A break (respite care) for caregivers, family, and others who regularly care for you. Volunteer support, such as preparing meals and running errands. Counceling and support for your loved ones after you die. 18.Describe the scope of public health ambulatory services in the United States. Ambulatory care covers a wide range of health care services that are provided for patients who are not admitted overnight to a hospital.
Nursing homes offer care to people who cannot be cared for at home or in the community. They provide skilled nursing care, rehabilitation services, meals, activities, help with daily living, and supervision. Many nursing homes also offer temporary or periodic care. This can be instead of hospital care, after hospital care, or to give family or friend caregivers some time off ("respite care"). Another type of long-term care takes place in home-like settings called Intermediate Care Facilities for the Mentally Retarded.
Most places will have a format (usually a care plan) for identifying needs such as: * What they are able to do independently * Personal Care * Nutritional Needs * Daily Life * Choice and Control * Risks * Medications * Work, leisure and learning * Physical and mental health It is important that everything is included in the care plan. The person is the central aspect of the care plan and regardless of their state of mind, their dignity, integrity and most importantly, their individuality must be respected. If you look at a care plan as “input” and “outcomes”. THe use of a care plan does not structure itself around the service it provides but what is achieved by people receiving the service. 3.3 Explain the steps you would take if you could not gain consent from a person you support when undertaking an activity Consent can happen or be obtained in many different ways, whether it be informed consent (ensuring the client is informed of the task they are about to undertake), implied consent (a client may imply their consent by for example presenting their arm ready for a blood test or to take their blood pressure), written or verbal consent.
To investigate how caregivers emphasize daily dialogue and mutual reflection to reach moral alternatives in daily care. The nursing home occupies a central position in contemporary discussions in healthcare ethics. On a day to day basis, the kinds of issues that the residents of nursing homes confront are matters that at first glance appear mundane or banal: Can I eat what I want? When can I go out for a walk? When can I expect help in using the telephone?
| |Altruism |Personal altruism can be defined as |I work in a nursing home and there is one | | |“concern for the welfare of others rather |particular resident who is very lonely. I | | |than one’s own (Johnson, Haigh, |make a point at least once a week to sit | | |Yates-Bolton 2007).” An example of this |with her during my lunch and chit-chat | | |would be not just passing medications and |about everyday things to cheer her up. | | |doing your “duties”, but also displaying a | | | |calm, caring and reassuring atmosphere to | | | |best benefit the patient. | | |Autonomy |“Autonomy is the freedom to make |An example of Autonomy would be holding a | | |discretionary and binding decisions that |BP medication due to a low reading. This is| |
The second model is the medical model of disability which views adults as having impairment, it focuses on impairments that the adult has and finding ways to correct them. At my work place the residents are all elderly with some experiencing learning disability and some mental health issues. Both the social and medical model have an impact on their daily activities. The ethos within the scheme is to empower the residents and enable them lead as normal a life as possible. And this is done by providing and engaging them in their own individualized support plans through support workers and allowing them make informed choices for themselves.
NRSG259: PROMOTING HEALTH IN EXTENDED CARE Assignment 2 Holistic nursing care is the cornerstone of the promotion of health, improving quality of life and ensuring optimal management of any illness an individual may experience. The case study client, Jock Nguyen, is a seventy-five year old man with advanced Congestive Cardiac Failure (CCF) living at home with some difficulties, including a diet he would not normally prefer and limited mobility. This paper aims to discuss methods in which the Registered Nurse can assess and assist Jock in the management of his nutrition and his mobility and optimize his quality of life. According to Jarvis (2012) age related changes to nutrition in the elderly include decline in dental health, saliva production, gastric motility, gastrointestinal absorption and altered gustatory and olfactory sensation. Risk factors of malnutrition for elderly living at home include poor self-perception of health, increasing age and depression (Johansson, Bachrach-Lindstrom, Carstensen, & Ek, 2008).
In the hospital and we call these requisites, activities of daily living or ADLs. According to Orem these requisites are required for daily survival. Orem cited five components as universal self care requisites: the maintenance of sufficient intake of air, food, and water, provision of care associated with the elimination process, a balance between activities and rest, as well as between solitude and social interaction, the prevention of hazards to human life and well-being, and the promotion of human functioning. (Nursing Theories,
Health care services user needs for example, when you are feeling unwell you go to see your G.P who will examine you and maybe give you prescription for medicine (primary care) refer you onto a hospital for specialist treatment or tests (secondary care). Health services also provide children health clinics to monitor growth and development of babies and young children. Health care services are primary concerned with diagnosis and treatment of illness and disease. Social care services provide help and support those service user’s in the community who are unable to cope because they are under stress, homeless, have a mental illness or because of old age no longer able to care for themselves without assistance with daily living needs. Social services enable people to live in after their own homes providing home care services such as meals and day care.
This could be with GP’s, District nurses, opticians, dentist’s, occupational therapists, physiotherapists and the resident’s family. We have disciplinary meeting where a group of health care professionals work together and discuss a resident, we all work the best route of care and how we can enrich the clients life whilst he is cared for with us the the care home or in his own accommodation if on leave. If i ever notice any changes in a clients behavior i would report it to the nurse on duty who would then assess the situation and for example would inform the GP or dentist to