scholarly journals Physical Therapist's Point of View in the Preventive Approach to Long-Term Care Using the ICF Core Set

2008 ◽  
Vol 23 (1) ◽  
pp. 29-33
Author(s):  
Ryuichi KUSAKA ◽  
Masahiko KOMORI ◽  
Yasuyuki TANAKA ◽  
Nobuko OSAKA ◽  
Kiyoshi NAGANO ◽  
...  
2019 ◽  
Author(s):  
Constanze Janda

The textbook is dealing with the fundamental legal aspects of the long-term care insurance and the fields of law related to that. The latest legislative developments and reforms, such as the two “Pflegestärkungsgesetze” are presented, thus the book is higly up-to-date. After defining and discussing the concept of “need of care”, the authors present the eligibility criteria and benefits in the long-term care insurance from the claimants’ point of view. Additionally, the legal relations between service providers and the cost-bearers as well as matters of quality assurance are reflected. The focus is set on the social care insurance (SGB XI), but benefits of the health care insurance (SGB V) and the social assistance scheme (SGB XII) related to care are dealt with, too. Schedules, case studies and sample examinations questions make the book a very helpful guide through the law of care for students of law, social work and care. Besides, pracitioners can get a concise overwiev on the recent development in care.


2020 ◽  
pp. 108482232096961
Author(s):  
Kyungmi Woo

This study aimed to examine the concept of Managed Long Term Care service from a care manager’s perspective. The Walker and Avant concept analysis approach was applied. The defining attributes include (1) chronic disease or disability, (2) coordination of care, and (3) services. Core components of Managed Long Term Care service were found to be a network of providers and capitation. A conceptual model of Managed Long Term Care service was developed with Managed Long Term Care service operationally defined as “a program with a set of services delivered to patients who have a chronic illness or disability and wish to stay safe and healthy at home in the community. The services or benefits are coordinated by a care manager who serves as a point of contact for the patient and provider(s), and are delivered by providers in the network.” Care management is a core concept of Managed Long Term Care. The triple aims of Managed Long Term Care are to deliver the right care at the right time at the right cost to Managed Long Term Care eligible patients. This paper sought to illuminate and clarify varied perspectives on the concept of Managed Long Term Care service. Without a clear understanding of a community-based service or program, delivery of nursing care may be less effective. This study was the first to examine this widely used but often imprecisely defined community health service from a case manager’s point of view.


Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 213
Author(s):  
Sabrina Cherubini ◽  
Mariagrazia Perilli ◽  
Anna Maria Azzini ◽  
Evelina Tacconelli ◽  
Laura Maccacaro ◽  
...  

Long-term care facilities (LTCFs) are important reservoirs of antimicrobial-resistant (AMR) bacteria which colonize patients transferred from the hospital, or they may emerge in the facility as a result of mutation or gene transfer. In the present study, we characterized, from a molecular point of view, 43 E. coli strains collected from residents of LTCFs in Northern Italy. The most common lineage found was ST131, followed by sporadic presence of ST12, ST69, ST48, ST95, ST410 and ST1193. All strains were incubators of several virulence factors, with iss, sat, iha and senB being found in 84%, 72%, 63% and 51% of E. coli, respectively. Thirty of the ST131 analyzed were of the O25b:H4 serotype and H30 subclone. The ST131 isolates were found to be mainly associated with IncF plasmids, CTX-M-1, CTX-M-3, CTX-M-15, CTX-M-27 and gyrA/parC/parE mutations. Metallo-β-lactamases were not found in ST131, whereas KPC-3 carbapenemase was found only in two ST131 and one ST1193. In conclusion, we confirmed the spread of extended-spectrum β-lactamase genes in E. coli ST131 isolated from colonized residents living inside LTCFs. The ST131 represents an incubator of fluoroquinolones, aminoglycosides and other antibiotic resistance genes in addition to different virulence factors.


1994 ◽  
Vol 14 (3) ◽  
pp. 285-309 ◽  
Author(s):  
Ulrike Götting ◽  
Karin Haug ◽  
Karl Hinrichs

ABSTRACTThis paper represents a case study in welfare state expansion. It takes an actor-centered point of view and reconstructs the long process which has ultimately led to a compromise solution to the problem of providing long-term care, especially for the elderly. It describes the previously means-tested arrangement of long-term care provision and its shortcomings. Furthermore, it sketches the different stages through which the political debate on this issue has passed during the last twenty years: from the initial phase of defining the “social problem”, to the final stage when the approval of the compromise package became a question of “all or nothing”. The analysis of the politics of long-term care insurance reveals that the difficulties of reaching an agreement mainly resulted from the complex decision-making situation. It was in essence a problem of decision-making under conditions of general uncertainty.


2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe

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.


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

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