It Shouldn't Be This Way: The Failure of Long-Term Care (original) (raw)

Medical Care in the Nursing Home

American Journal of Nursing, 1998

Recommendation 1. Effective leadership structures are established, that where possible, include an expert physician (medical director), and an expert registered nurse (nursing director) and skilled administrator.

A Review of: “NURSING HOME ADMINISTRATION (4th Ed.)By James E. Allen”

Educational Gerontology, 2007

The graying of America is evident in the growing number of residents who are 65 years of age and older. In 2000, there were 35 million people age 65 and older living in the U.S. By 2030, it is projected that one in five Americans will be 65 years of age and older. As our population ages, we find increased incidence of chronic diseases and use of long-term health care, ranging from home health care, adult day health care, and assisted living facilities to skilled nursing facilities. Many questions exist as to the efficacy of long-term health care in supporting the autonomy, health, and quality of life of older adults, regardless of whether they live in their own homes, the community or supportive environments (i.e., assisted living facilities, nursing homes). In addition, many questions exist regarding effective models used to guide service delivery to older residents. There are also questions about the means of preparing and training administrators to work in diverse settings designed to promote ''quality of care'' and ''quality of life'' among older residents. James E. Allen has written numerous textbooks on long term care education. Nursing Home Administration, now in its 4th edition, has been the standard textbook in nursing home administration over the past 17 years. Each of the Domains of Practice (effective 2002-2007

The Changing Face of Long-Term Care: Looking at the Past Decade

Issues in Mental Health Nursing, 2008

Baby boomers on the verge of retirement who are considering future long-term care needs are searching for options that will promote comfort and quality of life in an environment comparable to the home left behind. Culture change is taking on different faces throughout long-term care, moving from a traditional medical model towards a holistic approach. New models of care address individual needs of the aging population. This article has three aims: (1) to evaluate the current state of culture change throughout long-term care, (2) to describe models of change seen among the long-term care industry, and (3) to report on existing work comparing the Green House Model of Care to two traditional nursing homes in Tupelo, Mississippi.

Care Home Stories : Aging, Disability, and Long-Term Residential Care

2017

Institutional care for seniors offers a cultural repository for fears and hopes about an aging population. Although enormous changes have occurred in how institutional care is structured, the legacies of the poorhouse still persist, creating panicked views of the nursing home as a dreaded fate. The ... mehr Thesaurusschlagwörter Betreuung; alter Mensch; Lebensqualität; Pflegeheim; Medizin; Pflege; Erzählung; Identität; Alltag; Lebenslauf Klassifikation Medizinsoziologie Gerontologie, Alterssoziologie Freie Schlagwörter Langzeitpflege Sprache Dokument Englisch Publikationsjahr 2018 Verlag transcript Verlag Erscheinungsort Bielefeld Seitenangabe 310 S. Schriftenreihe Aging Studies, 14 DOI https://doi.org/10.14361/9783839438053 ISBN 978-3-8394-3805-3 Status Veröffentlichungsversion; begutachtet Care home stories: aging, disability, and long-term residential care   SSOAR ▼ Browsen und suchen Dokument hinzufügen OAI-PMH-Schnittstelle

Older people's experiences of care in nursing homes: a meta-synthesis

International Nursing Review, 2015

To integrate the current international knowledge and enhance our understanding of the experiences of older people of being cared for in nursing homes. Background: There is a lack of integrated knowledge to help face the challenge of providing care to older people in nursing homes. Introduction: Understanding the experiences of older people regarding their own care leads to interventions for reducing older people's suffering, while living in nursing homes. Methods: Keywords describing the experiences of being cared for in nursing homes were used to systematically search electronic databases for qualitative research articles. A meta-synthesis study employing the interpretative meta-ethnography approach devised by Noblit and Hare was carried out to analyse seven qualitative articles identified during the search process. aspects. While conflict between their expectations and organisational demands damaged this sought ideal, adjustment to life conditions and taking an active role led to a feeling of being alive. Discussion: This meta-synthesis integrates our knowledge on organisational and administrative demands, and personal factors influencing the provision of individualised-care in nursing homes. Limitations: The mental functionality of older people that suffer from dementia might impact on their ability to be involved in research and have a 'voice' in terms of their experience of being cared for in nursing homes. Conclusion and implications for nursing: The institutional character of the nursing home restricts older people's decision-making. The challenge in nursing home care is to balance the tensions between the individual needs and the holistic dimensions of care. Implications for nursing policy: Nurse policymakers need to consider the ambience in nursing homes, develop a caring culture for the provision of a holistic care to older people and make the nursing home as close to a home as possible.