I believe, one of the major challenges for the Canadian health care model as more providers become part of the continuum of care is the financial security that health care can finance towards resources. Resources would be limited since there would a higher demand such as increased wait time to attending care, creating a high strain on health care providers. To help decrease waiting times, health care providers would need to hire more staff which then causes a raise in public taxes to help pay those staff.
Pros to a single payer system: I) everyone can get coverage regardless of a pre-existing condition. Coverage would II) There is a decrease of necessary paperwork III) No insurance carrier needed IV) Only need one buyer for the policies: The Government B) Cons to a single-payer system: I) Government Controlled, you do not have a say so in your coverages, doctors, medical devices/equipment II)
If the service user is a referral from Social Services then we usually receive a detailed assessment of the individual’s needs from the assessment a Social Worker has carried out. However, I do not rely on this when carrying out my own assessments as it has proven in the past that Social Services’ information is not always up to date. NHS referrals come with very little information. We receive the initials of the patient, their address, NHS number, Broad care number, next of kin details and the package visit times. We never receive detailed information of their medical history and it is often uncomfortable having to ask for this information from the patient or their next of kin as they feel we should already have this on our records.
(Continue) The unemployed, especially the long-term unemployed, are psychologically more at risk than those who are employed to suffer from psychological illnesses, increasing the number of unemployed patients in the mental health system. (Continue) While efforts have been made to improve the mental health care system, none have fulfilled their intended purpose; to come to a viable solution, one must look at the problems in the mental health system politically, economically, and psychologically.
The unit is small 18 residents and local so good knowledge of each resident is already available. I found that residents with more advanced dementia did not bring with them a detailed personal history and family involvement was critical. It is evident that behaviours displayed viewed by staff as challenging were often reflective of past lives e.g. sleep patterns. “The secret of health for both mind and body is not to mourn for the past, nor to worry about the future, but to live the present moment wisely and earnestly.” Buddha.
Their model is based on caregiving as a change process (Montgomery & Kosloski, 2001). The authors assert there was a lack of research that recognized that each caregiver is unique and that an average caregiver does not exist according to Montgomery and Koslosk (2009). They state that each caregiver’s experience and their reaction to caregiver stress and caregiver obligations are distinct (Montgomery & Koslosk, 2009). They also posit that diversity, one’s circumstances as well as their culture should be considered when assisting caregivers (Montgomery & Kosloski, 2009).
The PFCC self-assessment tool was utilized to evaluation and outpatient clinic and the White City VA. Many elements within the tool are not applicable to this setting and are outside the procedural practice. The gaps discussed will be the areas in which PFCC may improve patient care outcomes. Leadership and Management scored high in all areas except one. Patients and families do not participate in policy, procedure, program guidelines, or Governing board activities.
Medicare spending began taking up more and more of the federal budget, threatening the continuation of the entire program and the ability of the government to help provide access to help for the elderly and disabled.2 These higher healthcare costs do not
When this was not possible and treatment could not be avoided or agreed upon by the patient, a legal framework was put in place to safeguard the patient 's best interests. There was also a sharp decline in treatment taking place within institutions such as hospitals wherever possible with the alternative of care in the community becoming the norm and ideal. “With the support of the National Association of Mental Health (NAMH), the 1959 Act also abolished the mental health definition “moral imbecile” which had previously been assigned to mothers of children born out of wedlock, particularly those who had born children with multiple partners.” (Neville, K. 2014) Though ‘The Mental Health Act 1959’ was a major piece of legislation which changed legal policy regarding those suffering with poor mental health and began reducing the oppressive language and attitude of previous policies, it lacked the needed exactitude which resulted in the ‘Mental Health Act 1983’ which provided clarity on issues such as whether detention in hospital due to mental health issues granted the treatment provider 's authority to impose treatment such as medication and electroshock therapy. The most recent revision of this law was the ‘Mental Health Act
Consequently, the discussion about nursing home abuse and neglect should never be a topic of discussion to discuss. Mainly, because unfortunate occurrences of neglect and abuse in nursing homes across America should have never happened and/or occurred in the first place. Unfortunately, it does happen. When reading Pozgar’s and Santucci’s Chapter Six: Criminal Law- Healthcare, it is sickening to not only read, but also grasp in clear-cut detail of the repeated instances of nursing home abuse and neglect.
Most require two or more witnesses and a notary, to assure that the patient is not forced into consenting to treatment they would not otherwise want. Witnesses generally do not include family members, or the person that the patient appoints as their healthcare proxy, because they may be beneficiaries of the patients estate. In some states, the patient’s doctors or healthcare providers cannot be used as witnesses. The patient does not need to share the content of the documentation with their witnesses. Patients should look into their state laws regarding advanced directive to ensure that the documentation meets the legal requirements ("End-of-Life Decisions - CaringInfo").
An analysis of the financial challenges that healthcare administrators face in America are the rising costs of uninsured patients and Medicare/ Medicaid reimbursement debt that continue to have negative affect on the budget of the healthcare facility. As a healthcare administrator it is prudent
The Centers for Medicare and Medicaid Services is according to Briesacher et al (2009), is thought to be the principal consumer of nursing home services. Pay for Performance in Nursing Homes Briesacher et al (2009), identified in their article that enough information was not available on the use and impact of pay for performance in nursing homes. It was to this extent that in the summer of 2009 there was an implementation of a pay for performance I nursing homes in a few States. The information which was readily available indicated inconsistencies in outcomes and quantity of care. The incentives awarded had no clear demarcation for reason associated with awards.
Some states will have requirements and exemptions for vaccinations. Generally most of the exemptions apply to students and not employees. If there is a hospital policy the exemption won’t apply (Philips, 2015). I believe that the biggest conflict of people getting the flu vaccine is that there are too many older
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs