CIO Stories, II The Jewish Home and Hospital Lifecare System, NYC: Paving the Way for Long-Term Care

2004 ◽  
pp. 183-190
Author(s):  
Kristine M. Cerchiara ◽  
Nancy Stoddard
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
The Way

scholarly journals Physiotherapy in nursing homes. A qualitative study of physiotherapists’ views and experiences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shanty Sterke ◽  
Ana Paula Nascimento da Cunha ◽  
Hanneke Oomen ◽  
Lennard Voogt ◽  
Marleen Goumans
Keyword(s):  
Nursing Homes ◽  
Qualitative Study ◽  
Long Term Care ◽  
Chronic Wounds ◽  
Personal Factors ◽  
Staffing Level ◽  
Term Care ◽  
Functional Problems ◽  
The Way

Abstract Background There are distinct differences in the implementation of physiotherapeutic care in nursing homes. Both nationally and internationally staffing levels of physiotherapy differ significantly between and within nursing homes. Since legislation or guidelines that specify the parameters of physiotherapy required in nursing homes are lacking, it is unknown how physiotherapists currently estimate the usefulness and necessity of physiotherapy in individual situations in long-term care. The purpose of this study was to describe how physiotherapists actually work, and how they want to work, in daily practice in Dutch nursing homes. Methods We performed a qualitative study with an online questionnaire. We asked 72 physiotherapists working in Dutch nursing homes to describe as accurately as possible usual care in nine different cases in long-term care. Furthermore we asked them to describe their role in the prevention and treatment of a number of indicators that measure the quality of care in nursing homes. Two reviewers thematically analysed the answers to the questionnaires. Results Forty-six physiotherapists returned the questionnaire. Physiotherapy services include active exercise therapy aimed to improve mobility and movement dysfunctions, advising on prevention and management of falls, pressure ulcers, incontinence, malnutrition and sarcopenia, overweight, physical restraints, intertrigo, chronic wounds, behavioural and psychological symptoms in dementia, and physical inactivity, and ergonomic and behavioural training. The way and extent in which physiotherapists are involved in the various care- and functional problems differs and depends on organisational and personal factors such as, organisation’s policy, type of ward, time pressure, staffing level, collaboration with other members of the multidisciplinary team, or lack of knowledge. Conclusion Physiotherapists in nursing homes are involved in the prevention and management of different care situations and functional problems. The way in which they are involved differs between physiotherapist. Aiming for more uniformity seems necessary. A shared vision can help physiotherapists to work more consistently and will strengthen their position in nursing homes.

scholarly journals Gender equality and the governance of long-term care policy: new comparative models and paradigms

2020 ◽  
pp. 1-18
Author(s):  
Kirstein Rummery
Keyword(s):  
Welfare State ◽  
Gender Equality ◽  
Long Term Care ◽  
Care Policy ◽  
Term Care ◽  
New Models ◽  
Care Policies ◽  
And Gender ◽  
The Way

Abstract There is a long-established link between care policies and gender equality outcomes, and much modelling of welfare state typologies look at care provision as a distinguishing feature. However, to date, little research has been done which has systematically and critically examined those links by examining the policies and the way they operate, how and why they affect gender equality, and the governance of care policies in a comparative way. This paper draws on evidence from a recently completed comparative study looking at long-term care and gender equality. A CQA (Comparative Qualitative Analysis) approach was used to identify case studies, and further analysis carried out which focussed on: overall, how the policies and the way they operated to achieve gender equality; the governance and design of policies that led to good gender equality outcomes; the level of policy making; the role of the state, the family, the community and the nonstatutory civic sector in designing and delivering effective policies; and how context specific the ideas, actors and institutions supporting the policies were. Instead of using existing welfare typologies that were not driven by gender equality as the defining outcome variable, the author takes an inductive approach to policy analysis to compare policy outcomes according to gender equity outcomes. She devises two new models of long-term care policy: the Universal Model and the Partnership Model, both of which lead to improved gender equality in different ways. This paper concludes by noting the need to move beyond existing welfare state typologies in examining gender equality outcomes, which will result in new models as depicted here.

The Development of Relationships Between Families and Staff in Long-term Care Facilities: Nurses' Perspectives

2002 ◽  
Vol 21 (2) ◽  
pp. 217-228 ◽  
Author(s):  
James Gladstone ◽  
Evelyn Wexler
Keyword(s):  
Long Term Care ◽  
Social Power ◽  
Comparative Method ◽  
Final Decision ◽  
Structural Factors ◽  
Open Communication ◽  
Term Care ◽  
Care Facilities ◽  
The Way

ABSTRACTThe objective of this study was to explore the way in which relationships develop between family members and staff working in long-term care facilities. In-depth, qualitative interviews were conducted with 17 registered nurses. Data were analysed inductively using the constant comparative method. Findings showed that RNs perceive their relationships with families to develop in four stages: the “initial greeting,” sizing up,” “making a tentative decision,” and “reaching a final decision”. Several contextual factors were associated with the way in which relationships developed, including structural factors, family recognition of staff efforts, open communication, and professional identity. Findings suggest that relationships can best be understood from an interpretive perspective and that an analysis of family-staff relationships should consider the influence of social power.

scholarly journals Antimicrobials in acute and long-term care: a point in time along the way to improved use

2018 ◽  
Vol 23 (46) ◽  
Author(s):  
Melinda M. Neuhauser ◽  
J. Todd Weber
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
The Way

scholarly journals Leading the Way to Quality Long-Term Care: Lessons From the Past, Strategies for the Future

2007 ◽  
Vol 47 (3) ◽  
pp. 355-355
Author(s):  
D. Wieland ◽  
S. Hedrick
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
The Past ◽  
The Future ◽  
The Way

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

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