Efnisyfirlit

• Title Page
• Copyright
• Contents
• List of Tables, Figures, and Exhibits
• Introduction
• Acknowledgments
• About the Editor
• About the Contributors
• Chapter 1 Public Policy: Historical Overview of Long-Term Care
  • Key Demographic Trends of Older Americans
    • Demographic Bulge
    • Lower Acuity Among the Aging
    • Longevity and Healthier Lifestyles
    • Socioeconomic Status of Older Adults
    • Gender Imbalance
    • Diversity in Culture and Ethnicity
    • Same-Sex Marriage and LGBTQ+ Gender Identity
    • Impacts on Long-Term Care Continuum
  • Long-Term Care and Public Policy
    • What Is Long-Term Care?
    • What Is Public Policy?
    • Rationales (Goals) for Public Policy
    • Why Public Policies for LTC?
    • Highly Vulnerable Population
    • Negative Perceptions in Costs and Quality
    • Resources Are Limited-Unaffordable and Limited Supply
    • Nonviable Financing Protection Mechanism, Both Public and Private Financing
    • Critiques of Public Policy
  • Key Historical Milestones and Major Long-Term Care Policies
    • Federal Policies
    • State and Local Government Policies
    • Important Policies Affecting LTC Professionals and Paraprofessionals
    • Examples of State-Specific Laws
  • The Patient Protection and Affordable Care Act (PPACA) and LTC
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
• Chapter 2 Long-Term Care Continuum
  • The Long-Term Care Continuum Defined
    • Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)
    • Medical Acuity
  • The Long-Term Care Continuum
    • Aging in Place
  • The Private Home Environment: Aging in Place
    • Informal Supports
    • Private-Duty Aide
    • Home Care
    • Home Health Care
    • Home Modifications
    • Federal Housing Programs
    • Shared Housing Programs
    • Congregate Housing
    • Veterans Affairs Supportive Housing (VASH)
  • Community Resident Environments
    • Continuing Care Retirement Community (CCRC)
    • Active Living Communities
    • Naturally Occurring Retirement Community
  • Community Support Programs
    • Adult Social Day Care
    • Adult Day Health Care
    • Hospice and Palliative Medicine
    • Intergenerational Caregivers
    • Respite Care Programs
    • Congregate and Home-Delivered Meal Programs
    • Other Community-Based Programs Organizations That Provide Assistance
  • Transitional Housing From Home Community to Formalized Home Care Facilities
    • Board and Care and Adult Care Homes
    • Intermediate Care Facilities (ICF)
    • Assisted Living Facilities
    • Twenty-Four-Hour Nursing Care
  • The Workforce in Care Facilities
    • Administrators
    • Physicians
    • Nurses
    • Licensed Versus Certified Healthcare Personnel
    • Therapeutic Specialists
    • Social and Quality of Life Specialties
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1: Community Care
    • Case Study #2: Skilled Nursing
  • References
• Chapter 3 Resident Advocates, Diversity, and Resident-Centered Care
  • Where Does Quality Start?
    • Nursing
    • Housekeeping
    • Therapeutic Recreation
    • Volunteers
    • Dietary
    • Social Work
    • Other Disciplines and Departments
    • Quality Assurance and Performance Improvement
  • Resident Councils
  • Family and Friends
  • National Nursing Home Ombudsman Program
  • Advocacy Organizations
  • Diversity
  • Changing the Culture: Person-Centered, Person-Directed Care
    • Mount St. Vincent
    • The Live Oak Regenerative Community
    • The Eden Alternative
    • Wellspring
    • The Green House
    • The Household Model
    • Planetree
  • Advocacy and Dementia Care
  • The Pioneer Network
  • The Role of Philanthropy
  • The Language of Culture Change
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1
    • Case Study #2
    • Case Study #3
  • References
  • Acknowledgments
• Chapter 4 Physical Environment of Long-Term Care
  • History of Long-Term Care Design in the United States
    • Origins of the Acute Care Hospital and Aged Care
    • Governmental Oversight and Influence on Long-Term Care
  • The Medical Model of Aged Care
    • Traditional Nursing Home Components
  • Resident-Centered Care Model
  • Development of Contemporary Long-Term Care Environments
    • Exploded Corridor Floor Plans
    • Household Model Development
    • Contemporary Nursing Home Components
    • The Long-Term Care Culture Change Movement (Resident-Centered Care)
  • Technology of Long-Term Care
    • Behavioral Monitoring
    • Ambulatory-Assistance Devices
    • Communication Technology
  • Building Code Requirements
    • History and Importance
    • Americans With Disabilities Act
    • Going Beyond ADA
    • Fire-Resistance Rated Construction
  • State and Local Regulatory Agencies
    • International Building Code (IBC)
    • National Fire Protection Association and the Life Safety Code (LSC)
    • Authorities Having Jurisdiction (AHJ)
  • Occupational Safety and Health Administration (OSHA)
    • History and Importance
    • OSHA Components
    • Standards and Compliance Requirements for Administrators
    • Lockout/Tagout
    • Recordkeeping Rules
    • Citations and Penalties
  • Preventative Maintenance Programs
    • History and Importance
    • Useful Life
    • Maintenance Items
    • Preventative Maintenance Software
  • Infection Control Programs
  • Emergency Preparedness
    • History and Importance
    • Steps for Emergency Preparedness
    • Emergencies and Preparations
    • Egress Procedures
    • Assisted Evacuation
    • Testing
    • Training and Drills
  • Survey Process
    • Nursing Home Oversight
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1
    • Case Study #2
  • References
• Chapter 5 Human Resources: Managing Employees in Long-Term Care
  • Core Human Resources Functions in Long-Term Care
    • Administrative Partner
    • Business Partner
    • Strategic Partner
    • Outsourcing Human Resources
  • Human Resources Challenges in Long-Term Care
    • Workforce Availability
    • Contingent Workforce
    • Turnover
    • Composition of Workforce
    • Managing Diversity
  • Workforce Planning
    • Direct Care Staffing
    • Recruiting
    • Job Descriptions
    • Referral Programs
    • Screening and Selection
  • Training
    • Orientation
    • Mandated Training
  • Employee Relations
    • Employee Communications
    • Employee Suggestion Program
    • Open-Door Policy
  • Legal Rights and Benefits
    • At-Will Employment
    • Union Organization
    • National Labor Relations Act (NLRA) Requirements
    • Occupational Safety and Health Act (OSHA) Requirements
    • Worker Safety Programs
    • Americans With Disabilities Act (ADA) Accommodation
    • Discrimination and Harassment
    • Retaliation
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1
    • Case Study #2
  • References
• Chapter 6 Reimbursement in the Long-Term Care Environment
  • Payer Sources
    • Government Programs
    • Managed Care
    • Private Pay
    • Long-Term Care Insurance Plans
    • Supplemental Insurance Plans
  • Reimbursement Methods
    • Prospective
    • Retrospective
  • Resident-Related Items
    • Medicaid
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgments
• Chapter 7 Compliance and Risk Management
  • Compliance Today
    • Overview of LTC Regulations
    • Federal LTC Statutes
    • State LTC Statutes
  • Who Does the Long-Term Care Provider Serve?
  • Compliance and Accountability
    • Government Tools
    • Surveys
    • Five-Star Incentives
    • Corporate Integrity Agreement
    • Corporate Compliance Program (CCP)
    • Whistle-Blower Litigation
  • Primary LTC Risk Areas
    • Criminal Prosecution
    • Regulatory Risks
    • Civil Litigation
  • Compliance Program Necessities
    • ACA Guidelines
    • 2000 Office of Inspector General (OIG) Guidelines
    • 2008 Supplemental Office of Inspector General Guidelines
    • Quality of Care
    • Submission of Accurate Claims
    • Anti-Kickback Statute (AKS)
    • Physician Relations
    • Anti-Supplementation
    • Medicare Part D
    • HIPAA
  • Effective Risk Management
    • Quality Assurance and Risk Management
    • Root Cause Analysis
    • Analyze the Data
    • Identify the Root Cause(s)
    • Recommend and Implement Solutions
    • Reassess to Determine Efficacy
    • Compliance Through Documentation
    • Medical Record
    • Employment Files
    • QA Studies and Audits (Often Referred to as Quality Assurance Performance Improvement or QAPI)
    • Billing Records
    • Incident Investigation/Reporting
    • Contracts With External Resources
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1
    • Case Study #2
  • References
• Chapter 8 Legal and Ethical Issues
  • Health Care as a Business
    • Payer Sources
    • Private Pay
    • Scope of Expectations
  • Legal Responsibilities
    • Initial State Licensure
    • Contracts With Federal and State Governments
    • Other Federal Laws and Their Ethical Implications
  • Agencies
    • Department of Health and Human Services (DHHS or HHS)
    • State Health Departments
    • Department of Justice (DOJ) (Federal and State)
    • Office of Civil Rights (OCR)
    • Adult Protective Service (APS)
    • Long-Term Care Ombudsman (Ombudsman)
    • Privately Funded Agencies
    • Employees
    • Court of Public Opinion/Media
  • Principal Areas of Focus
    • Abuse and Neglect
    • Abuse/Neglect Investigation and Reporting
    • Residents' Rights
    • Civil and Regulatory Ramifications
    • Health Insurance Portability and Accountability Act (HIPAA)
    • Physician and Vendor Relationships
    • Advance Care Planning
    • Other Important Issues to Consider
  • Practical Solutions to Complicated Problems
    • Policies, Procedures, and Protocols
    • Bioethics Committee
    • Training/Evaluation/Discipline
    • Reporting Process
    • Audit
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case #1
    • Case #2
  • References
• Chapter 9 Marketing and Public Relations
  • Assessing Local Demand for Long-Term Care Services
  • Public Perceptions and Public Relations
    • Naming and Vocabulary
    • Addressing Suspicions and Fears
  • Customers and Their Needs
    • Families
    • Third-Party Payers
    • Identifying Customer Needs
    • Market Segmentation
  • Competition
    • Positioning
  • Marketing Approaches
    • Collaboration
    • Referral Agents
    • Networking
  • Public and Private Oversight of Long-Term Care Services Providers
  • Customer Services and Retention
    • Preplacement Evaluation
    • Customer Service
    • Resident Ambassadors
    • Monitoring Customer Satisfaction
  • Marketing Plan
    • Return on Marketing Investment (ROI)
    • Customer Buying Behavior
    • Branding
    • Ethical Marketing
    • False Promises
    • Advertising and Promotional Activities
    • Social Media
    • Crisis Management
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1: SNF Marketing in a Post-ACA World: Memorial Hospital of Gardena (California)
    • Case Study #2: Skilled Nursing Facility Marketing in the Future
    • Case Study Review Questions
  • References
  • Acknowledgments
• Chapter 10 Health Information Systems
  • Prevalence of Use
  • Regulations, Laws, and Standards
    • Record Retention Requirements
  • Health Information Technology Applications
  • Advantages of Health Information Technology Use in Long-Term Care
  • Disadvantages of Health Information Technology Use in Long-Term Care
    • Electronic Devices
  • Implementation and Conversion to Health Information Technology
    • Staff Training
  • Summary
  • Key Terms
  • Review Questions
  • Case Studies
    • Case Study #1
    • Case Study #2
  • References
  • Acknowledgment
• Chapter 11 Biological and Psychosocial Aspects of Aging: Implications for Long-Term Care
  • Normal Physical Changes With Aging
    • Skin Changes
    • Sensory Changes
    • Immune System
    • Gastrointestinal System
    • Musculoskeletal System
    • Respiratory and Cardiovascular Systems
    • Frailty Syndrome
    • Urinary Tract
    • Neurological Changes
    • Health Promotion, Disease Prevention
  • Common Psychosocial Changes With Aging
    • Losses and Isolation
    • Depression
    • Anxiety
    • Sleep Pattern
  • Illness Presentations in Older Adults
  • Responses to Medications in Older Adults
    • Changes in Absorption, Distribution, Metabolism, Elimination, and Action
    • Inappropriate Drug Prescribing
    • Polypharmacy
  • Changes in Older Adult and Family Relations in Long-Term Care
    • Why Move to Long-Term Care Placement
    • Caregiver Burden
    • Suicide
    • Acquired Conditions as Consequences of Long-Term Care Placement
  • Interventions to Maintain Quality of Life After a Move to Long-Term Care
    • Initial Orientation/Transition
    • Personal Possessions
    • Staffing
    • Feelings of Self-Worth, Independence, and Choice
  • Assessment and Care Planning
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgment
• Chapter 12 Resident-Centered Clinical Operations
  • Clinical Operations
    • Role of the Administrator
    • Critical Thinking and Clinical Judgment
    • Federal and State Regulations
    • Policies and Procedures
  • Admission to Facility
    • Care Plan
    • Medical Record Audit
  • Rehabilitation
    • Evaluations
    • Treatment Plans
    • Supportive Devices
  • Documentation
    • Interdisciplinary Focus
    • Dos and Don'ts
    • Subjective Versus Objective
    • Late Entry
    • Summarizing Event Entry
    • Complaints
    • Contributory Negligence
  • Resident, Patient, and Family Education
    • Documentation
    • Care Conference
  • Leave of Absence
    • Community Survival Skills Assessment
    • Provider Order
    • Role of Payer Source
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgment
• Chapter 13 Facility-Centered Clinical Operations
  • Weekly Operations
    • Wound Rounds
    • Nutrition at Risk
    • Falls
    • Restorative Nursing
  • Monthly Operations
    • Medical Record Audit
    • Pharmacy
    • Recapitulation (Recap)
    • Nursing Assistant Flow Sheets
  • Quarterly Operations
    • Individual Discipline Summaries
  • Changes of Condition
    • Notifications
    • Alert Charting
  • 24-Hour Report
    • Process
    • Shift Change
  • Stand-Up Meeting
    • Purpose
    • Color-Coding System
    • Part I-General Issues
    • Part II-Clinical Review
  • Challenges With Electronic Medical Records
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgment
• Chapter 14 Facility Operations and Performance Improvement
  • Facility Operations
    • Role of the NHA
    • Daily NHA Rounds
  • Preadmission
    • Preadmission Screening and Resident Review (PASRR)
    • Financial Reimbursement for Treatment
    • Facility Tour
  • Documentation Required for Admission
    • Physician Order
    • Medication Administration Record (MAR)
    • Evidence of Being Free of Tuberculosis
    • History and Physical (H&P)
    • Discharge Summary
  • Admission Packet
    • Identification of Parties
    • Consent to Treatment
    • Resident Rights
    • Financial Arrangement
    • Transfers and Discharges
    • Bed Hold Policy
    • Personal Property and Funds
    • Photographs
    • Confidentiality of Medical Information
    • Facility Rules and Grievance Procedure
    • Admission Agreement
  • Resident-Directed Move-In
    • Orientation to the Facility
    • Resident's Adjustment, Grief, and Loss
  • Resident Assessment Instrument Process
    • Minimum Data Set (MDS)
    • Care Area Assessment (CAA)
    • Care Plan
    • Care Plan Conference
  • Identifying and Honoring the Resident's Voice
    • Nursing
    • Dietary
    • Social Services
    • Activities
  • Performance Improvement
    • Quality Assurance (QA)
    • Performance Improvement (PI)
    • Quality Assurance and Performance Improvement (QAPI)
    • Five Elements of QAPI
    • Quality Assessment and Assurance (QAA)
    • Quality Measure/Indicator Reports
    • Program for Evaluating Payment Patterns Electronic Report (PEPPER)
  • Data Management
    • Process-Oriented Context
    • Run Charts—Just Plot the Dots!
    • Variation
    • Strategies for Improvement: The Fun Stuff!
  • Surveys
    • Survey Management
    • Initial Certification Survey
    • Traditional Survey
    • Quality Indicator Survey (QIS) Process
    • Minimum Data Set (MDS) Survey
    • Exit Conference
    • Form 2567
    • Scope and Severity
    • Informal Dispute Resolution (IDR)
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgment
• Chapter 15 Financial Issues and Tools
  • Financial Issues and Financial Tools
    • Budgets
  • Budget Development
    • Profit or Loss
    • Staff
  • Revenue Enhancement
    • Level of Services Provided to Residents
    • Intensity of Services to the Residents
  • Future Directions
    • Level of Care
    • Affordable Care Act
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
  • Acknowledgment
• Chapter 16 International Comparisons and Future Trends in Long-Term Care
  • Growth of Elderly Population
  • Increase in Longevity and Disability
  • Increase in Long-Term Care Expenditure
  • International LTC Policies
    • Germany
    • Japan
    • Italy
    • South Korea
  • Future Trends of LTC in the United States
    • Anticipated Growth of LTC Needs
    • Trends in Supply and Use
    • Future Predictions for LTC
  • Summary
  • Key Terms
  • Review Questions
  • Case Study
  • References
• Index
• EULA

UM RAFBÆKUR Á HEIMKAUP.IS

Bókahillan þín er þitt svæði og þar eru bækurnar þínar geymdar. Þú kemst í bókahilluna þína hvar og hvenær sem er í tölvu eða snjalltæki. Einfalt og þægilegt!

Rafbók til eignar
Rafbók til eignar þarf að hlaða niður á þau tæki sem þú vilt nota innan eins árs frá því bókin er keypt.

Þú kemst í bækurnar hvar sem er
Þú getur nálgast allar raf(skóla)bækurnar þínar á einu augabragði, hvar og hvenær sem er í bókahillunni þinni. Engin taska, enginn kyndill og ekkert vesen (hvað þá yfirvigt).

Auðvelt að fletta og leita
Þú getur flakkað milli síðna og kafla eins og þér hentar best og farið beint í ákveðna kafla úr efnisyfirlitinu. Í leitinni finnur þú orð, kafla eða síður í einum smelli.

Glósur og yfirstrikanir
Þú getur auðkennt textabrot með mismunandi litum og skrifað glósur að vild í rafbókina. Þú getur jafnvel séð glósur og yfirstrikanir hjá bekkjarsystkinum og kennara ef þeir leyfa það. Allt á einum stað.

Hvað viltu sjá? / Þú ræður hvernig síðan lítur út
Þú lagar síðuna að þínum þörfum. Stækkaðu eða minnkaðu myndir og texta með multi-level zoom til að sjá síðuna eins og þér hentar best í þínu námi.



Fleiri góðir kostir
- Þú getur prentað síður úr bókinni (innan þeirra marka sem útgefandinn setur)
- Möguleiki á tengingu við annað stafrænt og gagnvirkt efni, svo sem myndbönd eða spurningar úr efninu
- Auðvelt að afrita og líma efni/texta fyrir t.d. heimaverkefni eða ritgerðir
- Styður tækni sem hjálpar nemendum með sjón- eða heyrnarskerðingu