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Transitioning the Nutritional Support Patient to Homecare
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
By the mid-20th century, practically all therapeutics of significance were delivered in the hospital. Rehabilitation centers emerged to transition patients from acute illnesses. Long-term care facilities placed some patients in institutions with access to skilled nursing. Homecare was generally thought of only as a place of recovery after the illness and rehabilitation.
The healthcare continuum
Published in Edward M. Rafalski, Ross M. Mullner, Healthcare Analytics, 2022
Post-acute care includes: assisted living, skilled nursing, long-term care and most recently super skilled nursing facilities (Super-SNFs) a new designation created by certain states to accommodate the most skilled post-acute care for COVID-19 patients.14 Assisted living is housing for the elderly or disabled that provides nursing care, housekeeping and prepared meals as needed. Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It is healthcare given when skilled nursing or skilled therapy to treat, manage, and observe the condition, and evaluation of care is needed. Long-term care involves a variety of services designed to meet a person’s health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own. Long-term care is provided in different places by different caregivers, depending on a person’s needs. Most long-term care is provided at home by unpaid family members and friends. It can also be given in a facility such as a nursing home or in the community, for example, in an adult day care center.15
Policy Development on Ageing in Malaysia
Published in Goh Cheng Soon, Gerard Bodeker, Kishan Kariippanon, Healthy Ageing in Asia, 2022
Tengku Aizan Hamid, Wan Alia Wan Sulaiman, Mohamad Fazdillah Bagat, Sen Tyng Chai
Apart from financing and human resource issues, the fragmentation of healthcare services and social care services has resulted in a poor quality of care for the elderly in Malaysia. Assistance with activities of daily living or other daily tasks such as doing groceries, housework or paying bills is not costly, but it can help an older person to continue living in the community. Institutionalization is costly, and the government needs to support and promote home-based and community care as an alternative. Mobile or home-based nursing regulations are needed to ensure uniform minimum standards, and the International Guidelines for Home Health Nursing and other similar initiatives should be adopted (Narayan et al., 2017). Home visits and home help are more social in nature, and we need better home-based long-term care services and products in the market.
The impact of the COVID-19 restrictions on nursing home residents: An occupational perspective
Published in Journal of Occupational Science, 2022
Grace Richardson, Róisín Cleary, Ruth Usher
Following the World Health Organization’s declaration on the 11th of March 2020 of COVID-19 as a global pandemic (WHO, 2020), attention quickly shifted to congregated settings, amid concerns about disease transmission, risk of mortality, and reduced resources (Fallon et al., 2020; Gurwitz, 2020; Weech-Maldonado et al., 2021). Nursing homes, which are residential facilities staffed by healthcare professionals that provide long-term care to older adults and those with disabilities or illnesses (Sanford et al., 2015), are one such setting. The increased mortality rates in nursing homes internationally (Thompson et al., 2020) highlighted how COVID-19 disproportionately affected nursing home residents (Fallon et al., 2020). Concern for this vulnerable population during a pandemic inevitably led to the imposition of control measures and restrictions. From 6th March 2020, restrictions designed to curb transmission were imposed across private and voluntary nursing homes in Ireland (Pierce, 2020). International guidance (WHO, 2020) and national guidance (Health Service Executive, 2022) recommended limiting visitors, implementing social distancing, restricting group activities within the nursing home, curtailing resident movement throughout the home, using personal protective equipment (PPE), and isolating residents who had been infected with COVID-19 (D’Adamo et al., 2020; Dosa et al., 2020; McMichael et al., 2020).
Exploring the attitudes, beliefs, and values of the long-term care workforce towards palliative care: A qualitative evidence synthesis protocol
Published in Progress in Palliative Care, 2022
Sara Karacsony, Julie Martyn, John Rosenberg, Sharon Andrews
This review will consider literature that includes all staff who constitute the long-term care workforce involved in the care of residents approaching end of life. For the purpose of this review, long-term care is defined as a setting where care is provided for older people 24 hours a day, seven days a week for an undefined period of time, including care homes, nursing homes, and residential aged care facilities.44 The long-term care workforce is identified as those providing direct care including nursing staff: Nurse Practitioners, Registered Nurses, Enrolled Nurses, Endorsed Enrolled Nurses, personal care workers (synonyms include personal care assistant, assistant in nursing, assistant nurse, nurse’s aide, carer, caregiver, care worker, health care worker, health care attendant, health care assistant, unlicensed health personnel) and allied health professionals including allied health assistants. Also included are non-direct care staff: care managers or care co-ordinators, spiritual, or pastoral care providers as well as ancillary staff because these staff also impact the quality of palliative care in this setting13. Palliative care encompasses end-of-life care and care of the imminently dying person.
The effect of the Affordable Care Act on Medicaid payments in long-term care facilities
Published in International Journal of Healthcare Management, 2022
Victoria Walker, Morgan Ruley, Laikyn Nelson, Whitney Layton, Alberto Coustasse
Long-term care has been defined as a continuation of medical services, social services, and housing for patients with chronic health conditions, which have limited their abilities to participate in everyday activities [1]. These services have been covered under the daily reimbursement of health care insurance, which has supported both personal and custodial care in homes, community organizations, and other facilities [2]. People 65 years of age or older who have been eligible for Medicaid have received coverage for home services or nursing homes, but Medicaid eligibility requirements have varied from state to state [3]. Despite state regulations, all persons must meet general Medicaid eligibility terms, functional conditions, and financial qualifications to receive Medicaid coverage [4].