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"It's a cheaper option than nursing homes -- daily rates are lower," says Redding. "You pay only for what you need, not for what your neighbor needs." Policymakers do have reason to be wary. If assisted living becomes covered by Medicaid, hundreds of thousands of elderly people might take advantage of it, thereby placing an ever greater demand on scarce government resources (Horvitz 1997).
As noted above, Sunrise Assisted Living Inc. is among the fastest-growing companies in the assisted living facilities industry; further, the company has managed to exceed analysts' expectations for earnings. The McLean provider of assisted-living services reported in March 2001 that net sales for its fourth quarter of 2000 increased fully 35% to $95.87 million from $70.35 million the year before. At the same time, the company's net income skyrocketed 128% to $8.8 million (39 cents per diluted share) from $3.86 million (18 cents); the diluted shares…
Cummings, S.M. 2002. Predictors of Psychological Well-Being among Assisted-Living Residents. Health and Social Work, 27(4), p. 293.
Genovese, Rosalie G. 1997. Americans at Midlife: Caught between Generations. Westport, CT: Bergin & Garvey.
Goodman, B. & Steadman, R. 2002. Services: Business Demand Rivals Consumer Demand in Driving Job Growth; the Services Division, a Part of the Service-Producing Sector, Contributed More Than Half of U.S. Job Growth between 1988 and 2000; Rising Demand from Enterprises Was Key. Monthly Labor Review, 125(4), p. 3.
Horvitz, L.A. December 8, 1997. Aging America Is Big Business. Insight on the News, 13(45), p. 38.
Starting a Small Assisted Living Facility: Business, egulatory, and Ethical Considerations
Opening an assisted living facility, even on a small or moderate scale, involves a great many complex and very pressing considerations. The health needs of the individuals that will be served, the size of the market in which the facility will be operating and the amount of competition in this market, and a host of other environmental and internal factors must be accounted for and controlled during the planning and initial implementation of the plan for a business of this sort. Successful operation of an assisted living facility, of course, requires ongoing assessment and planning in all of these areas, as well, but it is in the startup phase of the business that such considerations are of utmost importance. Not only is this the phase of business with the steepest learning curve for entrepreneurs, but the initial…
NCAL. (2011). Assisted Living Regulations. Accessed 12 March 2011. http://www.ahcancal.org/ncal/resources/Pages/AssistedLivingRegulations.aspx
Powers, B. (2005). Everyday ethics in assisted living facilities: a framework for assessing resident-focused issues. Journal of Gerontological Nursing 31(1): 31-7.
ummary & Conclusion
There are many considerations when attempting to make a decision between assisted living facilities and nursing home care for the individual who is of an advanced age because depending on the medical limitations of the individual that individual may desire more autonomy and more of a social and active lifestyle than is available in the nursing home setting. While the associated costs is a very important issue for consideration, and one that many are not knowledgeable concerning, making sure that the appropriate level of care is provided should be the foremost concern when making this very critical decision for oneself or for another member of ones' family.
AARP (1997). Out-of-Pocket Health pending by Medicare Beneficiaries Age 65 and Older: 1997 Projections. AARP Public Policy Institute, Washington, DC.
AARP (1998). Medicaid and Long-Term Care for Older People. AARP Public Policy Institute, Washington, DC.
ACLI (2000). Long-Term Care…
Shapiro, E., and R.B. Tate (1988). Who is Really at Risk of Institutionalization? The Gerontologist, 28.
Shapiro, Joseph (2002) Assisted Living vs. Nursing Homes. Housing First - a Special Report. NPR News. 12 Nov 2002. Online available at http://www.npr.org/news/specials/housingfirst/nprstories/021112.assisted/index.html .
Nursing Home Care vs. Assisted Living Care
Assisted Living Care Facilities
After examining the Argentum Expanded Senior Living website, it appears perfectly clear that the role of assisted living programs in America is to help furnish a living and a balance between autonomy and dependence, for many different people in this country. The vast majority of those people are the elderly. However, they also encompass people with both physical and mental disabilities, and those who cannot fully provide for themselves in general. Thus, assisted living programs are designed to aid people with the basic necessities that they need to have meaningful, fulfilling lives. It is worth nothing that these people are far from helpless. However, they still benefit from having people provide assistance to them for some of the mundane tasks that could potentially complicate their lives if they were to attempt to complete them all on their own. Therefore, there is the aforementioned delicate balance between…
Greenlee, K. (2016). "World elder abuse awareness day 2016: Reflecting on our accomplishments and looking ahead. http://acl.gov / Retrieved from
Such technology is vital today, in a wold whee olde people ae inceasing and the caegiving system is inceasingly stained unde the pessue of demand without sufficient esouces to adequately supply. These inadequacies ae inceasingly appaent in stoies such as the one used as an example in Buce (2006, p. 62).
The autho elates the stoy of Theesa Bufod, who aived at a hospital in a coma because adequate medical cae did not each he on time. She died as a esult of he condition. Although Ms. Bufod was a esident in a cae facility, it is clea that he condition has not been adequately monitoed o mitigated. This is just one of many simila cases, which highlights the die need of bette cae systems fo olde people in the United States and acoss the wold.
At the same time, Wilden and Redfoot (2002, p. iii) note that assisted living…
Virone, G., Alwan, M. Dalal, S., Kell, S.W., Turner, B. Stankovic, J.A., and Felder, R. (2008, May). IEEE Transactions on Information Technology in Biomedicine Vol. 12, No. 3. Behavioral Patterns of Older Adults in Assisted Living.
Wilden, R. And Redfoot, D.L. (2002, Jan.). Adding Assisted Living Services To Subsidized Housing: Serving Frail Older Persons With Low Incomes. AARP. Retrieved from: http://infoassist.panpha.org/docushare/dsweb/Get/Version-12812/2002%20Jan%20Pub%20Pol%20Institute.pdf
Yu, H. Spenko, M. And Dubowsky, S. (2003). An Adaptive Shared Control System for an Intelligent MobilityAid for the Elderly. Autonomous Robots, Vol. 15. Retrieved from: http://robots.iit.edu/uploads/Main/Yu-AnAdaptiveSharedControl.pdf
Fox Meadows Assisted Living
This ad did not target the baby boomer generation. The grandmother in the ad was around 75 years old, yet the oldest baby boomer is 67 today. Boomers who are in assisted living would have major health issues; mostly they are putting their parents into assisted living because their parents are in their 80s and 90s. ocking chairs and knitting do not appeal to boomers, either, as far as symbols of lifestyle. The caption "your time has come" sounds like "time's up" than anything positive. Basically, there was nothing in this ad that spoke directly to the baby boomer generation or to its needs.
There are a lot of other methods of marketing that would be better. Of the four Ps, it starts with the product. ocking chairs and fireplaces are not really what boomers want -- the fireplace can stay but only with a nice…
Adami, P. (2011). Marketing assisted living today. Long-Term Living. Retrieved October 18, 2013 from http://www.ltlmagazine.com/article/marketing-assisted-living-today
Coombes, A. (2013). Boomers dive into social media. Marketwatch Retrieved October 18, 2013 from http://www.marketwatch.com/story/boomers-dive-into-social-media-2013-08-09
Living Environment Options
Guide: Variables Having an Impact on the Options of Individuals with egard to Living Environments
Older adults require supportive and enabling environments. In addition to being safe and empowering, the said environments must also help in the elimination of ageism. It should be noted that in a way, the well-being of older adults is affected by their immediate living environments (Healy and Link, 2011). In this guide, a living environment will be used as a generic term indicating not only the physical place of residence but also the existing support networks in place.
Insurance and Financial esources
To begin with, it is important to note that insurance does have a significant impact on the choice of living environments. For instance, while some health insurance programs cover most of the costs incurred in an assisted living facility, some plans do not have such provisions. As Wallace (2007) points…
Cress, C.J. (2007). Handbook of Geriatric Care Management (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.
Healy, L.M. & Link, R.J. (2011). Handbook of International Social Work: Human Rights, Development, and the Global Profession. Oxford: Oxford University Press.
Johnson, T.F. (Ed.). (1999). Handbook on Ethical Issues in Aging. Westport, CT: Greenwood Publishing Group.
Rosenfeld, J.A. (Ed.). (2009). Handbook of Women's Health (2nd ed.). Cambridge: Cambridge University Press.
Living Aangements Among the Eldely
This is an eight page pape concening the divesity in living aangements among the eldely. Thee ae six efeences used.
People today ae living longe, which means thee is a lage eldely population in ou society. Thee ae many concens facing the eldely, one of which is housing. The eldely have seveal options available to them and it's inteesting to see how divese they can be.
Befoe we look at the housing options fo the eldely, we should fist exploe the statistics concening the population of this gowing goup. Thee wee ove 35.0 million pesons ove 65 in the United States in 2000. This accounts fo 12.4% of the population o one in evey eight Ameicans. Since 1990, the numbe of eldely has inceased 12.0% in compaison to the 13.3% incease of those unde 65. The statling fact is those aged 45-64 inceased…
references. (accessed 10-20-2002).
Greenwald, John. (1999, 30 August). Family: Elder Care: Making the Right Choice
Nursing homes used to be the only stop for seniors who need help. Now there are options.
Time. pp. 52+.
(Housing and Living Arrangements of the Elderly. (accessed 10-19-2002).
Over time, those in support of assisted dying or what is more commonly known as physician-assisted suicide and those opposed to the same have presented strong and convincing arguments and counterarguments in support of their positions. In most cases, the term assisted dying is used synonymously with euthanasia and physician-assisted suicide. Assisted suicide in the opinion of Morrison "refers to when a patient intentionally and willfully ends his or her own life, with the assistance of a third party" (223). Whichever way one looks at it, life is sacred and therefore it should be preserved at all costs. In my opinion, permitting euthanasia would be in total disregard of the sanctity of human life. In the section below, I analyze some of the arguments that have over time been presented in support of assisted dying.
According to Norman et al., one of the arguments that have been presented…
Devettere, Raymond J. Practical Decision Making in Health Care Ethics: Cases and Concepts. 3rd ed. Washington, DC: Georgetown University Press, 2009. Print.
Morrison, Eileen E. Health Care Ethics: Critical Issues for the 21st Century. 2nd ed. Sudbury, MA: Jones & Bartlett Publishers, 2009. Print.
Van Norman, Gail A. et al., eds. Clinical Ethics in Anesthesiology: A Case-Based Textbook. New York: Cambridge University Press, 2010. Print.
For example, does one really have to think about ethics while they are grocery shopping? ell, perhaps if one is thinking of cutting in line or taking the last shopping cart when there is an elderly woman who will be stuck with a basket.
Aristotle's virtue ethics said that people have to hone their virtues and this is a nice thought. He believes that everyone is born with the inherent tendency to do good, but people have to work on it just as one might have musical ability, they still must train in order to become a professional. Just because we think that we are ethical, good people (and we probably are) doesn't mean that we don't have to work on being better. This is also quite a nice theory, however, utilitarianism is still the best way for one to lead a happy, right life, because, once again, it forces…
Callahan, Daniel. "Moral Theory: Thinking, Doing, and Living." Journal of Social
Philosophy,20(1-2), 1989, 18-24.
Smith, Steve. Ways of Wisdom. University Press of America, 1983.
com). Finally, healthcare providers may specifically resist the idea of striking, because of the potential to compromise the care of the individuals in their charge.
If the company elects to resist unionization, what steps should the company follow?
Management should be aware of what they can and cannot do in thwarting union membership. For example, threatening employees with loss of jobs or benefits if they join or vote for a union or engage in protected concerted activity is prohibited by federal law. Managers cannot question employees about their union sympathies or activities. Particularly important is to remember that managers cannot directly promise benefits to employees to discourage their union support. Instead, to resist unionization, the company must recognize legitimate employee grievances, and create a dialogue between representatives of the staff to provide employees with a more attractive employment package, ideally one that matches those negotiated by the unions in other…
The National Labor Relations Board and You." (2008). NLRB. Retrieved 9 Jan 2008 at http://www.nlrb.gov/nlrb/shared_files/brochures/engulp.pdf
Union Pros and Cons." (2007). About.com. Labor Issues. Retrieved 9 Jan 2008 at http://labor.about.com/od/unions/a/unionization_2.htm?p=1
living things are characterized by the following seven characteristics namely mobility, respiration, excretion, sensitivity or response to external stimulus, growth, feeding, and reproduction. Though there may be variations between animal and plant kingdom (ex, plants take in carbon dioxide and prepare their own food), these characteristics are commonly observed among all living things.
iology is a very broad field that encompasses the study of characteristics of living things. It includes botany, zoology and all other sub-disciplines that range from microbiology to evolution and ecology.
Evolution is the branch of biology that deals with the study of natural development of living organisms and the changes in them over time. Evolution refers to the heritable changes that occur in a population over a period of time. All the diversity that is observed currently in plant and animal kingdom can be ascribed to evolution over a long period of time.
Atoms are the…
1) Mark Rothery, "Cells," Accessed on Sep 20th 2005, Available from http://www.mrothery.co.uk/cells/cellnotes.htm
Personal Perspectives on Living With a Disability
The objective of this work is to examine a work in writing that provides a first-hand perspective on the psychosocial issues involved with living with a disability of a disabling illness. personal perspectives on living with a disability. Questions addressed in this study include those as follows: (1) what type of disability or disabling illness did the person have? (2) provide a description of how this disability/illness affects the individual's perceptions of his/her identity? (3) What forms of prejudice or discrimination did he/she encounter from others? How did he/she cope with it? And (4) What did you learn from this individual's account of his/her experience that would help you as a therapist in working with another individual who has a similar illness or disability?
Type of Disability or Illness
Anthony Galvez relates that in September 2005 he was diagnosed with a "non-malignant brain…
Galvez, Anthony (2010) Reversal: When a Therapist Becomes a Patient. Health and Fitness. Google Books. Retrieved from: http://books.google.com/books?id=3E1hch-CMDcC&dq=Reversal:+When+a+Therapist+Becomes+a+Patient+by+Eric+Anthony+Galvez+ (PT+with+brain+tumor)&source=gbs_navlinks_s
The majority of women can return to their normal routine the next day ("In Vitro Fertilization"). In most cases total bed rest is not required unless there is some risk associated with the development of OHSS ("In Vitro Fertilization").
The NIH further explains that women who utilize IVF must take the hormone progesterone for at least two months following the embryo transfer ("In Vitro Fertilization"). The hormone is taken through daily shots or pills. Progesterone is a naturaly produced hormone produced that assists in thickenign the lining of the uterus ("In Vitro Fertilization"). This thickening makes it easier for the embryo to implant to the wall of the uterus. If there is ot enough progesterone the woman will miscarry ("In Vitro Fertilization").
In additon to the risks associated with this type of reproductive technology, IVF is very expensive ("In Vitro Fertilization"). The NIH explains that many states require that insurance…
Becker, G. (2000). The Elusive Embryo: How Women and Men Approach New Reproductive Technologies. Berkeley, CA: University of California Press.
Bleiklie, I., Goggin, M.L., & Rothmayr, C. (Eds.). (2003). Comparative Biomedical Policy: Governing Assisted Reproductive Technologies. London: Routledge. Retrieved Burfoot, a. (Ed.). (1999). Encyclopedia of Reproductive Technologies. Boulder, CO: Westview Press.
In Vitro Fertilization. National Institutes of Health. Retrieved March 18 at http://www.nlm.nih.gov/medlineplus/ency/article/007279.htm
Sloan, G.A. (1993). Postponing Parenthood: The Effect of Age on Reproductive Potential. New York: Insight Books.
Physician Assisted Suicide in Patients With Unbearable Suffering or the Terminally Ill
One of the most hotly debated issues today is physician-assisted suicide. ecently, California became the fifth state to legalize physician-assisted suicide, and there is an increasing likelihood that other states will follow suit in the foreseeable future. The purpose of this study is to determine if the factors chosen have any bearing on those who choose to end their life with physician assisted suicide. In support of this purpose, the objectives of this study were as follows: (a) to research scholarly articles regarding physician-assisted suicide and gather pertinent information into a comprehensive profile; (b) to research whether unbearable suffering is the dominant motive to request physician-assisted suicide; (c) to research whether the race and level of education of the patient are contributing factors when physician-assisted suicide is requested; and, (d) to research whether the type of terminal illness…
Bauer-Maglin, N. & Perry, D. (2010). Final acts: Death, dying, and the choices we make. New Brunswick, NJ: Rutgers University Press.
Biller-Adorno, N. (2013, April 11). Physician-assisted suicide should be permitted. The New England Journal of Medicine, 368(15), 1451.
Black's law dictionary. (1990). St. Paul, MN: West Publishing Company.
Boudreau, J. D. & Somerville, M. A. (2013,April 11). Physician-assisted suicide. The New England Journal of Medicine, 385, 15.
This has sparked many debates in social and political arenas in regards to personhood, self-determination and human autonomy.
Any time a person wants to intentionally end his or her life, it is considered suicide. Suicide, in itself is now legal (Manning, 1998), but proponents of euthanasia argue that suicide may not be an option for the terminally ill, the hospitalized or physically disabled. These people may not have the strength or the means to end their lives alone, therefore, they cannot exercise the option of suicide and consequently are being discriminated against (Gifford, 1993).
I personally agree with those on the pro-euthanasia side of the camp, who believe that suicide is not an appropriate term for this issue because suicide is often associated with desperate emotion whereas euthanasia is based on a "cogent and deliberate form of relief from a painful and hopeless disease" (Adams, 1992). As opposed to suicide,…
Adams, Robert. "Physician-Assisted Suicide and the Right to Die With Assistance." Harvard Law Review 105:2021-2040, 1992
Gifford, Edward. "Artres Moriendi: Active Euthanasia and the Art of Dying." UCLA Law Review 40:1545-1583, 1993.
Manning, Michael, MD, Euthanasia and Physician-Assisted Suicide: Killing or Caring? Paulist Press, Mahwah, NJ, 1998
Olen, Jeffery & Barry, Vincent. Applying Ethics: A Text With Readings (6th ed.) Belmont, CA: Wadsworth Publishing Company, 1999.
ight to Die
The case of Mildred D: The right to die
The core dilemma of 'the right to die' of Mildred D. revolves around Mildred's alleged statement to her children that she wanted no heroic means to continue her life. There is also the question of whether intravenous feeding is 'heroic' means, since removing the NG will effectively 'starve' her and ending her life before it would naturally terminate were the NG tube not removed. Food is usually not considered 'additional' means of life support, although it is debatable whether food not administered by mouth constitutes heroic means. Mildred had no living will clarifying her wishes and is now not competent to make the decision herself.
Legally, in the U.S. Supreme Court case of Cruzan v. Director, Missouri Department of Health, "the Court considered whether Missouri could insist on proof by 'clear and convincing evidence' of a…
Cruzan v. Director, Missouri Dep't of Health, 497 U.S. 261 (1990). Retrieved:
The right to die. (2012). Exploring Constitutional Conflicts. Retrieved:
globalization increased and standards of living around the world went up and with the expansion of industrialization in many less developed countries around the world, the demands of the automotive industry around the world increased significantly. This resulted in a worldwide boom in the international automotive sector with many individual countries entering the global automotive market as potential producers. As a result, the international competition in the automotive sector grew more aggressive over a period of time.
The sharp increase in international competition in the automotive industry during the recent years and the fact that automotives are not a 'Fast Moving Consumer Good' made, the countries involve in automotive production realized the growing need to stay competitive. The need to maintain an absolute competitive advantage and constant innovation, research and development was inevitable. Moreover, the international automotive industry was dominated by a handful of big players of the likes of…
Living organisms are truly fascinating not only for the ways they function within their larger environments, but also at the microscopic level in how they function in and of themselves. Ultimately, of course, these two views and understandings of organisms are wholly linked and entirely inseparable, as no organism would be able to function in the environment at large if it was not functioning properly at the microscopic level. Without muscle fibers properly contracting and expanding, it would be impossible for the human fingers to type away on a keyboard; without the proper nerve cells being triggered and the right neurons firing in the brain, a shark would be unable to smell, detect, and go after its prey; if blood cells were not permeable to the right substances in the right amounts, nutrients and necessary molecules couldn't be transported throughout the body as they were needed.
All of this…
Dash, P. (2011). Apoptosis. Reproductive and Cardiovascular Disease Research Group. Accessed 17 February 2011. http://www.sgul.ac.uk/depts/immunology/~dash/apoptosis/
Department of Health & Human Services. (2005). Inside the cell. (NIH Publication No. 05-1051). Washington, DC: U.S. Government Printing Office.
Kimball, J. (2011). Apoptosis. Kimball's Biology Pages. Accessed 17 February 2011. http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/A/Apoptosis.html
Low Vision Literature Review
The impact of low vision on a person's quality of life can be devastating… people with low vision can improve their quality of life through rehabilitation services to teach them how to use their remaining vision more effectively. Using a variety of visual aids may bring them back or help them keep their independence (Kupfer, 1999 as cited in indsor & indsor, 2001).
Low vision or vision loss has been operationally defined most commonly as that associated with macular degeneration due to age that accounts for more than half of all reported cases of visual impairment. There are other known causes of vision loss that include but may not be limited to corneal degeneration, eye injuries, traumatic brain injury, brain tumors, stroke, toxoplasmosis, optic atrophy, glaucoma, retinal dystrophies, retinal detachment, retinopathy of prematurity, achormatopsia and histoplasmosis (indsor & indsor, 2001). Moreover, visual impairment is described as…
Alliance for Eye and Vision Research. (1995). A vision of hope for older Americans' progress and opportunities in eye and vision research. An official report to the White House Conference on Aging. Alliance for Eye and Vision Research.
American Optometric Association. (1997). AOA Clinical Practice Guidelines Care of the Patient with Low Vision. St. Louis: American Optometric Association.
Kupfer, K. (1999). Announcing the National Low Vision Education Program. National Eye Institute.
Scott, I., Smiddy, W., Schiffman, J., Feuer, W., & Pappas, C. (1999). Quality of life
If someone living 2,000 years from now wanted to know what took place in the year 2005, it would be necessary to go through impossible amounts of information. Today, scores of individuals with varying agendas write about day-to-day events. Thousands of publications and electronic media maintain records. Before the Common Era the situation was naturally much different. Because so few accounts exist of this time period, anthropologists and historians have to make educated guesses to fill in the blanks. This same problem exists with early ome and Italy. No account written earlier than the late 3rd century exists and no continuous account recorded before the age of Augustus now survives. Thus, most of the information concerning the Etruscan traditions either comes from individuals such as the oman historian Livy, the Greeks, and archaeological finds.
Born in Northern Italy in 59 BC, Livy wrote a 142-book history of ome called…
Bloch, Raymond. 1965. Etruscan Art. New York: Cowles. London: Thames
Bloch, Raymond. 1969. Etruscans. New York: Cowles.
Bonfante, Larissa, ed. 1986. Etruscans Life and Afterlife. Detroit: Wayne State.
Bryce, Trevor. 1999. Kingdom of the Hittites. Oxford: Oxford University Press.
Living in both China and the U.S. has been a transformative experience not least in experiencing different kinds and levels of diversity across cultures. This experience will enhance my understanding of patients I see in my professional work, and as a citizen of both my nations on either side of the Pacific. Working as an intern at Weifang Hospital, then at Blanchard Valley Hospital Rehabilitation Findlay Campus, and participating in social organizations outside of school and work have convinced me that despite differences across and within my own multinational experience, we are all more alike than different in the majority of ways. Regardless of demographic characteristics, if the job of therapist is to heal, reduce and prevent pain and disability, then since all peoples share the capacity to experience pain and disability, the therapist has to treat the person, not the class or the gender or ethnicity, even…
Laws and Health Care
The health care industry has undergone massive overhaul in recent times and the impact of the laws and regulations that accompany this change have deep and resounding effects on the way professionals approach their industry. The purpose of this essay is to explain the role of governmental regulatory agencies and their effect on the health care industry.
This essay will first provide two examples of laws and regulations that have empirically demonstrated a noticeable and impactful transformation of the system. The next section of this essay is how these laws have personally affected me and my environment in Samaritan Hospital and how these regulations both serve and detract from our overall objectives of patient quality and healing those who seek our help.
Example 1: Affordable Care Act
Laws and regulations are present at many different levels within the health care industry. Private practices surely have their…
Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care Workforce. The Heritage Foundation, 18 Mar 2014. Retrieved from http://www.heritage.org/research/reports/2014/03/the-impact-of-the-affordable-care-act-on-the-health-care-workforce
Emanuel, E.J., Daniels, E.R., Fairclough, D.L., & Clarridge, B.R. (1996). Euthanasia and physician-assisted suicide: attitudes and experiences of oncology patients, oncologists, and the public. The Lancet, 347(9018), 1805-1810.
McClanahan, C. (2012). Cliffs Notes Version of the ACA. Forbes, 9 July 2012. Retrieved from http://www.forbes.com/sites/carolynmcclanahan/2012/07/09/cliffs-notes-version-of-the-affordable-care-act/
Pereira, J. (2012). Legalizing euthanasia or assisted suicide: the illusion of safeguards and control. Current Oncology, Apr 2011, 18 (2). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070710/
Black Women in Male Industries --
Black Women in White Male Dominant Industries:
Are Set-Aside and Inclusion Programs eally Assisting?
Martin and Barnard (2013) state that those women working in areas that are male-dominated have different problems from those in female-dominated areas and those balanced in gender. The problems are as result of customs of inequality in gender, and the values within families and the community. The male gender is still considered senior to the female gender in families, and traditionally, in spite of the efforts made to empower females and to bring about equality in gender. The traditional beliefs on gender roles are also in company rules and practices. Women are given degraded tasks and are subjected to an organizational culture with gender discrimination.
According to the American Association for Access, Equity and Diversity (2015) it has been more than half a century since the U.S. began to fight…
American Association for Access, Equity and Diversity. (2015). About Affirmative Action, Diversity and Inclusion. Retrieved July 10, 2016, from American Association for Access, Equity and Diversity: http://www.aaaed.org
Chatterji, A. K., Chay, K. Y., Fairlie, R. W. (2013, March). The Impact of City Contracting Set-Asides on Black Self-Employment and Employment. Retrieved July 10, 2016, from National Poverty Center: http://www.npc.umich.edu
Kranjc, J. K. (1990). The Future of Minority Set-Aside Programs after City of Richmond. Retrieved July 10, 2016, from Engaged Scholarship at Cleveland State University: http://engagedscholarship.csuohio.edu
Martin, P., & Barnard A. (2013). The experience of women in male-dominated occupations: A constructivist grounded theory inquiry. SA Journal Of Industrial Psychology, Vol 39, Issue 2, 1-12. Retrieved from http://www.sajip.co.za
I would also argue that these donations were not expenses; they are investments in these economies and their growth. It is in furthering the standard of living for these nations that the corporation I was leader of fulfilled its mission as an organization. In any organization capable of this level of philanthropy there is also the ability to invest in new product development. Concentrating on partnering with these nations and with other companies is critical for the long-term viability of their economies and for the growth of CS programs globally in the pharmaceutical industry (Wechsler, 2006). While there is not an ethical requirement to do this, there is the moralistic one and more importantly, the need to do well by doing good and enriching others less fortunate.
Craig Smith. (2009). Bounded goodness: marketing implications of Drucker on corporate responsibility. Academy of Marketing Science. Journal, 37(1), 73.
etrieved March 6,…
Craig Smith. (2009). Bounded goodness: marketing implications of Drucker on corporate responsibility. Academy of Marketing Science. Journal, 37(1), 73.
Retrieved March 6, 2009, from ABI/INFORM Global database. (Document ID: 1654388551).
Jill Wechsler. (2006, September). New Partnerships Pursue Old Diseases. Pharmaceutical Executive, 26(9), 50,52. Retrieved March 7, 2009, from ABI/INFORM Global database. (Document ID: 1137181681).
Business Plan Assisted Living Facilities
Residential and Day Treatment Facility
Residay Home and Residential Care provides assisted living solutions for senior adults. Residay Home and Residential Care is dedicated to making the provision of the highest quality care to senior citizens requiring or desiring an assisted living facility. Residay Home and Residential Care is located in the Tennessee Valley Area of North Alabama and is an alternative to the generally larger and less personal senior assisted living facilities specializing in the ability to make provision of a very high level of care in a smaller and more personal environment. Residay Home and Residential Care makes provisions of assistance to seniors in their activities of daily living including assisting with medication, meals, reminders, personal grooming, physical therapy and other such assistance. Further provided by Residay Home and Residential Care are opportunities for companionship, entertainment, and activities, which seniors enjoy…
Administration on Aging, Department of Health and Human Services (2005). Fact Sheets: Eldercare Locator.
Administration on Aging. (2004). Report to Congress. Long-term Care Ombudsmen Report, Fiscal Year 2004. Washington, DC: U.S. Department of Health and Human Services, Administration on Aging.
Agency for Healthcare Research and Quality. (1996). Medical Expenditure Panel Survey: Nursing Home Component. Retrieved from: http://www.ahrq.gov/data/mepsweb.htm#Nursing .
Alabama State Board of Health, Alabama Department of Public Health, Division of Licensure and Certification Administrative Code. Chapter 420-5-4 Assisted Living Facilities. Retrieved from: http://www.alabamaadministrativecode.state.al.us/docs/hlth/420-5-4.pdf
Predicting the future is not easy, but using past and current trends is the right way to go. At least that will allow those who are making the decisions to be sure that they have considered everything in the best light possible before they choose which direction to take.
Planning and Change in Rapid Development
One of the main issues with change management and future planning for long-term care facilities right now is that the changes are taking place so rapidly. If the changes were slower, there would be more of a chance to adapt. Since that is not the case, more has to be addressed regarding how to change quickly. That is something that has not been required of these managers before, so they are in new territory to some extent. While that is not necessarily a bad thing, it does mean that more mistakes could be made because…
Anderson, D. & Anderson, L.A. (2001). Beyond Change Management: Advanced Strategies for Today's Transformational Leaders. San Francisco: Jossey-Bass/Pfeiffer.
Chin, P.L. (2008). Integrated theory and knowledge development in nursing (7th ed.). St. Louis, MO: Mosby.
D'Antonio, P. (2010). American Nursing: A History of Knowledge, Authority, and the Meaning of Work. New York: The Johns Hopkins University Press.
Dossey, B., Keegan, L., & Guzzetta, C.E. (2000). Holistic nursing: A handbook for practice. 3rd ed. Gaithersburg, MD: Aspen.
Aunt Hattie and Chester
hat might Chester have done to avoid this tragic outcome?
Relatives like Chester want the best for their family and loved ones. However, when Aunt Hattie was no longer able to live completely independently, Chester had little choice but to seek some kind of care or assistance. For people like Hattie who are still capable of caring for themselves to a certain degree, assisted living facilities are often the most appealing option. These facilities offer constant care and supervision, while allowing the individuals to live in the independent and self-sufficient manner that they are used to.
Many assisted living centers lure clients in with things like fireplaces and big-screen television, giving the impression that they are a much better alternative to bare-bones nursing homes. However, the facilities are often less safe than they seem. It is things like staff shortages and insufficient training that place elderly…
Assisted Living and Shared Housing Act Title 210 ILCS 9.
Brent Adams And Associates. (2005). Assisted Living Neglect. Retrieved from the Internet at: http://www.ncpersonalinjurylaw.com/assisted-living-neglect.html.
DeBruhl, Rick. (June 13, 2005). How to choose an assisted living facility. Call 12 For Action.
Downey, Jeffrey. (August, 2004). Increased Safety in Assisted Living. Trial Lawyers of America Journal.
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…
ALFA - Assisted Living Federation of America. (2009). Assisted Living Regulations and Licensing. Retrieved from http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp
Medicare Payment Advisory Commission. (2011). Report to the Congress: Medicare Payment Policy. Retrieved from http://www.medpac.gov/documents/Mar11_EntireReport.pdf
National Caregivers Library. (2012). Independent Living Facilities. Retrieved from http://www.caregiverslibrary.org
Next Step in Care. (2012). Reducing the Stress of Hospitalization for Patients with Dementia and their Family Caregivers: A Guide. Family Caregiver Alliance. Retrieved from http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2449#researchpractice
Others, who are perhaps a little older and beginning to feel the effects of older age and the onset of related health conditions, prefer retirement communities. Here they can retain a relatively independent life for as long as possible, while still having access to health, transport, meals, and other assisting services they might need.
In terms of housing, a number of options have therefore begun to evolve for older people who prefer not to enter institutional care if they can avoid it. It is therefore important for agencies and professionals who work with older people to establish which the best fit would be for each individual client involved. Not all older people, for example, can afford assisted care, as this tends to be towards the more expensive end of the market.
Another important component of environmental fit is transport. Transport, to an older person, could mean various things. Most importantly,…
American Society for Interior Designers. (2012). Design for Aging. Retrieved from: http://www.asid.org/designknowledge/aa/inplace/
NAIPC. (2012). Age in Place. Retrieved from: http://www.ageinplace.org/
Niles-Yokum, K. And Wagner, D.L. (2011). The Aging Networks: A Guide to Programs and Services. New York: Springer Publishing Co.
NOWCC. (2011). National Older Worker Career Center. Retrieved from: http://www.nowcc.org/home
Beyond this, there are a number of steps which must be taken to ensure that existing surfaces which can be considered at least soft and absorptive enough to remain are reinforced against incident or accident. This will be especially relevant to carpeted or rug-covered floors, which can often be more moveable than one might desire. One article, published by Men's Health Center, offers the instructions to "fix carpet edges to the floor - avoid loose rugs and mats and make sure any uncovered floors are not polished too highly. Ensure all handles, railings and banisters are firmly fastened." (Health & Age, 1)
ith respect to handles and rails, this helps to direct our attention toward how best to outfit transitional flooring between rooms. Railings and handles for level hallways is an effective way to provide extra support as one breaches the threshold of a carpeted room from the lower gradient…
Brennan Occupational Therapy. (2006). Seating for the Elderly. Brennan OT. Online at http://www.occupationaltherapist.ie/seating.html
Health and Age. (2006). Physical Safety for the Elderly at Home. Men's Health Center. Online at http://www.healthandage.com/Home/gm=0!gc=28!gid7=960
Minns, R.J. (1999). CAN FLOORING and UNDERLAY MATERIALS REDUCE the NUMBER of HIP FRACTURES in the ELDERLY? Regional medical Physics Department, Newcastle General Hospital.
Seniors Superstore (SS). (2008). Safety products for seniors and elderly, safety products for around the house and on the go. Online at http://www.seniorssuperstores.com/cart/html/Products/SAFETY-PRODUCTS
Families should visit there older members more often who are in assisted living situations, or who can no longer drive. this is the assignment but I also want my experiences as helping them to recover from alcoholism, plus getting attached to them just to watch them die.
Many elderly people do not have family or friends to visit them
-Younger people should make an effort to visit the elderly because it will benefit the elderly, the younger person, and teach lessons about life
-Many people do not want to visit the elderly because it is time consuming, depressing, or boring
-I have personal experience with the elderly and I know that it is rewarding
the lives of both older and younger people will be improved
There are millions of elderly people living in nursing homes or assisted living facilities in our country. All of these people have lived a…
preservation of assets for the elderly who are faced with medical bills, either for themselves or for their children. The writer also discusses the preservation of assets when an elderly person has to go into a nursing home or assisted living facility. There were three sources used to complete this paper.
Through the ability of medical science America's population is living longer than ever before. As the nation's population continues to age elderly residents are encountering significant dilemmas regarding the preservation of assets when they have large medical bills to pay either for themselves or their adult children. In addition the need to move into a nursing home or an assisted living facility also endangers the assets of the elderly.
The medical community has been able to lengthen life and with that ability comes the price. Medical bills are higher now than ever before, and the medical community is able…
Family Unit Incomes of the Elderly and Children, 1994.(Statistical Data Included)
Date: 12/22/1996; Publication: Social Security Bulletin; Author: Radner, Daniel B.
A description of Medicaid eligibility. (Medicare and Medicaid Statistical Supplement)
Date: 01/01/1992; Publication: Health Care Financing Review; Author: Gurny, Paul Baugh, David K. Davis, Feather Ann
My work as a research assistant in a cognitive psychology lab added to my theoretical knowledge by giving me practical experience in encoding and analyzing data. This experience provided me with the opportunity to use analytical tests and interpret statistical data. Bookkeeping of participants' demographic information also further developed my organizational skills. Having been a research assistant, I have gained a reasonable understanding of research design and the statistics needed to conduct research. For my senior major project, I wrote a research paper on an empirical study that investigated the role of change detection in studies of visual attention in the field of cognitive psychology. This paper was awarded the Sharon Borine award for the best major project in Psychology because of its successful presentation of research and adherence to American Psychology Association guidelines. I strongly believe my research experience will help me attain success in conducting graduate research as…
Emeritus Strategic Plan
Strategic Implementation Plan at Emeritus Senior Living
In one regard, the senior assisted living community sector is one of the most stable and fastest growing industries in an otherwise stagnant domestic marketplace. This is to the advantage of the firm that has been at the center of our research discussions to this juncture. But for Emeritus Senior Living firm, this advantage is today being offset by a number of internal performance patterns that must be addressed. Indeed, the model for growth at Emeritus has to this point been extraordinarily successful from a sheer economic standpoint. According to Emeritus (EMS), "at the end of 2000, Emeritus was a small senior living company with an operating portfolio of 135 communities and a capacity for 14,100 residents. Ten years later (December 31, 2010), we are one of the largest operators of senior living facilities in the country with an operating…
Eastday. (2011). Foreign Firms Moving Into Senior Care. English.eastday.com.
Emeritus Senior Living (ESL). (2010). 2010 Annual Report. Emeritus Corporation.
PRWeb. (2011). Emeritus Senior Living Employees Raise More Than $400,000 for the Alzheimer's Association. Yahoo! News.
Traecy, M. (1992). Customer Intimacy. Harvard University.
Leisure World Business Plan
Startup living-assistance firm Leisure World is seeking to enter into the long-term care market as a provider of in-home caregivers. The company will seek to market itself as an alternative to the nursing home, and will use daytime television advertising as its primary mode to reaching a target of families with aging loved ones. Expenses for the organization will include insurance and certification costs, material resources, labor and advertising. Management will proceed from a top-down approach.
Description of the business
Leisure World is an alternative to nursing and long-term care facilities. For many families, the decision to find assistance for care with aging loves ones can be an extremely difficult one, both financially and emotionally. Relegating a family member to a nursing home can be both heartbreaking for the family and psychologically devastating to a loved one who must now endure the end stages of life…
When older adults become frailer and elderly, advanced practices nurses must consider their quality of life and reassess their healthcare goals. Having familiarity and sensitivity with the needs of the elderly will better enhance my professional role in serving patients, the health of the patient, and the well being of their families and the community as a whole.
I have been a nurse for 26 years, with most of my time devoted to providing health care to the elderly. For the past 16 years, I have been the owner and administrator of three assisted living homes. Now, my goal is to become more involved in the direct care of the elderly as an advanced-nurse practitioner in the long-term care field. I believe that training as an advanced-practice nurse and my commitment to understanding the older adult's health care goals will help to properly develop realistic treatment…
total I have 13 years in the nursing field. Throughout that combined time I have worked in nursing homes / assisted living facilities, home health, as well as in a hospital setting. During the time that I worked in the hospital I worked in a program called share the care. This entailed me working throughout the entire hospital as a nursing assistant, which gave me experience in various areas, i.e. The emergency room, intensive care, pediatrics, oncology and etc. By being apart of this program it has afforded me the opportunity to do what I truly love, be a part of the whole process of nursing sick patients back to health. This has always been a passion of mine.
A Nurse practitioner is a nurse who has completed a graduate nursing degree and training in providing preventive and medical health care to individuals and families in association with a physician.…
Greensboro AHEC Kids (2005). Nurse practitioner. Retrieved 09/23/05, from www.aheckids.com/nurprac.htm
U.S Department of Labor (2004-2005). Physicians Assistant. Occupational Outlook Handbook,, . Retrieved 09/23/05, from http://stats.bls.gov/oco/ocos081.htm
If anything, such a person may have regrets over having wasted too much of life on impersonal achievements and selfish pursuits.
6. Do you agree that in later life men become more nurturing and women more assertive? What do you think are the findings that could support or challenge that observation?
The observation that men tend to become more nurturing, less competitive, less aggressive, and "gentler" in later life and that women tend to become less emotional and more confident or assertive would seem to be substantially true. That is largely attributable to hormonal changes; specifically, aging males tend to produce much less testosterone and post-menopausal females secrete less estrogen in their later years (Pinker, 2002). Naturally, those hormonal changes would be expected to result in various behavioral changes in areas where human behavior (and gender-specific behavior in particular) are products of the secondary sex hormones (Gerrig & Zimbardo, 2008;…
Bearon LB. "Successful Aging: What does the 'good life' look like?" Concepts in Gerontology Vol. 1, No. 3, (Summer 1996).
Birren JE. And Schaie KW. (2006). Handbook of the Psychology of Aging. Burlington,
MA: Elsevier Academic Press.
Gerrig R. And Zimbardo P. (2008). Psychology and Life. New York: Allyn & Bacon.
Program Budget and Cost Analysis
Line-Item Budget for an in-Service Dementia Care Training Program
Florida now requires all direct-care staff working with dementia patients to receive specialized training. The curricula offered must be vetted by the Training Academy of the University of South Florida's Policy Exchange Center on Aging, otherwise assisted living facilities, nursing homes, adult day care, and hospices will be unable to accept patients with dementia into their facilities. In order to meet these statutory requirements and improve patient care, an in-service training program in dementia care will be instituted for a hospice facility located in Florida.
The Hospice House in Cape Coral, Florida maintains 36 beds for patients with terminal illnesses. On average, a little over 60% of the residents suffer from dementia at any one time, which is consistent with national trends (Williams, Hyer, Kelly, Leger-Krall, and Tappen, 2005, p. 98). The number of patients tends…
CMS (Centers for Medicare & Medicaid Services). (n.d.). Hospice Center. CMS.gov. Retrieved 13 Mar. 2012 from www.cms.gov/Hospice/Downloads.2011_Aggregate_Cap.pdf.
Goyder, Judith, Orrell, Martin, Wenborn, Jennifer, and Spector, Aimee. (2012). Staff training using STAR: A pilot study in UK care homes. International Psychogeriatrics, published online ahead of print, p. 1-10. Retrieved 13 Mar. 2012 from http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8473487 .
Hobday, John, V., Savik, Kay, Smith, Stan, and Gaugier, Joseph E. (2010). Feasibility of internet training for care staff of residents with dementia: The CARES® Program. Journal of Gerontology Nursing, 36, 13-21.
Hyer, Kathryn, Molinari, Victor, Kaplan, Mary, and Jones, Sharmalee. (2010). Credentialing dementia training: The Florida experience. International Psychogeriatrics, 22, 864-873.
Mitigating isks from Dementia
Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.…
Aud, M.A., Oliver, D., Bostick, J. And Schwarz, B. 2011. Effectiveness of Social Model Care Units for Dementia. International Nursing Research Congress 2005.
Care, N.D. 2010. Teaching and Learning. Pulse. Winter Edition.
Fletcher, S. And Zimmerman, S. 2010. Trainee and trainer reactions to a scripted dementia care training program in residential care/assisted living settings and nursing homes. Alzheimer's Care. 11(1): 61-70.
Goodman, C. 2011. The organizational culture of nursing staff providing long-term dementia care is related to quality of care. Evidence-Based Nursing. 47:1274-1282.
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
The way that this can be accomplished is by forming boards that are similar to Long-Term Care Committees. The only difference is that they would severe a similar role as a medical control board. Where, they will have the responsibility for determining how all of the different health care solutions should be integrated on the local level. In this case, these committees could follow the state's integration plans and then augment the various services that are being provided with a structure that will work well for each community. (Fisher, 2009, pp. 219 -- 231)
For example, the state could provide guidelines about how the different health care solutions need to be integrated together as one single plan. The way that this occurs on the local level, will determine the kinds of services that are offered by the various organizations. At the same time, it will depend upon how the community…
Integration of Acute and Long-Term Care. (2011). DMAS. Retrieved from: http://www.dmas.virginia.gov/altc-home.htm
Cutler, D. (2010). How Health Care Reform must Bend the Cost Curve. Health Affairs, 29 (6), 1131 -- 1135.
Darkins, C. (2008). The Impact on Parents. Intensive and Critical Care, 25 (2), 72 -- 79.
DeCicci, P. (2008).Cigarette Taxes and Older Adults Smoking. Journal of Health Economics, 27 (4), 918 -- 929.
Established in 1990, the California Tobacco Control Program (CTCP) is one of America's oldest state tobacco control programs. As a longstanding program, CTCP is logically evaluated by "process evaluation" questions. Fortunately, the program's 20+ years of existence in serving large target populations provides a significant amount of meaningful data for collection and evaluation.
The California Tobacco Control Program (CTCP) was established in 1990 with the stated mission "to improve the health of all Californians by reducing illness and premature death attributable to the use of tobacco products" (California Department of Public Health, 2010, modified 10/31/2012). To that end, CTCP embraced the core strategy of changing social norms (California Department of Public Health, n.d.) and long-term goals of: empowering statewide and local health agencies to promote health and quality of life by providing leadership and research in advocating social norms creating an environment that is tobacco free; stopping illegal tobacco sales…
Anonymous. (n.d.). Common conceptual and methodological frameworks - Powerpoint presentation.
Anonymous. (n.d.). Typical evaluation questions - Powerpoint presentation.
California Department of Public Health. (2010, modified 10/31/2012). California Tobacco Control Program. Retrieved November 18, 2012 from www.cdph.ca.gov Web site: http://www.cdph.ca.gov/programs/tobacco/Pages/default2.aspx
California Department of Public Health. (n.d.). About the California Tobacco Control Program. Retrieved November 18, 2012 from www.cdph.ca.gov Web site: http://www.cdph.ca.gov/programs/tobacco/Documents/Making%20a%20Difference%20012012.pdf
Loss of Function on the Quality of life and Independence, and Quality of life for the elderly Population
Although living longer comes with a price, having a good social relationship, support system, social relationships, and residing in their own abode is what could give seniors independence, happiness, and quality of life. Before discussing how a given loss of function influences the quality of life and the independence of an aging person, it is crucial to define some concepts. These concepts are the quality of life, independence, and activities of daily living, as they will be used in this discussion. Quality of life has varying meanings for different individuals particularly to the elderly population. Quality of life could mean good pension or income, family and friends, being active, being independent, good and safe living conditions, opportunity to learn latest concepts, developing new things, religion, and social relationships among others. Quality of…
Brunner, L.S., & Day, R.A. (2009). Brunner & Suddarth's textbook of Canadian medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins.
Dawson, D.R., & Stern, B. (2007). Reflections on facilitating older adult's participation in valued occupations. Occupational Therapy Now, 9(5), 3-5. Retrieved from http://search.proquest.com/docview/229614344?accountid=35812
Loue, S. (2008). Encyclopedia of aging and public health: With 19 tables. New York, NY: Springer.
Whitbourne, S.K., & Whitbourne, S.B. (2011). Adult development and aging: Biopsychosocial perspectives. Hoboken, NJ: Wiley.
The Pilgrims Must Embark addresses specific issues associated with treating persons with AIDS (PWA). The film exhibits the importance of cultural sensitivity and communications in nursing. "Many hospitals are ill equipped to care for the chronically ill, and nursing homes are reluctant to admit PWA," (Adelman & Frey, n.d., p. 4). Creating an independent but assisted living community became the central challenge, focus, and goal of the Bonaventure House. The staff helps develop a family experience for the residents, bringing people together not just in the same physical space but also emotional and spiritual space. There is a common ground between the PWA residents at Bonaventure House, and the enormous diversity of age, gender, background, lifestyle, and ethnicity become sources of strength. Herein lies the secrets to how Bonaventure House model. Similar communications-related issues are at play at the La Communidad Habla (LCH), described in "Bridging the Health and…
Adelman & Frey (n.d.). The pilgrim must embark. Chapter 1.
"Bridging the Health and Digital Divide in a Low-Income Latino/a Immigrant Community." Chapter 16.
The Pilgrim Must Embark. Videos. Retrieved online: http://www.youtube.com/watch?v=fVnHpNO8sUc
Finally if possible I will identify at least one at risk family and attempt to determine how future events of abuse and/or neglect could be avoided through support.
a. Analysis of new research conducted for this study, to determine present state and recommend further research.
b. valuation of new research conducted for this study, to determine present state and recommend future research.
5. thical review of developing standards for training and intervention.
a. Review intent of individuals to remain independent and still receive adequate daily care.
b. Involve options training including meal support, home care support and even options for residential care for both elders and care providers. To attempt to demonstrate changes in policy that will better protect elders from abuse and neglect by providing stakeholder support for independence either in home or in facilty.
c. Support health care workers in offering such council through informed development of tools…
Elder abuse and neglect is an unaddressed problem all over the world, as the population ages certain members of it become dependent upon family and other caregivers to meet their daily needs. When those needs are not being met or even worse when the dependence becomes a burden to another the risk of abuse and neglect can become a serious issue or problem. (Jones, Holstege & Holstege, 1997) in rural America this issue is compounded by relative isolation as well as often limited access to healthcare, a point of contact that can serve as a recognition point for problems and concerns regarding unmet needs (neglect) or overt abuse or exploitation.
Research questions will include: A clear and concise definition of intervention level maltreatment of elders. Etiology of elder maltreatment, i.e. how often and to who is it happening? What existing systems are in place to recognize and respond to reports or need for investigation in the rural community? How can those systems be supported and bolstered to respond more effectively to recognize, reports and respond to the needs of elder persons at risk or in situations of maltreatment?
The Science Direct Database offers a significant set of research based and review works that address the issues regarding elder maltreatment, including those associated with
Long-Term Care Facility Safety: Prevention and Reduction of Injuries Due to Falls
One out of every three adults ages 65 and older experiences a fall annually however, only about 50% of health care providers discuss falls with these individuals. Falls are the leading cause of injury death in adults 65 years of age and older. More than 19,700 adults died in 2008 form accidental fall injuries and in 2009 out of the 2.2 million nonfatal fall injuries in older adults in excess of 581,000 individuals had to be hospitalized. The direct medical costs were over $19 billion in 2000. (Centers for Disease Control and Prevention, 2012) According to the National Council of Certified Dementia Practitioners, "One of the most challenging, life-threatening issues related to care of the person with cognitive loss is the occurrence of wandering, wherein the person strays into unsafe territories and may be harmed." (2012) It is…
Comprehensive Prevention Program (2012) Premier Inc. Retrieved from: https://www.premierinc.com/quality-safety/tools-services/safety/topics/falls/prevention_program.jsp
Falls Among Older Adults: An Overview (2012) Centers for Disease Control and Prevention. Retrieved from: http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html
Koski, K., Luukinen, H., Laippala, P., & Liisa-Kivela, S. (1996). Physiological factors and medications as predictors of injurious falls by elderly people: A prospective population-based study. Age and Ageing, 25: 29-38.
McCarthy, R. Adedekun, C and Fairchild, R. (nd ) Preventing Falls in the Elderly Long-Term Care Facilities. RN Journal. Retrieved from: http://www.rnjournal.com/journal_of_nursing/preventing_falls_in_the_elderly_long_term_care_facilities.htm
If Brookdale is able to reduce its operating costs, the company should be able to capitalize on the growth opportunities that the next few years and a rebound in housing prices will represent, allowing it to return to profitability, a track that it should be able to carry for several years or even decades.
The company has reasonable power over its suppliers, and its size allows it to offer prospective customers a wide range of options, which can reduce shopping around. The industry has low intensity of rivalry, although it must contend with some strong substitutes at times. The demographic trends, however, favor continued growth, which combined with the other factors renders the industry favorable for Brookdale.
In addition to the Five Forces, it is worth considering the industry life cycle. Most industries can be seen as having four distinct life cycle stages: Introduction, Growth, Maturity and Decline. The assisted…
Brookdale Senior Living website. Retrieved September 24, 2009 from http://www.brookdaleliving.com/about-brookdale.aspx
No author. (2007). Porter's Five Forces. QuickMBA.com. Retrieved September 24, 2009 from http://www.quickmba.com/strategy/porter.shtml
Brookfield financial data from MSN Moneycentral. Retrieved September 24, 2009 from http://moneycentral.msn.com/investor/invsub/results/statemnt.aspx?Symbol=BKD
Emeritus financial data from MSN Moneycentral. Retrieved September 24, 2009 from http://moneycentral.msn.com/investor/invsub/results/statemnt.aspx?Symbol=ESC
Suicide ates Among Geriatric Persons
The causes of death among the elderly are traditionally associated with the normal aging process or what would be called natural process, diseases associated with age and the debilitations it can cause. Yet, other factors also contribute to the cause of death an individual might succumb to, widowhood, retirement, forced relocation, and/or loneliness especially around the holidays. (Huyck Hoyer 1982) Still other studies are making it clear that murder and suicide rates are increasing dramatically among the elderly. (cf., Birren, Schaie, 1977) (Nussbaum, Pecchioni, obinson & Thompson, 2000, p. 294) Suicide was the eleventh leading cause of death among persons over the age of 65 in 1982. (iley, 1983, p. 144) Some strides have been made and between the years 1983 and 1998 suicide averaged as the fourteenth leading cause of death for persons over the age of 65, lower than the average for all…
Birren, J.E., & Schaie, K.W. (Eds.). (1977). Handbook of the psychology of aging. New York:
Van Nostrand Reinhold.
Coleman, P.G. (1995). 2 Facing the Challenges of Aging: Development, Coping, and Meaning in Life. In Handbook of Communication and Aging Research, Nussbaum, J.F., & Coupland, J. (Eds.) (pp. 39-68). Mahwah, NJ: Lawrence Erlbaum Associates.
Hudson, C.G., & Cox, A.J. (Eds.). (1991). Dimensions of State Mental Health Policy. New York: Praeger Publishers.
arity: Health Care EIT is one of many luxury and acute care investment properties on the market.
Imatability: Given the lack of available credit for starting new property ventures and construction, the company's current facilities do give it an advantage. Financial barriers to industry entry are higher than they were in the past. This can act as a barrier to 'imatiblity' of its business model.
Organization: Health Care EIT has a fairly concentrated organizational structure. While this can be an advantage in terms of assuring consistency of service, it can also result in narrowness of vision, such as (perhaps) a tendency to focus too much on high-end offerings, when seniors may have less financial leverage than in the past.
Sources, rarity, and imatability of cost advantages
Economies of scale may be possible, given the size of Healthcare EIT. Unlike some of its competitors, the company was an early, first mover…
Executive Officers. (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/executive-officers
History (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/history
For example, Massachusetts and California have made recent improvements by upgrading care quality and professionalizing care; by contrast, despite Florida's large population of seniors and the beginning of a coalition of patients, families, and workers on behalf of better care, the state administration remains inflexible in their funding approach (Fitzgerald 30).
Nursing homes and other long-term-care facilities are unique among low-wage labor markets in that government, in effect, sets wages and career paths by setting reimbursement rates. Government also regulates the conditions of care and subsidizes training programs for nursing assistants and other paraprofessionals. Unlike other low-wage sectors, a broad-based, middle-class constituency for better wages and benefits potentially exists in the form of family members of nursing home residents. Therefore, there is a potential solution that benefits all the stakeholders by providing higher reimbursements together with tighter regulation and deliberate professionalization of the direct-care workforce; unfortunately, while some states have…
Health Care Delivery Structure
Alzheimer's disease is a progressive brain disease and the most prevalent root cause of dementia. In the present day, more than five million people living in America are suffering from Alzheimer's disease. It is the 6th prominent cause of death in the United States and is the 5th causal factor of death for individuals older than the age of 65 years old. It is estimated that the number of individuals suffering from this disease might even triple up by mid of the century with this number being expected to rise to one million for the U.S. (Illinois Department of Public Health, 2014). Despite the fact that plenty of the states in America were engrossed and pensive with issues of budgeting in the past four years, state policymakers have went on to develop and offer refinement to regulations on assisted living or residential care for Alzheimer and…
Illinois Department of Public Health. (2014). Alzheimer's disease Illinois State Plan 2014-2017 Report and Recommendations. State of Illinois. Retrieved 20 August 2015 from: http://www.idph.state.il.us/pdf/ADPlan_2014.pdf
Polzer, (2011). Assisted Living State Regulatory Review. National Center for Assisted Living. Retrieved 20 August 2015 from: http://www.ahcancal.org/ncal/resources/documents/2011assistedlivingregulatoryreview.pdf
In society today, social norms and values mean that we must care for those who can no longer care for themselves, whether as a result of old age or as a result of some other condition or disability. This means that health care systems need to be set up in such a way that people can receive the care they need while also maintaining as much as possible of their dignity and autonomy. This has been one of the most important evolving viewpoints in eldercare. Concomitantly with an increasingly healthy and active older generation, however, new views have emerged, including remaining in the home environment for as long as possible before being committed into care. This ideal has been influenced not only because of the new dynamic, where older people are generally healthier for longer, but also by economic and technological factors.
Increasingly, assisted living has come to mean the…
Self-Help Group Observation
The purpose of the group (diabetic group) is basically to educate patients on how to sustain a healthy lifestyle in case they are diabetic. The main aim for patient education is for individuals suffering from diabetes to enhance their knowledge, confidence and skills, allowing them to have increased control of their condition and incorporate effectual self-management into their day-to-day lives. High quality structured education could have an intense impact on health outcomes and considerably enhance the quality of life (Tidy, 2014). Some of the potential benefits that patient education could have on individuals suffering from diabetes are:
Enhancing health, knowledge, beliefs, and lifestyle changes
Enhancing patient outcomes, for instance, smoking, weight, and psychosocial changes like depression levels and quality of life
Enhancing physical activity levels
Minimizing the need for, and potentially better targeting of drugs together with other items like blood testing strips.
Educational events, like community…
Mensing, C. R., & Norris, S. L. (2003). Group education in diabetes: effectiveness and implementation. Diabetes Spectrum, 16(2), 96-103.
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., ... & Vivian, E. (2015). Diabetes Self-Management Education and Support in Type 2 Diabetes A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 41(4), 417-430.
Tang, T. S., Funnell, M. M., & Anderson, R. M. (2006). Group education strategies for diabetes self-management. Diabetes Spectrum, 19(2), 99-105.
Team Care Approach for Diabetes Management (n.d.). Retrieved 25 February 2016 from http://www.cdc.gov/diabetes/ndep/pdfs/ppod-guide-team-care-approach.pdf
Impact the Continuum of Care Plan
As the county assistant of Buncombe County Department of Human Services, I am in charge of Continuum of Care in our county I have created a plan from the Buncombe County, North Carolina Continuum of Care Program to help provide innovated and long-term health care services for families and individuals who are in need of a variety of programs and services. There are many people in Buncombe County who qualify through determining their needs including: mental and physical health status, age, disability, income, education, job status, dependents, veterans, single parents, domestic violence, rental assistance, and assisted living. The Buncombe County Department of Human Services has come together with other non-profit organizations to organize and determine the needs of the residents by looking at 2010 records. In meeting we have also used the information from the different programs: finances, target populations, processed applications, statistics…
Continuum of senior care management. (2011). Retrieved from http://www.continuumseniorcare.com/
U.S. Department of Housing and Urban Development, Office of Human Services. (2011). Department of housing and urban development. Raleigh, NC: Government Housing Office. Retrieved from http://citationmachine.net/index2.php?lastName%5B1%5D=Last&firstName%5B1%5D=Initials&department=U.S.+Department+of+Housing+and+Urban+Development&subDepartment=Office+of+Human+Services&yearPublished=2011&titleDocument=Department+of+housing+and+urband+development&docID=&pubCity=Raleigh%2C+NC&publisher=Government+Housing+Office&URL=http%3A%2F%2Fportal.hud.gov%2Fportal%2Fpage%2Fportal%2FHUD&reqstyleid=2&mode=form&minimode=citation&nameCnt=1&more=yes&reqsrcid=APAGovernmentReportOnline
Mr. P is suffering cardiomyopathy, congestive heart failure, 4+ pitting edema, labored breathing, and an inability to stick to a restricted diet or manage his polypharmacy. He is 76-years-old and in a state of declining health. The medical bills are mounting (and indeed have become overwhelming for Mrs. P who has never had to deal with the couple's financial affairs, as they were always taken care of by Mr. P). The couple is depressed/despondent: Mr. P over his inability to understand why God allows him to linger in this condition rather than just take him immediately, Mrs. P over her inability to have a moment of rest outside the home, where she tends to her husband. Life is difficult for the two. This paper will consider the condition of Mr. P, how it affects Mrs. P, and how the situation can be approached so as to provide a high degree…
Barry, C. B. (2000). Teaching the older patient in the home: Assessment and adaptation. Home Healthcare Nurse, 18(6): 374.
Connor, S. (2009). Hospice and Palliative Care. CRC Press. Boca Raton, FL: CRC
Often home-based caregivers, either a spouse or adult child, rely on institutional care only as a choice of last resort, and this is often reported only after their own health and well being begins to be perceived as degraded by caring for the individual in the home, relevant to supplemented home care services as well. (Ducharme et al. 2007, p. 3-31) Researchers in fact contend that individuals will employ a vast variety of coping mechanisms to attempt to remain independent, and though these mechanisms should be supported in the community, when they are productive and effective rather than destructive but that alternatives should be better, in a number of fundamental ways. (Robichaud & Lamarre, 2002) What this trend of last resort means, according to Clemmitt, is that those with dementia and other functionally debilitating and progressive chronic diseases, i.e. he most vulnerable of populations are those who end up in…
Though this work has briefly touched on the issue of collaborative care, regarding caregivers and family, these structures also need to be expanded to a picture that more broadly develops the idea of holistic care. In general this issue has been dealt with in the literature in the case of specialization, such as follow up care and collaboration between institutions and caregivers from hospital and surgical settings. Yet, the continuity of care issue needs to be addressed in a more formal way. The discussion of the desire of previous care providers, such as hospital staff and physicians having follow up information as well as to influence future care needs to be addressed in the future long-term care setting. The days of LTC being an oasis of its own should end as more and more previous care givers seek to have at least a minimal understanding of the future well being of patients they have treated and families as well as patients tend to seek the same connectivity. Some caregivers are in fact so concerned about this disconnect that they present the idea of creating better outcomes if intermediate care offerings were provided in hospital, rather than in separate LTC facilities. (Raj, Munir, Ball, & Carr, 2007) This call for research on this subject likely has as much to do with the overall disconnect that exists between previous care providers and LTC rehabilitative service provisions as it has to do with the medical community, as well as the public having serious and enduring questions about the quality of care offered in such facilities, i.e. real and fear poor patient outcomes. (Kane, 2001) (Torres et al., 2006)
Reinardy & Kane contend that decisions made about future care are often associated with many factors and autonomy is one of the most important to most. Many often stress the choice of an unregulated assisted living facility, even if they could benefit from more skilled care because they perceive that their privacy as well as their autonomy will be better protected in such as situation. The system of future long-term care must address this issue with regard to autonomy and privacy likely by building on more private room structures and better individualization options for individuals. The days of the stark white institutional flooring and a single hospital bed, arm chair setting may very well be over and for good reasons. Long-term care centers of the future need to integrate the ideation, physical, social and emotional aspects of each cohort, i.e. those who are primarily concerned with rehabilitative care and those who are primarily concerned with privacy and autonomy, to create an environment that would meet the needs of both cohorts, possibly improving physical/medical offerings in assisted living and improving issues of privacy and autonomy in nursing homes. (2003)
Finally, and last but certainly not least LTC facilities of the
Elder Learning Service
By taking part in "Elder Learning Service," one can learn much from the experience. In fact, this is becoming a growing phenomenon both academically and within the community itself. All the research points to the positive impact of how much it empowers individuals into becoming better citizens by becoming self-aware of those that are in need. A service learning service was designed for high school students entitled, "Carrying on the Legacy of San Juan's Elders." Many conclusions arose as well as project outcomes for one to consider for any future project.
Service Learning: High School Students Engaged in their Community
The district in which I teach allowed me to do a service learning project with my high school students upon asking permission from the principal of the school. These were my goals when working with each of them. 1) Promote student and elderly intergenerational communication; 2) Improve…
Brown, L.H., & Roodin, P.A. (2001). Service-learning in gerontology: An out-of-classroom experience. Educational Gerontology, 27(1), 89-103.
Furco, A., & Root, S. (2010). Research demonstrates the value of service learning. Phi Delta
Kappan, 91(5), 16-20.
Getahun, Linde J. (2006) Reflections on service learning with the aged. Academic Exchange
Sara Gruen is a Canadian citizen, moved to United States in 1999 for a technical writing job. After she got laid off she decided to be a writer. She is an animal lover and has written famous novels Riding Lessons, Flying Changes, Ape House and Water for Elephants.
Main characters of Water for Elephants
Jacob Jankowski -- The novel's protagonist. He is a ninety or ninety-three-year-old nursing home resident who spent his life as a veterinarian in a circus during the great depression.
Rosie -- An elephant that Uncle Al bought from another circus. She understands commands only in Polish. She is the target of August's rage.
Marlena -- eautiful star performer of the circus, who fell in love with Jacob Jankowski.
August -- Head animal trainer and husband of Marlena. He is a charming and brutal both to the humans and animals.
Uncle Al -- The violent and abusive…
Guen, Sara. "Water for Elephants: a novel." 2007. Algonquin Books.
O'Connor, Anahad. "Always Follow the Elephants: More Surprising Facts and Misleading Myths about our health and the World We Live In." 2009. Macmillian.
Gruen, Sara. Web: http://saragruen.com/bio / Date accessed 15th June 2011.