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Nursing Home Abuse, 2004.
This paper discusses elder abuse in nursing homes. Elderly abuse refers to any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.
1,485 words (approx. 5.9 pages), 7 sources, MLA, £ 34.95
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Abstract
This paper reports that 30 percent of nursing home facilities are cited for instances of abuse, and the majority of all instances are never even reported. The author points out that, to prevent this abuse in nursing homes, communities must enhance facility security, improve background checks of staff, establish systems to monitor rates, places, and times of death, and expand death investigations and autopsies. The paper states that many states have long-term care ombudsmen, who have the primary responsibility of advocating for residents' rights and quality care, educating consumers and providers, resolving residents' complaints, and providing information to the public about abuse, but much more must be done.
From the Paper
"Laws are also changing to support the patients and their families. In Florida, for example, the Supreme Court drew a clear distinction between medical and nursing home care by ruling that plaintiffs in cases alleging nursing home abuse and neglect can sue for wrongful death and negligence without meeting the state's requirements for filing a medical malpractice claim. The court noted that nursing homes employ a variety of workers and that the failures the plaintiff alleged "may have been caused by the nursing staff, by the nursing home in not having adequate staff, by the negligence of aides or other workers, or by a combination of the above.""
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Nursing Home Abuse, 2005.
This paper discusses that government and private investigations reveal that nursing home residents nationwide are often succumbed to death or serious injury because of neglect in the nursing homes.
2,870 words (approx. 11.5 pages), 16 sources, MLA, £ 59.95
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Abstract
This paper explains that, since the residents of nursing homes are dependent on their staff for most or all of their necessities from food and water to medication and toileting, the care recipients are left in a very vulnerable position and often times without alternatives. The author reports that an analysis of the population of nursing homes over the last decade reveals the fact of malnourishment or undernourishment in about 35 percent to 85 percent of the U.S. nursing home residents. The paper stresses that it is essential to be cautious in selecting a care facility, to pay attention to the care being given, to educate people about nursing care abuse and to report elder abuse regardless of personal consequences.
From the Paper
"The types of abuse occurring in nursing homes against the elders reflect the types prevalent in domestic environments including homicide, physical and sexual attack, neglect, inappropriate restraint, financial abuse, separation, oral threats and intimidation. Additionally, the nursing home abuses stems from traditional practices giving rise to chronic neglect, sub-standard care, overcrowding, authoritarian practices, and failure to safeguard the residents against inexperienced, distressed or greedy workers or against abusive residents or visitors. The delicate types of abuse have been innovated that refuse the residents the liberty to exert personal choice in respect of eating, getting up or going to bed; forcing the residents to involve in the activities and branding the bothersome individuals, giving rise to depersonalized dealings and isolation. Moreover, it has been noted that facilities engage in prejudiced practices like emphasizing activities that supports more capable residents."
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Director of Nursing in Nursing Home, 1999.
Examines issues affecting this position & role. Examines the economics of the institute, restructuring, responsibilities, quality of care and staffing.
1,350 words (approx. 5.4 pages), 14 sources, £ 32.95
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From the Paper
"DONS IN THE CONTEMPORARY NURSING HOME ENVIRONMENT
Introduction
This research examines some of the issues affecting the position and role of the Director of Nursing (DON) in contemporary nursing home environments. DONs are experiencing increasing difficulties in their attempts to fulfill their responsibilities as the health care environment in the United States continues in a period of transition.
DONs and Transition in the Health Care Environment
An increasing number of nursing homes, in the pursuit of goals related to both efficiency and effectiveness, are implementing reorganization schemes that frequently involve downsizing, decentralization, or some combination of downsizing and decentralization (Barrett, 1995). Among health care.."
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Nursing Homes, 2002.
A discussion on the effect of conditions in nursing homes on the elderly.
1,125 words (approx. 4.5 pages), 4 sources, £ 27.95
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Abstract
Discusses effect of conditions in nursing homes on the elderly. Nursing home industry. Complaints of neglect and abuse. Issue of elderly abuse in institutional facilities, especially long-term care facilities. Economics of nursing home care. Staffing problems. Reform measures to prevent abuse. Role of legisltors. Domestic abuse of the elderly.
From the Paper
"Nell Hoover choked on laxative.
Vestal Ferguson suffocated as orange juice filled his lungs.
Esther Fincher's heart failed, and nobody called a doctor. Each year, hundreds of North Carolina's elderly suffer needlessly in the nursing homes they turn to for care. They lie for hours in their own waste or battle dangerously infected bedsores or, bound to their beds and wheelchairs, slowly lose the strength and will to walk, eat, speak. They're victims of poorly staffed homes and under-trained workers--and of the public system responsible for protecting them. The state pays the bills for 75% of our nursing home..."
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Nursing Home Care, 2007.
This paper discusses creating stimulating environments for the elderly in nursing homes.
1,253 words (approx. 5.0 pages), 3 sources, MLA, £ 29.95
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Abstract
In this article, the writer presents an overview of the question regarding stimulation in nursing homes for the purpose of helping residents remain active. The writer, who has worked in nursing homes for the past 27 years, has experienced first hand the negative impact that lack of stimulation has had on her clients. The writer explores research regarding the topic and designs a plan in which it would be mandatory to gather information about the residents' prior interests when they move in so that those interests could be incorporated into clients' daily care plan once they arrive. The writer concludes that the goal of her nursing home plan would be to create a more mature and active activity plan for the aged, thereby creating a more well rounded end of life experience for them and their families.
From the Paper
"Having worked in a nursing home for the past 27 years I have seen what happens to the elderly as they enter the home and they are no longer being stimulated.
They give up. They come in full of enthusiasm, if not a bit nervous, and they start to interact. I can always spot the residents who have been there a long time because as the resident passes the time he or she begins to stop interacting. The lack of stimulation begins to take its toll and soon they sit and wait to die instead of getting up each morning ready to live.
Many people believe they are simply witnessing a natural progression toward death, however, I believe that if the residents were stimulated within the nursing home setting they would enjoy a higher standard of living for their remaining years and perhaps live longer as well."
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Nursing Home Administration Problems, 2002.
An overview of the problems found in nursing homes and possible solutions.
900 words (approx. 3.6 pages), 1 source, £ 24.95
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Abstract
This paper questions what problems nursing homes have and how these problems proceed from assumptions made about the elderly by both healthcare workers and people in general. The primary source is an interview with a geriatrics specialist. The paper concludes that nursing homes would be much better places if the patient-for-profit mentality was not so widespread and if adult children were more willing to take in their elderly relatives.
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The Use of Restraints in Nursing Homes, 2005.
An argument against the use of restraints on nursing home patients.
1,800 words (approx. 7.2 pages), 8 sources, £ 49.95
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Abstract
The paper examines how the use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. The writer argues that despite the Nursing Home Reform Act of 1987, risk of injury or death are still commonplace, and this casts serious doubt on its further use as a sound intervention.
From the Paper
"The use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. Today, the use of restraints in these institutions ranged from 41-64% at nursing homes and 33-68% in hospitals (Hamers & Huizing, 2005). The Health Care Financial Administration defines physical restraints as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the individual's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body. (as cited in Cotter, 2005, p. 1). Use of restraints is ideally dictated by the desire to assure the safety of the patient or others from harm, even across cultures but to varying degrees (Ljunggren, Phillips & Sgadari, 1997)."
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Medication Dispensing in Nursing Homes, 2005.
This paper establishes guidelines for the safe storage and record keeping of medications used in nursing homes.
920 words (approx. 3.7 pages), 6 sources, MLA, £ 21.95
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Abstract
This paper establishes guidelines for the storage, safety, record keeping, consent forms and stock medications used in nursing homes. It is based on federal laws and state regulations and describes how the medications should be dispensed, how records should be kept, the need for informed consent, safety measures and stock medications kept in nursing homes.
From the Paper
" All medications should be stored in a locked cabinet at all times except where they are required to be kept by a resident on his her person because of the need for frequent or emergency use as determined by their physician..."
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Staff and Nursing Homes, 2005.
A summary of a research paper on the effects of the staffing mix on patient care in nursing homes.
920 words (approx. 3.7 pages), 1 source, APA, £ 21.95
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Abstract
This is a summary and critique of a research paper about a study of the effect of the staffing mix on patient care and outcomes at nursing homes. The study looked at a range of nursing homes across five states and looked at the effect of having full-time RENs on staff on patient care and outcomes.
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Improving Quality of Care in Nursing Homes, 2006.
Suggestions on how to improve the quality of care in nursing home facilities.
1,350 words (approx. 5.4 pages), 2 sources, £ 36.95
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Abstract
This paper discusses several measures on the part of the government have been taken to assure the quality of care in nursing homes. With the passing of the Omnibus Budget Reconciliation Act of 1987, the quality of life of residents has significantly improved; however the regulators have not. The paper further discusses how with several issues the residents have not seen addressed in spite of the regulators' presence, policy must be turned to the standardization of regulations regarding quality of care. With standardization, it is believed that a continuous cycle of regular evaluation, implementation and re-evaluation will prepare the nursing home systems in the decades to come.
From the Paper
"Quality of care in nursing homes has been a long-standing issue that remains particularly difficult to characterize and thus address properly and develop policies ultimately uplifting the residents' quality of life. The first obstacle is an agreement upon a universal definition of quality of care - what it encompasses, how these components can be quantified and who can define it (Wunderlich & Kohler, 2001). There is also the issue of the ultimate authority that sets the standards for nursing home practices. Nonetheless, the quality of care in these institutions must be addressed with more urgency, with the retirement and inevitable aging of the "baby boomer" generation looming."
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Under-staffing in Nursing Homes, 2007.
This paper looks at the topic of under-staffing, focusing on nursing homes.
1,013 words (approx. 4.1 pages), 15 sources, MLA, £ 24.95
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Abstract
In this article the writer discusses that minimum nurse-to-patient ratios represent the minimal amount of nurses required to care for the maximum number of patients, without compromising patient or nurse safety. The writer points out that both the public and physicians rank nurse under-staffing as one of the most serious threats to patient safety. The writer notes that nurse safety advocates are beginning to question how inadequate ratios impact job satisfaction and the ability of nursing staff to improve quality of care. While a problem at all healthcare facilities, the issue is even larger at nursing homes where minimum staffing ratios are very low. The writer concludes that much research is in progress to help nurses maintain a safe environment to practice and to determine how to adequately define what nurse-to-patient ratios should be.
From the Paper
"A history of nurse staffing and patient outcomes dates as far back as a study by Moses and Mosteller. They found nurse staffing among the significant determinants of mortality. Later, publicly available Medicare data for U.S. hospitals generated more studies on the factors related to mortality. Authors of these studies reported that nurse staffing was significantly related to mortality. Aiken, Clarke, Sloane, Sochalski, and Silber produced the first study to specifically quantify the impact of nurse-to-patient ratios on death rates. They reported that reducing the number of patients that a registered nurse takes care of results in better patient outcomes. A reduction in mortality rates and infections were among the findings. Aiken, Sochalski, and Lake demonstrated that nursing presence, whether measured as RN ratios or as RN hours relative to other nursing personnel hours, is significantly correlated to mortality. Adequate staffing levels allow nurses time to make comprehensive patient assessments, attend to routine nursing duties and effectively respond to emergencies. Specifically, Aiken, Clarke, Sloane, Sochalski, and Silber found that each additional patient assigned to a nurse resulted in a 7% increase in the likelihood of the patient dying within 30 days of admission to the hospital."
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Nursing Homes, 2002.
This paper discusses problems with nursing home care.
5,400 words (approx. 21.6 pages), 13 sources, £ 136.95
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Abstract
This paper discusses three major problems with nursing homes today: gross understaffing, a dim view of the elderly in American society, and the burdensome nature of Medicare paperwork and cost-cutting efforts. The author proposes alternative care including adult day care centers and skilled nursing house calls. The paper explores reintegrating the elderly into our families and communities.
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Nursing Homes, 2005.
This paper discusses the role of faith in nursing homes.
675 words (approx. 2.7 pages), 0 sources, £ 18.95
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Abstract
This paper addresses the writer's faith and then it switches to talking about the faith in the elderly. The author points out several Scriptures to back the points in the paper. The paper answers several questions such as, "How is suffering perceived and how do people in the nursing home handle suffering?"
From the Paper
""Even though I walk through the valley of the shadow of death, I will fear no evil for you are with me; your rod and your staff, they comfort me" (Psalm 23: 4 NIV). Many people living in nursing homes are going through the shadow of death as pain and disease hurt their bodies, but they continue with their faith knowing that God is with them and will be with them until the end. The faith of the poor is the knowledge that God is real and that He is walking beside them or carrying them at times when they need Him the most. "In the beginning God created the heavens and the earth," (Genesis 1:1 NIV). God is the creator of the world. God is my Savior, my best friend, my comforter, and my all in all."
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Seniors and Nursing Home Study, 2007.
This paper evaluates a study in which seniors were asked whether they understood their risk of moving to a nursing home.
859 words (approx. 3.4 pages), 2 sources, MLA, £ 20.95
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Abstract
This paper critiques a study done on whether seniors understood the risks of moving to a nursing home. The stated research question was how best to provide long-term care services for the aging US population over the 21st century. The means of gathering data as well as the study's limitations are presented. The author concludes that the findings of this study could be somewhat useful, but may be too generic for any immediate solution, with the exception that younger people probably need to be more fully educated in the statistics that they are facing later.
From the Paper
"In the Health Services Research report by Donald H. Taylor, Jr. Jan Osterman, S. Will Acuff and Truis Ostbye, the abstract's stated objective is to determine whether seniors understand their risk of moving to a nursing home. The conclusion, however, addresses why the study was done, which is to determine whether low rates of private long-term care insurance are a result of seniors underestimating their personal risk of moving to a nursing home. There is no clear hypothesis stated as a basis for the study. Further, on page 6 of the study, the second paragraph clarifies that the focus of the study is, in fact, on two questions: a) Do individual's beliefs about their likelihood of moving to a nursing home predict their actual move to one and, b) do individuals over or underestimate their likelihood of moving to a nursing home? These questions, combined, make a more cohesive focus to address the overall purpose of the study, which is, finally, how to best provide long-term care services for the aging US population over the 21st century. Once that is established, it is easier to interpret the study."
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