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.







Task Force Patriot and the End of Combat Operations in Iraq


Book Description

Iraq in 2009 was a strange netherworld, not quite war but not yet peace. The country teetered on the threshold of great change with the impending national elections and the promised withdrawal of all US combat forces. These changes would usher in either an era of irreversible stability or a return to the sectarian carnage that nearly destroyed Iraq in 2006. It was during this period of uncertainty that Task Force Patriot arrived to take over as the last US combat force to occupy Saddam Hussein’s hometown of Tikrit. In this gripping first-hand account of the final months of combat operations, author Pat Proctor brings his unique, insider perspective to reveal the circumstances that put this battalion in a position to turn the tide of the Iraq war. Despite resistance from insurgents, intransigent Iraqi politicians, and, occasionally, the US interagency team, this artillery-turned-infantry battalion found itself in a position to not only improve conditions in its area, but solve the last unsettled problem of the Iraq war, the sectarian divide. Task Force Patriot, through the confluence of lucky circumstances and innovative thinking, had stumbled upon a unique approach—a combination of hardball politics, economic investment, and a nuanced application of force—that could potentially end Sunni separatism in Iraq. This book tells the untold story of this critical period during the second national elections, which, eight months later, was only beginning to yield a government. More importantly, however, this book tells the story of the last crucial days of the Iraq War.




Aging Well


Book Description

This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.




Culture Change in Long-term Care


Book Description

This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.




Real People, Real Problems


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Infantry


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Nursing Staff in Hospitals and Nursing Homes


Book Description

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.




JOINT TASK FORCE PHOENIX


Book Description

JOINT TASK FORCE PHOENIX An American Odyssey This is a story about the threats America faces from outside our borders and from within. It begins with the recon team’s military freefall infiltration into Syria and ends with in a fight for survival in our nation’s capital. We follow Harris Norton and his team through the complex and harrowing operation to thwart an evil plot to take down our country. Feel the icy blast at 35,000 feet as the team exits a CIA aircraft to infiltrate into Syria. Feel the heat of battle in the desert and in our Capitol. Get to know the patriots who support the task force throughout its’ odyssey. Experience self-serving politicians who sell out their country for political and ideological advantage. Experience the phases of special operations from planning, rehearsal, infiltration, reconnaissance, execution, adjustment to reality, and finally to post-operations exploitation. See how military, intelligence and special operations personnel form bonds and values that carry through long after retirement. Get a sense of how the women of clandestine and military intelligence contribute to mission success. Feel the betrayal of traitors and the exhilaration of mission accomplishment. Recognize the nature of the special people we can count on when the going gets tough.