Improving the Quality of Care in Nursing Homes PDF Download

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036461
Category : Medical
Languages : en
Pages : 432

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Book Description
As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Author: National Research Council
Publisher: National Academies Press
ISBN: 0309084342
Category : Social Science
Languages : en
Pages : 569

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Book Description
Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.

Author: William J. Scanlon
Publisher: DIANE Publishing
ISBN: 9780788177040
Category :
Languages : en
Pages : 70

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Book Description
Addresses the life-threatening potential of serious conditions in nursing homes, such as malnutrition, dehydration, & improper care of incontinent & immobile residents. Examines, through a medical record review, whether serious care problems currently exist; reviews the adequacy of federal & state efforts in monitoring nursing home care through annual surveys; & assesses the effectiveness of federal & state efforts to enforce sustained compliance with federal nursing home requirements. Charts & tables.

Author: Sharon R. Murphy
Publisher:
ISBN: 9781439257821
Category : Family & Relationships
Languages : en
Pages : 125

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Book Description
For everyone faced with the daunting challenge and emotional heartache of having to choose a nursing home, this is the comprehensive, user-friendly guide that takes your hand and shows you the way.

Author: Elise Beaulieu, PhD, MSW, LICSW
Publisher: Springer Publishing Company
ISBN: 0826193498
Category : Social Science
Languages : en
Pages : 410

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Book Description
ìBeaulieuís decades of social work practice illuminate every chapter, her years of networking with colleagues in Massachusetts and nationwide enhance every paragraph, and nuggets of insight earned through successfully establishing meaningful relationships with residents and families are reflected in every word. She knows her stuff and through this book shares it with others who are committed to enhancing the quality of life of nursing home residents through excellent social work services.î From the Foreword by Mercedes Bern-Klug, PhD, MSW, MA The University of Iowa School of Social Work "Beaulieu's book... clearly articulates what on-the-ground nursing home social work practice involves... These resources are useful as it is rare to be exposed to this type of information or detail during one's educational training... Beaulieu reveals layer upon layer of social worker roles, responsibilities, and important tools. This is a comprehensive guide for social workers."--The Gerontologist This completely updated guide for nursing home social workers reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It is the most comprehensive guide to nursing home social work available and includes new chapters on changing expectations and new models for nursing home facilities (including the patient-centered facility), disaster planning, pain in older adults, and families and next of kin as legal representatives. Also included are policies that have been revised or added since the previous edition was published, including information about the new Minimum Data Set (MDS 3.0) and the Health Insurance Portability and Accountability Act (HIPAA), and updated content on dementia, depression, elder abuse, and more. Key Features: Comprises the most comprehensive guide to nursing home social work available Includes new chapters on culture and diversity; spirituality; disaster planning; pain in older adults; new models for nursing homes; and families as legal representatives Provides new information about MDS 3.0 and HIPAA Contains helpful forms for assessments, screenings, transfer/discharge notes, new HIPAA forms, and many others

Author: Elise M. Beaulieu, PhD, MSW, LICSW
Publisher: Springer Publishing Company
ISBN: 0826182771
Category : Social Science
Languages : en
Pages : 545

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Book Description
Praise for earlier editions: "Beaulieu's book... clearly articulates what on-the-ground nursing home social work practice involves... These resources are useful as it is rare to be exposed to this type of information or detail during one's educational training... Beaulieu reveals layer upon layer of social worker roles, responsibilities, and important tools. This is a comprehensive guide for social workers." -The Gerontologist This is an essential compendium of information and insight for the nursing home social worker on how to successfully navigate the day-to-day responsibilities and complexities of this role. Written for both new and seasoned social workers, it clearly addresses everything there is to know in one handy resource. The substantially updated third edition reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It includes a new chapter on how knowledge of Adverse Childhood Experiences (ACE) can aid in resident care plus major updates on disaster planning including workforce safety tips for pandemics and an expanded chapter on abuse, neglect, and mistreatment. Along with another new chapter to reflect current practice focusing on pandemics and disasters, including COVID-19. The book delineates specific resources and supplemental materials to assist the social worker in their daily role. The third edition is particularly relevant in its coverage of how ethnicity and culture impact nursing home admission and stays as well as undertreated pain in older adults. Purchase includes digital access for use on most mobile devices or computers. New to the Third Edition: Completely revised to consider the latest political, economic, and cultural trends and requirements for nursing homes and how they affect social workers New chapter on Adverse Childhood Experiences addressing how knowledge of childhood trauma can contribute to a caregiver’s understanding and techniques Updated chapter on disaster to include pandemics, natural disasters, and violence in the workplace New workforce safety tips for pandemics Expanded chapter on abuse, neglect, and mistreatment Vignettes included to clarify and illuminate information Updated list of online resources Revised appendix of standardized forms Key Features: Describes the full range of skills and knowledge needed to succeed in this varied and multidisciplinary role Includes multiple vignettes to illustrate information Provides weblinks to additional resources Designed to be practical and reader friendly Presented in a question-and-answer format to clarify content Offers review questions at the end of each section

Author: Reynolds C. Chapman
Publisher: iUniverse
ISBN: 0595453171
Category : Medical
Languages : en
Pages : 106

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Book Description
Nursing Homes from A to Z is a long overdue book intended to make the lives of residents in nursing homes as comfortable and problem-free as possible. A large majority of residents spend quite a few years in a nursing home before they pass on. These years can be one of misery or contentment. Everyone admitted to a nursing home, as well as their family members, will benefit from the information contained within this book.

Author: Elise M. Beaulieu
Publisher: Springer Publishing Company
ISBN: 9780826115331
Category : Social Science
Languages : en
Pages : 302

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Book Description
Covers the changing face of nursing homes, charts and doumentation, legal auspices, screening, transfer & discharge, policies, surveys, diagnosis & treatment, ethics, community liaisons, problems and solutions, standardised forms.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309448093
Category : Medical
Languages : en
Pages : 367

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Book Description
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Author: William Beerman, Sr.
Publisher: Createspace Independent Publishing Platform
ISBN: 9781986310581
Category :
Languages : en
Pages : 380

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Book Description
This book shares insights gained through 5 years of personal experience and research by the author about nursing homes and the government oversight system for nursing homes. It is a substantive 380-page journalistic novel hybrid written by a retired former journalist and certified internal auditor, William J. Beerman, Sr. The author intends the book to provide important information to the public and especially to those who might have a nursing home for themselves or a loved one in their current or future lives. The book is named after William''s mother, Mary Regina, who died after a short stay in a nursing home. After Mary Regina''s death, William filed suit over the mistreatment his mother had suffered, and he began looking into how the government oversees nursing homes. What he found out was alarming. This book presents in an easy-to-read, memoir-like framework, a three-part narrative: (1) the human-interest background story of Mary Regina and William, (2) details of Mary Regina''s hospital and nursing home experiences, and (3) what William learned about government oversight of nursing homes. The book covers state attorneys general lawsuits involving 65 nursing homes and more than 1 million patient-days of nursing home care. The investigations for the lawsuits elicited reports on nursing home operations from former employees who became confidential witnesses. The investigations looked not only at resident treatment, but at how the nursing homes interacted with oversight agencies, and with their parent corporations. Audits by state and federal auditors, and the work of a nursing home quality improvement task force, are also covered. William reports, for example: * Many nursing home administrators knew in advance when state inspectors were coming for "unannounced" inspections. * The federal government''s ratings for nursing homes do not consider the opinions of the people who live in them. * State enforcement actions can vary wildly, from 171 a year under one governor, to two under another in the same state. * Lawyers sometimes seem to be more successful at holding nursing homes accountable than do the agencies established for that purpose. * Even when government lawyers allege that it was mathematically impossible for inadequate nursing home staffs to provide the required care, lawsuits might be thrown out of court based on legal technicalities. * Keeping continent residents in diapers can be less expensive in terms of staff hours for nursing homes than it is to escort them to the bathroom. * In recent years, the number of complaints about nursing homes has risen while the number of citations and enforcement actions has gone down. * Nursing home operators contend that they are victims of excessive regulations and costly unfounded lawsuits, and that Medicaid''s rates for nursing home care fall about $25 per patient-day, or collectively about $7 billion per year, below the cost of providing proper care. * Residents are still in jeopardy; some of the same conditions are reported decade after decade. William grew up in a dysfunctional family, as many of us do. He had a strained relationship with his mother, largely because of a ruthless 13-year scorched-earth divorce war that she waged against his father, who was a steelworker. As Mary Regina grew older, she lived in Pittsburgh, Pennsylvania, and William lived 1,775 miles away in Las Cruces, New Mexico. When William''s sister died young, he became his mother''s sole surviving offspring. And after Mary Regina broke her hip, William traveled to Pittsburgh and spent 20 days standing by at her bedside in a skilled nursing home. He observed what happened on the day shifts and listened as Mary Regina told him what happened at night. William''s complaints about the nursing home to the state department of health were not handled satisfactorily, so he began researching this book.