Hospice Care Essays

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Government Regulations Affecting Health Care in Hospice Essay

Words: 6236 Length: 20 Pages Document Type: Essay Paper #: 8359913

Government Regulations and Hospice

Government Regulations Affecting Health Care in Hospice


Regulations Affecting Health Care in Hospice

Impact of rules on Hospice services

Annotated… [Read More]

American Medical Directors Association. (n.d.). White Paper on Palliative Care And Hospice In Long-Term Care. Retrieved March 10, 2012, from American Medical Directors Association: http://www.amda.com/governance/whitepapers/palliative_care.cfm

Carlson, M.D., Morrison, R.S., Holford, T.R., & Bradley, E.H. (2007). Hospice Care: What Services Do Patients and Their Families Receive? Health Services Research, 42(4), 1672-1690.
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Health Care System Has Focused on the Essay

Words: 2963 Length: 11 Pages Document Type: Essay Paper #: 36873509

health care system has focused on the prevention and cure of disease and illness. When people got sick, every bit of energy and finances went into trying to figure out how to stop it. This was true even when the patient had a disorder or a disease that was deemed incurable. For many years when someone got a disease in which there was no cure, it did not change the method of treatment. The medical community, the family and the patient continued to try every possible avenue to stop the progress. Often times the patient would submit to painful and disorienting treatments, because they didn't want to disappoint their family members or their doctors. At the same time the medical community was expanding the length of life so that many people were living longer than ever before. These two things began to clash. At what point do people stop trying to cure diseases, that are incurable? At what point is it okay for the patient to say enough and die with dignity? In recent years the shift in the United States has moved from constant cure efforts to knowing when it was time to stop. The patients who were going to die, were allowed to do so, with their dignity in tact. Whether the patient was a child, a teenager or an adult, the nation has moved in the direction of providing comfort to the dying and allowing nature to take its course. Often times, the patients and their families face impending death with fear and lack of education. They are not sure what to expect, they are not sure who to ask and the family doesn't know whether to move in closer or give the patient isolation. The Hospice Foundation is an organization that is solely about dying. The organization is based in the belief that death is inevitable and the kindest thing to do for the dying is to allow it and usher them to it with love, comfort and…… [Read More]

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Elderly Care in America A Comparison With Essay

Words: 2859 Length: 9 Pages Document Type: Essay Paper #: 9049215

Elderly Care in America: A comparison with England's Healthcare System

Healthcare in America vs. Healthcare in England

Different countries have varying healthcare systems across the world and the systems are set to benefit the local population with the best possible care as would be dictated by the budgetary allocations and supported by the economy and the GDP of the particular nations. There are different sections of the healthcare system that try to cater for each section of the populations and this paper will specifically be concerned with the healthcare systems in the U.S.A. And in England, particularly directed at the elderly in the society. It will look at the healthcare system that prevails in the U.S.A. And the tenets that define it as well as the system that prevails in England, then the paper makes comparison of the two systems as well as highlight the differences that there are between these two systems.

Healthcare in America

The healthcare system in America has undergone several changes to become what it is currently. It has increasingly become important to the elderly people and those under the last days care who are dying. The number of the elderly is increasing each year with the baby boomers getting out of formal employment due to retirement and this burden is passed on to the national government and the younger generations still holding employment positions. In the 2008 census, there were 39 million citizens who had attained 65 years and above in America which accounted for close to 13% and the estimates and projections had it that by 2030 there would be around 72 million Americans in this category. By the year 2030, the baby boomers shall have acquired the 65 years bracket and above which will account for close to 20% of the American population. The longer life for this generation means there are related expenses that have to be taken over by the state. The inflation, the annual health care cost keep making it harder for the senior citizens to earn a robust life style. It is estimated that in 1992 the annual healthcare cost was $9,224 and it rose to $15,081 in 2006, and this trend is meant to keep rising each year as National Institute of Aging (2008) puts it.

There are a number of groups that qualify for the Medicare and…… [Read More]

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Model for Community Palliative Care Essay

Words: 1740 Length: 6 Pages Document Type: Essay Paper #: 36797784

Community Dementia Care and the Chronic Care Model

End-Stage Dementia Evaluation Proposal

Health Promotion Plan for Community End-Stage Dementia Care: The Chronic Care Model

Health Promotion Plan for Community End-Stage Dementia Care: The Chronic Care Model.

In 2013 an estimated 5.0 million Americans over the age of 65 suffered from Alzheimer's disease (Alzheimer's Association, 2013). Although the U.S. Centers for Disease Control and Prevention (CDC) considers dementia/Alzheimer's to be the fifth leading cause of death among adults 65-years of age or older, careful examination of Medicare claims data revealed that dementia is probably right behind cardiovascular disease as the second leading cause of death for this age group (Tinetti et al., 2012). Most of these patients would prefer to die at home, not only because of comfort concerns, but due to the higher quality of care that tends to be provided by informal and paid caregivers in this setting (reviewed by Teno et al., 2013). Unfortunately, nearly half (42.2%) of all dementia patients receiving Medicare coverage died in a hospice setting in 2009, compared to only 21.6% in 2000 (Teno et al., 2013). This may be good news for policymakers interested in increasing the use of hospice care, but not patients preferring to die in their own homes surrounded by loved ones. In addition to the increased reliance on hospice care, ICU admissions during the last 30 days of life increased during the same period. Improving the quality of the home-based palliative care experience may be one way to reverse this trend. Accordingly, a health promotion plan advocating the benefits of the Chronic Care Model (CCM) for home-based dementia care has been developed. What follows is a description of the intervention and the proposed outcome measures that will be used to evaluate the efficacy, efficiency, and quality of the intervention.…… [Read More]

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Health Care A the Different Essay

Words: 2409 Length: 9 Pages Document Type: Essay Paper #: 52518976

Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.

Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to control costs to receive adequate reimbursement. However, costs are rising rapidly and creating anger in the public, and hospitals today have to consider ways of reducing costs before legislators step in and force change. Hospitals have an ethical responsibility to think of patients over reimbursement and need to take this into account and make the changes that will reduce costs and serve patients at the same time. Hospital interest groups serve as a barrier because they are made up of doctors and nurses who oppose change and because they do not foster champions who will bring about the changes needed. Again, doctors and nurses have to think of patients and of making the system more responsive rather than of protecting their existing bailiwick from all change. Another barrier is the fact that change often requires physical plant renovations, which might be costly. A careful analysis will show if the benefits would outweigh the costs, in which case this barrier can be overcome as well (Kovner, 1995, pp. 186-187).

Such barriers are not insurmountable, but the will to make changes is required, along with leadership to get things done and to bring a clear idea of what is needed to bear and to get people to support Shane. A lack of leadership is perhaps the greatest barrier to achieving these changes.

6. Froeschle…… [Read More]

Works Cited:
Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.

Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.
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Diversity Important in Health Care Essay

Words: 3805 Length: 14 Pages Document Type: Essay Paper #: 98981928

The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.

In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the value of diversity; the federal Health Resources and Services Administration increase enrollments and funding of under-represented minorities; the creation of a critical mass of under-represented minorities in the health professions and the explicit recognition of the value and importance of diversity among health professionals; comprehensive strategies to improve institutional climate for diversity in the health professional education institutions; and institutional objectives to support the goal to increase healthcare workforce diversity.

Summers, J. And Nowicki, M. (2004). Diversity: How Does it Help? Financial Management: Healthcare Financial Management Association. Retrieved on June 17,

2009 from http://findarticles.com/p/articles/mi_m3257/is_2_58/ai_n6079912/tag?=content;col1

Summers and Nowicki believe that diverse experiences and backgrounds broaden perspectives on life and the world but do not necessarily insure performance. People from diverse cultures will not necessarily input improved thinking just because they have varying life experiences and alternative life perspectives. Their job experiences, training and education are the measure of their contribution. They should be given cases to demonstrate their creative and innovative contributions. If they exhibit positive marketing benefits, their diverse experiences can be counted worthwhile. This provides ground to encourage diversity among the minority groups, other races and women. But the authors argue that gender, race and ethnicity alone do not guarantee greater creativity, innovation or helpful viewpoints. Instead, they believe that managers should carefully define the meaning of diversity and the goals they want to achieve from it. They believe that clear…… [Read More]

International Journal of Nursing Terminologies and Classification: Nursecom, Inc.

Retrieved on June 17, 2009 from http://findarticles.com/p/articles/mi_qa4065/is_200401/ai_n9387460/?tag=content;col1
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Critique of a Hospice Health Promotion Plan Essay

Words: 707 Length: 2 Pages Document Type: Essay Paper #: 14806907

Health Promotion Plan

Health Promotion in Hospice

The use of Dorothea Orem's Self-Care Theory as the framework for the health promotion plan, for improving depressive symptoms among hospice patients (Nursing Theories, 2012), is appropriate and consistent with a patient-centered care model. This model provides enough room for a gradient of patient self-care efficacy, from fully autonomous to unconscious, which is appropriate for the hospice setting. The author of Health Promotion in Hospice emphasized the need to increase the care efficacy of both hospice patients and their caregivers and mentioned how the role of a hospice nurse must remain fluid to constantly changing care needs of hospice patients. Under Orem's model there is thus a gradient of self-care need and autonomy that is negatively correlated and where deficits emerge the nurse must step in to meet these care needs.

I would also emphasize the concept of 'nursing client' discussed in Orem's theory (Nursing Theories, 2012) because the gradient of self-care efficacy is close to its minimum for many patients in hospice care. The two principles outlined under the concept of 'nursing client' are: (1) nursing care is needed only when the care needs exceeds the ability of the patient to meet these needs and (2) existing limitations creates a chronic need for nursing interventions. This paradigm between acute and chronic need arises frequently within a hospice setting. Another concept discussed on Orem's theory is 'developmental self-care requisites.' This principle seems particularly appropriate to end-of-life care, because aging and the dying process is considered a developmental process by some (Murray, Zentner, & Yakimo, 2008, Chapter 17).

The health promotion plan proposed by the author of Health Promotion in Hospice provides a detailed plan for evaluating hospice patients for depression and lists the goals of a nursing intervention. Within Orem's Self-Care Theory there…… [Read More]

Hirdes, J.P., Freeman, S., Smith, T.F., & Stolee, P. (2012). Predictors of caregiver distress among palliative home care clients in Ontario: Evidence based on the interRAI Palliative Care. Palliative & Supportive Care, 10(3), 155-63.

Murray, R.B., Zentner, J.P., & Yakimo, R. (2008). Health Promotion Strategies Through the Life Span. Upper Saddle River, NJ: Pearson Prentice Hall.
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Patients vs Healthcare Opinions Essay

Words: 1774 Length: 5 Pages Document Type: Essay Paper #: 34987779


Patient & Professional Perspectives

Quality of care is a massive concern when it comes to healthcare in general. The issue is so multi-dimension and complicated. Even further, there are a lot of ideological bents and perspectives that further shape and form the issue as it exists today. A significant part of the paradigm mentioned above would be the perspectives of both patients and healthcare professionals as it relates to the aforementioned quality of care. Obviously, there are going to be some differences and similarities when talking to any large swath of patients or healthcare providers. The differences could be huge divides in some cases due to what is being expected being too different than what is able to be delivered given the resources or even the perspective or opinion of the healthcare professionals or providers. While there is no simple or neat answer to how to construct and shape a perfect healthcare system, the perspectives of both patients and healthcare providers should point the way.


One treatise on the subject of quality of care perspectives can be found in the work of Campbell et al. (2013) and their words about racial/ethnic perspectives regarding hospice care. Indeed, end-of-life care is something that can be trying and challenging to just about anyone. However, add in any perceived or actual disparities as it relates to racial or ethnic characteristics and there is obviously a large amount of room for conflict and hurt feelings. For example, of black patients and their families continuously and consistently give lower scores on surveys and reviews of care quality than white patients in the same facility, then this is obviously cause for concern. However, a recent survey found that among 743 patients in hospice care, there was not a significant difference between black patients and their opinions about their care quality than that of white patients or other groups. On the other hand, there was a strong linkage between perceived quality of pain management and emotional support regardless of the race or…… [Read More]

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Family Care Plan Nursing Family Essay

Words: 782 Length: 3 Pages Document Type: Essay Paper #: 39760808

Family Interventions

-Mother can attend cancer support groups and receive advice and education through other channels regarding proper methods of providing care and improving quality of life for her husband

-Son can explore employment options as well as discuss various needs and responsibilities with his parents in order to determine his most effective utilization within the changed family dynamic

-Father can provide the levels of self-care that come easily, but should educate himself regarding his condition and ease care by allowing others to help when necessary

Nursing Interventions

-Provide educational materials/answer questions for both mother and father

-Assist son with psychological transition of increased responsibility/familial dependence

-Instruction of proper care techniques for mother and father regarding father's condition


Levels of comfort and competence in new family roles should be easily assessed in regular visits through brief questioning. Monitoring father's health through standard vital sign and other appropriate tests will determine level of care; questions determine quality of life. Assessment of son for ability to act with increased responsibility may take a longer evaluative period.

Diagnosis 3

Possibility of resumed smoking by mother and father further reducing quality of life and ability to provide care, related to long-time smoker status and high rates of recidivism in smokers, as manifested in (and exacerbated by) the son's continuing status as a regular smoker


To ensure that the mother and father remain non-smokers, and to mitigate the effects (both psychological and physiological) of the son's continued smoking. Son's cessation of smoking would be a secondary objective, but is not immediately advisable given his drug dependency status

Family Interventions

-Mother and father can develop regular responses to nicotine cravings, discuss frustrations

-Son should limit his smoking to outside areas, and preferably out of sight and smell of the house so as not to instigate or worsen cravings on the part of his parents

-Family…… [Read More]

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Jewish Client When Discussing Medical Care With Essay

Words: 376 Length: 1 Pages Document Type: Essay Paper #: 44599599

Jewish Client

When discussing medical care with Sara, one must keep in mind that she is alone now, having been married for 50 years, but now widowed. She seems to have a rather active social circle, and is more of a middle-of -- the road practitioner of Judaism. Her belief system is likely sensitive to end-of-life issues, but she seems to be a candidate for hospice, rather than palliative care due to her age and the progression of her illness.

In response to Sara's initial decision to have surgery and treat the cancer with chemotherapy, medical personnel would be required to allow her this choice, but ensure that the principles of fidelity and benevolence are followerd. In other words, tell Sara the truth about odds and any prognosis, as well as side-effects. Inform her in a way that is non-paternalistic so that she may make up her own mind about options. In effect, this is her choice as long as she is able to make an informed and uncorerced decision (Egedorf, 2005).

Within the initial patient interview, one might simply ask Sara about her religious practices and beliefs,…… [Read More]

Works Cited:

Edgedorf, L. (2005). Medical Ethics. New York: Greenhaven Pres.

Jewish Home Lifecare (2013). How Does Pallative Care Differ From Hospice Care? Retrieved from: http://www.jewishhome.org/our-services/palliative-care/how-does-palliative-care-differ-from-hospice-care
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Patient Care and the Nursing Profession From Essay

Words: 775 Length: 2 Pages Document Type: Essay Paper #: 73445085

Patient Care and the Nursing Profession

From January of 2012 until the present day, I have worked as an LPN. During that time, I have been in pediatric homecare, where I monitored and cared for children on ventilators and with tracheotomies. My experience also includes hospice care for people of all ages, from children to the elderly. Doing this type of work has greatly influenced my career and the decision to continue my education, because I want to be able to do more and help a greater number of people. I enjoy the work I do, although it can be both physically and emotionally difficult, but I also realize that I could expand the work I am doing to cover a much wider scope of patient care. Nurses are in demand today, and they are always needed at hospitals and other medical facilities because of the current shortage. With so many good nurses leaving the profession through retirement or simply a desire to do something else, those who are very dedicated to the profession and will be in it for the long-term are needed.

I plan to be in the nursing profession for a very long time. I have already proven to myself that I am capable of doing the work, and I know I deeply enjoy helping other people. In the kind of work I have done, I have learned that being a nurse is about more than saving lives. It is also about caring for patients who will not improve, or who are at the end of their life. These people deserve respect, dignity, and comfort, which are three things that a nurse can help them with, no matter the health issues they have. With the work I have already done with children and hospice patients, and the work I will be able to do with other patients in the future, I could provide a great deal of help and hope to patients and their families. Nursing is a…… [Read More]

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Finite Health Care Resources Cutting Health Care Essay

Words: 758 Length: 2 Pages Document Type: Essay Paper #: 46386841

Finite Health Care Resources

Cutting health care costs is becoming a serious issue for the government and for medical corporations and patients throughout the U.S. today. There are several ways in which these costs can be cut, and one of those ways is to limit the life-extending care that is currently being provided to the elderly (Bond & Bond, 1994). This is not the same as limiting care that would improve their lives, but is only designed to limit the care that prolongs a life that already has little to no quality. However, it is not just the elderly who cost the country a great deal of money when it comes to medical care. Premature infants are also very expensive to keep alive, and an argument could be made that these infants should be allowed to expire, since they were not viable when they were born. It is a conundrum on both ends of the spectrum. Part of the issue has to do with the quality and cost of care, but another part of the issue has to do with the age of the person who is being considered for a lack of life- prolonging treatment.

Focusing on the elderly makes more sense for most arguments, because elderly people have lived a full life and have made their contributions to society. Once they have reached their "golden years," elderly people are not considered as "useful" from a societal standpoint (Bond & Bond, 1994; Saunders & Kastenbaum, 1997). While they may be deeply loved and appreciated by their family and friends, the fact remains that these individuals have gotten past the point of usefulness as it relates to having a full-time job and contributing to society financially. There are exceptions, of course, but this is true of most cases. Because these elderly people generally cost taxpayers more than they contribute, they become a financial drain on society when examined from a purely monetary sense (Saunders &…… [Read More]

Bond J. & Bond S. (1994). Sociology and Health Care. NY: Churchill Livingstone.

Saunders, C.M. & Kastenbaum, R. (1997). Hospice Care on the International Scene. NY: Springer Pub. Co
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Comparing Five Health Care Services Essay

Words: 1500 Length: 5 Pages Document Type: Essay Paper #: 83898893

elderly population is continues to rise nationally and this also true for the Sunnydale and Shadyville communities. In order to be prepared for both the rise in the aging population and any competition in the healthcare from Shadyville it is important to consider all potential providers. This paper will briefly look at the facets of nursing homes, assisted living, home health care, and hospice in this context.

Nursing homes

Nursing homes are the highest level of care for elderly adults outside of having them formally hospitalized (Santerre & Neun, 2012). The residents in nursing homes typically need significant help with their Activities of daily Living (ADLs). Nursing homes provide custodial care which means that the home assists with all daily activities including getting in and out of bed, providing assistance with feeding, bathing, and dressing. Most nursing homes also provide for activities for their higher functioning residents such as crafts, games, shopping trips or other types of activities.

The funding for nursing home services comes from four primary groups: the Medicaid program, the Medicare program, the consumers themselves, and private health insurers (Santerre & Neun, 2012). The single largest payer to nursing homes is Medicaid program (32% of nursing home expenditures) followed Medicare (22% of total funding; Santerre & Neun, 2012). However, Medicare does not pay for long-term care in a nursing home facility.

Quality control measures for nursing homes are most often staffing census, health-related survey deficiencies, and Minimum Data Set (MDS) quality indicators. The results of these are variable but do allow for the maintenance of minimally defined quality of care standards that must be maintained by each facility.

Assisted Living Services

Assisted living facilities are suitable for elderly individuals who need very little assistance with their daily care. These facilities only provide minimal help in terms of ADLs compared to nursing homes that provide minimum to maximum assistance. In terms of a person's medical needs these facilities typically provide assistance with medication or intermittent skilled nursing care.

Funding for assisted living comes primarily from private sources such as out of pocket payers and some private…… [Read More]

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Nurse Collaboration in Palliative Care Essay

Words: 1794 Length: 5 Pages Document Type: Essay Paper #: 73487860

Nursing Ethics

While most hospitals seem to be well-run and most situations and scenarios are planned for in advance when it comes to what nurses should be doing, should not be doing and why, this is not always the case. Just one example of this would be situations where palliative care is probably or definitely called for in a given situation but there is not a defined or clear protocol as to when the palliative path should be started and what criteria should be used. Indeed, patients that are facing such a situation are typically terminal or they at least cannot be treated for what is ailing them. An easy example to point to would be a cancer patient whose disease is beyond what medicine can do for them. When there is an absence of leadership when it comes to palliative care protocols, it falls to nurses to collaborate, work together and initiative the proper care levels when no one else will step up.


As suggested by the introduction, a palliative care scenario is when care is limited to managing comfort and limiting pain. Cancer patients, those with incurable chronic pain conditions and others would all qualify. Of course, it would be optimal and a sign of leadership for hospitals, hospice centers and so forth to have defined and definite protocols when it came to initiating palliative care protocols and how they progress once they start. However, not all health centers are that mindful on the subject. Quite often, nurses are left to make these decisions including the initiation of a palliative care path and what happens as the patient progresses on that path.

There are a number of ethical challenges and dimensions that should be mentioned when covering this subject. First, the doctors and leaders of a healthcare location…… [Read More]

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Elder Care the Baby Generation Essay

Words: 5100 Length: 15 Pages Document Type: Essay Paper #: 76486184

Ruth E. Mathias and a.E. Benjamin (2003) report that social workers are becoming increasingly concerned about elder abuse in long-term care settings (p. 174). A study conducted by these social scientists/authors, reveals that Medicaid related agency care demonstrates no harmful or increase in the abuse suffered by elderly people receiving care through private agencies, but that there is little social worker oversight, and because of that, reports and information supporting that fact can be misleading at this point in time (p. 174). Mathias and Benjamin reported, too, that direct care provided by family members was proven to be less abusive to the elderly than services rendered by state and private providers (p. 174).

The most concentrated areas of consumer complaints reported was the difficulty in scheduling services, language barriers, and high care-giver/assistant turnover (p. 174). These are areas of concern, because the elderly are often suffering levels of dementia that prohibit them from being fully mentally agile as they once were, there is a need for consistency and familiarity in their lives. These are obvious needs, and ones that can have an adverse impact on the patient's behavior and response to the level of care or assistance he or she is receiving. The elderly response to conditions that they do not have control over in their lives is often reported as combative behavior, resisting the services of the caregiver. Howard Litwin and Sameer Zoabi (2004) report that one of the biggest contributors of elder abuse is fatigue or stress experienced by the caregiver, which reduces the caregiver's ability to cope with the extreme physical and mental demands of caring for the elderly person (p. 133).

This adds a logical dimension to the findings of Mathias and Benjamin who reported that family caregivers reflected less instances of elder abuse (p. 174). A family member would draw on a deeper level of patience and caring during times when caring for the needs of the elderly person are met with resistance or combative behavior as a result of the patient's dementia. A…… [Read More]

Works Cited:
garage sale sign and their aunt's possessions on the lawn were all that alerted the Kane County family that their elderly aunt had died.

When they went to find out about funeral services, they found the North Aurora woman had been embalmed and buried at the direction of a caretaker who ended up being a twice-convicted felon.
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Health Care and Organizational Case Study Essay

Words: 1307 Length: 4 Pages Document Type: Essay Paper #: 68499611

Healthcare Organization Case Study

Health Care Organization Case Study

Banner Healthcare

Health Care Organization Case Study

Banner Healthcare represents a set of diverse healthcare related facilities that provide healthcare services to societies in USA and beyond. Banner seeks to establish a healthier life for communities through developing a healthy environment. Banner Healthcare is arguably the largest healthcare provider in the country. The organization spans seven states, including Arizona, California, Colorado, Nevada, Alaska, Nebraska and Wyoming. The organization operates 20 hospitals, including healthcare facilities. The organization offers such services as hospice care, home care and physician services. Banner Healthcare also provided $130 million as their contribution to charity. The organization is a healthcare leader in all the communities it offers its services. The agency has shown tremendous growth in the past years. They admit over 190 000 patients every year and have a workforce in excess of 29-000. The emergency departments linked to Banner healthcare units are reported to attend to over 423 000 people every year (Banner Health, 2008). All these are a clear testimony to the vision that banner holds to improve the quality of life of people in the society. They endeavor to provide health coverage and benefits to the wider American public.

This paper explores the readiness of Banner Healthcare in dealing with healthcare needs of people in the coming decade and cross examines their preparedness in terms of strategic plans with regard to network growth, management of resources, patient satisfaction and staffing of nurses.

The organization has continuously strived to improve service delivery to its patients. They use modern technology to help communities have access to affordable health care services. There is evidence that quality healthcare is of great relevance to society. That is the reason that has driven the agenda of Banner healthcare in delivering quality healthcare services using the current technologies. The organization has built a reputation…… [Read More]

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Bereavement the Interest in Palliative Care or Essay

Words: 2796 Length: 7 Pages Document Type: Essay Paper #: 73580195


The interest in palliative care, or counseling for bereavement comes to different people in different ways, and one doctor came into it through home care as long ago as 1975. The doctor had just finished working as a house staff in the University of California in San Francisco. Then he got a job at Massachusetts General Hospital as a physician. The doctor was placed at Chelsea Memorial health Center. This was a neighborhood health center in a poor multi-ethnic community, yet not a great distance away from MGH. The doctor had come to replace a person who had come from Britain for a working experience of a year in United States and had gone to the houses of a few elderly patients. In the beginning itself, it was suggested to the doctor by the senior that he visit two patients who were being cared by relatives at home. This was the first visit to any patient's home by the doctor but it became a practice. The doctor was then supported by a multi-disciplinary team at MGH about the patients that the doctor visited at home. This team included doctors, nurses, a social worker, a geriatric outreach worker, a nutritionist and a medical librarian. (Pioneer Programs in Palliative Care: Nine Case Studies)

The group met regularly to discuss about complications of geriatric cases, and this led them to focus on home care cases. The other doctors may not then have viewed the visits of this doctor to the homes of patients as normal, but they all appreciated the intimacies that had been highlighted by the home visits and even came out with certain details that they had also found out from home visits. This was not unusual as many families at Chelsea and similar communities were accustomed to treating sick relatives…… [Read More]

A Compendium of Hospital-Based Palliative Care Practices. Retrieved from http://www.haponline.org/downloads/PPCN_Compendium_2004.pdf Accessed on 31 May, 2005

Austenfeld, Jennifer L. Stanton
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Care Case Study Slide 1 Footnotes There Essay

Words: 1301 Length: 4 Pages Document Type: Essay Paper #: 2580470

¶ … Care Case Study

Slide 1 Footnotes

There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion present, but there was little alternatives for members of other cultures or religions.

Yet, today, there are now a much wider array of cultural elements available in assisted living homes and hospital facilities. Assisted living programs are regulated on the level of the state.

As such, different states have different types of programs and policies that impact the degree to which cultural characteristics are included or excluded within various assisted living facilities. Some programs encourage cultural elements of patients to be brought into the assisted living environment and have administrative bodies work to generate programs and offerings that appeal to certain cultures. In such cases, administrators work from the top down to provide various cultural or religious services to their residents, who can opt to participate or not to participate.

In other cases, it is left to the patients themselves to bring in their own cultural elements into their assisted living facilities. This was the case of Ruby and Irving, who were instrumental in their assisted living facility offering Jewish activities and religious rites, even though the population of Jewish patients in their specific facility was relatively low.

The majority culture is also changing the way it views these types of living situations. Before, assisted living homes were seen as drab and a dreary place to live by many outside of them. Today, the culture is embracing new ideas about assisted living because of changes in the design and philosophies of many of the facilities available…… [Read More]