Improving the Quality of Long-Term Care


Book Description

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.




Canadiana


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The Internship, Practicum, and Field Placement Handbook


Book Description

The Internship, Practicum, and Field Placement Handbook offers real-world knowledge of the skills interns in the helping professions need through every phase of their internship, practicum, or field placement. The focus is on topics that may not have been addressed or fully developed through regular academic coursework: meeting clients, fees for service, supervision, ethics, legal issues, diversity, clinical writing, case notes and clinical records, personal safety, self-care, advocacy, technology, termination, and planning for the future. Every phase of the internship is discussed sequentially, from finding and preparing for placements to concluding relationships with clients and supervisors. Drawing from the fields of psychology, counseling, social work, school counseling, and psychiatry, this edition has been thoroughly updated with the latest research and clinical literature, ethical codes of the leading professions, and legal and regulatory developments at federal and state levels. This edition also features up-to-date coverage of remote education, training, supervision, and practice as impacted by Covid-19 and technological changes. Diversity awareness and insights are woven through every element of the text, taking into account recent developments such as Black Lives Matter, the MeToo movement, gender identity awareness. Other emerging issues are also addressed, including the impact of the opioid epidemic and substance abuse deaths and the ethical/legal issues that may arise relating to reproductive health and abortion related legislation. In-text exercises and thought problems are incorporated into each chapter for students to develop insights and skills. Eleven online appendices are also included, containing learning plans, supervision agreements, evaluation forms, and ethical guidelines that students will need in preparation for the next phase of their training. The Internship, Practicum, and Field Placement Handbook is an invaluable resource for students, faculty, and supervisors engaged in the challenging experience of transitioning from academia into clinical training in the field.




Handbook of Assessment in Clinical Gerontology


Book Description

New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensive second edition handbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients. - The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering: psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning - Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide - Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc - Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population - Each chapter cites case studies to illustrate assessment techniques - Exposes reader to real-world application of each assessment discussed




Nursing Home Federal Requirements


Book Description

"[The book] lists all the federal requirements that are evaluated by state surveyors during the annual survey visit to nursing homes and for complaint visits. The exhibit section contains forms used by surveyors to gather data during the survey visit. Visually, the format makes the regulations easy to read. If nursing home staff used the book to prepare for a survey, they would be well prepared." Marcia Flesner, PhD, RN, MHCA University of Missouri-Columbia From Doody's Review The Federal government, together with more than 50 advocacy groups, has spent the past 40 years writing and refining the rules and guidelines in this manual. This book presents the latest federal guidelines and protocols used by federal surveyors in certifying facilities for participation in Medicare and Medicaid funding. It is an essential resource for long-term care facilities to have on hand to be ready for a survey at any time. It provides information straight from CMS's Internet-Only Manual-in print and at your fingertips for easy access. Divided into four accessible and user-friendly parts, this manual includes: Federal requirements and interpretive guidelines Rules for conducting the survey Summary of the requirements for long-term care facilities and surveyors CMS forms commonly used by surveyors This newly updated and revised edition spans every aspect and service of a nursing home and represents the latest requirements to ensure that outstanding quality assurance and risk management programs are in place. New to This Edition: Section on how to use manual Summarization of federal requirements Updated definitions of Medicare and Medicaid Compliance requirements with Title VI of the Civil Rights Act of 1964 SNF/Hospice requirements when SNF serves hospice patients SNF-based home health agencies Life safety code requirements Changes in SNF provider status Surveyor qualifications standards Management of complaints and incidents New medical director guidelines




A Call for Action


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The National Crisis in Adult Care Homes


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Guidelines for Establishing Standards for Assessment and Placement for Adult Long-term Care


Book Description

Technological advancement and changes in the delivery of health care services have led to the need for guidelines to assist in planning and implementing institutional programs and services. The guidelines provide a comprehensive outline of requirements for services in health institutions. Where a service already exists, the guidelines will help to identify problems related to administration, personnel, equipment and facilities, to determine necessary remedial action, and to set priorities for corrective measures on the basis of clinical need, funding and the degree to which the service is deficient.