Nursing homes and facilities that are somewhat less restrictive are needed and necessary in some situations so as to allow for the proper level of care and supervision. However, the isolation and removal from the outside world that people experience as a result of being in a nursing home can be oppressive and hurtful. There are often times where temporary jaunts outside of the nursing home or fun activities within the same can allow for relief from monotony and so forth. However, advanced medical conditions like Alzheimer's, infectious diseases and bacterial/hygiene issues can all aggravate the isolation just mentioned as there have to be more restrictions on freedom and activity.
Nursing Home Isolation

Other than the obvious concerns about medical care, quality of life and so forth, perhaps one of the most saddening things about seniors being in nursing homes is the isolation and "border" that is created by the outside walls…...

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Works Cited -- Annotated

Carstensen, Laura L., and William J. Fremouw. "The Influence Of Anxiety And Mental Status

On Social Isolation Among The Elderly In Nursing Homes." Behavioral Residential

Treatment 3.1 (1988): 63-80. Psychology and Behavioral Sciences Collection. Web. 29

Nov. 2016.

Care for a Family Member
hen a family is searching for the best possible healthcare environment for an older person in the family, that family really has three choices. They can place the elderly person in a nursing home, or have a home care agency come into the home and provide services, or the family can turn to a long-term care solution. This paper reviews the positives, negatives, and other aspects of all three solutions. Using peer-reviewed sources, this paper looks at specific areas of interest in the three potential solutions for a family.

Nursing Homes - Suicide

According to the Centers for Medicare and Medicaid Services, more than 40% of Americans will need some care in a nursing facility (which is also seen as a "long-term" service) in their lifetime (Mullin, 2013). Moreover, the cost for a private room (on average in the United States) in a nursing home runs around…...

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Works Cited

Andre, B., Sjovold, E., Rannestad, T., and Ringdal, G.I. (2014). The impact of work culture

On quality of care in nursing homes -- a review study. Scandinavian Journal of Caring

Science, Vol.28, 449-457.

Mezuk, B., Lohman, M., Leslie, M., and Powell, V. (2015). Suicide Risk in Nursing Homes

The Nursing Home Community: A Critical Ethnography A nursing home is a community of care ideally designed to provide seniors with a safe and supportive environment in which to receive around-the-clock evidence-based healthcare and ancillary services. Nursing homes are also complex environments, with the residents comprising one distinct social cohort and staff another, with evident hierarchies and roles within the organization. An ethnographic approach to the nursing home community lends insight into the relationships between various parties and stakeholders in the community. Furthermore, the ethnographic methods permit unique qualitative, phenomenological insights into the lived experiences of both staff and residents. Through the window of ethnographic research, it may be possible to recommend changes to nursing home care delivery and improve client perceptions, experiences, and outcomes. Critical analysis of nursing home ethnographic research reveals several primary insights into the structure and culture of the community. Although diverse, the nursing home community demonstrates…...

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Works Cited

Diamond, Timothy. “Social policy and everyday life in nursing homes: A critical ethnography.” Social Science & Medicine, Vol. 23, No. 12, 1986, pp. 1287–1295. doi:10.1016/0277-9536(86)90291-1

Harnett, Tove. “Seeking exemptions from nursing home routines: Residents\\\\' everyday influence attempts and institutional order.” Journal of Aging Studies, Vol. 24, No. 4, Dec 2010, pp. 292-301.

Henderson, J. Neil and Vesperi, Maria D. The Culture of Long Term Care. Greenwood Publishing Group, 1995.

Shared Governance in Nursing Homes
The concept of shared governance in nursing is not a new one, but rather has been recognized since the 1970s as a key indicator of excellence in the nursing practice and specific departments and institutions (Cherry & Jacob 2005, pp. 276-8). In a study of nursing home facilities in particular, it was determined that nursing leadership style had a great deal to do with levels of staff turnover, suggesting that shared governance ad other more open and empathetic leadership styles are conducive to more effective nursing and more satisfactory nursing practice (Donoghue & Castle 2009). There are a number of other factors that influence nursing practice, including patient loads, specific areas or specializations of practice, and a host of economic and social factors. Leadership style, however, is one of the most easily changed factors with a large degree of influence on the practice and profession of…...

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References

Burger, S., Kantor, B., Mezey, M., Mitty, E., Kluger, M…. & Rader, J. (2009). Nurses Involvement in Nursing Home Culture Change: Overcoming Barriers, Advancing Opportunities. Pioneer Network. Accessed 20 February 2011. https://pioneer-network.org/Data/Documents/CultureChanegNursesIssuePaper.pdf

Cherry, B. & Jacobs, S. (2005). Contemporary Nursing. St. Louis: Elsevier.

Donoghue, C. & Castle, N. (2009). Leadership Styles of Nursing Home Administrators and Their Association With Staff Turnover. The Gerontologist 49(1): 21-7.

Havens, D. & Aiken, L. (1999). Shaping Systems to Promote Desired Outcomes: The Magnet Hospital Model. Journal of Nursing Administration 29(2): 14-20.

Falls in Nursing Homes, Are They Preventable
Preventing falls in nursing homes

Falls are quite common in the homes of the elderly with around one hand a half falls for each nursing-home bed-years. Although most falls are not fatal, 10% to 20% lead to admissions in hospitals and fractures. It is, therefore, important that care providers in these homes cut down the falls and the rate of fall-related dangers. Interventions have succeeded in reducing these falls in community- residence for aged patients, but efficiency in reducing them in nursing homes is not evident. Various studies investigate the effectiveness of diverse programs to reduce falls within nursing homes. Examples of the intervention programs comprise of environmental evaluation, assessment and alteration of the assistive device, changes in medication, evaluation, and training of gait, staff education, exercise programs, use of hip protector, and the evaluation of blood pressure. esearch shows that the intervention and evaluation…...

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References

Berry, S. D., Lee, Y., Cai, S., & Dore, D. D. (2013). Nonbenzodiazepine sleep medication use and hip fractures in nursing home residents. JAMA internal medicine, 173(9), 754-761.

Centers for Disease Control and Prevention. (2015). Falls in Nursing Homes. Retrieved from  http://www.cdc.gov/homeandrecreationalsafety/falls/nursing.html 

Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 9(11).

Quigley, P., Bulat, T., Kurtzman, E., Olney, R., Powell-Cope, G., & Rubenstein, L. (2010). Fall prevention and injury protection for nursing home residents. Journal of the American Medical Directors Association, 11(4), 284-293.

Fall Prevention Project
The target audience for this fall prevention plan consists of Ns and LPNs who work at nursing home facilities, or otherwise work with the elderly. There is a strong body of evidence that shows that fall-related injuries to the elderly are associated with negative health outcomes that go beyond the immediate injury. The elderly are more at risk of falling than other patients are, and nursing homes are not always properly equipped, designed to prevent falls. Further, the staff at nursing homes do not always have the best possible training with respect to fall prevention. Nursing homes experience 1.5 falls per bed per year, and there are a number of precipitating causes (ubenstein, Josephson & obbins, 1994).

The main causes of falls in nursing homes are gait and balance disorders, weakness, dizziness, environmental hazards, confusion, visual impairment and postural hypotension (ubenstein, Josephson & obbins, 1994). Most of these are…...

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References

Palmer, B. (2004). Overcoming resistance to change. Quality Progress. April 2004, 35-39.

Rubenstein, L, Josephson, K. & Robbins, A. (1994). Falls in the nursing home. Annals of Internal Medicine. Vol. 121 (1994) 442-451.

Tinetti, M. & Williams, C. (1997). Falls, injuries due to falls, and the risk of admission to a nursing home. New England Journal of Medicine. Vol. 337 (18) 1279-1284.

Zimmer, J., Watson, N. & Treat, A. (1984). Behavioral problems among patients in skilled nursing facilities. AJPH. Vol. 74 (10) 1118-1121

Before the plan was put into place data was collected so that the changes could be measurably recorded (osher, 2006).

In addition, before the plan began Phase I, the nursing home staff was retrained and agreement and enthusiasm for the plan was attained.

The culture change program was as success. Several residents were recorded as developing new energy and drive for life when allowed to pursue previous interests. One resident, who had dementia approached a newly obtained bird and talked to it for 15 minutes. She had raised birds during her adult life before entering the center and she was still able to advise others on how to care for and feed pet birds. Another resident who was blind and hearing impaired came alive with excitement when she was provided bunnies to pet and care for each day (osher, 2006).

Another study gauged at recording nurse response to patients with dementia illustrated the…...

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References

____(2006) Common Problems of Hospitalized Older Adults. Journal of Gerontological Nursing

Kovach, Christine, RN; Kebler Sheryl RN; Simpson, Michelle, MS (2006) Behaviors of Nursing Home Residents With Dementia, Examining Nurse Responses. Journal of Gerontological Nursing

Rosher, RB, Robnison, RB (2006) Barriers to Culture Change Journal of Geontological Nursing

Improving Healthcare Delivery in Nursing Homes: Focus on Broken Bones
The objective of this study is to focus on health care management issues, problems, and policies in a current organization and specifically that of a nursing home with a focus on broken bones.

Identification of Problem

Osteoporosis and fracture related to osteoporosis "are primary health concerns and sources of significant death and disability around the world." (Clinton, 2011) In 2006, it is stated that hip fractures along "cost Americans in excess of $20 billion." (Clinton, 2011) This is a huge problem since one in four patients with a hip fracture die "within one year of having the fracture." (Clinton, 2011) Osteoporosis is a bone disease that is stated to "decrease bone density" and to increase the "risk of fractures." (Clinton, 2011) These types of fractures are termed 'fragility fracture' and this occur with "minimal trauma and typically would not happen if the patient…...

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References

Clinton, Jeremiah (2011) Osteoporosis is a Major Health Concern for Seniors. Ravalli Republic. 21 June 2011. Retrieved from: http://ravallirepublic.com/lifestyles/health-med-fit/article_05bd7530-9c78-11e0-a619-001cc4c03286.html?print=1

Rubenstein, LZ and Josephson, KR (2006) Falls and Their Prevention in Elderly People: What Does the Evidence Show? Med Clin N. Am 90 (2006). Retrieved from:  http://www.nchh.org/Portals/0/Contents/Article0786.pdf 

Kutner, NG, et al. (1992) Measuring the Quality of Life of the Elderly in Health Promotion Intervention Clinical Trials. Public Health Reports. Retrieved from:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1403694/pdf/pubhealthrep00071-0044.pdf 

Masud, T. And Morris, RO (2001) Epidemiology of Falls. Age and Aging 2001; 30-S4. Retrieved from:  http://ageing.oxfordjournals.org/content/30/suppl_4/3.full.pdf

baby boomers grow older, America is faced with a growing need to provide for them in long-term care situations, such as Nursing Homes. However, at the same time, we are faced with a growing difficulty finding and retaining a workforce to care for them. People are attracted to the health care industry that have a genuine heart-felt desire to care for people. They receive their education and enter the industry with enthusiasm. However, for many, it does not take long until the realities of the working conditions set in and the employee finds themselves burnt-out and they leave.
The causes of employee burnout are many. Caring for disabled and frail patients is physically and mentally demanding. Employees involved directly in the care of patients often have few advancement opportunities. In addition, direct care employees are often the lowest paid employees in the field of long-term health care (Turner, 2002). With…...

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Bibliography

Banaszak-Holl J, Hines MA. (1996) "Factors associated with nursing home staff turnover." Gerontologist. 36(4):512-517.

Brown, L. (2002) "High Turnover Rate May Undermine HIV/Hemophilia Care."

Center for the Advancement of Health. Brown University. URL:   Accessed June 5, 2004.http://www.cfah.org/hbns/newsrelease/turnover2-12-02.cfm 

Crown WH, Ahlburg DA, MacAdam M. (1995) "The demographic and employment characteristics of home care aides: A comparison with nursing home aides, hospital aides, and other workers." Gerontologist 35(2):162-170.

Epidemiological Study on Falls
This is a matched cohort study of 754 volunteer elders who live together in a community in New Haven, Connecticut in determining damaging effects of injurious falls among the disabled ones (Gill et al., 2013). It sought to discover the connection between hip fractures and the damaging effects. Of this total number of participants, 122 were hospitalized patients for injurious falls, 59 of whom were hip-fractured and 63 were injured for other causes. They were compared or matched with 241 patients who were hospitalized for other causes not related to falls. Their mean age was 85.7 and they were evaluated every month for disability. They were admitted in nursing homes from 1998 to 2010 for injuries caused by hip fractures and other causes. It was found that their disability substantially increased in the first 6 months of hospitalization as compared to those who were hospitalized for…...

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Retrieved on April 8, 2015 from https://www.clinicalkey-com.proxygw.wrlc.og/#!/content/book/3-s2.0=B978145573733800013

- more on causal inferences. Clinical Key. Chapter 15, Epidemiology: Elsevier, Inc.

Retrieved on April 8, 2015 from https://www.clinicalkey-com.proxygw.wrlc.og/#!/content/book/3-s2.0=B978145573733800013

Fall Prevention
Identify High isk Patients

Ask nursing staff to list conditions and characteristics of patients at high risk for a fall. These include patients with mobility and balance issues due to illnesses such as Parkinson's as well as patients suffering from dementia. Also, patients with conditions that make their bones likely to be brittle such as osteoporosis should also be flagged as high risk.

Ask staff to list medications which may impede mobility, cognitive functioning, or increase the risk of osteoporosis.

Physically audit the area for areas likely to cause falls

While staff are not involved in the planning of the facility itself, they should be aware of the features that have been added to the facility to reduce the risk of falls. These may include railings near beds, hallways, and bathrooms. esidents who are capable of understanding should likewise be taken on a tour of the facility to highlight how to use structural…...

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Reference

Preventing falls among older adults. (2013). CDC. Retrieved from:

 http://www.cdc.gov/Features/OlderAmericans/ .

It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…...

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References

Decker, F, and Castle, N. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management, 34(2), 152-160.

Leister, D. (2009). The vanishing nursing home administrator: stress and intent to leave.

Informally published manuscript, Capella University, Minneapolis, MI. Retrieved from http://gradworks.umi.com/3359575.pdf

Nursing home administrator jobs. (2011). Retrieved from http://www.nursinghomesjobs.org/nursing-home-administrator-jobs/

Nursing Home
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust

The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.

The facts that this report is based on were documented by Margaret Haywood, a…...

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References

Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.

Margaret Haywood's diary. Retrieved from  http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .

Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.

Reasons for the substantive hearing of the Conduct and Competence. Retrieved from  http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf

/nursing homes.
Clearly, since the focus of these articles are based on an institutional economics point-of-view of healthcare quality, a limitation of the study is that it does not take into consideration other variables that might influence the efficiency of nursing homes in providing quality healthcare. Among these unaccounted variables are the politics behind healthcare, specifically federal laws and policies related to the provision of healthcare. Apart from policies and laws, another variables unaccounted for in this study is a thorough look or analysis of the relational dynamics between patients and nurses, as well as other healthcare practitioners and professionals. This variable is vital in understanding the concept of quality healthcare because it provides an in-depth look at the 'experiential" dimension or perspective healthcare -- that is, healthcare quality as assessed by patients and healthcare professionals/practitioners.

In terms of socio-demographic characteristics, the literature collated regarding nursing home care does not specifically distinguish…...

Nursing Home esident Agitation: Predictors and Interventions
To critically review selected articles investigating and discussing predictors of nursing home resident agitation, and recommended interventions.

Burgio et al., (2007, p. 642) provides a working definition of nursing home resident agitation "… as verbal, vocal, and motor activities that are repetitive, outside of social standards, and considered inappropriate by staff." Agitation can often involve physical and/or verbal aggression, which can increase the risk of harm to residents and staff, disrupt activities, divert precious resources, and lead to staff burnout and high turnover.

Critical literature review.

Medical literature databases were searched using the keywords 'agitation, nursing home, and demetia' and a limited number of articles published within the last 10 years were selected for review.

Inclusion Criteria. Articles investigating and/or reviewing the etiology of agitation in geriatric nursing home residents suffering from dementia were selected, as were articles recommending interventions.

Exclusion Criteria. Only those articles involving agitation and geriatric…...

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Results

The two cohort studies reviewed here used computer assisted behavioral observation systems (CABOS) to identify predictors of agitation in geriatric nursing home residents suffering from dementia. One study monitored 78 nursing home residents (Burgio, Park, Hardin, and Sun, 2007, mean age = 82.2) and the other 123 (Vance, Burgio, Roth, Stevens, Fairchild, and Yurick, 2003, mean age = 82.3), but neither study used a normal control population. The experimental strategy involved assessing various physical and mental criteria periodically to determine if they predicted agitation behaviors within this population. Both studies found a statistically significant correlation between cognitive functioning and agitation (p < 0.01). Burgio et al., (2007) was unable to find a significant correlation between agitation and gender, age, and daily activities, but the earlier study (Vance et al., 2003) reported significant, but weak correlations between agitation and gender (r = 0.21), visual impairment (r = -0.21), and hearing impairment (r = 0.42). The inverse relationship between visual impairment was attributed to residents being unable to notice staff walking by, which can otherwise trigger outbursts. Only in the latter study was retrospective nursing staff reports able to predict agitation behavior based on assessments of cognitive functioning, suggesting variability in the ability of nursing home staff to correctly assess resident cognitive status. The authors of both studies recommend the use of CABOS-like systems of measurement to determine activity levels for future studies, because staff reports aren't a reliable predictor of agitation behavior.

For more than 60 years it has been recognized that agitation worsens in Alzheimer's patients in late afternoon and early evening, a phenomenon accordingly termed Sundowning Syndrome (reviewed by Bachman & Rabins, 2006). Volicer et al. (2001) used body temperature to track circadian rhythms in inpatient Alzheimer patients with a mean age of 71 and suffering from different levels of dementia. It was discovered that individuals within the

With so many states legalizing marijuana, whether recreational marijuana, medical marijuana, or both, the idea that medical marijuana is still being withheld from many patients, including nursing home residents, who are experiencing pain and could get relief from the treatment is ridiculous.  Marijuana remains illegal on a federal level, however, and this complicates it usage for pain in nursing homes. That is because many people in nursing homes are dependent upon both state and federal aid for their medical care and there could be issues with funding if they were treated with....

A job analysis paper refers to a specific type of essay that examines different aspects of a job. The type of tools and methods you choose to analyze a job depends on a few factors, such as what job you are analyzing and the purpose of the analysis.  If you are in management or human resources, you might use metrics like output or time to complete a job to help determine job requirements, while if you are a prospective employee or looking at a career, you might choose an entirely different approach.  Whatever approach you choose, an effective job analysis....

Essay Outline: Explain Community-Based Services Subject to UK Registration and Inspection

I. Introduction
- Hook: Define community-based services and their significance in the UK.
- Thesis statement: Community-based services subject to UK registration and inspection provide essential support to vulnerable populations.

II. Regulated Community-Based Services

- Health and Social Care
- Care homes
- Nursing homes
- Home care services
- Education and Childcare
- Nurseries
- Daycare centers
- Childminders

III. Registration and Inspection Process

- Care Quality Commission (CQC)
- Role and responsibilities
- Registration requirements
- Inspection Framework
- Key Lines of Enquiry (KLOEs)
- Inspection ratings

IV. Importance of Registration and Inspection

- Quality Assurance
- Ensures....

1. The impact of technology on the nursing profession
2. The role of emotional intelligence in nursing practice
3. The importance of evidence-based practice in nursing
4. The ethical dilemmas faced by nurses in healthcare settings
5. The challenges of caring for elderly patients in nursing homes
6. The role of cultural competency in providing nursing care
7. The impact of nursing shortages on patient care
8. The importance of effective communication in nursing practice
9. The role of nursing leadership in improving patient outcomes
10. The benefits of interdisciplinary collaboration in healthcare settings.
11. The role of nursing education in shaping the future of....