Long-Term Care: A Case Study

As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home.

inally, Title VII provides support for programs to ensure protection of the rights of older adults, including the Long-Term Care Ombudsman Program and elder abuse prevention services. The Long-Term Care Ombudsman Program is required to investigate and resolve complaints made by or on behalf of nursing facility residents or other institutionalized populations. Title VII funds are allocated based on the state’s proportion of residents age 60 and

Medicare beneficiaries might need to jump through some hoops to get that palliative care. Hospice is one of the services covered for Medicare beneficiaries and is obviously a necessary service at the end of life. In the past, Hospice had four benefit periods, two-90 day periods, one-30 day period and one unlimited period. Prior to 1998, if a member entered the unlimited period but did not die, they lost all future Medicare Hospice coverage.

An expansion of Medicare part B to encompass home- based facilities would allow for financial relief in the Medicaid sector, which currently foots the bill for almost half of low-income elderly and disabled individuals. Congress could benefit by implementing funding for these homes because it reduces the current cost required to staff and equip traditional long-term care facilities. The proposal for Medicare reform to finance home-based long-term care institutions has many benefits. It provides long-term care in familiar environments, allows patient to maintain a sense of autonomy, and provides affordable housing for the elderly low- income population, who qualify for Medicare and meet the financial requirements. It considers the need for current facilities by funding both.

California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.

It is my analysis of the financial burden and decisions we had to make for my grandmother is that as the demand increases for long-term care as the baby boomer population ages, Medicare and Medicaid will be forced to reevaluate how they pay for long-term care. Many states are not equipped to handle the comprehensive needs of this aging population (Ford, Henderson, & Handley, 2010). Also, families are forced to take on enormous financial burdens due to the lack of coverage by Medicare (Can Medicare, 2015). The are no true pros to this situation.

Today’s healthcare system has evolved so that the insured has many options to select from when they determine that Long Term Care may be necessary. Long Term Care services range from care in facilities to informal care in a home. There are facilities that provide comprehensive services. The insured can start off receiving home health care. Then if home conditions change they can move into the facility’s assisted living area.

The Balance Budget Act (BBA) of 1997 made substantial changes to nearly all aspects of the Medicare program to contain spending. The Act was the largest reductions in federal Medicaid spending in Medicaid since 1981. It was expected that the Act will achieve a gross federal Medicaid savings of $17 billion over five years and $61.4 billion in ten years. After the legislation 's offsetting increases in Medicaid spending are accounted for, there was a further anticipation of a net federal Medicaid savings of $7.3 billion over the next five years and $36.9 billion over the next ten years. Some revision to the Act was made in 1999 but the key provisions were as follows.

Hello, Mary. The goal of beneficence is to protect the well-being of the patients. In nursing, doing good and doing the right thing is the best policy. In our long-term care restraints is not an alternative. Instead of using restraints our facility provides patient care observers to be with the patient to ensure their safety.

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In 2003, they revised their program to reach out to more minorities and low-income borrowers. Their strategy involved assistance programs for down-payments and closing costs, programs for rehabilitation loans, mortgage revenue bond, FHA and VA loans, multiunit loans, rural housing,

Defining the Issue 1. Wage Penalties in Paid Care Work Workers in an occupation associated with care are presumed to earn less compared to their counterparts in a non-caring occupation. Previous relevant studies reveals a relative less pay of workers doing interactive service work (Leidner 1993), by using 1980 Census data (England 1992) and 1990 Census data (England, Thompson and Aman 2001). England, Budig and Folbre (2002) are the first ones to provide empirical evidence to show the relative low pay of care work, which is considered as a subdivision of the boarder notion of interactive service work (Leidner 1993). In order to test the hypothesis that there is a wage penalty in care work net of other individual or occupational factors, a

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation.

Life expectancy Life expectancy is an average number of years that a person can expect to live in "full health" by taking into account years lived in less than full health due to disease and/or injury (WHOStat 2006). Crude Death/Mortality Rate (CDR) Crude Death Rate or Crude Mortality Rate is the total number of deaths to residents in a specified geographic area such as a country divided by the average total population for the same geographic area for a specified time period and multiplied by 100,000. The term crude means it does not account for age, sex or other variables in any aspects of death. CRUDE DEATH RATE=(Total deaths per year)/(Average Total population of that year)