[PDF] Transforming Long Term Care eBook

Author : Institute of Medicine
Publisher : National Academies Press
Page : 344 pages
File Size : 11,84 MB
Release : 2001-02-27
Category : Medical
ISBN : 0309132746

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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.

Author : JEAN. HASELTINE GALIANA (WILLIAM.)
Publisher : Springer
Page : 218 pages
File Size : 27,36 MB
Release : 2019-01-01
Category : Geriatric nursing
ISBN : 9811321647

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"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.

Author : Pablo Villalobos Dintrans
Publisher : Nova Science Publishers
Page : 0 pages
File Size : 32,46 MB
Release : 2021
Category : Medical
ISBN : 9781536193961

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"Population aging is challenging countries around the globe to adapt their public policy responses to the new world. Long-term care is a relevant topic today both because of the rapid growth in long-term care needs in every country and the lack of responses from governments. The Future of Long-term Care explores some issues related to the implementation of long-term care responses in different countries. Looking at six different cases, the book highlights the need to foster an urgent debate in the area, as well as emphasizing the need for action in the coming years. The examples analyzed show common problems faced by countries trying to respond to their people's needs, as well as the dissimilar stages, contexts, and paths followed by each one in the endeavour for providing long-term care services to the population. Whether the analysis is carried out in countries with well-established long-term care systems or in places where the debate is just starting, the book proves that this is an area in which many challenges remain. Learning lessons from others is important but providing a space for countries to frame their problems and propose their solutions is crucial. This book contributes to fill this gap and contribute to a debate that is just starting in many places around the world"--

Author : Mary Helen McSweeney-Feld
Publisher : Gateway to Healthcare Management
Page : 0 pages
File Size : 17,51 MB
Release : 2017
Category : Medical
ISBN : 9781567938364

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The field of long-term care is experiencing significant growth and near-constant change. Older adults and people with disabilities today make up a larger segment of society than ever before, with this shift in demographics comes an increased demand for long-term services and supports. This introductory book examines the various dimensions of long-term care and explores the facets of management essential to success in this evolving environment.

Author : Paul Osterman
Publisher : Russell Sage Foundation
Page : 232 pages
File Size : 16,1 MB
Release : 2017-09-06
Category : Social Science
ISBN : 1610448677

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The number of elderly and disabled adults who require assistance with day-to-day activities is expected to double over the next twenty-five years. As a result, direct care workers such as home care aides and certified nursing assistants (CNAs) will become essential to many more families. Yet these workers tend to be low-paid, poorly trained, and receive little respect. Is such a workforce capable of addressing the needs of our aging population? In Who Will Care for Us? economist Paul Osterman assesses the challenges facing the long-term care industry. He presents an innovative policy agenda that reconceives direct care workers’ work roles and would improve both the quality of their jobs and the quality of elder care. Using national surveys, administrative data, and nearly 120 original interviews with workers, employers, advocates, and policymakers, Osterman finds that direct care workers are marginalized and often invisible in the health care system. While doctors and families alike agree that good home care aides and CNAs are crucial to the well-being of their patients, the workers report poverty-level wages, erratic schedules, exclusion from care teams, and frequent incidences of physical injury on the job. Direct care workers are also highly constrained by policies that specify what they are allowed to do on the job, and in some states are even prevented from simple tasks such as administering eye drops. Osterman concludes that broadening the scope of care workers’ duties will simultaneously boost the quality of care for patients and lead to better jobs and higher wages. He proposes integrating home care aides and CNAs into larger medical teams and training them as “health coaches” who educate patients on concerns such as managing chronic conditions and transitioning out of hospitals. Osterman shows that restructuring direct care workers’ jobs, and providing the appropriate training, could lower health spending in the long term by reducing unnecessary emergency room and hospital visits, limiting the use of nursing homes, and lowering the rate of turnover among care workers. As the Baby Boom generation ages, Who Will Care for Us? demonstrates the importance of restructuring the long-term care industry and establishing a new relationship between direct care workers, patients, and the medical system.

Author : Judah L. Ronch
Publisher : Routledge
Page : 468 pages
File Size : 46,20 MB
Release : 2003
Category : Medical
ISBN : 0789021102

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This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.

Author : Mercedes Bern-Klug
Publisher : Columbia University Press
Page : 378 pages
File Size : 21,31 MB
Release : 2010
Category : Medical
ISBN : 0231132247

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This volume outlines the belief that nursing homes can and should support the physical, psychological, and social needs of residents, and that residents can thrive in nursing homes when these needs are met. The book's contributors explore the role that palliative or comfort care plays in enhancing the quality of life of nursing home residents as well as the medical, familial, psychological, cultural, and financial issues that influence decision-making about end-of-life care. The book is designed to be a tool to prepare social workers to advocate for a greater incorporation of palliative care and psychosocial care into the culture of nursing home care. The book includes discussions of the psychosocial needs of nursing home residents and families, the financing of long-term care and end-of-life care, ethical issues in chronic care and end of life, trends and characteristics in nursing home care, rituals and grief at end-of-life, and considerations for the future. Each chapter includes case examples to further illustrate points made.

Author : Kelly O'Shea Carney
Publisher : American Psychological Association (APA)
Page : 0 pages
File Size : 37,52 MB
Release : 2016-11
Category : Medical
ISBN : 9781433823664

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Most people fear the idea of living in a long-term care facility. Yet, there is potential for joy and meaning in these settings. This book highlights expanded roles and services that mental health professionals can provide in long-term care for older adults, offering the potential to improve the quality of care for residents. Beyond assessments and individual therapy, the authors make a case for mental health providers to help improve the long-term care environment for both residents and staff, thus having a greater impact on systems, culture, and ultimately, patient well-being. Readers who wish to add or expand their services for older adults will find helpful guidance, including detailed instruction on Medicare policies and reimbursement practices. The authors also present an innovative model of wrap-around care that involves the array of staff and family members who are present to the individual all day, every day. This comprehensive approach, called the Eldercare Method, positions the mental health professional to serve in the roles of teacher, consultant, role model, advocate, and clinician. With numerous case examples to illustrate common scenarios and ethical dilemmas, this practical resource will help readers envision new ways to apply their skills in the rapidly growing field of long-term care for older adults.

Author : Costanzo Ranci
Publisher : Springer Science & Business Media
Page : 322 pages
File Size : 35,95 MB
Release : 2012-11-08
Category : Family & Relationships
ISBN : 1461445027

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Over the last two decades, many changes have happened to the social welfare policies of various industrial countries. Citizens have seen their pensions, unemployment benefits, and general healthcare policies shrink as “belt tightening” measures are enforced. But in contrast, long-term care has seen a general growth in public financing, an expansion of beneficiaries, and, more generally, an attempt to define larger social responsibilities and related social rights. The aim of this book is to describe and interpret the changes introduced in long-term care policies in Western Europe. The volume argues that recent reforms have brought about an increasing convergence in LTC policies. Most of the new programs have developed a new general approach to long-term care, based on a better integration of social care and health care. The book explores increasing public support given to family care work (in the past, the family would take care of the elderly or infirm) and increasing growth and recognition of a extended social care market (by which care has shifted from a moral obligation based on family reciprocity to a paid, professional activity). A new social care arrangement has therefore been developing in Western countries, based on a new mix of family obligations, market provision, and public support. In order to understand such changes, this analysis will take into account the social and economical impact of these reforms.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 580 pages
File Size : 14,24 MB
Release : 1986-01-01
Category : Medical
ISBN : 0309036437

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"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.