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Nursing; Caregivers

Skilled Nursing Facilities, Palliative Care, Hospice and End of Life Care.

Caregivers

D3.1. You have been hired as a consultant to the city government to conduct a survey of caregivers. Who will you define as a caregiver? How will you pick your sample? What will you ask? What are the salient issues that you will want to cover?
Please write at least 150 words and include 2 references


Week 4. Quality of Care: The Changing Long Term Care Landscape
Evidence based (outcome-based quality indicators) approaches to quality improvement, collection and dissemination of standardized measures, enhancing quality in nursing homes, home care, and community care venues.
Topic

D4.1. Assessing Quality of Care

What are the major strengths and weaknesses of the nursing home survey process in assuring that residents have high levels of quality of care and quality of life?
Please write at least 150 words and include 2 references

D4.2. Beyond the Four Walls

What do you consider to be the key areas for developing quality metrics in home and community based care? Which ones are easier to measure than others?
Please write at least 150 words and include 2 references


Week 5. LTC Finance
Topic

Patient Accounting

Your task as the nursing home administrator is determine the method for tracking and managing the patient account fund. What protocols would you have in place? Lastly, what type of human resources personnel would you hire for this key activity?
Please write at least 150 words and include 2 references

Money Makes the World Go Around

Locate and post an article from any source and published during the last 12 months, that discusses a financial issue related to adult day care, assisted living, or home health care financing (NO articles on nursing homes). Try to choose an article that has practical implications.
The article should not be one assigned in the class or one chosen by another student. Do not post a link to the UMGC library, but attach the article to your response or post a link that anyone can use to access the article. Provide a brief summary of the article and answer each the following questions:

  1. How does this tie in with your research to date?
  2. How can the average long-term care manager use this information in day-to-day decision-making?
  3. What is the “take home” message?
  • Be sure to copy and paste the question before each of your answers to add clarity.
    Please write at least 150 words and include 2 references

Week 6.Management, Leadership, and Human Resources
Topic

D6.1.LTC Advocacy

Locate and describe one public interest group, aging service, or professional organization that you believe has or can have the most influence on political decisions related to LTC. They should have a strong advocacy shop with a proven track record of successfully advocating for their members. Why do you believe this? Use specific examples. You can focus on a national, state, or local level. (Do not pick AARP as they are the most obvious choice).
Identify the three highest-ranking issues on their political agendas. Why are these issues the highest-ranking issues?
Please write at least 150 words and include 2 references

D6.2. Changing Values, Cahnging Needs

In recent years, we have witnessed unprecedented shifts in societal values, some of which can offer challenges to organizational operations. Watch Gray Gays: Aging as an LGBT adult (5:56). What are two unique challenges facing the elderly LGBT population? How can the typical nursing home or assisted living facility address the unique needs of this population?
Please write at least 150 words and include 2 references

Staffing

Perform an internet search on the term “long term care staffing crisis”. What do your findings indicate? Evaluate the issues and offer practical substantiated solutions.
Please write at least 150 words and include 2 references


Week 7. Legal Issues and Ethics
Please respond to the following questions in the discussion created for this purpose.
Try to extend the observations already made in the lecture and include what you found doing your paper.
Topic

Regulatory Framework

Laws regulating skilled nursing facilities and assisted living facilities vary by state. However, most states’ regulations address emergency and disaster preparedness, fire safety, staff training, medication management, resident privacy, and background checks. Choose two states and research their statutes and regulations regarding LTC facilities. What do the regulations in these states say about one of these issues? Where do you see the greatest differences in regulations? To what do you attribute this?
Please write at least 150 words and include 2 references


Week 8. Ethics, Regulations and Litigation
Topic

Decision-making and Treatment

Laws regulating skilled nursing facilities and assisted living facilities vary by state. However, most states’ regulations address emergency and disaster preparedness, fire safety, staff training, medication management, resident privacy, and background checks. Choose two states and research their statutes and regulations regarding LTC facilities. What do the regulations in these states say about one of these issues? Where do you see the greatest differences in regulations? To what do you attribute this? Should the family have been consulted? Should the age have impacted the decisions? What about the fact that the use of services limited access for others? Provide your concluding thoughts and supportive evidence from credible sources.
Please write at least 150 words and include 2 references

The Social, Political, and Safety Environments

Pick one of the questions to answer. Copy the question in the answer for reference. Make sure to provide credible supporting evidence for your conclusions and recommendations.

  1. Other than AARP, discuss one public interest group, aging service, or professional organization that you believe has or can have the most influence on political decisions related to LTC? Why do you believe this?
  2. Research one public interest group and one professional organization that focus on LTC issues. Determine the three highest-ranking issues on their political agendas. Are their focus areas similar?
  3. Laws regulating skilled nursing facilities and assisted living facilities vary by state. However, most states’ regulations address emergency and disaster preparedness, fire safety, staff training, medication management, resident privacy, and background checks. Choose two states and research their statutes and regulations regarding LTC facilities. What do the regulations in these states say about one of these issues? Where do you see the greatest differences in regulations? To what do you attribute this?
  4. In recent years, we have witnessed unprecedented shifts in societal values, some of which can offer challenges to organizational operations. Watch Gray Gays: Aging as an LGBT adult (5:56). What are two unique challenges facing the elderly GLBT population? How can the typical nursing home or assisted living facility address the unique needs of this population?
  5. Select one of the following ethical and legal issues in long term care and comment on the challenges inherent for long term care administrators in effectively responding to them. Select one topic for a residential setting (i.e., assisted living or nursing home) and select a different topic for home and community based care. How can an ethics committee can help a LTC administrator effectively deal with these issues?
    a. Discrimination
    b. Abuse
    c. Privacy
    d. Malpractice
    e. Wrongful Termination
    f. Patient Rights
    g. Informed consent
    h. Advanced Directives
    Please write at least 150 words and include 2 references

Week 9. LTC Practice, Qualifications and Oversight
Topic

D9.1. Survey Says…

After reviewing Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities, in the State Operations Manual, summarize the primary purpose and focus of the survey mechanism. How does this differ from other sectors of healthcare (or does it)? Is the survey process a valuable exercise or unnecessary over-regulation? Why?
Please write at least 150 words and include 2 references

The Hospice Model

What are the benefits of interdisciplinary team management of patient care as practiced in hospice and palliative care? Are there potential lessons learned for improving the quality of traditional medical care? What specific tools, skills, and qualifications interdisciplinary team members need to master to offer an effective and efficient customer-centered experience? What would you personally do to develop these skills?
Please write at least 150 words and include 2 references


Week 10. Culture, Environment Design, and Technology
Topic

Technology

D10.1.
Watch http://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine (16:58)
While this talk is a bit dated, the issues presented remain relevant. What innovations are currently being developed in health care and how might these innovations change the current long-term care landscape?
Consider technological tools used in long term care such as call systems, wandering alarms, fall alarms, behavioral RPM systems, rule-based behavioral monitoring, vital sign monitoring, teleconferencing, electronic health records, and home care information systems. Pick one tool to write about. What does the tool do exactly? How does it reshape the way in which care is provided? Has it been widely adopted in the US? How much does it cost? Write a scenario where the tool is needed and adopted. Describe the need, the approach to adoption, barriers to adoption, how barriers were overcome, and the positive outcomes that emerged from using the tool over time.
Please write at least 150 words and include 2 references


Week 11. Strategic Marketing
Topic

Tell me Why…

Locate the websites of 3 different providers of assisted living facilities, adult day care services, or a CCRC. No nursing homes. You should have three websites for the same type of provider/facility:

  1. Compare and contrast the relevant aspects of the websites.
  2. Discuss how well or how poorly the facility has done with its web-based marketing tactics. What should they add or remove from their website?
  3. If you were the decision-maker tasked with choosing one of these providers based solely on their website, which one would you choose? Why?
    Be sure to include a link for each of the three websites in your post. Avoid using the same websites as others in the class.
    Please write at least 150 words and include 2 references

LTC Administration Licensure

NHA Exam offers an overview of national standards. Look up the specific requirements for a state other than that in which you live. Briefly describe the requirements and how they relate to the survey and accreditation processes. Explain how an internal successful Administrator in Training program affects marketing activities in the LTC community.
Please write at least 150 words and include 2 references


Week 12. The Future and Final Comments
Topic

The Future of Long Term Care

Post your thoughts on the impact of Lecture 12 and on the future of long term care and health administration.
Please write at least 150 words and include 2 references

Final Course Reflections

Please post your comments about the class.

  1. Using 50 words or less, how would you summarize this course to others?
  2. What was the most surprising thing you learned in this course? What was the most important?
  3. What did you like and not like about the course?
  4. What advice would you give to students planning on taking this course in the coming semester?
    Please write at least 150 words and include 2 references

Sample Solution

With Love, Revenge Retribution isn't an actual existence however a subject principally including show and different books. Subsequently, the most ideal approach to investigate retribution is to once in a while check the story close by. As a dramatization, the awfulness of retribution is principally character - driven, the intention of the character is straightforward: retaliation - under the name of adoration. Bel-imperia is looking for retribution on her darling, Andre. The thought process speaks to a cozy connection between certainty of misfortune and vengeance and love. The subject of affection and retribution in Shakespeare's "Hamlet's Love" is one of Hamlet's most remarkable topics, however one preferred position - the intensity of vengeance advances Hamlet's adoration. I will vindicate the homicide of his dad. While Hamlet was befuddled, he discovered that his mom got hitched to his uncle not long after his dad kicked the bucket. Despite the fact that he didn't question the sudden passing of his dad soon he was as yet stunned. As Kenneth Muir stated, "He (Hamlet) was stunned by Gertrude. Retribution is want for vengeance and fairness. At the point when the individual you love gets injured, that nature will vindicate. In any case, inaccurate conduct of these counter can prompt genuine results. In the awfulness of William Shakespeare 'Hamlet', Fortinbras, Hamlet, Lertes demonstrated that their craving for retribution unavoidably prompts misfortune. By losing somebody you love, Hamlet 's job has made it conceivable to make a move. The youthful Fortinbras established a military to restore the land lost by his dad to Hamlet and the lord. Both Hamlet and Leltus added to the vengeance of the showy topic. Both of these characters love their dad definitely. That is the reason they are delivering retribution. Be that as it may, their adoration is misshaped, and now they want to fight back against the passing of their dads. Be that as it may, they treat it in different ways. Hamlet realized who murdered his dad, yet he didn't make a move right away. Rarthes was somewhat indistinct, which was the reason for his dad's passing, yet he quickly acted to vindicate him. "For heck, unwaveringness! Promise, Retribution is the topic of this film. We saw this when Sook-hee promised to vindicate her dad's passing, her better half, and her retribution once more. Retribution is the explanation behind acquainting her with the universe of Assassin and helping her accomplish her objectives. It has become an endless loop of her. In some cases I see it influences her, however this is by all accounts the best thing knowing how Sook-hee does. She is carrying on a "typical" life and decided to render retribution while strolling. Despite the fact that it appears to be a toy of her destiny, Sook-hee settles on his own choice
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