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Nursing Home Care BD 


Nursing Home Care BD is a nursing specialty in which nurses provide multidimensional home care to patients of all ages. Home health care is a cost efficient way to deliver quality care in the convenience of the client’s home. Home health nurses create care plans to achieve goals based on the client’s diagnosis. These plans can include preventive, therapeutic, and rehabilitative actions. Home health nurses also supervise certified nursing assistants. The professional nursing organization for home health nurses is the Home Healthcare Nurses Association (HHNA). Home health care is intended for clients that are well enough to be discharged home, but still need trained nursing personnel to assess,

Nursing Home Care Bachelor of Divinity initiate and manage nursing interventions.Lillian Wald is recognized as the pioneer of public health nursing. She established the Henry Street Settlement which served underprivileged individuals and families. Nurses and social workers that worked at the Henry Street Settlement visited patients in their homes, assessed their health needs, and provided support with hygiene, nutrition, immunizations and more. Wald was able to convince Metropolitan Life Insurance Company to cover home care services. This allowed public health nursing to shift from charitable work to profitable work.Nursing Home Care BD There is a wide range of services that are performed by many different professionals, services include wound care, disease management, medical equipment, therapy, medical social services, and patient education.Home health nurses have a wide range of duties and services provided, and in addition to services provided nurses also consult with doctors on the status of the patient and provide feedback on any potential changes that need to be made to the care plan.Nursing Home Care BD Some responsibilities that home health nurses take on include promoting health and disease prevention, medication administration, educating patients on their current diagnosis, providing emotional support, and providing basic care such as personal hygiene.Nursing 


Home Care BD Nurses also step into the role of case managers, meaning that they coordinate services from different disciplines for the patient. This can include rehabilitation, pharmacy, community resources and more. Nursing Home Care BD Providing the most up-to-date and effective care for a patient is also a very important part of a home health nurse’s job. They do this by continually keeping up to date on the latest research and Evidence-Based Practice.Nursing Home Care BD A nursing home, convalescent home, Skilled Nursing Unit (SNU), care home or rest home provides a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living. Residents include the elderly and younger adults with physical or mental disabilities. Eligible adults 18 or older can stay in a skilled nursing facility to receive physical, occupational, and other rehabilitative therapies following an accident or illness.Nursing Home Care BD In the United States, a “Skilled Nursing Facility” or “SNF” is a nursing home certified to participate in, and be reimbursed by Medicare. Medicare is the federal program primarily for the aged who contributed to Social Security and Medicare while they were employed. A “Nursing Facility” or “NF” is a nursing home certified to participate in, and be reimbursed by Medicaid. Medicaid is the federal program implemented with each State to provide health care and related services to those who are “poor.” Each State defines poverty and; therefore, Medicaid eligibility. Those eligible for Medicaid may be aged, disabled or children (e.g. Children’s Health Insurance Programs – CHIPs and Maternal-Child wellness and food programs).

Nursing Home Care BD In the United States, each State “licenses” its nursing homes, making them subject to the State’s laws and regulations. Nursing homes may choose to participate in Medicare and/or Medicaid. If they pass a survey (inspection), they are “certified” and are also subject to federal laws and regulations. All or part of a nursing home may participate in Medicare and/or Medicaid.Nursing Home Care BD In the United States, nursing homes which participate in Medicare and/or Medicaid are required to have licensed practical nurses (LPNs) (in some States designated “vocational nurses” or “LVNs”) on duty 24 hours a day. For at least 8 hours per day, 7 days per week, there must be a registered nurse on duty. Nursing homes are managed by a Licensed Nursing Home Administrator.Unlike U.S. nursing there are no standardized training and licensing requirements for administrators, though most states require a Federal License, and many states such as California have their own licensure for administrators. In April 18, 2005 there were a total of 16,094 nursing homes in the United States, down from 16,516 in December 12, 2002.Nursing Home Care BD There are states that have other levels of care offered to elderly and other adults who need assistance and are able to live in the community. For instance, Connecticut has Residential Care Homes or RCH that are licensed by the State Department of Public Health. These homes provide 24-hour supervision and typically offer a more “home-like” environment.Many are actually large homes that have been converted to dwellings that offer a residential community that promotes an independent lifestyle and fosters fellowship with others who need some form of assistance to live in the community .

Nursing Home Care BD SNF services may be offered in a free-standing or hospital-based facility. A freestanding facility is generally part of a nursing home that covers Medicare SNF services as well as long-term care services for people who pay out-of-pocket, through Medicaid, or through a long-term care insurance policy. Generally, Medicare SNF patients make up just a small portion of the total resident population of a free-standing nursing home.Nursing Home Care BD Medicare also covers nursing home care for certain persons who require custodial care, meet a state’s means-tested income and asset tests, and require the level-of-care offered in a nursing home. Nursing home residents have physical or cognitive impairments and require 24-hour care.Nursing Home Care BD The cost of staying in a Nursing home can cost several thousand per month or more. Some deplete their resources on the often high cost of care. If eligible, Medicaid will cover continued stays in nursing home for these individuals for life. However, they require that the patient be “spent down” to a low asset level first by either depleting their life savings or asset-protecting them, often using an elder law attorney.Nursing Home Care BD