What would you like to see in a nursing home? How would you like to see a nursing home staffed by interdisciplinary staff? Consumer focus groups or family focus groups? Are there interdisciplinary staff members who understand your needs? If you have a loved one in a nursing home, do you have questions you would like to ask? Below are some of the most common questions we get asked. We encourage you to ask them.
Family focus groups
A study of the experiences of families of nursing home residents has revealed a number of factors that influence the selection process. The study interviewed 17 members of the families, with each member playing a different role in the decision-making process. One third of the families were responsible for selecting a nursing home alone; another 24 percent were influenced by friends, colleagues, or pastors. Findings revealed that the factors that influence nursing home selection are similar across all groups, despite their differing perspectives on the subject.
In this study, the researchers conducted six stakeholder focus groups. The focus groups were moderated by two researchers and lasted an hour. Researchers introduced themselves and explained the research objective. The focus groups were held during work-time and at change-of-shift in the afternoon. After each group, an audio recording of the participants’ comments was collected. The researchers analyzed the data from each focus group to create a draft instrument for testing.
Consumers in the focus group also cited the short timeframe in which they must choose a nursing home. While discharge planners begin assisting patients with aftercare planning the day of their admission, many families don’t decide until a day or two before discharge. This is largely due to the fact that patients and their families may change their medical condition before discharge. They also note that physicians are involved in the decision-making process, but this is not always the case.
Findings from the study also indicated that people in nursing homes place a high priority on group interests and low importance on individual interests. Professional caregivers also believe it is inappropriate to engage in activities with residents on their own and leave their colleagues to do so. Moreover, they do not view physical activity as their primary responsibility. Breaking this group norm is not easy and requires courage. This study, however, reveals that family members are the most vocal and knowledgeable sources of information about the quality of care offered in nursing homes.
Consumer focus groups
One of the many ways to improve the quality of nursing homes is to include consumer focus groups. These groups allow consumers to discuss their experiences and suggest improvements. The focus groups are a cost-effective alternative to surveys and include the power of non-verbal communication analysis. Participants are chosen with care and are encouraged to freely discuss their views with other participants. The focus groups are typically comprised of 6 to 12 people and are facilitated by an independent third party.
Among the most common concerns and suggestions from consumers were the quality of the facilities. While the focus groups were conducted among short-stay residents, it was clear that their involvement in the decision-making process was important. The focus groups indicated that the family was solely responsible for choosing the particular facility and acting as a sounding board for former residents. However, many consumers did not know the full cost of LTC, so it is important to have a comprehensive understanding of what LTC is.
In addition to the focus groups, the authors identified resources that consumers can use to make informed choices about which nursing homes are best for them. These resources include national aging networks, local and state-specific Aging and Disability Resource Centers, and LTC ombudsman programs. Participants also reported not knowing about several resources in their community, including informal sources. Nontraditional resources included religious institutions, community centers, and libraries.
Culture was identified as an important consideration for nursing home selection by consumers. Many consumers surveyed in the survey were not aware that the process of selecting a nursing home could take several days. Often, families would delay making the decision until the day before discharge. It is often only a few days before a nursing home is selected and the decision can change if a patient’s condition worsens. In this case, the facility’s ability to support a specific language or culture becomes the primary factor in the decision.
Focus groups with nursing home residents
We held focus groups with residents of nursing homes to understand what they think of the care they receive from the nursing staff. One of the biggest issues that emerged was the sexual abuse of elderly people. Participants compared this situation to that of sexual abuse of children. Although the perpetrators are often well-liked, the residents were hysterical when they learned that their nurses had engaged in sexual assault. Some participants even accused staff members of being guilty of sexual assault, but this did not occur in their homes.
We found that many healthcare professionals were involved in assessment of meaningful activities. Focus groups were conducted with them in a variety of settings, including planned conversations, care moments, and everyday interactions. When information is not integrated, it creates a barrier to meaningful activities. However, these issues can be addressed through formal and informal situations, such as multidisciplinary team meetings. The barriers to meaningful activities were often not addressed, however, when the focus group participants were asked about their experiences.
The focus groups also revealed the perceived importance of individualising nutrition interventions. Participants in the study viewed FB and ONS interventions as helpful. They also viewed the input of dietetic staff as valuable. However, there were some challenges associated with the study. One of these challenges was that residents had limited time to complete the questionnaires. The focus groups also revealed the importance of incorporating resident preferences when implementing nutrition support plans. However, focus groups with nursing home residents were not conducted with all staff members.
The findings of this study showed that meaningful activities are a good way to increase awareness of the care offered in nursing homes. The activities should be personalized and meaningful. Often, general activities are offered in groups. These programs have a set program and are performed in the living room. Although these activities are personalized, they do not address the specific needs of each individual resident. The participants indicated that a combination of group and personalized activities would work best for the residents of the nursing home.
Interdisciplinary staff at nursing homes
In the present study, we explore the role of interdisciplinary staff in nursing homes. We describe the process of SBAR based communication, which facilitates collaborative care among healthcare professionals with different occupations. We also explore the characteristics of SBAR flows, such as the exchange of common knowledge and specialized knowledge. We analyze the transfer of information about daily living and healthy diet, as well as disease-related issues. Our findings offer new insights into nursing care in nursing homes.
In SBAR, we extracted recurring situations requiring interdisciplinary intervention. The ability of interdisciplinary staff members to recognize these situations is crucial. We identified complex subthemes, which required functional interventions. These involved gradual deterioration and subtle changes in a resident’s functioning. We also examined how the participants’ knowledge and experience of SBAR might be transferred to other disciplines. In addition, we looked at the role of nurses in the process of developing an interdisciplinary care plan.
Pressure ulcers, for example, are a frequent complication for immobile patients. Their presence negatively affects the health of the patients and their quality of life. A recent study by the GNEAUPP project found that the prevalence of PUs in nursing homes was 13.4%. The European Wound Management Association (EWMA) published a positioning document for care of patients with pressure ulcers, stating that individual healthcare professionals cannot adequately meet the complicated needs of patients with pressure ulcers.
In an interdisciplinary setting, the role of pharmacists has increased in recent years. These professionals are involved in the development of medical supplies. These medical supplies are expensive, both at the nursing home and hospital level. As technological advances increase, they require expertise in the management of a variety of products. In addition, the increasing diversity of companies managing nursing homes makes it necessary to involve pharmacists in the management of medical supplies. The process of creating and facilitating an interdisciplinary team has many benefits for nursing homes.
Lack of information about nursing homes
Many residents and families are concerned about the quality of nursing homes in their community. However, despite the heightened awareness about the need for quality care, many people do not have the resources to choose the best nursing home for their loved ones. The lack of information about nursing homes is an important cause for concern. The following information is important for residents, their families, and nursing professionals alike. The following is a brief overview of some of the most important issues regarding nursing homes.
The government pays 61 percent of the current costs of nursing homes. Congress has been reluctant to increase staffing levels because the increases would require substantial new resources. The legislators determined that these increases would raise the federal and state Medicaid budgets. As a result, they have been reluctant to make the necessary changes. This lack of information is a major reason for the current problems facing the industry. Moreover, the costs of nursing homes continue to rise, as the number of residents continues to rise.
While quality of care has improved in recent years, many problems remain. The federal government has not set specific standards for quality. While state agencies report on deficiencies in nursing homes, consumers are not always able to know how the process of care is conducted. Furthermore, many facilities are not required to publish reports of complaints or quality scores. Thus, it is impossible to compare quality in one nursing home with another. But with continued research and the development of new public policies, nursing homes will continue to improve.
The lack of information about nursing homes may lead residents to choose the wrong one. Nursing home facilities are profit-making institutions, and profit margins must be increased for the business to stay profitable. Government policies and regulations that increase profit margins for this industry have historically increased profits. Medicare’s return on equity policy, for instance, eliminates return-of-equity payments, and other government policies have made profit margins much higher. However, some states are attempting to eliminate reimbursement and reduce profit margins.
There is a prevailing myth that Indians oppose placing their parents in retirement homes. Instead, they support the traditional patriarchal values of parents and sons sharing family responsibilities. They also support in-home health care for elderly parents. But is that really the case? Here are some interesting observations. If you want to get a better idea of how Indians feel about the issue, read on.
Indians support traditional patriarchal values
In India, the tradition of shunning women from marrying into higher castes is still widespread. For instance, in the north, women have been breastfed for shorter periods of time, fed less nutritious foods, and taken to health clinics late at night. In the south, women are more visible and earn money, and the tradition of son preference is still practiced in some regions, including Punjab and Haryana.
The family is the foundation of a patriarchal society. The patriarchal system delegates to the father virtually total control over the family, including the power to kill, steal, and sell members. This system of family structure supports the authority of the father, who rules through his male line. It also reinforces a family’s cultural values and enforces conformity. Indians support traditional patriarchal values when placing parents in retirement homes.
India’s caste-based society was already deeply concerned with purity. As a result, women were degraded and lost honour to their male kin. They hid their bodies, lowered their gaze, and avoided mixing with strangers. This system of segregation intensified gender inequalities. Female education was also discouraged in India, and female education was reduced. In addition, men held the majority of public positions.
The British increased caste inequality in India, and in particular, the rights of landlords and castes. This has made it easier for men to commit sexual violence against Dalit women. Despite recent genetic evidence, caste endogamy has existed for millennia. The Vysya of Andhra Pradesh, for example, have married only within their caste and maintained a strict social isolation. Some people believe colonialism also played a role in gender relations.
They support sons and daughters sharing family duties
When asked whether sons and daughters should share the responsibilities of caring for aging parents, nearly all say yes. Only a small minority disagree with this view. Sons should be responsible for funeral rituals and burials, and more than two-thirds of Indians believe that daughters should have equal inheritance rights. While many of these opinions are based on a variety of factors, the findings show that most Indians support sons and daughters sharing the responsibilities of taking care of elderly parents.
Sons and daughters should share family duties, but only one half of Indian women support this view. The same proportion of Muslim women supports shared responsibilities between sons and daughters. And while Indian women are more likely to favor sons over daughters, men are much less supportive of this view. Only about one in three Indian women say the same. Further, attitudes towards shared responsibilities vary by state. In some Indian states, sons are more likely than daughters to be supported in this regard.
While most Indians say men and women should share family responsibilities, significant minority of people disagree. More than half of college-educated Indians believe that men should make more money than women. In addition, nearly two-thirds say that wives should obey their husbands. But this does not necessarily mean that women should have more opportunities in life. And most women support sons and daughters sharing family responsibilities, but it is important to note that many Indians still hold onto traditional patriarchal beliefs.
In some regions of India, attitudes about male-female roles vary considerably. Southerners tend to be more conservative when it comes to gender roles than their counterparts in the Hindi Belt (11 states, including Delhi and Haryana).
They support in-home health care for seniors
The Department of Veterans Affairs is one of the major funding sources for in-home health care for elders in American Indian communities. About 1 percent of veterans identify as American Indian or Alaska Native, and more have disabilities than all other veterans. However, a 2009 study found that while many enrollees sought care from both health care agencies, most went to the IHS. This results in limited coordination and treatment conflicts.
While American Indians have longer life expectancies than the general population, they also have higher rates of functional disability. The life expectancy of a person of Indian descent is seventy-four years, a little less than the life expectancy for non-Indians and Hispanics. The number of American Indians age 65 and older has grown by more than forty percent between 2000 and 2010. As a result, existing funding mechanisms will find it difficult to keep up with the demand.
Currently, in-home health care is most popular in urban areas, where more senior citizens live. The company also offers in-home care for senior citizens with children abroad. These services ensure that Indian seniors can receive convenient care, while senior children abroad have access to up-to-date information about their parent’s health status. Indians are also beginning to embrace in-home healthcare for seniors as a means to make their senior years more fulfilling and rewarding.
The ACL funds a number of programs for senior Indians, including nutrition programs, support group services, and elder care. The nutrition programs include home-delivered meals, information, transportation, and assistance with personal care and chores. The caregiving programs are also a great source of assistance for older relatives, such as grandparents caring for their grandchildren. It’s important to remember that in-home health care can be a lifesaver for many elderly Native Americans.
The Indian Health Service’s Acting Director recently issued letters to begin consultation with urban and tribal leaders to improve their knowledge of Alzheimer’s disease and other types of dementia in Indian communities. These efforts are designed to help senior citizens continue to live independently in their homes and communities while receiving a high-quality, compassionate care environment. However, there are some limitations to home health care services. Some may require extensive medical care, and some may need more care than others.