Nursing Homes

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The Privatization of Care

Author : Pat Armstrong,Hugh Armstrong
Publisher : Routledge
Page : 288 pages
File Size : 44,9 Mb
Release : 2019-09-25
Category : Social Science
ISBN : 9781000650600

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The Privatization of Care by Pat Armstrong,Hugh Armstrong Pdf

Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.

Making Gray Gold

Author : Timothy Diamond
Publisher : University of Chicago Press
Page : 298 pages
File Size : 44,8 Mb
Release : 2009-06-12
Category : Social Science
ISBN : 9780226144795

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Making Gray Gold by Timothy Diamond Pdf

This first hand report on the work of nurses and other caregivers in a nursing home is set powerfully in the context of wider political, economic, and cultural forces that shape and constrain the quality of care for America's elderly. Diamond demonstrates in a compelling way the price that business-as-usual policies extract from the elderly as well as those whose work it is to care for them. In a society in which some two million people live in 16,000 nursing homes, with their numbers escalating daily, this thought-provoking work demands immediate and widespread attention. "[An] unnerving portrait of what it's like to work and live in a nursing home. . . . By giving voice to so many unheard residents and workers Diamond has performed an important service for us all."—Diane Cole, New York Newsday "With Making Gray Gold, Timothy Diamond describes the commodification of long-term care in the most vivid representation in a decade of round-the-clock institutional life. . . . A personal addition to the troublingly impersonal national debate over healthcare reform."—Madonna Harrington Meyer, Contemporary Sociology

Improving the Quality of Care in Nursing Homes

Author : Institute of Medicine,Committee on Nursing Home Regulation
Publisher : National Academies Press
Page : 432 pages
File Size : 48,9 Mb
Release : 1986-02-01
Category : Medical
ISBN : 9780309036467

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Improving the Quality of Care in Nursing Homes by Institute of Medicine,Committee on Nursing Home Regulation Pdf

As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Neglected No More

Author : Andre Picard
Publisher : Random House Canada
Page : 209 pages
File Size : 48,6 Mb
Release : 2021-03-02
Category : Medical
ISBN : 9780735282254

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Neglected No More by Andre Picard Pdf

A NATIONAL BESTSELLER SHORTLISTED FOR THE BALSILLIE PRIZE FOR PUBLIC POLICY It took the coronavirus pandemic to open our eyes to the deplorable state of so many of the nation's long-term care homes: the inhumane conditions, overworked and underpaid staff, and lack of oversight. In this timely new book, esteemed health reporter André Picard reveals the full extent of the crisis in eldercare, and offers an urgently needed prescription to fix a broken system. When COVID-19 spread through seniors' residences across Canada, the impact was horrific. Along with widespread illness and a devastating death toll, the situation exposed a decades-old crisis: the shocking systemic neglect towards our elders. Called in to provide emergency care in some of the hardest-hit facilities in Ontario and Quebec, the military issued damning reports of what they encountered. And yet, the failings that were exposed--unappetizing meals, infrequent baths, overmedication, physical abuse and inadequate personal care--have persisted for years in these institutions. In Neglected No More, André Picard takes a hard look at how we came to embrace mass institutionalization, and lays out what can and must be done to improve the state of care for our elders, a highly vulnerable population with complex needs and little ability to advocate for themselves. Picard shows that the entire eldercare system--fragmented, underfunded and unsupported--is long overdue for a fundamental rethink. We need to find ways to ensure seniors can age gracefully in the community for longer, with supportive home care and respite for family caregivers, and ensure that long-term care homes are not warehouses of isolation and neglect. Our elders deserve nothing less.

Nursing Homes and Assisted Living

Author : Peter S. Silin
Publisher : JHU Press
Page : 386 pages
File Size : 50,6 Mb
Release : 2009-11-16
Category : Family & Relationships
ISBN : 9780801896019

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Nursing Homes and Assisted Living by Peter S. Silin Pdf

Almost a decade ago, Peter S. Silin wrote Nursing Homes: The Family's Journey to provide family members with practical advice and emotional support. This successor volume incorporates the new and sometimes baffling world of assisted living. Nursing Homes and Assisted Living focuses on the psychological, emotional, and practical aspects of helping family members and seniors make a difficult transition. Silin approaches his subject with compassion and sensitivity, guiding readers through the process of finding the best possible care. He describes how nursing homes and assisted living facilities work and outlines the selection process; he explains how to prepare for the day a relative moves into a facility and suggests ways to help the resident settle in; he focuses on the family member's role in solving problems, obtaining good-quality care, and visiting. The author’s insights help caregivers cope with difficult decisions and deal with emotional issues such as guilt and grief, while celebrating the tender, rewarding aspects of being a caregiver. Vignettes from real-life caregivers narrating their experiences amplify Silin’s advice and will resonate with families. This book provides caregivers, family members, and seniors with the information they need to effect successful transitions. It is also a valuable tool for social workers, nurses, and family therapists.

Nursing Staff in Hospitals and Nursing Homes

Author : Institute of Medicine,Committee on the Adequacy of Nursing Staff in Hospitals and Nursing Homes
Publisher : National Academies Press
Page : 559 pages
File Size : 40,9 Mb
Release : 1996-04-27
Category : Medical
ISBN : 9780309053983

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Nursing Staff in Hospitals and Nursing Homes by Institute of Medicine,Committee on the Adequacy of Nursing Staff in Hospitals and Nursing Homes Pdf

Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

Nursing Homes

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 92 pages
File Size : 52,7 Mb
Release : 1962
Category : Nursing homes
ISBN : COLUMBIA:HS00167371

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Nursing Homes by United States. Congress. Senate. Special Committee on Aging Pdf

Nursing Homes

Author : Leslie G. Aronovitz
Publisher : DIANE Publishing
Page : 44 pages
File Size : 54,7 Mb
Release : 2002-10
Category : Electronic
ISBN : 0756727626

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Nursing Homes by Leslie G. Aronovitz Pdf

The 1.5 million elderly & disabled individuals residing in nursing homes are a vulnerable population. Concerns with inadequate care involving malnutrition, dehydration, & other forms of neglect have contributed to mounting scrutiny from state & Fed. auth. There is also growing concern that some residents are abused -- pushed, slapped, beaten, & otherwise assaulted -- by the individuals to whom their care has been entrusted. This report: determines whether allegations of abuse are reported promptly to local law enforcement & state survey agencies, assesses the extent to which abusers are prosecuted & the impediments to successful prosecutions, & evaluates whether sufficient safeguards exist to protect residents from abusive individuals.

Nursing Homes

Author : United States. General Accounting Office
Publisher : Unknown
Page : 50 pages
File Size : 53,7 Mb
Release : 2002
Category : Nursing home patients
ISBN : UOM:39015055078995

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Nursing Homes by United States. General Accounting Office Pdf

General Hospitals and Nursing Homes

Author : Jerry Solon,United States. Public Health Service. Division of Hospital and Medical Facilities,Anna Mae Baney
Publisher : Unknown
Page : 768 pages
File Size : 49,7 Mb
Release : 1956
Category : Hospitals
ISBN : STANFORD:36105216589478

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General Hospitals and Nursing Homes by Jerry Solon,United States. Public Health Service. Division of Hospital and Medical Facilities,Anna Mae Baney Pdf

Transforming Palliative Care in Nursing Homes

Author : Mercedes Bern-Klug
Publisher : Columbia University Press
Page : 377 pages
File Size : 51,6 Mb
Release : 2010-02-12
Category : Social Science
ISBN : 9780231507073

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Transforming Palliative Care in Nursing Homes by Mercedes Bern-Klug Pdf

The teacher and gerontological social work scholar Mercedes Bern-Klug joins experts on nursing, law, medicine, sociology, and social work to provide a thorough understanding of nursing home palliative care. Their broad definition of palliative care treats comfort care as appropriate across the illness experience, not just at the end of life. Because a majority of nursing home residents are older adults facing multiple, advanced chronic conditions, this book is grounded in the provision of palliative care-especially palliative psychosocial care. Yet its practice recommendations can also be applied to other long-term care settings, such as assisted living. The contributors combine scholarship with practical wisdom in each chapter, mixing reviews of scholarly literature with insights gleaned from clinical practice. Chapter topics comply with the eight domains of palliative care developed by the National Consensus Project for Quality Palliative Care. Some focus on care of the resident, while others concern the resident's family. A special section addresses self-care for nursing home staff members, and another discusses nursing home rituals to mark the death of a resident. Bern-Klug concludes with an overview of the factors that will shape the future of palliative care for advanced chronic illness.

Nursing Homes and Related Long-term Care Services

Author : United States. Congress. Senate. Special Committee on Aging,United States. Congress. Senate. Special Committee on Aging. Joint Subcommittee on Long-Term Care
Publisher : Unknown
Page : 376 pages
File Size : 53,6 Mb
Release : 1964
Category : Nursing homes
ISBN : STANFORD:36105006294784

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Nursing Homes and Related Long-term Care Services by United States. Congress. Senate. Special Committee on Aging,United States. Congress. Senate. Special Committee on Aging. Joint Subcommittee on Long-Term Care Pdf

Poorly Performing Nursing Homes

Author : John E. Dicken
Publisher : DIANE Publishing
Page : 66 pages
File Size : 46,6 Mb
Release : 2010-08
Category : Health & Fitness
ISBN : 9781437932508

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Poorly Performing Nursing Homes by John E. Dicken Pdf

The Centers for Medicare and Medicaid Serv. (CMS) established the Special Focus Facility (SFF) Program to help address poor nursing home performance. States select a subset of homes as SFFs from a list of the 15 poorest performing homes in each state. States survey SFFs twice as frequently as other homes and there are more robust enforcement, including termination, for SFFs that fail to improve within about 18 months. This report: (1) determined the factors states consider in selecting SFFs and how SFFs differed from other nursing homes; (2) evaluated CMS regional office and state adherence to program guidance and the program's impact on homes' performance; and (3) identified other strategies that were used to improve poorly performing homes.

Dementia in Nursing Homes

Author : Sandra Schüssler,Christa Lohrmann
Publisher : Springer
Page : 248 pages
File Size : 41,5 Mb
Release : 2017-05-19
Category : Medical
ISBN : 9783319498324

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Dementia in Nursing Homes by Sandra Schüssler,Christa Lohrmann Pdf

Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.

An Overview of Nursing Homes and Their Current Residents

Author : Genevieve W. Strahan
Publisher : Unknown
Page : 14 pages
File Size : 50,5 Mb
Release : 1997
Category : Government publications
ISBN : MINN:31951D03735512K

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An Overview of Nursing Homes and Their Current Residents by Genevieve W. Strahan Pdf