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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.
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
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.
This edition features: 66 new teaching guides (for a total of 193); all updated references and source material; expanded treatment of the integumentary, musculoskeletal, neurological, and respiratory systems; all-new guides on substance abuse, sensory disorders, and pediatric disorders; expanded coverage of psychiatric disorders; six new nursing diagnoses; and many new guides for high-tech home care procedures, such as, IV therapy, the use of inhalers, mini-nebulizers, and ventilators.
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.
Funny, moving and profound, A Dog Walks into a Nursing Home is the story of how one faithful, charitable, loving and sometimes prudent mutt - showing great hope, fortitude and restraint along the way (the occasional begged or stolen treat notwithstanding) - taught a well-meaning woman the true nature and pleasures of the good life.
Based on the belief that older people have good stories to tell, Story Writing in a Nursing Home was developed as part of a volunteer teaching service to a nursing home. Graduate students who were learning to teach this special population conducted story writing activities with older adults and found that even the frail elderly who are confined to nursing centers provided a unique perspective about events that emphasize the lasting verities in life. The information, memories, and humor the elderly see in situations is worth recording. In addition, Story Writing in a Nursing Home emphasizes the way to develop the mental stimulation that is so important for physical well being. This sensitive and insightful book provides a lesson plan outline and the type of content that was used as an example. It also provides a running commentary in the form of a diary that tells how to begin a teaching program for nursing center residents. Students and professionals interested in implementing a similar program can use these ideas for planning and for organizing the use of student help to better serve the population.
The grassroots handbook for Edenizing nursing homes.