Showing posts with label nursing home. Show all posts
Showing posts with label nursing home. Show all posts

Saturday, November 30, 2013

Nursing Home Rehabilitation Stay Proves Terminal. Was Quality of Care Given An Issue? #nursefriendly #nursecasestudy

Nursing Home Rehabilitation Stay Proves Terminal. Was Quality of Care Given An Issue?  #nursefriendly #nursecasestudy 
Nursing homes are frequently a patient's destination for rehabilitation following surgery.  Common conditions fitting this bill include large bone fractures, hip replacements and stroke. Following these acute episodes, the patients are too unstable to go home and not "sick" enough to have their hospital stays reimbursed by insurance companies.  The purpose of admission to a nursing home is to help the patient regain lost function, strength and health.  In this case, the patient would remain in the Nursing Home till her death of complications.
Lloyd v. County of Du Page, 707 NE.2d 1252 - IL (1999)
http://www.nursefriendly.com/nursing/clinical.cases/071199.htm


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Andrew Lopez, RN
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Sunday, December 26, 2010

Patient rights overlooked in nursing home evictions | courier-journal.com | The Courier-Journal

An investigation by The Indianapolis Star found numerous examples of what the state's ombudsman for long-term care calls “a major problem”: nursing homes evicting patients without regard for their rights.

In one case, an Auburn facility dumped a resident at an emergency room and refused to take him back, leaving him stranded at the hospital for three weeks until he could find another home. In another case, a Bedford home tried to evict a brain-damaged teenager who had no safe place to go.

The newspaper also found that the state almost never punishes nursing homes, even after it has been made aware that a facility is violating state and federal laws.

“I think if we had a better enforcement system or a more punitive enforcement system, people would quit” wrongly evicting residents, said long-term care ombudsman Arlene Franklin of the state's Family and Social Services Administration. “If there were a harsher penalty for that, they wouldn't do so many inappropriate discharges.”

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Nurses: Believe What They Tell You in Nursing School, A Nurse Does Make a Difference | BonnieRN Blog

My world, in geriatric care management, primarily consists of interacting with many health care technicians, non-degree workers, and varied professionals. So, saying this another way, most of my contacts are not nurses. I can tell you, more than weekly, I must explain to those in the field of social and care-giving support, how beneficial it is to have a nurse on the team or committee for decision making. I still get surprised that family is often unaware that a trained and registered nurse is not a part of the team when very serious medical choices are being reviewed for their loved one.  A nurse on the health care team is a natural advocate for the patient.

It is true, and is what I was taught, that the nurse is the last line of deffense (often) for a patient in a facility (or elsewhere). Nurses, know when to contact physicians when there is a concern, check physician orders after they are written, call for questions, order the medication (if needed) from the pharmacy, and verify that it has been delivered and administer the medication (or intervention) to the patient. In home support, nurses assess, support the patient in physician monitoring, and implement change (usually via contacting the physician) when it is needed.

So, the next time a health care team approaches you or asks for a meeting, be sure to include the RN on the team. That RN is a built in advocate for the patient, the family, and will monitor the success of the intervention.

Your questions and comments are appreciated and encouraged.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Tuesday, December 14, 2010

Change of Address: 40 Top Nursing Home Blogs for Families

40 Top Nursing Home Blogs for Families

It can be a struggle to decide when the timing is right to put a loved one into a nursing home. In general, they aren’t overly thrilled about it and you can understand why as they are giving up some of the independence that they have enjoyed for so long (at least to some extent). That’s really a tough transition for the person going into the nursing home as well as for their friends and family who love and care for them. Part of the concerns stem from the grim news we hear so often about nursing home abuse and other potential ways that our loved one can be taken advantage of (financial scams, isolation, and more). The best thing that we can do is stay informed and make sure that we are vigilant about looking after their care by checking in on them on a regular basis. Another great way is to stay in touch with current events, things to watch for, and more by reading news and blogs related to nursing homes. I put together this list of 40 blogs to help keep you up-to-date on the latest in senior care.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Sunday, November 14, 2010

Doctors' house calls making a comeback - USATODAY.com

Dr. Ina Li walked down the seventh-floor hallway of a local apartment building recently, pausing at each door to check the number.

She finally found the one of her patient, Katherine Talmo.

It's easier for Talmo if Li, a geriatrician, comes to her. The 90-year-old doesn't get out nearly as much since she stopped driving nine years ago. But she is determined to stay in her home.

"If I was in a nursing home, I'd only live for one more year," she said. "But if I live at home, I'll live to be 100."

The notion of doctors making house calls harkens back to an era before HMOs, medical centers and outpatient surgery centers.

Those visits offer insights not available during a 15-minute office visit. Doctors learn more about a patient's lifestyle, eating habits, their ability to take medicine and exercise.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Wednesday, July 28, 2010

Falls, Slips, Personal Injury, Legal Nurse Consulting on: The Nurse Friendly

Falls, Slips, Personal Injury, Legal Nurse Consulting on: The Nurse Friendly:"The causes of falls are known as risk factors. Although no single risk factor causes all falls, the greater the number of risk factors to which an individual is exposed, the greater the probability of a fall and the more likely the results of the fall will threaten the person's independence."
http://www.legalnursingconsultant.org/legal.nurse.consultants.lnc/falls.htm

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