones, W.J. (2000). Medicare and the rules of national policymaking: If A, then B.

Journal of Healthcare Management, 45(2), 84.

1. Encourage social engagement: Encouraging elderly individuals in long term care facilities to participate in group activities, social events, and regular interactions with other residents can combat feelings of isolation and improve mental well-being.

2. Implement regular physical activity programs: Physical exercise has been shown to improve mood, reduce anxiety and depression, and promote general well-being. Facilities should offer a variety of exercise options tailored to different abilities and needs.

3. Provide access to mental health services: Having access to mental health professionals, counselors, and therapists can help elderly individuals manage stress, cope with challenges, and work through emotional issues.

4. Offer cognitive....