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THE DEFINITIVE TEXT ON THE PRINCIPLES AND CLINCAL PRACTICE OF NURSING HOME CARE Nursing Home Care is a practical textbook designed to serve as a rich evidence-based resource to provide physicians and other practitioners with the information and knowledge to advance nursing home care. It states and explains the principles underpinning safe, personalized, and dignified nursing home practice using an integrated, cooperative approach. In addition, it provides the medical knowledge necessary to give quality care to nursing home residents. Nursing Home Care reflects the International Association for Geriatrics and Gerontology's conviction that nursing home practice is an interdisciplinary endeavor that requires a sound theoretical, scientific, and values base in addition to clinical expertise. Mindful of the influences of different culture and context, the premise of this text is that there is a shared and common knowledge base to guide nursing home practice and approaches to caring that are universal. THIS UNIQUE TEXT IS LOGICALLY DIVIDED INTO FOUR PARTS: PART 1 covers the origins of the nursing home movement, plus alternative approaches, including aging in place and what older people are saying about nursing home life and culture change. PART 2 focuses on the fundamentals of working as part of a nursing home team providing day-to-day care and the leadership essentials to drive the quality improvement agenda. PART 3 addresses the most common conditions experienced by older nursing home residents. PART 4 is devoted to clinical and nursing aspects of specific disease management. KEY FEATURES: Online supplemental material, including 1,000 PowerPoint slides available to faculty, plus Q&A available from the IAGGI * Over 150 multiple choice questions * Key points for each chapter * An essential study guide for the IAGG certificate in nursing home care
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.
Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.
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.
This book provides a knowledge base in nursing home practice that includes incontinence, pain evaluation and management, dementia and delirium, falls, drug use, nutrition, ethical and legal issues, and more.
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.
Tina M. Marrelli's new book, Home Care Nursing: Surviving in an Ever-Changing Care Environment is a practical and comprehensive guidebook written concisely and without jargon or insider acronyms, making the book accessible to anyone whose work is connected to home care nursing services. Designed to provide chapters as stand-alone resources for readers with previous experience seeking updated guidance, Home Care Nursing is also an excellent guide for course or orientation material. Each chapter is packed with practical questions, discussion topics, and additional resources, such as a complete Medicare Benefit Policy for reference. Additionally, offering more than just an overview of the healthcare and home care markets, this book discusses the unique practice setting and environment of home care nursing, the laws regulations, and quality, and how to make the leap into the field, document your home visit, and improve your professional growth and development. -- Résumé de l'éditeur.
An in-depth analysis of the nursing home industry in America -- its past, present, and future. It focuses on the business aspects of the industry, and provides a detailed examination of the main issues concerning all nursing homes -- trends in health care expenditures; the legislative history of the industry; growing demand for care and how to measure it; the present structure of the industry; funding and financing concerns; government regulation; inter-industry competition and opportunities for growth; global comparisons; and public policy considerations.