As an integral part of the healthcare team, nursing has evolved tremendously. In Nurse of the Future Nursing Core Competencies a picture was painted of what the future of nursing looks like. From my own opinion I do feel that a reform or evolution in nursing education is required to create competent nurses of the future. Current nursing school programs are academic heavy with an emphasis on skills. While growing competency in clinical skills is necessary, there is much more to the future of nursing than being highly skilled. It is time to distinguish not just skills, but characteristics of a successful nurse of the future. This is a nurse who will be well rounded with the tools and resources to help guide healthcare and the patient experience
Late Adulthood is the stage of the human life cycle where an individual nears the end of their life. The life expectancy in the United States has slowly increased over the years therefore allowed many to further analyze the physical, cognitive, and psychosocial development during late adulthood. The stage of late adulthood has been emphasized by ageism and the stereotypical "old" person but, will be further educated by the normative development of the life cycle of late adulthood. For the “old” experience dramatic changes in their development as they face loss, death, and illness.
Coming from a third world country where there aren’t many opportunities for work and funding for education, proceding to nursing school was a grand opportunity. The privilege to attend a government subsidized school where top students in the region compete to get into the program that allowed only 60 students per year was indeed a blessing. As clinical rotations began, what was once considered a mere opportunity evolved into a true passion for caring as I truly love and enjoy nursing and helping people.
The past year I have seen how much of a big difference hospice makes. I have seen how patients and their families become attached to their hospice team. I have witnessed all hospice team members working together to be supportive to families when their loved one has passed. I never knew how much of a difference hospice can make until my time at Homestead. I saw how the entire hospice team cared for each and every patient and wanted to make the patient’s last days the best they could possibly be. Homestead hospice is fulfilling its goal of making the patient as comfortable as can be while in the dying process. Homestead Hospice is contracted with local nursing homes and assisted living places to help if a patient wants placement, or if
The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care. She feels like her husband needs some form of an assistive device for walking, getting in and out of bed, an assistive device for urinating, and a chaplain. In response to this statement the nurse asked her if she would like a walker,
Ng, T., Harrington, C., & Kitchener, M. (2010). Medicare and medicaid in long-term care. Health Affairs, 29(1), 22-8. Retrieved from https://search.proquest.com/docview/204518361?accountid=41759
There is a large difference in the quality of care between minorities and whites. As time progresses, this becomes an issue because the number of minorities are increasing and soon that number will double the population of whites. Disparities in palliative care for minorities is limited and lacks true quality. Minorities have a harder time receiving quality palliative care because of lack of access to medication and communication with doctors. African Americans and other minorities are more likely to die in the hospital from illnesses than whites. Some factors that may contribute to the lack of care for minorities are cultural and religious beliefs, geographic locations, and preferences for treatment (Johnson 2003). Although, these may be factors that contribute to the reason it is not exact. Access to care and research for minorities who suffer from advanced illnesses, palliative care, is limited; the availability of high quality care is not equivalent to those of non-minority races.
Which under the current design addresses long- term care for a limited amount of time, such as for rehabilitation purposes. These services cannot be received outside of a Medicare-approved facility, which means the person cannot reside in their home and receive the long-term care assistance under the current system. Therefore, we propose to amend this portion of the program to extend the funding for long-term care to include home care. Which consist of the relatives receiving monetary compensation for their care. Under the current policy, 41% of the Medicare budget of $50,000,000,000 is being advocated this particular area. We propose taking 8% of this budget and applying it towards long term home based care. Moreover, we are advocating for home based funds to be obtained by amending Medicare part B, which under the current policy only covers extended care in a Medicare-approved establishment. We do not propose totally doing away with the present system because our policy does recognize the need for these facilities to continue to meet individual needs that cannot be met in a home based environment. The proposal adds the additional component of supplemental income for a home-based long-term care of, which covers
In this assignment i will be comparing two ageing theories in 3 different health and social care settings. I will look at the advantages and disadvantages as well as the strategies put in place within these settings.
The elderly in nursing home are at an increased risk for falls, more than any other area. An average of 5% of all persons over the age of 65 reside in nursing homes. On average, over 1,800 people over the age 65 fall while in nursing homes every year and 20% of all fall related deaths occur from falls while living in nursing homes (Centers of Disease Control & Prevention, 2012).
Bessie is an 87-year-old client who has recently been discharged from an acute care hospital after experiencing a cerebrovascular accident. Due to her compliling health issues she has been refered to home health to get assistance she needs to continue to live independently as long as possible. Bessie has a friend next door that is willing to help, but does not have any family nearby and does not have any discretionary income, because of these limitations she will need her home health nurse, Laura, to advocate for her to come up with a plan of action. The role of adcvocate is increasingly important because of clients changing needs and demands. Elderly clients need more help than ever with finding resoursed and applying for them with our increasingly
Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities. Hillier and Barrow (2015), associate problems of caregiving with the responsibility itself, the caregivers personal health, role strains, strained family relationships, ect. With all of this strain on an informal caregiver it seems most beneficial to the caregiver and the elderly individual to consider admittance in to an assisted living facility. Once a basis has been established as to why an elderly person is admitted in to an assisted living facility, further insight shall be established to denote what is considered elder abuse. In this movie, Life and Death in Assisted Living Facilities, several
Hospital readmissions are a prominent healthcare issue today. The Centers for Medicare and Medicaid Services are experiencing financial losses in the billions in regards to this patient population. Within the Patient Protection and Affordable Care Act, Section 3025 passed the Hospital Readmissions Reduction Program. This program identifies hospitals with large-scale readmission rates for patients within thirty days of discharge related to congestive heart failure, heart attack, and pneumonia, and marked them liable for the penalties of the program. This program presents notable reimbursement cuts for
To consist of compassionate caregivers including expert healthcare professionals to provide exceptional service to the patients and their families.
How do you want to die? Hospice is an organization that provides end of life home care for the terminal ill. Hospice aims to enhance the comfort and quality of a patients’ remaining life, when they can no longer benefit from treatment. In simple terms hospice helps people die the way they wish. Most people have negative perceptions because hospice is often associated with death and have little knowledge to many service hospice can offer. The patients family views, professional view, and the race and cultural of the patients can affect the wiliness to use hospice.