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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.
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Make your later years your best! As many people live longer, they have more choices than ever before to make their later years more fulfilling. With AARP’s Navigating Your Later Years For Dummies, Portable Edition,you discover the many options you have for living independently, getting the best healthcare, and determining what legal papers and insurance you need. You don’t need to make these types of decisions alone. This handy resource also gives you expert advice on how to review your choices and discuss them with loved ones. This practical guide gives you advice on how to Downsize and declutter your home, talking to your family about what they want—and don’t want Decide whether to stay in your home or move to a retirement community Create wills, trusts, advance directives, and living wills Determine when it’s time to let someone else do the driving Facing the changes that come with aging can be tough, but you can make the most of this special time of your life. Navigating Your Later Years For Dummies, Portable Edition, gives you the information you need to stroll confidently into your future.
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
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In this timely and important work, expert gerontologists review what has been learned about the aged and the process of aging and link this knowledge to interventions for improving the quality of life. This volume highlights the development of preventive, therapeutic, and rehabilitative interventions designed to assist older people maintain their independence and quality of life. In addition to the editors, chapter authors include Robert N. Butler, Matilda White Riley, Carroll Estes, and a foreword by James O. Mason.
Named a 2013 Doody's Essential Purchase! "Since there are few books available on this topic that are this comprehensive and well-organized, this book should be of value to anyone interested in the topic of assisted living facilities in the U.S." Score: 98, 5 stars.óDoodyís Medical Reviews "This book is much needed. It offers a practical approach to key issues in the management of an assisted living facility... It is especially pleasing to see the long needed collaboration between nursing, social services, and education that is reflected by the training of the authors. This book is an important milestone for the field of aging and assisted living administration." From the Foreword byRobert Newcomer, PhD, Department of Social and Behavioral Sciences University of California-San Francisco Assisted Living Administration and Management contains all the essentials for students new to the field, as well as nuanced information for professionals looking to fine-tune their skills. This comprehensive resource provides deeper insights to address the ever-changing world of the assisted living community, containing effective best practices and model programs in elder care. The authors provide the necessary tools and tips to maximize the overall health, safety, and comfort of residents. This landmark reference, for assisted living and senior housing administrators as well as graduate students, contains the most practical guidelines for operating assisted living facilities. It offers advice on hiring and training staff, architecture and space management, and more. This multidisciplinary book is conveniently organized to cover the most crucial aspects of management, including organization; human resources; business and finance; environment; and resident care. Key Features: Highlights the most effective practices and model programs in elder care that are currently used by facilities throughout the United States Contains useful details on business and financial management, including guidelines for marketing, legal issues and terms, and public policy issues Includes chapters on environmental management, with information on accessibility, physical plant maintenance, and disaster preparedness Emphasizes the importance of holistic, resident care management, by examining the biological, psychological, and social aspects of aging Enables students to evaluate, analyze, and synthesize information on how to operate assisted living facilities
Designated a Doody's Core Title! "Caring for the older adult population is a challenge and the goal of nursing practice is to help preserve or restore an older adult's function and maximize their well-being and quality of life. This book is a wonderful resource for assisted living clinicians and nurses who wish to serve this population. It is well written, easy to read, and well organized so it can be used as a textbook for nursing students in geriatric nursing." Score: 94, 4 stars --Doody's "This book, written by and for nurses across the spectrum of nurse providers (advanced practice nurses, delegating nurses, and the direct care workforce), covers all aspects of management as well as the many common clinical problems and syndromes we encounter among older adults. Further, this book proposes wonderful assessment and intervention material that will help the entire health care team keep residents within their AL communities through early recognition and management of acute illnesses. Kudos to our nursing colleagues for editing this publication and may it serve as the useful guide for AL residents across the country." --John B. Murphy, MD President, American Geriatrics Society Professor of Medicine and Family Medicine Warren Alpert Medical School of Brown University This book provides a comprehensive overview of both management activities and clinical competencies for assisted living nurses. The authors provide practical guidelines and decision-making models to help nurses address both the large- and small-scale challenges of their daily practice. With Assisted Living Nursing, readers can gain the essential problem-solving and task management skills critical to their daily work. The contributors cover a wide range of topics, including: Management Ethics in nursing practice Regulatory oversight and reimbursement Organizational culture Leadership theories and styles Conflict resolution Finance and budget management Risk assessment Clinical Practice Admission-transfer-discharge assessment Infection Control Cultural aspects of care Geriatric clinical syndromes and disorders Palliative and hospice care principles Rehabilitation/restorative nursing Theories of aging Ultimately, this book serves as the definitive, one-stop resource, addressing virtually every topic of interest to assisted living nurses.