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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.
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.
"Concentrates on the positive aspects of nursing homes and offers strategies for identifying the best facilities--a guide for maintaining and improving relationships between the elderly and their families"--Provided by publisher.
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.
Comprehensive overview of every kind of long-term care service; how to decide which option is best for you or your loved one; everything you need to know about your financial options.
The lowdown on long-term care?from a geriatric specialist with over twenty years in the field. Placing loved ones in nursing homes or other long-term care facilities is a stressful decision?and for good reason. In previous decades, some homes were plagued by scandal, and everyone wants to know that their family members will be safe and sound even when they can?t be nearby all the time. Here, prominent geriatrician Joshua Schor, M.D., guides the reader through this emotionally challenging process step by step, covering such topics as: ? The small?and revealing?details to watch for when touring a home ? Determining whether a family member needs long-term or sub-acute care ? Deciding whether assisted living may be a viable alternative ? Questions to ask about medications, meals, and activities ? Knowing your rights and getting the information you need ? Special concerns for younger patients ? And more...
While life in a nursing home is rarely considered a first choice, at times it's the best choice. Still, the decision to put a loved one in a home is incredibly difficult. This book concentrates on the positive aspects of nursing homes and offers strategies for identifying the best facilities. Among the topics covered are how to recognize signs that a family member needs extra support, determining whether in-home care is a viable option, the different types of long-term care, working and communicating with the staff and preparing for the end of life. The book includes exercises for working through emotional reactions to the nursing home decision and how to maintain and improve family relationships in these circumstances. Uplifting stories of people and staff in nursing homes illustrate the concepts in the book, which is clearly written and filled with practical and positive advice.
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